Female Sexual Dysfunctions
The common female sexual dysfunctions are the following.
- 1. Hypoactive Sexual Desire Disorder – HSDD
- 2. Non orgasmic response during partner sex
- 3. Painful Intercourse (Dyspareunia)
- 4. Female Arousal Dysfunction
- 5. Primary non-orgasmic response.
What is Sexual Function
- 1. The ability to experience sexual desire. This involves positive anticipation of sexual pleasure. She must also feel she deserves sexual pleasure.
- 2. Arousal. This means she is receptive and responds to erotic talk/ touch. She is turned on. Arousal results in lubrication in woman and lubrication (precum) and erection in man.
- 3. Experiencing Orgasm.
This is culmination of high arousal.
- 4. Sexual Satisfaction, which means feeling emotionally and sexually fulfilled and bonded.
Hypoactive Sexual Desire Disorder
I. Secondary HSDD. She has no desire since _ _ _ or with _ _ _, but earlier she used to have sexual desires.
II. Primary HSDD. This is a woman who never had sexual desire.
One in three women complain of HSDD (No or very less desire for sex). More than half of these are secondary HSDD.
_reference: Laumann, Rosen, & Paik, 1999
HSDD can be seen also as
A. Less frequency.
In simple words she has sexual desire less often. She can stay without sex for prolonged period. Usually in such situations it appears that man demands sex more often.
B. Less Intensity
HSDD means she has poor or no sexual desire.
Lot of books, chapters, articles have been written on HSDD (reference: Basson, 2007; Hertlein, Weeks, & Gambescia, 2007; Kaplan, 1995) yet assessment, intervention and treatment outcome are disappointing.
MOVIE CULTURE Our movies show spontaneous, instant, nonverbal, intense erotic scenarios. This causes unrealistic expectations and demands. Marital sex is rarely shown in movies. What is shown is romantic, passionate love making. In such scenes both are immensely turned on even before touching. This makes good entertainment, but is poisonous for real life couples who fall prey to unrealistic expectations and demands.
Important points of HSDD
that the treating Sex Counselor/Therapist has to consider are the following.
- 1. Has she never ever experienced sexual desire?
- 2. How good/bad is the interpersonal relationship of the couple?
disappointment, anger, resentment, hostility with the sexual partner.
- 3. Negative sexual experiences such as rape, Sexually Transmitted Infection, Unwanted pregnancy, painful intercourse, being blamed for partner’s sexual dysfunction.
- 4. Insufficient time for the couple
- 5. Lack of privacy
- 6. Exhaustion due to extra working hours and work pressures or exhaustion due to child care.
- 7. Belief that only sexual intercourse – insertion – counts as sex.
- 8. Boring sexual routine
- 9. Fear of pregnancy
- 10. Comparison with past sexual experiences (Example: If she had passionate romantic secret enjoyable premarital sex, sex with decent husband may appear boring. )
Don’t presume any of this to diagnose your partner’s Hypoactive Sexual Desire Disorder. These are some of the points (not all points) the Sex Therapist will investigate in detail history taking when you go for counseling treatment.
There are definite treatment methods, which are not discussed here now.
The other Female Sexual Dysfunctions
- 2. No Orgasm during partner sex
- 3. Painful Intercourse
(See “unconsummated” and “vaginismus”, which are elaborately described and beautifully illustrated with animated pictures.)
- 4. Female Arousal Dysfunction and
- 5. Primary Non orgasmic response (never experienced orgasm)
will be dealt separately.
Topics are added as per relevance to actual people and real problems. This is neither a textbook lesson nor copy from wikipedia. You are free to request more details on whatever topic you want.
To find solution to your problem please read the valuable information already given at www.mydoctortells.com. I repeat, before you ASK DOCTOR please read www.mydoctortells.com.
If you still have doubts or questions feel free to ASK DOCTOR.
Dr Ashok Koparday
Ex Teaching Faculty
KEM & JJ Hospitals
Samadhan India: Center for Therapy, Education, Research in Sex, Marriage, Relationships.
Fellow: Council Of Sex Education and Parenthood International