One can argue that sex is the most important thing in a relationship, but what happens when your partner doesn’t enjoy it? Sex creams and other gadgets are not doing the trick and its starting to affect your relationship, so what now? It is important to find the root cause of the issue as it may be physical or psychological.
Female Sexual Dysfunction
Female Sexual Dysfunction or FSD is the persistent, recurrent problems with sexual response, desire, orgasm, or pain that distresses you or strain your relationship with your partner. The following problems can arise from it.
- Low libido, or what doctors refer to as Hypoactive Sexual Desire Disorder (HSDD).
- Painful sex. This can include pain during sex due to menopausal vulvo-vaginal atrophy resulting from a lack of hormones as well as a burning pain syndrome of the genitals.
- Difficulty being aroused. Sexual Arousal Disorder can originate in the genital area (comparable to erectile dysfunction in men) or an issue at the brain level (which is more common in women).
- Aversion to sex. Often, this is related to a history of sexual abuse.
- Inability to achieve orgasm. Up to 10-20 percent of women never achieved orgasm and many others have difficulty. But there are treatments available for this.
Knowing When It’s a Problem
A woman’s sex drive can decrease over time due to age. This does not mean that there is a problem. It is only seen as a problem if the woman is actively trying to be aroused, but is not able to under any circumstance. If you are confident that the problem is not medical then sexual aids such as arousal creams will do the trick.
There are plenty of options available to make sex more enjoyable to women who have a sexual dysfunction. Have an honest conversation with your doctor, so the right treatment can be given to better serve your issue. Below are some treatment options that can be considered.
- Off-label testosterone – This can effectively treat low libido but requires the help of a hormone expert. Too much testosterone can lead to acne, hair loss, facial hair growth, aggressiveness and permanent voice changes.
- Zestra – Currently, over-the-counter Zestra (a botanical oil to apply to the genitals) is available to enhance a woman’s ability to climax.
- EROS device – The FDA-approved agent, the EROS device, is available by prescription to help women with climax.
- INTONE ™ and Intensity™ – There is a new FDA approved electrical stimulating device called INTONE ™ devised to help treat urinary leakage in women that may also help with orgasmic capacity. In fact, a smaller device, called Intensity™ works on its own to improve and stimulate female orgasms and does not require physician prescription.
- Vaginal estrogen – Available as a cream, a tablet or a vaginal ring, and considered the best treatment for genital arousal problems and pain from vulvovaginal atrophy that occurs in many postmenopausal women.
- Off-Label use of Vaginal DHEA 1 percent suppository – An adrenal precursor that women with vaginal atrophy/thinning/decreased sensation can use as an alternative to vaginal estrogen.
- Osphena – The first, non-estrogen oral therapy for moderate to severe painful sexual activity due to vulvovaginal atrophy.
- Flibanserin (Addyi®) – This drug was recently approved by the FDA to restore female sexual desire in women before menopause. It must be taken orally every day, and it may have side effects, such as severe low blood pressure and fainting.
Consulting a doctor is the first step to getting the help that you need. With treatment and the right mindset you and your partner will be back enjoying sex in no time.