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Chapter 47 - Disorders of Desire, Arousal and Orgasm in the Female

from Section 3A - Sexual Dysfunction and Counselling

Published online by Cambridge University Press:  16 January 2024

By
Rossella E. Nappi ,
Lara Tiranini  and
Giulia Stincardini
Edited by
Johannes Bitzer  and
Tahir A. Mahmood
Johannes Bitzer
Affiliation:
University Women's Hospital, Basel
Tahir A. Mahmood
Affiliation:
Victoria Hospital, Kirkcaldy
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Summary

Sexual dysfunction is a term used to describe various sexual problems with overlapping biological, psychological and relational aetiologies within the sociocultural context. Current definitions of sexual dysfunction in women reflect a change in our understanding of the functioning of the normal sexual response. Rather than the traditional view of sexual response progressing through discrete phases in sequence (desire, arousal, orgasm and resolution), it is now evident that each phase may overlap in a variable way according to a wide range of internal and external stimuli within a biopsychosocial framework.

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Chapter
Information
Textbook of Contraception, Sexual and Reproductive Health , pp. 294 - 299
Publisher: Cambridge University Press
Print publication year: 2024

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References

Basson, R, Leiblum, S, Brotto, L et al. Definitions of women’s sexual dysfunction reconsidered: Advocating expansion and revision. J Psychosom Obstet Gynaecol. 2003;24:221–9.CrossRefGoogle ScholarPubMed
Laumann, EO, Paik, A, Rosen, RC. Sexual dysfunction in the United States: Prevalence and predictors. JAMA. 1999;281:537–44.CrossRefGoogle ScholarPubMed
Nappi, RE, Cucinella, L, Martella, S et al. Female sexual dysfunction (FSD): Prevalence and impact on quality of life (QoL). Maturitas. 2016;94:87–91.CrossRefGoogle ScholarPubMed
Shifren, JL, Monz, BU, Russo, PA, Segreti, A, Johannes, CB. Sexual problems and distress in United States women: Prevalence and correlates. Obstet Gynecol. 2008;112:970–8.CrossRefGoogle ScholarPubMed
Kingsberg, SA, Althof, S, Simon, JA et al. Female sexual dysfunction: Medical and psychological treatments, Committee 14. J Sex Med. 2017;14:1463–91.CrossRefGoogle ScholarPubMed
Parish, SJ, Cottler-Casanova, S, Clayton, AH et al. The evolution of the female sexual disorder/dysfunction definitions, nomenclature, and classifications: A review of DSM, ICSM, ISSWSH, and ICD. Sex Med Rev. 2021;9:36–56.CrossRefGoogle Scholar
Masters, WH, Johnson, VE. Human sexual response. Boston, MA: Little, Brown, 1966.Google Scholar
Kaplan, H. Disorders of sexual desire and other new concepts and techniques in sex therapy. New York: Brunner/Hazel, 1979.Google Scholar
Basson, R. Using a different model for female sexual response to address women’s problematic low sexual desire. J Sex Marital Ther. 2001;27:395–403.CrossRefGoogle ScholarPubMed
Sand, M, Fisher, WA. Women’s endorsement of models of female sexual response: The nurses’ sexuality study. J Sex Med. 2007;4:708–19.CrossRefGoogle ScholarPubMed
Derogatis, LR, Sand, M, Balon, R, Rosen, R, Parish, SJ. Toward a more evidence-based nosology and nomenclature for female sexual dysfunctions: Part I. J Sex Med. 2016;13:1881–7.CrossRefGoogle Scholar
Parish, SJ, Goldstein, AT, Goldstein, SW et al. Toward a more evidence-based nosology and nomenclature for female sexual dysfunctions: Part II. J Sex Med. 2016;13:1888–1906.CrossRefGoogle Scholar
Parish, SJ, Meston, CM, Althof, SE et al. Toward a more evidence-based nosology and nomenclature for female sexual dysfunctions: Part III. J Sex Med. 2019;16:452–62.CrossRefGoogle Scholar
McCabe, MP, Sharlip, ID, Atalla, E et al. Definitions of sexual dysfunctions in women and men: A consensus statement from the Fourth International Consultation on Sexual Medicine 2015. J Sex Med. 2016;13:135–43.Google Scholar
Parish, SJ, Hahn, SR, Goldstein, SW et al. The International Society for the Study of Women’s Sexual Health Process of Care for the Identification of Sexual Concerns and Problems in Women. Mayo Clin Proc. 2019;94:842–56.CrossRefGoogle Scholar
Goldstein, I, Komisaruk, BR, Pukall, CF et al. International Society for the Study of Women’s Sexual Health (ISSWSH) review of epidemiology and pathophysiology, and a consensus nomenclature and process of care for the management of persistent genital arousal disorder/genito-pelvic dysesthesia (PGAD/GPD). J Sex Med. 2021 F:S1743–6095(21)00175–2. https://doi.org/10.1016/j.jsxm.2021.01.172.CrossRefGoogle Scholar
Kingsberg, SA, Clayton, AH, Pfaus, JG. The female sexual response: Current models, neurobiological underpinnings and agents currently approved or under investigation for the treatment of hypoactive sexual desire disorder. CNS Drugs. 2015;29:915–33.CrossRefGoogle ScholarPubMed
Kingsberg, SA, Simon, JA. Female hypoactive sexual desire disorder: A practical guide to causes, clinical diagnosis, and treatment. J Womens Health (Larchmt). 2020;29(8):1101–12.CrossRefGoogle ScholarPubMed
Handy, AB, Stanton, AM, Meston, CM. Understanding women’s subjective sexual arousal within the laboratory: Definition, measurement, and manipulation. Sex Med Rev. 2018;6:201–16.Google ScholarPubMed
Simon, JA, Goldstein, I, Kim, NN et al. The role of androgens in the treatment of genitourinary syndrome of menopause (GSM): International Society for the Study of Women’s Sexual Health (ISSWSH) expert consensus panel review. Menopause. 2018;25:837–47.Google Scholar
Al-Azzawi, F, Bitzer, J, Brandenburg, U et al. Therapeutic options for postmenopausal female sexual dysfunction. Climacteric. 2010;13:103–20.CrossRefGoogle ScholarPubMed
Clayton, AH, Goldfischer, E, Goldstein, I et al. Validity of the decreased sexual desire screener for diagnosing hypoactive sexual desire disorder. J Sex Marital Ther. 2013;39:132–43.CrossRefGoogle ScholarPubMed
Clayton, AH, Goldstein, I, Kim, NN et al. The International Society for the Study of Women’s Sexual Health Process of Care for Management of Hypoactive Sexual Desire Disorder in Women. Mayo Clin Proc. 2018;93:467–87.CrossRefGoogle Scholar
Meston, CM, Derogatis, LR. Validated instruments for assessing female sexual function. J Sex Marital Ther. 2002;28(Suppl 1):155–64.CrossRefGoogle ScholarPubMed
Meston, CM, Freihart, BK, Handy, AB, Kilimnik, CD, Rosen, RC. Scoring and interpretation of the FSFI: What can be learned from 20 years of use? J Sex Med. 2020;17:17–25.CrossRefGoogle ScholarPubMed
Simon, JA, Davis, SR, Althof, SE et al. Sexual well-being after menopause: An International Menopause Society white paper. Climacteric. 2018;21:415–27.CrossRefGoogle ScholarPubMed
Jannini, EA, Nappi, RE. Couplepause: A new paradigm in treating sexual dysfunction during menopause and andropause. Sex Med Rev. 2018;6:384–95.Google ScholarPubMed
Both, S, Lew-Starowicz, M, Luria, M et al. Hormonal contraception and female sexuality: Position statements from the European Society of Sexual Medicine (ESSM). J Sex Med. 2019;16:1681–95.CrossRefGoogle ScholarPubMed
Nappi, RE, Martini, E, Cucinella, L et al. Addressing vulvovaginal atrophy (VVA)/genitourinary syndrome of menopause (GSM) for healthy aging in women. Front Endocrinol (Lausanne). 2019;10:561.CrossRefGoogle ScholarPubMed
Nappi, RE, Cucinella, L. Advances in pharmacotherapy for treating female sexual dysfunction. Expert Opin Pharmacother. 2015;16:875–87.CrossRefGoogle ScholarPubMed

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