Feeling Frustrated in the Bedroom? Here's Help for Female Sexual Dysfunction
- May 17
- 4 min read
Sexual dysfunction and distress affect about 40% of women. This serious issue can lead to feelings of frustration and inadequacy, both for the woman experiencing it and her partner. Understanding the various factors that contribute to sexual dysfunction can empower women to seek help and improve their intimate relationships.
The first step in addressing these concerns is often the 'Female Sexual Distress Scale.' This questionnaire can help identify specific issues and determine the severity of the distress experienced. Depending on the score and the identified problems, a tailored approach to treatment can be developed.
It’s important to remember that sometimes the solution may be as simple as improving communication between partners. Couples or sex therapy could provide a supportive environment to discuss intimate issues openly, which plays a vital role in addressing sexual dysfunction. There may be other reasons for the sexual dysfunction or desire which may include mental health, medication side effects, physiological changes and metabolic changes.
Reasons and Treatment for Sexual Dysfunction
The first most important question to ask yourself is whether you are experiencing low libido/ sexual desire or is it an issue of no longer being able to have an orgasm. For each there are different causes and treatments which we will discuss below.
Medications. Always start here. That is a basic rule for any physician. Multiple medications could cause some dampening in sexual health. Some medications that also may be very basic such as allergy medications, cholesterol medications and blood pressure medications. However it is very important to weigh out the pros and cons in this situation. Your health is the number one priority however there may be able to modify them according to your symptoms.
The physiological aspects of sexual dysfunction, such as pain during intercourse, should not be overlooked. Conditions like vaginal atrophy can contribute significantly to discomfort and low libido. It’s important to consult with healthcare providers to explore these potential causes and options for treatment. Vaginal lubricant or vaginal estrogen may be a good options. Hormone replacement therapy may be a good option of the vaginal atrophy was a main symptom of perimenopause.
Screening for comorbid conditions like depression and anxiety can be another crucial step in addressing sexual dysfunction. Treating underlying mental health concerns may alleviate some of the distress associated with sexual issues. While SSRIs can help manage anxiety and depression, it’s essential to be aware that, at higher doses, they might also contribute to sexual dysfunction. There are ways around the side effects if that does become an issue however you may be the lucky few where that's not necessarily the case.
Stress and fatigue are further common culprits of low libido. Finding effective strategies to manage these feelings can enhance sexual desire. Whether it’s through meditation, relaxation techniques, or identifying the sources of fatigue, taking time for oneself can make a difference.
In addition, creating opportunities for quality time with a partner can strengthen intimacy. Regular date nights or hiring a babysitter to share childcare responsibilities can offer couples the chance to reconnect. It’s important to prioritize alone time to nurture the emotional and sexual relationship.
Body image issues often plague many women and can severely impact their sexual desire. Engaging in regular exercise can benefit both body image and mental health, potentially boosting sexual confidence. For those struggling with pelvic health issues, pelvic physiotherapy might provide relief from pain during intercourse, further enhancing the sexual experience.
For women dealing with urinary incontinence, fear of losing control can be a significant barrier to enjoying intimate moments. In moderate to severe cases, surgical management may be suggested, but every woman’s situation is unique, and a thorough assessment should guide treatment options. Again contact your provider and do not feel ashamed. As a provider I have often felt I am bringing up the symptoms which then resonate with the patient but often times women do not think of bringing it up themselves. There are ways to resolve this is the most important thing to know.
One of the factors that complicates the understanding of sexual dysfunction is differentiating between libido concerns and low sexual desire. Androgens, like testosterone, could be explored as a treatment option if other methods have been exhausted. A qualified sexual therapist can guide this process if the patient is otherwise healthy and no apparent cause exists for low libido. Alternatively there are other anti-depressant medications such as Bupropion which work independently or in conjunction to other medications that maybe contributing to the problem. Ever heard of women using Viagra or similar medications? There is limited evidence however this is definitely an option if low libido or anorgasmia is an issue.
In Conclusion
While many medicinal options exist, the selection can be limited due to a lack of extensive studies on their efficacy for women's sexual health. Nonetheless, a healthcare provider can offer insights tailored to individual needs and preferences.
Many women find themselves feeling isolated in their experiences, but seeking help through professional avenues can make all the difference. Whether through therapy, medical treatment, or open dialog with a partner, progress is entirely possible.
Embracing the journey to better sexual health can feel overwhelming, but remember, the key lies in understanding and communication. Discerning whether an issue stems from libido or low sexual desire is vital, and the right support can lead to much-needed improvements in intimacy.
In conclusion, female sexual dysfunction is a multidimensional issue that affects many women across various stages of life. With proper screening, support, and treatment—be it medical, therapeutic, or relational—it's entirely possible to regain confidence and enjoyment in the bedroom. For those seeking to take the first step, local therapists can be found through resources mentioned below. Don't hesitate to explore the options available, because every woman deserves to feel fulfilled and connected in her intimate life.
By prioritizing open conversations about sexual health and seeking effective treatments, women can overcome the barriers that sexual dysfunction may impose, paving the way for a richer, more satisfying intimate life.
Where do I find sexual health clinicians or therapists
American Association of Sexual Educators and Counsellors and Therapists
https://sstarnet.org/find-therapist
Society for Sex Therapy and Research
Where do I find couples therapists
American Association for Marriage Family Therapy
Where do I find a pelvic physiotherapist or information on pelvic physiotherapy
https://www.choosept.com/guide/physical-therapy-guide-pelvic-pain
American Physical Therapy Association
International Pelvic Pain Society
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