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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.
Journal of Minimally Invasive Gynecology
|July 31, 2025
Summary
Female sexual dysfunction is complex, influenced by physical, psychological, and emotional factors. Effective management requires a multidisciplinary team approach, considering the whole person.
Area of Science:
- Female sexual health
- Physiology and pathology of sexual dysfunction
Background:
- Female sexual function is multidimensional, encompassing desire, arousal, and orgasm.
- Sexual satisfaction is influenced by physiological, psychological, and emotional factors.
- Female sexual dysfunction (FSD) is an often-understated health aspect.
Purpose of the Study:
- To provide an expert-guided summary of FSD.
- To discuss the physiology, pathology, and management of FSD.
- To highlight a multidisciplinary team approach to FSD.
Main Methods:
- Multimodal search of key peer-reviewed articles, summary articles, books, and consensus guidelines.
- Iterative selection of relevant literature by a multidisciplinary team.
- Focus on implications for minimally invasive gynecology.
Main Results:
- Advancements in minimally invasive gynecology offer innovative techniques for physical issues affecting sexual function.
- Physiological factors are rarely the sole cause of FSD.
Conclusions:
- Identification and management of FSD necessitate a multidisciplinary approach.
- The biopsychosocial model is crucial for understanding and treating FSD.
- Discussion includes normal sexual function, dysfunction, age, surgical changes, and treatment options.
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