Female sexual arousal disorder occurs as a result of lack of vaginal lubrication during sexual activity. Women suffering from this disorder experience lack of genital swelling during sexual stimulation which causes less blood flow to the genital area.
When lack of blood flow to the genital area, women are not capable of achieving or maintaining lubrication during arousal. Lack of vaginal lubrication can cause painful intercourse and therefore women with the disorder do not engaged in sexual intercourse and more likely to experience problems in relationship.
Based on Master and Johnson’s analysis there are four phases of sexual response cycle and these include excitement phase, plateau phase, orgasm phase, and resolution phase. Sexual arousal takes place in the plateau phase where both sexes experience increase blood flow to the genital area.
In male, the penis and testes become engorge with blood and increase in size. In female, the clitoris, labia minora, and the vagina swell and increase in size when these sex organs become engorge with blood. This phase may last less than a minute or it may last several hours depending on each individual.
Vaginal lubrication occurs during sexual arousal in the process called vasocongestion. When the vagina become engorges with blood during sexual arousal, vasocongestion occurs in which clear fluids seeps from the congested tissue to the inside of vaginal wall. The lubrication in the vagina help with better thrusting, provide more pleasure and less pain during sexual intercourse.
The amount of lubrication produce by a woman depends on how sexually aroused she is and may also vary at different stages of her life. Women are different from men in a sense that it takes longer time for women to get sexually aroused before they are ready to have sexual intercourse. Women need more foreplay to get them sexually aroused where as men can get aroused in shorter amount of time.
Causes of Female Sexual Arousal Disorder
Female sexual arousal disorder may be caused by physical factor, emotional factor, or both. Physical factor that caused FSAD may include the following.
• Hormonal changes during perimenopause and menopause.
• Chemotherapy and radiation therapy.
• High blood pressure.
• Circulation problems caused by damaged blood vessels.
• Nerve damage in the pelvic area.
• Medication side effects.
• Nerve damage caused by surgery (hysterectomy).
• Nerve damage caused by vaginal tearing during childbirth.
• Smoking.
• Alcohol and drug abuse.
Emotional factor that caused FSAD may include the following
• Stress and anxiety.
• Depression.
• Feeling of anger and fear.
• Sexual abuse.
• Emotional abuse.
• Religious beliefs.
• Self-image problems.
• Relationship problems.
• Mental disorder.
Types of Treatment
Emotional cause of FSAD can be treated with sex therapy or psychotherapy. Sex therapy can treat female sexual arousal disorder caused by emotional distress where as psychotherapy can treat emotion related problems such as problems with self-image or problems in relationships.
Physical
cause of FSAD can be treated with hormone replacement therapy or blood
flow enhancing medication. Hormone replacement therapy is normally used
to treat many of the symptoms associated with menopause including
restoring vaginal lubrication. Hormone replacement therapy involves the
use of estrogen, progesterone, and androgens to compensate for changes of the body’s hormone level. Topical cream or oral medication
such as Viagra can help increase blood flow to the vagina and
increase vaginal lubrication.
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