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.
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 Association’s 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
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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.
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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] 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)
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A noticeable decrease in sexual desire or interest in sexual activity.
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Lack of spontaneous sexual thoughts or fantasies.
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Avoidance or reluctance to engage in sexual activity, even in a committed relationship.
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Feeling distressed or frustrated by the lack of sexual interest.
2. Sexual Arousal Issues (Female Sexual Arousal Disorder)
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Difficulty becoming physically aroused or insufficient vaginal lubrication during sexual activity.
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Feeling less or no genital response (e.g., no increase in blood flow to the genital area).
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Inability to maintain or sustain arousal throughout sexual activity.
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A lack of sexual excitement or pleasure, even during intimate moments.
3. Anorgasmia (Inability to Reach Orgasm)
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Difficulty achieving orgasm, even during sexual activity.
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Inconsistent or absent orgasms despite adequate sexual stimulation.
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Frustration or disappointment due to inability to experience orgasm.
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A decrease in satisfaction with sexual activity because of difficulty reaching climax.
4. Pain During Sex (Dyspareunia)
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Pain or discomfort during vaginal intercourse or other forms of sexual activity.
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Burning, stinging, or aching pain in the genital or pelvic area during or after sex.
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Vaginal dryness, which may cause irritation or painful sensations during penetration.
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Feeling anxious or fearful about pain during sex, which may lead to avoidance of intimacy.
5. Vaginismus
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Involuntary tightening or spasming of the muscles around the vagina, making penetration difficult or painful.
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Anxiety or fear of pain during intercourse that leads to muscle tension.
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Difficulty with penetration during sexual intercourse or even during gynecological exams.
6. Decreased Sexual Satisfaction
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A general feeling of dissatisfaction with sexual experiences or lack of pleasure during sex.
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Loss of interest in intimacy or emotional disconnection from the partner.
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Frustration or negative feelings toward sexual performance or relationship intimacy.
7. Psychological or Emotional Symptoms
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Anxiety or stress related to sexual performance or body image concerns.
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Depression or feelings of sadness affecting sexual desire and enjoyment.
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Lack of emotional connection or intimacy, which can impact sexual satisfaction.
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Guilt, shame, or embarrassment related to sexual desires or issues.
8. Relationship Issues
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Tension or communication breakdown with a partner regarding sexual expectations, desires, or needs.
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Conflicts or unresolved emotional issues in the relationship that contribute to sexual dissatisfaction.
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Avoiding intimacy due to emotional barriers or conflicts within the relationship.
9. Hormonal and Physical Changes
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Decreased libido or sexual interest related to hormonal changes, such as during menopause or post-pregnancy.
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Dryness, irritation, or vaginal atrophy (thinning of vaginal walls) due to reduced estrogen levels, often seen after menopause.
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Changes in libido or sexual function related to pregnancy or childbirth recovery.
10. Fatigue or Health Conditions
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Chronic fatigue, which can reduce energy levels and interest in sex.
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Health conditions like diabetes, thyroid imbalances, or chronic illness, which can affect sexual desire and function.
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Side effects from medications, such as antidepressants, birth control pills, or antihypertensives, which may reduce sexual desire or arousal.
11. Physical Symptoms
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A noticeable lack of physical responsiveness to touch or stimulation.
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Difficulty in becoming or staying aroused due to physical or hormonal changes.
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Changes in vaginal lubrication or overall genital sensitivity that may impact sexual enjoyment.
Diet and Regimen
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
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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.
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Sources: Oysters, pumpkin seeds, chickpeas, beans, cashews, and lean red meat.
B. Omega-3 Fatty Acids
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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.
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Sources: Fatty fish (salmon, mackerel, sardines), flaxseeds, chia seeds, walnuts, and hemp seeds.
C. Antioxidant-Rich Fruits and Vegetables
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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.
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Sources: Blueberries, strawberries, raspberries, pomegranates, tomatoes (lycopene), spinach, kale, and other dark leafy greens.
D. Vitamin E and Magnesium
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Benefits: Vitamin E is known to support healthy circulation and hormonal balance, while magnesium helps with muscle relaxation and reduces stress.
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Sources: Avocados, almonds, sunflower seeds, spinach, and leafy greens.
E. Iron-Rich Foods
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Benefits: Iron is important for energy and reducing fatigue, which can affect libido. Iron deficiency can lead to decreased sexual desire and energy.
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Sources: Leafy greens (spinach), beans, lentils, quinoa, tofu, and fortified cereals.
F. Healthy Fats
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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.
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Sources: Avocados, olive oil, nuts (almonds, walnuts), coconut oil, and fatty fish.
G. Water and Hydration
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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.
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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
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Ginger: Can improve circulation and enhance sexual arousal by stimulating blood flow.
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Garlic: Known for its ability to improve circulation, it supports heart and sexual health.
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Maca root: Known for its ability to improve libido and increase energy.
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Ginseng: Can boost sexual desire and improve overall vitality.
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Saffron: Some studies suggest saffron can help increase sexual satisfaction and improve mood.
Sample Diet Plan for a Day
Breakfast:
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A smoothie made with spinach, blueberries, flaxseeds, almond milk, and a spoonful of almond butter.
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A boiled egg for added protein.
Mid-Morning Snack:
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A handful of walnuts and pumpkin seeds.
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A cup of green tea or herbal tea.
Lunch:
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A grilled salmon salad with mixed greens (spinach, kale), cherry tomatoes, avocados, cucumbers, and a lemon-olive oil dressing.
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A side of quinoa for added fiber and energy.
Afternoon Snack:
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A small bowl of pomegranate seeds or dark chocolate (70% cocoa), which are rich in antioxidants.
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A glass of water or herbal tea.
Dinner:
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Chicken breast or tofu stir-fried with broccoli, carrots, and other colorful vegetables. Add olive oil and garlic for extra flavor and circulation benefits.
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Brown rice or sweet potatoes for a complex carbohydrate source.
Before Bed:
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A small portion of Greek yogurt topped with chia seeds and a drizzle of honey.
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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)
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Benefits: Cardiovascular exercise improves blood flow, which is essential for arousal and sexual response. It also supports heart health and reduces stress.
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Examples: Brisk walking, jogging, swimming, dancing, or cycling.
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Aim for 30 minutes of moderate-intensity exercise most days of the week.
B. Strength Training (2-3 times per week)
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Benefits: Strength training supports overall muscle tone and promotes the release of testosterone and other hormones that are crucial for sexual health.
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Examples: Weightlifting, resistance band exercises, or bodyweight exercises (e.g., squats, lunges, push-ups).
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Focus on compound movements that work for multiple muscle groups (e.g., squats, deadlifts).
C. Pelvic Floor Exercises (Kegels)
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Benefits: Strengthening pelvic floor muscles can improve sexual satisfaction and help with arousal and orgasm. It can also prevent urinary incontinence.
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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)
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Benefits: Chronic stress can reduce libido and hinder sexual function. Relaxation techniques can help alleviate stress and anxiety that may be affecting sexual desire.
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Techniques: Meditation, deep breathing exercises, yoga, or progressive muscle relaxation.
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Mindfulness: Practicing mindfulness during intimacy can increase sexual satisfaction and reduce performance anxiety.
B. Open Communication in Relationships
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Benefits: Healthy communication about desires, preferences, and concerns with your partner can reduce stress and improve sexual satisfaction.
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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)
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Benefits: Proper sleep supports hormonal balance, energy levels, and overall sexual function. Lack of sleep can lead to fatigue and reduced libido.
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Try to maintain a consistent sleep schedule and create a relaxing bedtime routine.
B. Avoid Excessive Alcohol and Caffeine
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Benefits: Excessive alcohol can inhibit sexual arousal and performance, while too much caffeine can increase anxiety and disrupt sleep patterns.
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Limit alcohol to occasional use and moderate caffeine intake, especially later in the day.
4. Addressing Hormonal Imbalances
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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)
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Maca Root: Known to increase libido and sexual desire.
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Ginseng: May enhance sexual arousal and improve energy levels.
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L-arginine: An amino acid that can improve blood flow and support sexual function.
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Vitamin D: Supports hormonal balance and may boost libido.
Just cutting out the damaging foods listed above will likely lead to clearer skin—especially if you were regularly consuming them before. But what if you’re already eating healthy? Are there certain foods that could give you the edge against acne? Research is in its earliest stages, but we do have some knowledge of particular foods that may help. Here are five of them:
FISH OR FLAXSEED
The typical Western diet contains too many omega-6 fatty acids, which are tied to inflammation. Eating more omega-3 fatty acids, such as those found in fatty fish, walnuts, flaxseed, and the like, can help tame inflammation and improve acne breakouts.
GREEN TEA
Green tea is filled the antioxidants that can protect from environmental stressors. Drink more green tea throughout the day.
JUICING
Eating more fruits and vegetables can naturally help clear up acne, and juicing is a great way to do so. Many contain beta-carotenes, which naturally help reduce skin oils, and all are naturally anti-inflammatory. Dark, leafy greens also help clear impurities from the body,
PROBIOTICS
These have been found to reduce inflammation in the gut, which may help reduce acne. According to a 2011 study, intestinal microflora may affect inflammation throughout the body, which in turn, can affect acne breakouts. Since pre and probiotics can reduce inflammation and oxidative stress, scientists believe they may help reduce acne breakouts
OYSTERS
Eat more oysters, toasted wheat germ (sprinkled on salads and steamed veggies), veal liver, roast beef, roasted pumpkin and squash seeds, and dried watermelon seeds
Aloe Vera
Aloe vera contains antibacterial properties, which help prevent the formation of cystic acne. Besides, it also contains essential minerals, vitamins, amino acids, proteins and enzymes, which are very good for skin.
- Cut aloe vera and then apply its gel directly to your affected skin.
- Apply this remedy 3- 4 times a week.
- Peel 300g of fresh aloe vera and take out aloe vera juice
- Drink a glass of aloe vera juice daily
- After washing the face, apply fresh aloe vera gel directly to your affected area
- Leave it on for 15-20 minutes before rinsing it off with cool water.
- Eat 10-20g of aloe vera daily by cooking tea or adding to your dishes
Baking Soda
Mix 1 tsp. of baking soda with some cucumber juice or plain water to create a thin paste.
Then, apply this paste on your affected area.
Leave it on for several minutes before rinsing it off with warm water.
Finally, use a moisturizer
Repeat this remedy once or twice per week.
Lavender Oil
- Apply some lavender oil on your affected area
- Firstly, wash your face thoroughly
- Add 4- 5 drops of lavender oil to a bowl of hot water
- Then, use a towel to cover your head and lean over the steam for 5- 10 minutes.
- Repeat this remedy 2- 3 times a week.
Neem
- Apply the paste made from some neem leaves on your affected skin.
- When it dries on its own, rinse it off with lukewarm water.
- Repeat this remedy twice daily for several days.
- Apply some neem oil on your affected area with the help of a cotton ball.
- Leave it on for 10 minutes before washing it off using warm water.
Turmeric
turmeric works as a natural antiseptic to help you fight off infection.
- Add some water or sesame oil to about 1-2 tsp. of powdered turmeric to create a paste.
- Then, apply this paste on your affected area
- Let it sit on for about 60 minutes before washing it off with water.
- Add ½ tsp. of powdered turmeric to a glass of lukewarm milk.
- Drink this solution twice daily.
Garlic
- Cut a small garlic slice and use it to cover the acne
- Leave it on for about 20 minutes before rinsing it off with water.
- Crush 2-3 fresh garlic cloves
- Then, add some fresh water and rub it directly to your affected area
- Leave it on 20 minutes before rinsing it off with water
- Remove the shells of 6 fresh garlic cloves
- Then, soak them in 1 tsp. of raw honey.
- Store them in the dark about 2-3 months.
- After that, apply this mixture directly on the cystic acne.
- Leave it on 20-30 minutes before rinsing it off with cool water.
- Repeat this remedy 2-3 times per week.
However, when using garlic to treat cystic acne, discontinue right away if you notice skin redness and itching. Also, remember to protect the skin before going out.
Cucumber
This is worth mentioning in the list of home remedies for cystic acne on nose, cheek and forehead that you should consider making use at home. Using cucumber is known as one of the best home remedies for cystic acne thanks to its high content of vitamins A, B1, B2, C, iron, etc.
- Slice a cucumber and wash your facial skin
- Apply cucumber slices on your face
- Leave it on for 20 minutes before washing it off with clean water
- Repeat this remedy 2-3 times a week
what not to eat
Studies so far have focused mostly on the foods that make acne worse. Here are the five that come up most often as culprits in increasing breakouts. Avoid these for about a week, and see if you notice a difference.
- cow’s milk.
- sugar
- high-glycemic foods.
- junk food
- fast food
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Homeopathic Medicines for Sexual Dysfunction in Female :
The homeopathic remedies (medicines) given below indicate the therapeutic affinity but this is not a complete and definite guide to the homeopathy treatment of this condition. The symptoms listed against each homeopathic remedy may not be directly related to this disease because in homeopathy general symptoms and constitutional indications also taken into account for selecting a remedy.
Medicines:
SEPIA:
- It is a good remedy for FSD.
- Sepia woman is highly irritable, sensitive, and angry, easily offended and miserable due to weak uterine problems.
- Low sex drive is due to the relaxation of pelvic muscles, and there is a bearing down sensation as if everything would escape through the vagina.
- Aversion to coition due to prolapsed of uterus and vagina wall.
- Frigidity from childbirth after weaning or hormone pills.
- Nausea and irritability on thought of sex.
- Great weakness after sex. Aversion to whom she loved best and other family members.
AGNUS CASTUS:
- Sexual desire almost absent.
- Sexual thrill absent due to excessive masturbation.
- Aversion to sex.
- Relaxation of genitals with leucorrhoea.
- Great sadness, depression and sexual melancholy.
- Diminished sexual desire with complete prostration and general debility.
BERBERIS VULGARIS:
- Berberis vulgaris is suitable to listless, apathetic also indifferent woman.
- Sexual desire absent due to pain during coition.
- Cutting, stitching pains during coition. In detail, Vaginismus.
- Vagina very sensitive, pinching constriction in mons veneris, contraction also tenderness of vagina.
- Burning and soreness in vagina after intercourse.
- Enjoyment absents during sex. Besides this, Great prostration after sex.
- Neuralgia of ovaries and vagina are other factors for low sex drive.
ONOSMODIUM:
- Onosmodium is another effective medicine for low sex drive in woman.
- Sexual desire completely absent due to uterine pain and bearing down pains.
- Soreness of ovaries with rectum.
- The woman has low power of concentration and co-ordination.
- She has early and prolonged menses, Great prostration, weak, timid. Often suffers from migraine headache.
- Sexual neurasthenia, weariness, tiredness in legs.
STAPHYSAGRIA:
- Aversion to sex due to past history of rape or sexual abuse.
- Vaginismus, vagina is very sensitive to touch.
- Ovarian pain, going into thighs, worse pressure or sex.
- Prolapse with sinking feeling in the abdomen.
- Staphysagria patient often prefers solitude.
- Frequent urinary infection, which is worse from intercourse.
IGNATIA MARA :
- Best indicated medicine in FSD.
- Sexual desire absent, especially in vehement woman.
- They are moody, emotional, sensitive and easily excited.
- Aversion to sex due to vaginismus, vagina very sensitive.
- Intense pain at the entrance of vagina during coition with burning heat.
- Sexual desire absents after grief, shock, disappointment, frustration, and worry. Patient is worse after coition.
HELONIU
- Tendency to inflammation of vulva also vagina, with formation of pus.
- Persistent itching of genitals either with or without formation of blisters or sores.
- Foul smelling leucorrhea.
PLATINA
- Nervous, spasmodic women; great tenderness of vulva.
- Nymphomania. Additionally, Excessive sexual development.
- Pruritus vulvae. Ovaritis with sterility.
- Abnormal sexual appetite also melancholia
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What is Sexual Dysfunction in Female ?
The World Health Organization defines sexual dysfunction as a “person’s” inability to participate in a sexual relationship as they would wish”.
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
[4] https://www.rajeevclinic.com/disease/gynaecology
