Sexual arousal disorder Definition
Female sexual arousal disorder refers to a woman’s persistent or recurring inability to achieve or maintain a response to hydration (vaginal secretions) and bloating during sexual intercourse. This lack of physical response may be lifelong or it may be acquired, and it may be general or situational.
There are both physical and psychological causes of sexual arousal disorder in women. Which leads women to the pain associated with the sexual relationship, avoiding the relationship and the consequent disturbance in the marital relationship.
A woman’s sexual arousal disorder results from the body’s inability to respond to psychological and physical changes called the hydration response in response to sexual desire and arousal. Which affects the woman’s sexual desire and the extent of her satisfaction with intercourse.
To understand female sexual arousal disorder, it is helpful to talk briefly about the normal changes that occur in a woman’s body during sexual arousal.
There are several stages a woman goes through in a sexual relationship: desire, excitement, climax, followed by relaxation. When a woman feels arousal or sexual desire, the first physical change she goes through is the widening of the blood vessels in the pelvic area, allowing blood to flow to the lower abdomen and genitals. She feels an increase in her desire for sexual relations.
Increased blood flow also leads to a phenomenon called bleaching, which refers to the descent of secretions into the vagina to help moisten before intercourse. The woman and her husband may notice this wetness, which may happen very quickly.
Increased blood flow leads to changes in the tissues of a woman’s reproductive organs. The upper part of the vagina, uterus, cervix, and clitoris dilates, and the last third of the vagina and labia majora swell, so the vaginal opening becomes smaller. The labia minora also bulge and push the sides of the vaginal opening slightly. Together, these changes occur to form what is known as the hydration response and is responsible for making it easier for the penis to enter the vagina.
A woman with sexual arousal disorder does not physically respond to these changes or is unable to maintain them until sexual intercourse is complete. Which leads to pain during intercourse (pain during intercourse) and dissatisfaction with the relationship or problems in the relationship.
The causes of sexual arousal disorder in women are quite complex and multifactorial. It may be a chronic or temporary condition
1- Physiological causes of sexual arousal disorder in women:
- Injury to the blood vessels in the pelvic area, causing a lack of blood flow
- Injury to the nerves in the pelvic region causes decreased sexual desire
- General medical conditions that damage blood vessels (coronary artery disease, high blood pressure, diabetes)
- infant care (lactation)
- General medical conditions that cause a change in hormone levels (thyroid disorders, adrenal gland disorders, or oophorectomy)
- Decreased level of sex hormones due to aging (menopause)
- Side effects from medication use (antidepressants, psychiatric medications, high blood pressure medications, sedatives, birth control pills, or pills that contain hormones)
2- Psychological causes of sexual arousal disorder in women
- Chronic mild depression (dysthymia)
- emotional pressure
- Previous sexual abuse
- Self-confidence issues
- Relationship problems with husband
- Other mental disorders (major depression, post-traumatic stress disorder, or obsessive-compulsive disorder)
Often the physical and psychological factors that cause a woman’s sexual arousal disorder appear together. For example, a woman who does not feel sexual desire due to illness or the side effects of a medication, may lose confidence in herself or find relationship problems that make it difficult to reach sexual arousal.
Population Statistical Study
It is difficult to determine the incidence of sexual arousal disorder in women because many women are reluctant to seek help for this problem. Sexual arousal disorder may overlap with other sexual disorders in women, making it difficult to differentiate between them. In addition, there is conflict in the medical community about the exact description of sexual dysfunction in women. A recent review of medical research found that 22:43% of women suffer from sexual dysfunction. One study specialized in hydration (vaginal secretions) indicated that about 20% of women experienced problems related to this. Both studies indicated that these women suffer from disorders resulting from physiological and psychological causes.
Almost always, a woman is diagnosed with sexual arousal disorder when she reports her concerns to her gynecologist (a doctor who specializes in matters related to women’s health); However, she can discuss it with her family doctor or psychologist. The doctor will take a complete medical and psychiatric history, including a list of medications the patient is currently taking. Then, the doctor will perform a physical examination of the patient to assess the medical dimensions of the disease; If necessary, blood and urine samples may be taken for lab tests to rule out diabetes and to rule out any previously unrecognized medical conditions. To be diagnosed with sexual arousal disorder, you must have a persistent or intermittent decreased hydration response and bloating over a while. It’s normal for women to sometimes have problems with sexual arousal, and these temporary difficulties are not the same as sexual arousal disorders.
Psychological therapy or talk therapy is the most common treatment for psychological manifestations of sexual arousal disorder in women. Sex therapy focuses first on the sexual disorder. A sex therapist has a special exercise that helps individuals and couples overcome their sexual problems. Conventional psychotherapy focuses on solving relationship problems, seeking to eliminate problems, open up feelings, improve communication, and develop strategies for solving problems. There are many couples with the sexual disorder who develop relationship problems around sexual desires, and they benefit from conventional psychiatry even if the sexual arousal disorder is overcome.
Other treatments vary depending on the cause of a woman’s sexual arousal disorder. When there are physical causes, the cause of the problem or disease is treated. Many women with hypohydration (vaginal discharge) caused by the natural decline in hormone levels associated with aging are treated with hormone replacement therapy. Also, pharmacies have over-the-counter products that provide women with a natural gel moisturizer. Many women find these products satisfactory, especially if they only have temporary problems with sexual arousal.
There is a medical device (Eros-CTD) authorized for use used in consultation with a doctor that works to increase blood flow, increase sensation and increase vaginal secretions
Predict the course of the disease
Women’s sexual arousal disorder has many causes, so the individual response to treatment varies greatly. Problems with hydration and menopause generally have a good prognosis. While stress-related libido issues are resolved once the cause of stress is eliminated. Often you need some time to work together on solving relationship problems, whether caused or caused by the sexual disorder. This process requires time and a shared commitment to problem-solving.
There is no sure way to prevent sexual arousal disorder in women. Eating healthy food, balanced meals, taking enough rest, periodic follow-up with the gynecologist, and seeking counseling or psychological treatment at the beginning of relationship problems, all of this may help reduce sexual arousal problems.