Sexual dysfunction resident survival guide

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Sanjana Nethagani, M.B.B.S.[2]

Synonyms and keywords:

Overview

Sexual dysfunction is defined as recurrent and persistent issues with sexual response, desire, experience of pain or achieving orgasm. Sexual dysfunction often causes distress to the partners in a relationship. Sexual dysfunction conditions are broadly classified into disorders of sexual desire, arousal, orgasm and pain disorders.

Causes

Disorders of sexual desire

• Psychological disorders or stress
• Advanced age
• Menopause
• Emotional distress
• Medications such as antidepressants, anxiolytics, antihypertensives

Disorders of sexual arousal

• Trauma
• Chronic disorders such as diabetes, multiple sclerosis
• Neuropathy
• Stroke
• Previous genital surgery

Disorders of orgasm

• History of sexual or emotional abuse
• Medication such as antihypertensives, anxiolytics
• Previous trauma or surgery

Disorders of sexual pain

• Endometriosis
• Pelvic inflammatory disease
• Decreased vagina lubrication
• Sexually transmitted infections
• Vaginismus

Diagnosis

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Treatment

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Do's

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Don'ts

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References

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