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

Shown below is an algorithm summarizing the diagnosis of Sexual dysfunction according the the Journal of Sexual Medicine 2017 Opinion paper on The Diagnosis/Classification of sexual arousal concerns in women and the American College of Obstetricians and Gynecologists' Committee Practice Bulletin Summary on Sexual Dysfunction.

Treatment

Shown below is an algorithm summarizing the treatment of [[disease name]] according the the [...] guidelines.

Do's

• The content in this section is in bullet points.

Don'ts

• The content in this section is in bullet points.

References

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