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Integrative Treatment of Female Sexual Dysfunction 

Integrative Treatment of Female Sexual Dysfunction
Chapter:
Integrative Treatment of Female Sexual Dysfunction
Author(s):

Jacquelyn M. Paykel

DOI:
10.1093/med/9780190225889.003.0003
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date: 27 July 2021

Sexual satisfaction in women is associated with general well-being. Meanwhile, female sexual dysfunction (FSD) is strongly associated with feelings of physical and emotional dissatisfaction, decreased happiness, reduced quality of life, and impaired interpersonal relationships. While each woman has her own definition of “normal sexual function,” research demonstrates that approximately 40% of US women have experienced sexual difficulties at least once in their life, the most distressing of which across all age groups is decreased sexual desire. The author reviews the Diagnostic and Statistical Manual of Mental Disorders (fifth edition) classification of FSD, differing models of female sexual response, the multifactorial potential of the pathophysiology of FSD, and the standard clinical evaluation of a woman who presents with sexual dysfunction. Treatment modalities are reviewed for various forms of FSD including education, lifestyle modification, psychological therapies, supplements, botanicals, mind-body medicine, manual medicine, conventional medications (hormonal and nonhormonal), and surgical interventions.

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