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Sexual dysfunction


Treatment of Female Sexual Dysfunction

Treatment of Female Sexual Dysfunction
There are three primary types of treatment for female sexual dysfunction:
When blood flow, hormone levels, and sexual anatomy are normal - Education on female anatomy, arousal and response can help;

When there is hormonal dysfunction (especially in post menopausal women) - Hormone replacement therapy can be considered and is found to be helpful.

When there is a vascular or Blood flow problem - Vascular treatment may be required.


Educating both women and men on how to talk about and respond to a woman's psychological and physical stimulatory needs can only happen if both partners recognize that there is a problem.

Behavioral and sex therapists note the need for partners to examine the actual act of having sex, including foreplay, intercourse, and talking about sex.

Sex therapists and psychologists may assist in improving communication between partners.

Hormone Replacement Therapy:

With aging and menopause, and the decreasing estrogen levels, a majority of women experience some degree of change in sexual function. Common sexual complaints include loss of desire, decreased frequency of sexual activity, painful intercourse, diminished sexual responsiveness, difficulty achieving orgasm, and decreased genital sensation.

Hormones play a significant role in regulating female sexual function. In animal models, estrogen administration results in expanded touch receptor zones, suggesting that estrogen effects sensation. In post-menopausal women, estrogen replacement restores clitoral and vaginal vibration and sensation to levels close to those of pre-menopausal women. Estrogens also have protective effects which result in increased blood flow to the vagina and clitoris. This helps to maintain female sexual response over time.

Low testosterone levels are also associated with a decline in sexual arousal, genital sensation, libido, and orgasm. However clinical studies are underway assessing the potential benefits of testosterone for the treatment of female sexual dysfunction.

Thus Hormone replacement therapy is aimed at restoring hormone levels affected by age, surgery, or hormone dysfunction to normal, thus restoring sexual function.

Medical Management :

Sildenafil (ViagraŽ):

It serves to increase relaxation of clitoral and vaginal smooth muscle and blood flow to the genital area.

Used in men with erectile dysfunction, is currently being tested in women. Some evidence suggests that it may restore libido lost to antidepressant use.


This amino acid functions as a precursor to the formation of nitric oxide, which mediates relaxation of vascular and non-vascular smooth muscle.

When applied to the clitoris, may increase blood flow by dilating clitoral blood vessels.

L-arginine has not been used in clinical trials in women; however preliminary studies in men appear promising.

Phentolamine (Vasomax):

Currently available in an oral preparation, this drug causes vascular smooth muscle relaxation and increases blood flow to the genital area.

This drug has been studied in male patients for the treatment of erectile dysfunction. A pilot study in menopausal women with sexual dysfunction demonstrated enhanced vaginal blood flow and improved subjective arousal with the medication.

Eros Therapy

The Eros Therapy is an FDA-approved device for the treatment of female sexual dysfunction. This small handheld device is used 3 to 4 times per week to increase blood flow to the clitoris and external genitalia, which improves clitoral and genital sensitivity, lubrication, and the ability to experience orgasm. It may take several weeks of conditioning before experiencing the benefits of this therapy.

Read more: Female Sexual Dysfunction - Treatment Options