What is female sexual arousal disorder?

Female arousal disorder occurs when the body doesn’t answer sexual stimulation. It used to be considered its own condition. Doctors treated it differently than hypoactive concupiscence disorder. That refers to a scarcity of desire for sexual intercourse.

However, experts recently concluded it’s very difficult to distinguish between these two conditions. In response, doctors now use the term female sexual interest/arousal disorder (FSIAD), consistent with new guidelines within the remake of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5).

FSIAD is one among several conditions that fall into the umbrella of sexual dysfunction, which also includes:

Ø  pain during intercourse

Ø  inability to orgasm

Ø  lack of sexual desire

While having a sexual dysfunction can feel isolating, it’s actually fairly common. About 40 percent of girls experience some sort of sexual dysfunction, like FSIAD, in their life.

FSIAD can be frustrating, but it is treatable. Read on to learn more about the symptoms and available treatment options.

What are the symptoms?

For many women, the symptoms of FSIAD come and go. Some have symptoms whenever they struggle to possess intercourse or engage in sexual intercourse . Others may only experience them occasionally.

Symptoms of FSIAD include:

Ø     Decreased sexual desire. You may begin to lose interest in sex. While this will flow from to lack of arousal, it's going to even be a symbol of stress and anxiety from having FSIAD.

Ø     Few thoughts related to sex. You may rarely think about sex.

Ø     Less initiation of sexual activity. You may not initiate sex and should be unreceptive to a partner’s attempts to initiate sex.

Ø     Decreased sexual excitement or pleasure during sex. Sexual stimulation or other things that used to turn you on no longer do.

Ø     Reduced arousal from internal or external sexual cues. You may not be aroused by cues like psychological intimacy, reading about enjoyable sex, or recalling an erotic fantasy.

Ø     Lack of genital or nongenital sensations during sex. When having sex, you would possibly not feel much in your genital area or other erogenous zones.

What causes it?

Arousal triggers a series of events within the body: Blood flow to the tissues round the vaginal opening and clitoris increases, causing swelling. The vagina produces natural lubricant. These events are the result of a series of chain reactions. Any interruption in the process can cause FSIAD.

Many things, both psychological and physical, can affect the arousal process.

Psychological causes

Emotional and psychological state issues which will cause FSIAD include:

Ø  low self-esteem

Ø  poor body image

Ø  stress

Ø  anxiety

Ø  depression

Ø  relationship problems

Ø  negative thoughts

Ø  guilt

Ø  trauma

Hormonal causes

Hormones are a necessary element of arousal. Changes in hormone levels may affect your ability to be aroused. However, it’s not clear whether there’s an immediate relationship between hormone levels and sexual function.

Things that can cause hormonal changes and possible FSIAD include:

Ø  Menopause

Ø  birth control pills

Ø  pregnancy

Anatomical causes

Arousal depends greatly on the body’s circulatory and neurological systems. Problems with either of these may cause FSIAD.

Some potential anatomical causes include:

Ø  diminished blood flow to the vagina

Ø  nerve damage in the pelvis

Ø  infection of the vagina or bladder

Ø  thinning, drying vaginal tissues

Other causes

Other factors can also lead to FSIAD, including:

Ø     Medications. Selective serotonin reuptake inhibitors (SSRIs), a kind of antidepressant, may cause FSIAD.

Ø     Medical treatments. If you’re undergoing chemotherapy or radiation, you'll experience FSIAD. Likewise, a recent surgery may interfere with arousal and sexual stimulation.

Ø     Inadequate sexual simulation. You might have trouble getting aroused if the stimulation you receive from yourself or your partner isn’t sufficient.

Ø     Diabetes. Diabetes can affect your nervous and vascular systems. This may make arousal harder because your body is unable to send the required hormones, blood, and electrical signals for arousal.

How is it diagnosed?

FSIAD is usually hard for doctors to diagnose since many cases involve a mixture of underlying conditions. In addition, many ladies may feel uncomfortable lecture their doctor about their symptoms and their sex life. This prevents a lot of women from getting diagnosed.

Most doctors start by asking a series of questions on your sexual and psychological state . Next, they’ll likely offer you a pelvic exam to rule out any physical causes of your symptoms, like an infection or nerve damage.

In some cases, your doctor may also do a complete blood count test to get a better idea of your overall health. If your doctor determines your symptoms aren’t thanks to physical causes, they'll refer you to a psychotherapist who focuses on sexual health. This health care provider can assist you discover the emotional cause behind your FSIAD and assist you create a treatment plan that suits you. If you don’t feel comfortable talking to your doctor about your symptoms, consider looking for a new one.

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