Sexual dysfunction is an under-discussed, under-evaluated, and under-treated medical problem among female patients. Sexual dysfunction can be caused by medications, hormonal changes, other medical diagnoses, previous surgeries, and/or emotional or psychosocial distress. It is important to evaluate sexual dysfunction to determine the most likely source so that we can recommend treatment options that are minimally invasive. The problem can lead to higher levels of stress and more severe dysfunction if left unaddressed.
The evaluation starts with a thorough medical history and comprehensive pelvic examination. It may include other testing such as X-rays, cystoscopy, and functional studies of the pelvic floor.
The treatments available today include medications (oral, vaginal or rectal), physical therapy including vaginal dilation, elimination of causal factors, as well as counseling and surgical intervention.