Low Libido in Women: Demystified


Low Libido in Women: Demystified

Low Libido in Women occurs when a woman is not able to fully, healthily, and pleasurably experience some or all of the various physical stages the body normally experiences during sexual activity. These stages can be broadly thought of as the desire phase, the arousal phase, and the orgasm phase. Sexual dysfunction also includes painful intercourse.

In women low Libidon takes many forms and has numerous causes. It is important to address all the aspects of a woman's sexuality - whether physical, psychological, physiological (mechanical), or interpersonal - in order to resolve the problems.

Low Libido in Women is actually quite common. It has been estimated that about 40% of women are affected by sexual dysfunction to some degree, and approximately 1 in 4 women are unable to achieve orgasm.

Causes of Low Libido in Women


Low Libido in Women may be related to physical factors, psychological factors, or a mixture of both. It can also be a matter of problems with technique: Some women never fully experience sexual arousal and orgasm because they or their partners lack sexual knowledge. They may not understand how female sex organs respond or are stimulated, or don't use appropriate arousal techniques.


At the same time, Low Libido in Women has a strong interpersonal component. A person's view of their own sexuality is largely influenced by culture, society, and personal experience. It may be intimately connected to their own or society's ideas about the appropriate or inappropriate expression of sexual behaviour. These feelings may cause anxiety because of a personal or cultural association of sexual experience and pleasure with immorality and bad behaviour. Anxiety is then expressed physically by the body in a way that prevents normal sexual function. Anxiety can do this, for example, by stopping or slowing the state of sexual excitement that allows for the lubrication or moistening of the female genitalia - an important step towards fulfilling forms of sexual activity.

Personal character, disposition, and life experience play a role in sexual dysfunction. Fear of intimacy can be a factor in arousal problems. Experiences of abuse, either in childhood or in past or current relationships, can establish a cycle of associating sex with psychological or physical pain. Attempting sexual activity in these circumstances causes more psychological or physical pain. For example, if anxiety prevents lubrication, sexual intercourse can be painful.

Conflict, tension, and incompatibility with a sexual partner can cause sexual dysfunction. Depression may be a cause, and stress a contributing factor. Medications, including oral contraceptives, antihypertensives, antidepressants, and tranquilizers are very common causes of sexual dysfunction. Also, the use of oral contraceptives can decrease a woman's interest in sex. If you're taking any of these medications, talk to your doctor about its possible contribution to sexual problems.

Physical causes include disorders of the genitalia and the urinary system, such as endometriosis, cystitis, vaginal dryness, or vaginitis. Other conditions such as hypothyroidism, diabetes, multiple sclerosis, or muscular dystrophy can have an impact on sexual desire and ability. Surgical removal of the uterus or of a breast may contribute psychologically to sexual dysfunction if a woman feels her self-image has been damaged.

Certain prescription and over-the-counter medications as well as the use of illegal drugs or abuse of alcohol may contribute to sexual dysfunction. Cigarette smoking may have a negative effect on sexual arousal in women.


Although women can remain sexually active and experience orgasms throughout their lives, sexual activity often decreases after age 60. While part of this may be due to a lack of partners, changes such as dryness of the vagina caused by lack of estrogen after menopause may make intercourse painful and reduce desire. After menopause, about 15% of women feel a strong decrease in sexual desire.

Symptoms and Complications of Low Libido in Women

Women who do not enjoy satisfying sexual experiences with their partners often report the following:
 

  • Low Libido in Women: Demystifiedlack of sexual desire (low libido)

  • inability to attain an orgasm

  • pain or other distress during penile penetration

  • an inability to fantasize about sexual situations

  • indifference to, or repulsion by, having sex

  • feelings of fear or anger towards their partners

 

Most often, any of these responses have psychological complications. Whether the symptoms are due to physical factors, such as menopause, or have their origins in more *deep-seated psychological triggers, many women are likely to feel inadequate or dysfunctional. They blame themselves for not being sexually responsive, have trouble explaining *to their partners about how they feel, and experience low self-esteem as a result.


Diagnosing Low Libido in Women


Establishing the cause of sexual dysfunction is half the battle. The stage of sexual activity at which a woman is having problems may offer some clues. Other evidence may be found through physical and psychological testing. Your family doctor can refer you to specialists who can help pinpoint what's causing the problem.

In sexual desire disorder, a woman experiences a decreased interest in having sex. If the lack of interest is new and extends to all partners and situations, the doctor will likely consider causes such as medications, medical conditions such as depression, hormonal changes, or imbalances in certain neurotransmitters (the brain's chemical messengers). On the other hand, sexual desire disorder may be caused by interpersonal factors if it's confined to one partner or one situation.

Sexual arousal disorder refers to a woman's inability to become lubricated, aroused, or sexually excited, even after being sexually stimulated.

Orgasmic disorder means that a woman may enjoy sexual activity but has difficulty reaching orgasm or takes a very long time to reach orgasm. Physical causes are rare, except in cases of nerve damage in the spine. Psychological factors may range from never having learned how to have an orgasm, to unrealistic expectations from a partner, to feelings of guilt at experiencing pleasure. Orgasmic disorder is diagnosed only when a woman has no difficulty with arousal, only with climax.

Treating and Preventing Low Libido in Women

The first step in managing female sexual dysfunction is to see a health care provider for assessment and appropriate treatment.

Physical disorders should be treated. For sexual dysfunction associated with aging and dryness of the vagina, vaginal moisturizers or estrogen treatment (such as a vaginal cream, vaginal ring, or low-dose tablet taken by mouth) can be effective.


When psychological factors are foremost, counselling from a psychiatrist, psychologist, or sex therapist may help to remove or reduce the causes. Psychotherapy may be more useful if there has been some trauma in a woman's background, or problems that stem from stress or relationships. Therapy that includes a sexual partner is more helpful in increasing the chance of learning to experience orgasm.

To both treat and prevent sexual dysfunction, women should understand how their sex organs work and how they can respond. The vagina is like a muscle, and with inactivity, it becomes harder to use. Activities like masturbation and Kegel exercises can increase blood flow to the vaginal area, making sex more comfortable. Kegel exercises can make pelvic floor muscles stronger and help women reach orgasm more easily. This is a technique that women of every age can use to enhance sexual pleasure.

To do Kegel exercises, tighten your pelvic floor muscles (these are the same muscles you use to stop the flow of urine when you're going to the bathroom) for 3 seconds, relax for 3 seconds, and repeat 10 times. Gradually increase the time until you are tightening the muscles for 10 seconds and relaxing for 10 seconds.

Researches for Low Libido in Women

Low Libido in Women: DemystifiedIn late 2004, FDA approval of Intrinsa, a testosterone patch for low female sex drive, seemed imminent. News reports heralded Intrinsa as a "Viagra for her," suggesting that it would revolutionize sexual health for women.Except an FDA advisory panel saw things differently. Finding numerous problems with the evidence for the drug's effectiveness and safety, experts on the panel voted against approving it.

Now the frontrunner in the race to market the first prescription drug for low female sex drive is Boehringher-Ingelheim Pharmaceuticals. It has a drug called flibanserin in phase III clinical trials, the final phase of drug testing required for FDA approval. It is a kind of antidepressant, but it hasn't been approved previously for any use. Boehringher-Ingelheim is saying little publicly about the drug.

Another drug, called bremelanotide, is in development for low female sex drive and male erectile dysfunction at the same time. Both potential uses are being tested in phase II clinical trials, which are early studies to assess how well a drug works and how safe it is.

Bremelanotide is a new chemical created in the laboratory. It's given in the form of a nasal spray, and it acts on the central nervous system.

"It's actually working in a region of the brain called the hypothalamus, which is known to be involved in sexual arousal in both men and women," says Carl Spana, PhD, CEO of Palatin Technologies, the company researching bremelanotide.

Dated 25 October 2013

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