Female sexual dysfunctions are classified into four groups: motivation, interest or desire disorders, arousal disorder, orgasmic disorders, pain disorders. Most of these disorders are caused by the interaction of different biological, psychological, interpersonal and sociocultural factors. Diagnosis and treatment has to be based on this biopsychosocial model. Diagnosis is a process that includes medical history and examination, but also patient-centred interviewing, biographic and sexual history as well as narrative elements. These elements are put together into a comprehensive explanatory diagnosis that serves as the basis for a multidisciplinary therapeutic plan.
The available therapies include hormonal treatments (oestrogens, testosterone, tibolone, etc.), drug treatment (PDE inhibitors, centrally acting drugs) and psychotherapeutic interventions (body awareness, sensate focus, mindfulness training, systemic therapy, post-traumatic therapy).
