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Female Sexual Function, Dysfunction, and Treatment: A Biopsychosocial Multidisciplinary Approach
Anna Myers1, Jean Marino2, Karen Connor3
1Division of Female Sexual Health, Urology Institute, University Hospitals Cleveland Medical Center (Myers, Marino, Connor, Kelley, Kingsberg, and Pope), Cleveland, Ohio.
Objective:
Female sexual function is a multidimensional, complex, often understated aspect of health that encompasses desire, arousal, and orgasm. Physiological, psychological, and emotional factors impact sexual satisfaction. This article presents an expert-guided summary of the physiology and pathology of female sexual dysfunction and management of female sexual dysfunction from a multidisciplinary team lens.
Data Sources:
Key peer-reviewed articles, summary articles and books, and consensus guidelines on identification and management of female sexual dysfunction identified via a multimodal search.
Methods Of Study Selection:
The multidisciplinary team iteratively selected key peer-reviewed articles, summary articles and books, and consensus guidelines on identification and management of female sexual dysfunction, with a particular focus on implications for minimally invasive gynecology.
Tabulation, Integration, And Results:
In recent years, advancements in minimally invasive gynecology have provided practitioners with innovative techniques to address physical issues often affecting female sexual function.
Conclusion:
The identification and management of female sexual dysfunction often requires a multidisciplinary approach, as physiological contributing factors rarely are the sole direct cause of dysfunction. The authors, who are part of a multidisciplinary sexual health division at a metropolitan teaching hospital, discuss normal female sexual function, dysfunction, implications of age and surgical changes, and treatment options through the biopsychosocial model.
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