Female Sexual Dysfunction
Female sexual dysfunction occurs when a woman doesn't get excited, or when she is sexually excited, doesn't become physically aroused or lubricated. If you suffer from problems with sex, you are not alone. Four in ten women experience sexuality problems, but very few actually seek help.
From an early age, women are overwhelmed with media messages about what their bodies should look like and how they should act sexually. Other influences are from family, culture and even religion. Female sexual dysfunction may be the result of a complex blend of emotional and physical stimuli.
Research into the area of FSD has received more attention in recent years, and physicians and therapist are learning more and more about how this affects women.
Dr. Evan Goldfischer is director of the Premier Medical Group Urology Division research department, and has spearheaded more than one FSD study.
Q: I can't seem to have an orgasm with intercourse. Why not?
A: In many women, the position and stimulation of the clitoris during intercourse is not adequate for orgasm. It is estimated that only 30% of women achieve orgasm through intercourse alone. The clitoris needs proper stimulation in order for most woman to have an orgasm.
There are many alternatives for you such as manual stimulation - either by you or your partner - oral sex, or even a vibrator. Sometimes the combination of these different way of stimulation will allow the couple to enjoy intercourse and also allow the woman to reach an orgasm.
Q: I've never been able to have an orgasm. Is there anything I can do?
A: There is more to sex than an orgasm. Many couples enjoy the closeness of intimacy. Just know you are not alone if you have never experienced orgasm; it is something that can be learned. Does this mean "never" by any method of stimulation including, manual or oral stimulation, masturbation, vibrator, or intercourse. Before you say never, try all the alternatives.
Q: Why can't I achieve an orgasm?
A: Insufficient blood flow to the vaginal area can contribute to female orgasmic problems. This could be due to poor circulation, low hormone levels, and lack of lubrication. The clitoris needs to become engorged in order to attain orgasm. There are creams that enhance blood flow to the vagina and there is also an FDA approved device that acts like a vacuum to help the clitoris. Exercising helps improve blood flow, as does better lubrication. Medications can affect orgasm, in particular antidepressants. With some women, it's purely psychological and sex therapy can help. And for others, orgasm needs to be learned. Most of us, women and men, first learn to experience orgasm through self-stimulation (masturbation). You need to be patient and not rushed or stressed. The mind needs to work with the body. This is where a sex therapist can help you.
Q: Why don't we have Viagra for women?
A: Usually, arousal problems in women can't be treated with a pill. They differ from a man's erectile dysfunction and so far no pill exists for women.
Q: Are there any research studies available for FSD?
A: Yes, Premier Medical Group Urology Division has a full time research division, which has successfully participated in several FSD studies in our Poughkeepsie office. This link will give you the latest studies in our office.