Orgasmic disorder may be present in women who have never achieved an orgasm or may be present as a result of surgery, trauma or hormone deficiencies. Orgasmic disorder may cause extreme personal distress and interpersonal difficulties. Pain may be so severe that intercourse may be impossible. Vaginismus is the recurrent or persistent involuntary spasm or contraction of the perineal muscles that surround the outer third of the vagina when the insertion of any object is attempted - a penis, finger or even a tampon. Treatment of Female Sexual Dysfunction Most female sexual dysfunction disorders are caused by a combination of both physiological and psychological factors and issues.
Successful treatment involves both aspects.
The replacement of estrogen in menopausal women serves to improve clitoral sensitivity, inclrease libido and decrease pain during sexual intercourse. It also has that the benefit of relieving hot flashes, preventing osteoporosis, and lowering the risk of heart disease. A drug that is currently prescribed to men to improve sexual functioning, sildenafil is currently being evaluated in clinical studies to observe its effect on women. Sexual therapy or counselling has an important role for women who experience personal distress or interpersonal difficulties. Where there are relationship difficulties, the partner needs to be involved in order to understand the nature of the disorder and participate in the recovery process.