Sexual Dysfunction in Female
Sexual dysfunction in females refers to a range of problems that can interfere with a woman’s ability to enjoy or engage in sexual activity. It encompasses a variety of issues that affect sexual desire, arousal, orgasm, and pain during sex, often leading to distress or difficulty in intimate relationships. Sexual dysfunction in women can arise from physical, emotional, psychological, hormonal, or relationship factors, and may be temporary or chronic.Â
- Overview
- Causes
- Types
- Sign & Symptoms
- What to eat
- Diet and Regiment
- Homeopathic Treatment
- FAQ
- Reference
Female sexual dysfunction (in other words, FSD) has traditionally included disorders of desire, arousal, pain, and muted orgasm. The associated risk factors for FSD are similar to those in males i.e.: cardiovascular disease, endocrine disorders, hypertension, neurologic disorders, and smoking.
Epidemiologic data are limited, but the available estimates suggest that as many as 43% of women complain of at least one sexual problem. Despite the recent interest in organic causes of FSD, desire also arousal phase disorders remain the most common presenting problems when surveyed in a community-based population.
Causes
[1] Sexual Desire Disorder or Hypoactive sexual desire disorder
- Decreased libido is characterized by a lack of or absence for some time of sexual desire or libido for sexual activity or of sexual fantasies.
Causes:
- Decrease in the production of normal estrogen in women.
- Ageing,
- Fatigue,
- Pregnancy,
- Medications (such as the SSRIs) or psychiatric conditions, such as depression and anxiety.
[2] Sexual Arousal Disorder
- Sexual arousal disorders were previously known as frigidity in women.
- Frigidity has been replaced with a number of terms describing specific problems that can be broken down into four categories as described by the American Psychiatric Associationâs Diagnostic and Statistical Manual of Mental Disorders: lack of desire, lack of arousal, pain during intercourse, and lack of orgasm.
- For people of all genders, these conditions can manifest themselves as an aversion to and avoidance of sexual contact with a partner.
- In men, there may be partial or complete failure to attain or maintain an erection, or a lack of sexual excitement and pleasure in sexual activity.
- There may be physiological origins to these disorders, such as decreased blood flow or lack of vaginal lubrication. Chronic disease can also contribute, as well as the nature of the relationship between the partners.
[3] Orgasm Disorder
Anorgasmia
It is classified as persistent delays or absence of orgasm following a normal sexual excitement phase in at least 75% of sexual encounters. The disorder can have physical, psychological, or pharmacological origins. SSRI antidepressants are a common pharmaceutical culprit, as they can delay orgasm or eliminate it entirely. A common physiological culprit of anorgasmia is menopause; one in three women report problems obtaining an orgasm during sexual stimulation following menopause.
Premature Ejaculation
It is when ejaculation occurs before the partner achieves orgasm, or a mutually satisfactory length of time has passed during intercourse. There is no correct length of time for intercourse to last, but generally, premature ejaculation is thought to occur when ejaculation occurs in under two minutes from the time of the insertion of the penis. For a diagnosis, the patient must have a chronic history of premature ejaculation, poor ejaculatory control, and the problem must cause feelings of dissatisfaction as well as distress the patient, the partner or both.
- Historically attributed to psychological causes, new theories suggest that premature ejaculation may have an underlying neurobiological cause which may lead to rapid ejaculation.
- Post-orgasmic Disorder
It symptoms shortly after orgasm or ejaculation. Post-coital tristesse (PCT) is a feeling of melancholy and anxiety after sexual intercourse that lasts for up to two hours.
- POIS may involve adrenergic symptoms: rapid breathing, paranesthesia, palpitations, headaches, aphasia, nausea, itchy eyes, fever, muscle pain and weakness and fatigue.
- The etiology of this condition is unknown; but it may present as anxiety relating to coital activities and thus may be incorrectly diagnosed as such. There is no known cure or treatment.
[4]Â Sexual pain Disorder
Sexual pain disorders in women include dyspareunia and vaginismus .
Causes:
- Insufficient lubrication in women. Poor lubrication may result from insufficient excitement and stimulation, or from hormonal changes caused by menopause, pregnancy, or breastfeeding.
- Irritation from contraceptive creams and foams can also cause dryness, as can fear and anxiety about sex.
- It is unclear exactly what causes vaginismus, but it is thought that past sexual trauma may play a role.
- Another female sexual pain disorder is called vulvodynia or vulvar vestibuli is. In this condition, women experience burning pain during sex which seems to be related to problems with the skin in the vulvar and vaginal areas. The cause is unknown.
Types
It may Classified in to 4 categories i.e.
[1] Firstly, Hypoactive sexual desire disorder
[2] Secondly, Sexual Arousal Disorder
[3] Thirdly, Orgasm Disorder
[4] Fourthly, Sexual pain Disorder
Sign and Symptoms
Sexual dysfunction in females can manifest in a variety of ways, affecting different aspects of sexual health, including desire, arousal, orgasm, and pain. The signs and symptoms can vary depending on the underlying cause, whether physical, psychological, or relational. Below are the common signs and symptoms associated with female sexual dysfunction:
1. Low Sexual Desire (Hypoactive Sexual Desire Disorder)
A noticeable decrease in sexual desire or interest in sexual activity.
Lack of spontaneous sexual thoughts or fantasies.
Avoidance or reluctance to engage in sexual activity, even in a committed relationship.
Feeling distressed or frustrated by the lack of sexual interest.
2. Sexual Arousal Issues (Female Sexual Arousal Disorder)
Difficulty becoming physically aroused or insufficient vaginal lubrication during sexual activity.
Feeling less or no genital response (e.g., no increase in blood flow to the genital area).
Inability to maintain or sustain arousal throughout sexual activity.
A lack of sexual excitement or pleasure, even during intimate moments.
3. Anorgasmia (Inability to Reach Orgasm)
Difficulty achieving orgasm, even during sexual activity.
Inconsistent or absent orgasms despite adequate sexual stimulation.
Frustration or disappointment due to inability to experience orgasm.
A decrease in satisfaction with sexual activity because of difficulty reaching climax.
4. Pain During Sex (Dyspareunia)
Pain or discomfort during vaginal intercourse or other forms of sexual activity.
Burning, stinging, or aching pain in the genital or pelvic area during or after sex.
Vaginal dryness, which may cause irritation or painful sensations during penetration.
Feeling anxious or fearful about pain during sex, which may lead to avoidance of intimacy.
5. Vaginismus
Involuntary tightening or spasming of the muscles around the vagina, making penetration difficult or painful.
Anxiety or fear of pain during intercourse that leads to muscle tension.
Difficulty with penetration during sexual intercourse or even during gynecological exams.
6. Decreased Sexual Satisfaction
A general feeling of dissatisfaction with sexual experiences or lack of pleasure during sex.
Loss of interest in intimacy or emotional disconnection from the partner.
Frustration or negative feelings toward sexual performance or relationship intimacy.
7. Psychological or Emotional Symptoms
Anxiety or stress related to sexual performance or body image concerns.
Depression or feelings of sadness affecting sexual desire and enjoyment.
Lack of emotional connection or intimacy, which can impact sexual satisfaction.
Guilt, shame, or embarrassment related to sexual desires or issues.
8. Relationship Issues
Tension or communication breakdown with a partner regarding sexual expectations, desires, or needs.
Conflicts or unresolved emotional issues in the relationship that contribute to sexual dissatisfaction.
Avoiding intimacy due to emotional barriers or conflicts within the relationship.
9. Hormonal and Physical Changes
Decreased libido or sexual interest related to hormonal changes, such as during menopause or post-pregnancy.
Dryness, irritation, or vaginal atrophy (thinning of vaginal walls) due to reduced estrogen levels, often seen after menopause.
Changes in libido or sexual function related to pregnancy or childbirth recovery.
10. Fatigue or Health Conditions
Chronic fatigue, which can reduce energy levels and interest in sex.
Health conditions like diabetes, thyroid imbalances, or chronic illness, which can affect sexual desire and function.
Side effects from medications, such as antidepressants, birth control pills, or antihypertensives, which may reduce sexual desire or arousal.
11. Physical Symptoms
A noticeable lack of physical responsiveness to touch or stimulation.
Difficulty in becoming or staying aroused due to physical or hormonal changes.
Changes in vaginal lubrication or overall genital sensitivity that may impact sexual enjoyment.
Diet and RegimenÂ
A healthy diet and lifestyle regimen can significantly contribute to improving sexual function in females by addressing underlying issues such as hormonal imbalances, poor circulation, stress, or inadequate nutrition. Below is a diet and regimen designed to support sexual health in women, promoting improved libido, arousal, and overall sexual satisfaction.
Diet for Sexual Dysfunction in Females
A balanced, nutrient-rich diet supports hormone regulation, circulation, and overall well-being. Here’s a guide to foods that can help enhance sexual function in females:
1. Foods to Include
A. Zinc-Rich Foods
Benefits: Zinc is essential for hormone regulation and reproductive health. It supports immune function and has a role in increasing libido and overall sexual health.
Sources: Oysters, pumpkin seeds, chickpeas, beans, cashews, and lean red meat.
B. Omega-3 Fatty Acids
Benefits: Omega-3 fatty acids help improve blood circulation, which is vital for sexual arousal and response. They also support hormone production and mood regulation.
Sources: Fatty fish (salmon, mackerel, sardines), flaxseeds, chia seeds, walnuts, and hemp seeds.
C. Antioxidant-Rich Fruits and Vegetables
Benefits: Antioxidants fight oxidative stress, promote healthy blood vessels, and enhance circulation to the genital area. They also support overall health, which is critical for sexual function.
Sources: Blueberries, strawberries, raspberries, pomegranates, tomatoes (lycopene), spinach, kale, and other dark leafy greens.
D. Vitamin E and Magnesium
Benefits: Vitamin E is known to support healthy circulation and hormonal balance, while magnesium helps with muscle relaxation and reduces stress.
Sources: Avocados, almonds, sunflower seeds, spinach, and leafy greens.
E. Iron-Rich Foods
Benefits: Iron is important for energy and reducing fatigue, which can affect libido. Iron deficiency can lead to decreased sexual desire and energy.
Sources: Leafy greens (spinach), beans, lentils, quinoa, tofu, and fortified cereals.
F. Healthy Fats
Benefits: Healthy fats, such as those found in avocados and olive oil, help regulate hormones and improve blood flow. They are also important for brain function and mood regulation.
Sources: Avocados, olive oil, nuts (almonds, walnuts), coconut oil, and fatty fish.
G. Water and Hydration
Benefits: Staying hydrated is vital for maintaining vaginal lubrication and preventing dryness, which can contribute to pain during intercourse. Proper hydration also supports energy levels and overall health.
Recommendation: Drink at least 8 cups of water daily, and avoid excessive caffeine or alcohol, which can lead to dehydration.
H. Herbs and Spices for Sexual Health
Ginger: Can improve circulation and enhance sexual arousal by stimulating blood flow.
Garlic: Known for its ability to improve circulation, it supports heart and sexual health.
Maca root: Known for its ability to improve libido and increase energy.
Ginseng: Can boost sexual desire and improve overall vitality.
Saffron: Some studies suggest saffron can help increase sexual satisfaction and improve mood.
Sample Diet Plan for a Day
Breakfast:
A smoothie made with spinach, blueberries, flaxseeds, almond milk, and a spoonful of almond butter.
A boiled egg for added protein.
Mid-Morning Snack:
A handful of walnuts and pumpkin seeds.
A cup of green tea or herbal tea.
Lunch:
A grilled salmon salad with mixed greens (spinach, kale), cherry tomatoes, avocados, cucumbers, and a lemon-olive oil dressing.
A side of quinoa for added fiber and energy.
Afternoon Snack:
A small bowl of pomegranate seeds or dark chocolate (70% cocoa), which are rich in antioxidants.
A glass of water or herbal tea.
Dinner:
Chicken breast or tofu stir-fried with broccoli, carrots, and other colorful vegetables. Add olive oil and garlic for extra flavor and circulation benefits.
Brown rice or sweet potatoes for a complex carbohydrate source.
Before Bed:
A small portion of Greek yogurt topped with chia seeds and a drizzle of honey.
A glass of water.
Regimen for Sexual Dysfunction in Females
A balanced lifestyle is critical to improving sexual function. This includes regular exercise, managing stress, improving sleep, and addressing any emotional or psychological factors that may affect sexual health.
1. Exercise Routine
A. Cardiovascular Exercise (3-5 times per week)
Benefits: Cardiovascular exercise improves blood flow, which is essential for arousal and sexual response. It also supports heart health and reduces stress.
Examples: Brisk walking, jogging, swimming, dancing, or cycling.
Aim for 30 minutes of moderate-intensity exercise most days of the week.
B. Strength Training (2-3 times per week)
Benefits: Strength training supports overall muscle tone and promotes the release of testosterone and other hormones that are crucial for sexual health.
Examples: Weightlifting, resistance band exercises, or bodyweight exercises (e.g., squats, lunges, push-ups).
Focus on compound movements that work for multiple muscle groups (e.g., squats, deadlifts).
C. Pelvic Floor Exercises (Kegels)
Benefits: Strengthening pelvic floor muscles can improve sexual satisfaction and help with arousal and orgasm. It can also prevent urinary incontinence.
How to do: Tighten the muscles you use to stop urinating, hold for a few seconds, then release. Repeat 10-15 times, 2-3 sets per day.
2. Stress Reduction and Emotional Health
A. Practice Relaxation Techniques (Daily)
Benefits: Chronic stress can reduce libido and hinder sexual function. Relaxation techniques can help alleviate stress and anxiety that may be affecting sexual desire.
Techniques: Meditation, deep breathing exercises, yoga, or progressive muscle relaxation.
Mindfulness: Practicing mindfulness during intimacy can increase sexual satisfaction and reduce performance anxiety.
B. Open Communication in Relationships
Benefits: Healthy communication about desires, preferences, and concerns with your partner can reduce stress and improve sexual satisfaction.
Action: Have open, honest discussions with your partner about your sexual health and any concerns that may be affecting intimacy.
3. Sleep and Recovery
A. Ensure Adequate Sleep (7-9 hours per night)
Benefits: Proper sleep supports hormonal balance, energy levels, and overall sexual function. Lack of sleep can lead to fatigue and reduced libido.
Try to maintain a consistent sleep schedule and create a relaxing bedtime routine.
B. Avoid Excessive Alcohol and Caffeine
Benefits: Excessive alcohol can inhibit sexual arousal and performance, while too much caffeine can increase anxiety and disrupt sleep patterns.
Limit alcohol to occasional use and moderate caffeine intake, especially later in the day.
4. Addressing Hormonal Imbalances
If experiencing symptoms related to hormonal changes (e.g., menopause or perimenopause), consult with a healthcare provider. Hormone replacement therapy (HRT), or natural alternatives like black cohosh or soy products, may be recommended.
5. Supplements (Consult with a Healthcare Provider First)
Maca Root: Known to increase libido and sexual desire.
Ginseng: May enhance sexual arousal and improve energy levels.
L-arginine: An amino acid that can improve blood flow and support sexual function.
Vitamin D: Supports hormonal balance and may boost libido.
Dietary Support for Female Sexual Health
1. Focus on Blood Flow & Circulation
Healthy blood flow supports arousal and sensitivity.
Nitrate-rich foods: Beets, spinach, arugula
Omega-3 fatty acids: Salmon, flaxseeds, walnuts
Citrus fruits & berries: High in flavonoids that support blood vessels
2. Balance Hormones Naturally
Estrogen, progesterone, and testosterone imbalances can affect libido and arousal.
Phytoestrogens (plant estrogens): Soy, flaxseeds, chickpeas
Healthy fats: Avocados, olive oil, nuts
B-complex vitamins & zinc: Eggs, whole grains, pumpkin seeds
3. Boost Libido and Mood
Some foods may enhance desire and reduce stress:
Dark chocolate: Contains phenylethylamine and serotonin boosters
Maca root: Traditional adaptogen that may enhance libido
Ginseng: Can improve energy and sexual function
4. Hydration & Vaginal Health
Drink at least 2-3 liters of water daily
Include probiotics: Yogurt, kefir, sauerkraut (for a healthy vaginal microbiome)
đ§ââïž Lifestyle & Regimen Tips
1. Exercise Regularly
30 minutes/day, 5x a week (yoga, walking, strength training)
Increases blood flow, mood, and body confidence
2. Stress Management
Chronic stress is a major libido killer.
Meditation, deep breathing, journaling
Limit caffeine and alcohol (they can disrupt hormones and sleep)
3. Sleep
Aim for 7â9 hours of quality sleep
Sleep disruptions can affect hormonal rhythms and desire
4. Emotional Connection
Prioritize emotional intimacy and communication with your partner
Therapy (individual or couples) can be helpful
đż Supplements to Consider (Consult your doctor first)
Â
Supplement | Purpose |
---|---|
Maca Root | Libido, energy, mood |
L-arginine | Blood flow, arousal |
Ashwagandha | Stress reduction, hormone balance |
Ginkgo biloba | May support circulation & arousal |
Vitamin D & B-complex | Hormonal & mood support |
đ« What to Avoid
High sugar diets: May cause insulin and hormone imbalances
Trans fats & processed foods: Disrupt hormones
Smoking: Damages blood vessels, reduces arousal
Excess alcohol: Numbs sensitivity and reduces interest
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What is Sexual Dysfunction in Female ?
The World Health Organization defines sexual dysfunction as a âpersonâsâ inability to participate in a sexual relationship as they would wishâ.
Homeopathic Medicines used by Homeopathic Doctors in treatment of Sexual Dysfunction in Female ?
- Sepia
- Agnus Castus
- Berberis Vulgaris
- Onosmodium
- Staphysagria
- Ignatia Amara
What are the 4 types of Sexual Dysfunction in Female ?
- Sexual Desire Disorder
- Orgasm Disorder
- Sexual pain Disorder
What causes Sexual Dysfunction in Female ?
- Decrease in the production of normal estrogen in women.
- Ageing
- Fatigue
- Pregnancy
- Medications
- Psychiatric conditions (depression and anxiety)
Reference
1] Harrison-s_Principles_of_Internal_Medicine-_19th_Edition-_2_Volume_Set
[2] Homoeopathic Therapeutics by Lilienthal
[3] https://www.healthline.com/health/erectile-dysfunction/foods-diet#cocoa