Tulane Urology

female sexual dysfunction

Female sexual dysfunction (FSD) is a relatively common issue that can affect women at various stages of life. It may be persistent or vary depending on life circumstances or specific sexual situations. Unlike male sexual function, which often centers around erectile performance, female sexual function involves a complex interplay of emotional, psychological, relational, hormonal, and physical factors—including the effects of medications.

Because of this complexity, sexual dysfunction in women may persist unless accurately diagnosed and appropriately treated. Multiple risk factors can contribute to FSD, and it is essential for patients to speak openly with a healthcare provider experienced in these issues to ensure a thorough and effective evaluation.

What are the risk factors?

Your Tulane urologist will evaluate several factors during your initial assessment, including:

  • Use of certain medications such as antidepressants or antihypertensives
  • Neurological conditions such as multiple sclerosis, Parkinson’s disease or spinal cord injury
  • Gynecological issues such as pelvic infections and prior pelvic surgery
  • Medical conditions such as heart disease, anxiety, or depression
  • Relationship issues, psychological distress, or sexual abuse
  • Hormonal issues, which can lead to vaginal dryness and decreased sexual libido

Management of female sexual dysfunction (FSD)

Nonmedical treatment options include:

  • Communicating your likes and dislikes with your partner
  • Making healthy lifestyle changes such as reducing certain medications (if appropriate) and limiting alchohol and recreational drug use
  • Finding ways to reduce stress
  • Speaking with a healthcare provider who specializes in FSD to receive personalized guidance on enhancing intimacy
  • Using external aids such as lubricants and devices to enhance clitoral stimulation

Medical management of FSD

  • Medical management and treatment options will be discussed with you by Dr. Alexis Chesrow. These may include medications or hormonal therapies, such as estrogen or low-dose testosterone—both of which play a major role in your sexual function and satisfaction.

If you’re struggling with female sexual dysfunction (FSD), know that you’re not alone. Our experienced medical team is here to help—reach out today to start the conversation.