Female Sexual Dysfunction, A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions

By Kenneth Kee

Female sexual dysfunction (FSD) is a subjective dissatisfaction, resulting in significant distress, with the level or nature of sexual activity.
The Diagnosis and Statistical Manual of Mental Disorders fifth edition (DSM-5) categorizes FSD into three medically significant types:
For each diagnosis the disorder is experienced at least 75% of the time for at least six months (except for medication-induced FSD), resulting in significant distress.
FSD can be lifelong or acquired, and generalized or situational.
Exclusion criteria include nonsexual mental disorder, severe relationship distress (e.g., partner violence) and other significant stressors.
The three types, some or all of which may be present, are:
1. Sexual interest/arousal disorder
This is defined as reduced or absent sexual interest, responsiveness, erotic thoughts and sexual pleasure.
2. Female orgasmic disorder (absence, infrequency, reduction, delay of orgasm):
Lifelong anorgasmia may suggest unfamiliarity or discomfort with self-stimulation or sexual communication with her partner.
3. Genito-pelvic pain/penetration disorder (problem in vaginal penetration, marked vulvovaginal or pelvic pain during penetration, fear or anxiety about pain in anticipation of, during, or after penetration, and tightening or tensing of pelvic floor muscles during attempted penetration):
Many women have problems with sexual function at some point.
Female sexual dysfunction can happen at any stage of life.
It can be life-long or be acquired later in life.
It can happen only in certain sexual situations or in all sexual situations.
The sexual response cycle has four phases:
1. Excitement,
2. Plateau,
3. Orgasm, and
4. Resolution.
A sexual dysfunction indicates a problem during any phase of the sexual response cycle that prevents the patient or couple from feeling satisfaction from the sexual activity.
Causes:
Sexual dysfunction can be a result of a physical or psychological problem.
Physical:
1. Diabetes,
2. Heart disease,
3. Neurological diseases,
4. Hormonal imbalances,
5. Menopause
6. Kidney disease or
7. Liver failure, and
8. Alcoholism or drug abuse
Psychological:
1. Work-related stress and anxiety,
2. Concern about sexual performance,
3. Marital or relationship problems,
4. Depression,
5. Feelings of guilt, or
6. The effects of a past sexual trauma
Diagnosis:
An assessment of the attitudes regarding sex, and other possible contributing factors (such as fear, anxiety, past sexual trauma/abuse, relationship problems, or alcohol or drug abuse) will help the doctor comprehend the underlying cause of the problem and make proper treatment advices
Treatment:
How to Make Sex Better:
1.Get plenty of rest and eat well.
2.Limit alcohol, drugs, and smoking.
3.Feel the best.
This helps with feeling better about sex.
4.Do Kegel exercises.
Tighten and relax the pelvic muscles.
5.Focus on other sexual activities, not just intercourse.
6.Use birth control that works for both the patient and the partner.
How to Make Sex Less Painful:
1.Spend more time on foreplay.
Make sure the patient is aroused before intercourse.
2.Use a vaginal lubricant for dryness.
3.Try different positions for intercourse.
4.Empty the bladder before sex.
5.Take a warm bath to relax before sex.
Medical treatment:
Estrogen therapy
Androgen therapy
Flibanserin may increase sex drive in women who have low sexual desire and who find the experience uncomfortable.
1.Tibolone
2.Phosphodiesterase inhibitors such as Viagra
3.Phentolamine and yohimbine
4.Prostaglandin E1 (PGE1)
5.Vasoactive intestinal peptide (VIP)
6.A cardiovascular agent, candoxatril
Behavior Therapy
Sex Therapy
Healthy Lifestyle

TABLE OF CONTENT
Introduction
Chapter 1 Female Se

• Language: English
• Publisher: Kenneth Kee
• Release date: Oct 12, 2017
• ISBN: 9781370727858

Kenneth Kee

Medical doctor since 1972. Started Kee Clinic in 1974 at 15 Holland Dr #03-102, relocated to 36 Holland Dr #01-10 in 2009. Did my M.Sc (Health Management ) in 1991 and Ph.D (Healthcare Administration) in 1993. Dr Kenneth Kee is still working as a family doctor at the age of 70. However he has reduced his consultation hours to 3 hours in the morning and 2 hours in the afternoon. He first started writing free blogs on medical disorders seen in the clinic in 2007 on http://kennethkee.blogspot.com. His purpose in writing these simple guides was for the health education of his patients which is also his dissertation for his Ph.D (Healthcare Administration). He then wrote an autobiography account of his journey as a medical student to family doctor on his other blog http://afamilydoctorstale.blogspot.com This autobiography account “A Family Doctor’s Tale” was combined with his early “A Simple Guide to Medical Disorders” into a new Wordpress Blog “A Family Doctor’s Tale” on http://ken-med.com. From which many free articles from the blog was taken and put together into 1000 eBooks. He apologized for typos and spelling mistakes in his earlier books. He will endeavor to improve the writing in futures. Some people have complained that the simple guides are too simple. For their information they are made simple in order to educate the patients. The later books go into more details of medical disorders. He has published 1000 eBooks on various subjects on health, 1 autobiography of his medical journey, another on the autobiography of a Cancer survivor, 2 children stories and one how to study for his nephew and grand-daughter. The purpose of these simple guides is to educate patient on health disorders and not meant as textbooks. He does not do any night duty since 2000 ever since Dr Tan had his second stroke. His clinic is now relocated to the Buona Vista Community Centre. The 2 units of his original clinic are being demolished to make way for a new Shopping Mall. He is now doing some blogging and internet surfing (bulletin boards since the 1980's) starting with the Apple computer and going to PC. The entire PC is upgraded by himself from XT to the present Pentium duo core. The present Intel i7 CPU is out of reach at the moment because the CPU is still expensive. He is also into DIY changing his own toilet cistern and other electric appliance. His hunger for knowledge has not abated and he is a lifelong learner. The children have all grown up and there are 2 grandchildren who are even more technically advanced than the grandfather where mobile phones are concerned. This book is taken from some of the many articles in his blog (now with 740 posts) A Family Doctor’s Tale. Dr Kee is the author of: "A Family Doctor's Tale" "Life Lessons Learned From The Study And Practice Of Medicine" "Case Notes From A Family Doctor"

Book preview

Female Sexual Dysfunction,

A

Simple

Guide

To

The Condition,

Diagnosis,

Treatment

And

Related Conditions

By

Dr Kenneth Kee

M.B.,B.S. (Singapore)

Ph.D (Healthcare Administration)

Copyright Kenneth Kee 2017 Smashwords Edition

Published by Kenneth Kee at Smashwords.com

Dedication

This book is dedicated

To my wife Dorothy

And my children

Carolyn, Grace

And Kelvin

This book describes Female Sexual Dysfunction, Diagnosis and Treatment and Related Diseases which is seen in some of my patients in my Family Clinic.

(What The patient Need to Treat Female Sexual Dysfunction)

This eBook is licensed for the personal enjoyment only. This eBook may not be re-sold or given away to other people. If you would like to share this book with another person, please purchase an additional copy for each reader.

If you’re reading this book and did not purchase it, or it was not purchased for your use only, then please return to Smashwords.com and purchase your own copy.

Thank you for respecting the hard work of this author.

Introduction

I have been writing medical articles for my blog http://kennethkee.blogspot.com (A Simple Guide to Medical Disorder) for the benefit of my patients since 2007.

My purpose in writing these simple guides was for the health education of my patients.

Health Education was also my dissertation for my Ph.D (Healthcare Administration).

I then wrote an autobiolographical account of his journey as a medical student to family doctor on his other blog http://afamilydoctorstale.blogspot.com.

This autobiolographical account A Family Doctor’s Tale was combined with my early A Simple Guide to Medical Disorders into a new Wordpress Blog A Family Doctor’s Tale on http://kenkee481.wordpress.com.

From which many free articles from the blog was taken and put together into 800 amazon kindle books and 200 into Smashwords.com eBooks.

Some people have complained that the simple guides are too simple.

For their information they are made simple in order to educate the patients.

The later books go into more details of medical disorders.

The first chapter is always from my earlier blogs which unfortunately tends to have typos and spelling mistakes.

Since 2013, I have tried to improve my spelling and writing.

As I tried to bring the patient the latest information about a disorder or illness by reading the latest journals both online and offline, I find that I am learning more and improving on my own medical knowledge in diagnosis and treatment for my patients.

Just by writing all these simple guides I find that I have learned a lot from your reviews (good or bad), criticism and advice.

I am sorry for the repetitions in these simple guides as the second chapters onwards have new information as compared to my first chapter taken from my blog.

I also find repetition definitely help me and maybe some readers to remember the facts in the books more easily.

I apologize if these repetitions are irritating to some readers.

Chapter 1

Female Sexual Dysfunction

What is Female Sexual Dysfunction?

Female sexual dysfunction (FSD) is a subjective dissatisfaction, resulting in significant distress, with the level or nature of sexual activity.

Definitions of female sexual dysfunction

The Diagnosis and Statistical Manual of Mental Disorders fifth edition (DSM-5) categorizes FSD into three medically significant types:

For each diagnosis the disorder is experienced at least 75% of the time for at least six months (except for medication-induced FSD), resulting in significant distress.

FSD can be lifelong or acquired, and generalized or situational.

Exclusion criteria include nonsexual mental disorder, severe relationship distress (e.g., partner violence) and other significant stressors.

The three types, some or all of which may be present, are:

1. Sexual interest/arousal disorder

This is defined as reduced or absent sexual interest, responsiveness, erotic thoughts and sexual pleasure.

2. Female orgasmic disorder (absence, infrequency, reduction, delay of orgasm):

Lifelong anorgasmia may suggest unfamiliarity or discomfort with self-stimulation or sexual communication with her partner.

Delayed or less intense orgasms may be a natural process of ageing, due to decreased genital blood flow, atrophy and reduction in sensitivity.

Genito-pelvic pain/penetration disorder (problem in vaginal penetration, marked vulvovaginal or pelvic pain during penetration, fear or anxiety about pain in anticipation of, during, or after penetration, and tightening or tensing of pelvic floor muscles during attempted penetration):

Genito-pelvic pain/penetration disorder involves fear or anxiety, marked tightening or tensing of the abdominal and pelvic muscles, or actual pain associated with attempts toward vaginal penetration that is persistent or recurrent for at least six months.

Female sexual dysfunction that distresses the patient or strains the relationship with the partner is persistent, recurrent problems with:

1. Sexual response,

2. Desire,

3. Orgasm or

4. Pain

Many women have problems with sexual function at some point.

Female sexual dysfunction can happen at any stage of life.

It can be life-long or be acquired later in life.

It can happen only in certain sexual situations or in all sexual situations.

Sexual response requires a complex interplay of:

1. Physiology,

2. Emotions,

3. Experiences,

4. Beliefs,

5. Lifestyle and

6. Relationships.

Disruption of any component can affect:

1. Sexual desire,

2. Arousal or

3. Satisfaction

A sexual dysfunction indicates a problem during any phase of the sexual response cycle that prevents the patient or couple from feeling satisfaction from the sexual activity.

The sexual response cycle has four phases:

1. Excitement,

2. Plateau,

3. Orgasm, and

4. Resolution.

While research indicates that sexual dysfunction is frequent (43% of women and 31% of men have some degree of difficulty), it is a topic that many people are reluctant or uncomfortable to discuss.

Fortunately, most cases of sexual dysfunction can be treated, so it is essential to share the concerns with the partner and doctor.

The treatment often requires more than one approach.

What are the causes of Female Sexual Dysfunction?

Causes:

Sexual dysfunction can be a result of a physical or psychological problem.

Physical causes

Many physical and medical disorders can cause problems with sexual function.

These disorders are:

1. Diabetes,

2. Heart disease,

3. Neurological