Female Sexual Dysfunction

Female sexual dysfunction is a generalized term for abnormalities in the normal female sexual cycle. It is a highly prevalent problem affecting anywhere from 30% to 50% of women in all age groups. The National Health and Social Life survey of 1749 women found that 43% complained of sexual dysfunction.20 Only recently have the problems involved with female sexuality gained recognition by clinicians. There are risk factors associated with female sexual dysfunction including age, menopause, previous surgery, mental and physical health, and availability of a partner.

In 1966, Masters and Johnson21 first described the female sexual response consisting of four successive phases -excitement, plateau, orgasmic, and resolution. This was later modified to the phases of desire, arousal, orgasm, and resolution. It is well recognized today that the female sexual cycle is not just a sequence of events, but a very complex entity including biological, psychological, sociocultural, and interpersonal factors that affect each part of the sexual cycle.

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