Female Sexual Function and Dysfunction

Sexual function is an important part of most women’s lives. Female sexual dysfunction (FSD), defined as a sexual problem that causes clinically significant distress, is common, but under-identified and undertreated. Clinicians should ask about sexual concerns in routine visits. Assessment of FSD should include a comprehensive history and physical examination utilizing a biopsychosocial approach. Providers should explore psychological, emotional, interpersonal, and sociocultural contributing factors. Medications should be reviewed as possible contributors. Antidepressants are a common cause of FSD. Treatment of FSD should focus on the underlying diagnosis. Given its complexity, FSD is best treated utilizing a multidisciplinary approach, including a medical provider, pelvic floor physical therapist, and sex therapist. General recommendations for all patients with FSD include increasing exposure to sexual stimuli such as erotic literature, scheduling sex, decreasing stressors, and improving overall general health through adequate sleep, exercise, and a healthy diet.