Functional sexual disorders in women

Female sexual dysfunctions are frequently overlooked and often trivialized, yet they degrade the quality of life of the sufferers. However,

women with these disorders commonly fail to find the courage to seek help. Low sexual desire and various painful symptoms during

intercourse are the most common conditions encountered in the clinical practice. In addition to medical treatment, psychotherapeutic

intervention is usually also required and, sometimes, psychotherapy is the only form of treatment. When hormonal imbalances are

detected, it is advisable to stabilize sex hormone levels, a treatment primarily performed or at least supervised by a gynaecologist.

Unfortunately, locally administered androgens (testosterone in gel form), the use of which is sparing for the patient and often has

a good effect particularly in libido disorders, have so far not been registered in the Czech Republic. The therapeutic process should

reflect a whole range of psychophysiological causality in an attempt to achieve the best possible improvement for the woman in terms

of a possible partner relationship. There is no simple therapeutic procedure. Treatment has to be tailored to the individual patient with

respect to interpersonal, sociocultural, biological and psychological factors relevant to the woman. As a result, the treatment is usually

time-demanding and, when successful, it provides major therapeutic satisfaction.

vaginismus.

Keywords: sexual dysfunction, desire, arousal, orgasm, pain, restless genital syndrome, sexual appetite, lubrication, dyspareunia,