A
sexual problem or sexual dysfunction is a problem during any phase of the
sexual response cycle that prevents a woman from experiencing satisfaction from
the sexual activity. This essentially disturbs or distorts sexual response.
The
most common problems related to sexual dysfunction in women include:
1. Inhibited sexual desire:
This
involves a lack of sexual desire or interest in sex. Many factors can
contribute to a lack of desire, including hormonal changes, medical conditions
and treatments (for example cancer and chemotherapy), depression, pregnancy,
stress, and fatigue.
Boredom
with regular sexual routines also may contribute to a lack of enthusiasm for
sex, as can lifestyle factors, such as careers and the care of children.
2. Inability to become aroused:
For
women, the inability to become physically aroused during sexual activity often
involves insufficient vaginal lubrication. The inability to become aroused also
may be related to anxiety or inadequate stimulation. In addition, researchers
are investigating how blood flow problems affecting the vagina and clitoris may
contribute to arousal problems.
3. Lack of orgasm (anorgasmia):
This
is the absence of sexual climax (orgasm). It can be caused by sexual inhibition,
inexperience, lack of knowledge, and psychological factors such as guilt,
anxiety, or a past sexual trauma or abuse.
Other
factors contributing to anorgasmia include insufficient stimulation, certain
medications, and chronic diseases.
4. Painful intercourse:
Pain
during intercourse can be caused by a number of problems, including
endometriosis, a pelvic mass, ovarian cysts, vaginitis, poor lubrication, the
presence of scar tissue from surgery or a sexually transmitted disease.
A
condition called vaginismus is a painful, involuntary spasm of the muscles that
surround the vaginal entrance. It may occur in women who fear that penetration
will be painful and also may stem from a sexual phobia or from a previous
traumatic or painful experience.
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