Female Sexual Dysfunction

Expert Care

Female sexual dysfunction (FSD) is a relatively common issue that can affect women at various stages of life. It may be persistent or vary depending on life circumstances or specific sexual situations. Unlike male sexual function, which often centers around erectile performance, female sexual function involves a complex interplay of emotional, psychological, relational, hormonal, and physical factors—including the effects of medications.

Because of this complexity, sexual dysfunction in women may persist unless accurately diagnosed and appropriately treated. Multiple risk factors can contribute to FSD, and it is essential for patients to speak openly with a healthcare provider experienced in these issues to ensure a thorough and effective evaluation.

Your urologist will evaluate several factors during your initial assessment, including:

Use of certain medications such as antidepressants or antihypertensives

Neurological conditions such as multiple sclerosis, Parkinson's disease, or spinal cord injury

Gynecological issues such as pelvic infections and prior pelvic surgery

Medical conditions such as heart disease, anxiety, or depression

Relationship issues, psychological distress, or sexual abuse

Hormonal issues, which can lead to vaginal dryness and decreased sexual libido

Management of FSD

Non-medical treatment options include:

Communicating your likes and dislikes with your partner
Making healthy lifestyle changes such as reducing certain medications (if appropriate) and limiting alcohol and recreational drug use
Finding ways to reduce stress
Speaking with a healthcare provider who specializes in FSD to receive personalized guidance on enhancing intimacy
Using external aids such as lubricants and devices to enhance clitoral stimulation

Medical Management of FSD

Medical management and treatment options will be discussed with you by Dr. Alexis Chesrow. These may include medications or hormonal therapies, such as estrogen or low-dose testosterone—both of which play a major role in your sexual function and satisfaction.