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Ijrmsh Raft1003
Ijrmsh Raft1003
Faculty of Law, International University of Brcko District, Brcko, Bosnia and Herzegovina
*Correspondig Author: Siniša Franjić, Faculty of Law, International University of Brcko District,
Brcko, Bosnia and Herzegovina, Europe, Tel: +387-49-49-04-60; Email: sinisa.franjic@gmail.com
Received Date: Apr 04, 2019 / Accepted Date: Apr 23, 2019/ Published Date: Apr 25, 2019
Abstract
If a woman finds that she has a problem in sex life, if they are interfering with these relationships, it is
definitely a moment to visit a doctor. Initial problems can in most cases be successfully monitored; By
advancing the problem they will only accumulate, and inter-party relations will irreversibly be disrupted. It
would be ideal to apply an interdisciplinary approach to treatment, meaning to include specialists of various
specialties, such as gynecologists, psychiatrists, psychologists, general practitioners and others. Of course,
treatment, or therapeutic approach, will be adjusted to the root cause. In treatment should be considered
estrogenic creams, modification of basic therapy, psychotherapy and medicaments according to the
recommendation of a psychiatrist, physical exercise etc.
Keywords: Sex; Helth; Dysfunction; Female
Cite this article as: Siniša Franjić. 2019. Female Sexual Dysfunction. Int J Reprod Med Sex Health. 1:
24-29.
Copyright: This is an open-access article distributed under the terms of the Creative Commons
Attribution License, which permits unrestricted use, distribution, and reproduction in any medium,
provided the original author and source are credited. Copyright © 2019; Siniša Franjić
health problems has, in part, motivated
Introduction clinicians to better understand the nature of
men’s sexual health concerns. This has led to
The diagnostic investigations and treatment more clinical diagnostic procedures for men
opportunities for women with sexual health with sexual dysfunction.
concerns are limited, in large part, due to the
lack of current global government-approved The WHO (World Health Organization) defines
agents for any sexual health concerns (desire, reproductive health as a ‘state of complete
arousal, orgasmic and sexual pain-related physical, mental and social well being and not
dysfunctions) of pre-menopausal women or for merely the absence of disease or infirmity in
non-sexual pain concerns of post-menopausal matters related to the reproductive system and
women [1]. There are, in contrast, more than 20 to its functions and processes’ [2]. Thus, it also
US government-approved treatment strategies includes sexual health, the purpose of which is
for men with bother some male sexual enhancement of life and personal relations and
dysfunctions. The availability of safe and not merely counselling and care related to
effective medicaments for men with sexual reproduction and STI (sexually transmit- ted
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Female Sexual Dysfunction
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function versus dysfunction and disorder, pelvic trauma history, and any disease that
distress has to be included and is perhaps the affects genital health (such as herpes or lichen
most important variable because of the large sclerosis). For women with suspected
range of what can otherwise be normal for neurological disorders, the examiner may also
women. The distress must be experienced by assess for anal and vaginal tone, voluntary
the woman herself, and that which bothers her tightening of anus, and bulbocavernosal
partner alone is not then a sexual dysfunction of reflexes.
the woman but rather of her partner. Female
sexual dysfunction and disorder must be The normal physiological changes ageing men
debated in the context of each individual and ageing women experience affecting sexual
woman’s life, culture, social, individual function, include in women for example, a drop
experiences, relationship, and health in order to in oestrogen levels resulting in less lubrication
extricate the distress element. and possibly discomfort during sex, and in men
erectile dysfunction increases with age with
The physical examination for a woman with both leading to changes in sexual function [6].
sexual health concerns should be tailored to the However, generally the increase in sexual
sexual medicine complaint obtained during the dysfunction observed in some older people can
history intervju [5]. For example, if the history be attributed to health problems rather than
uncovers that genital itching is a major sexual ageing processes. For example, endocrine,
health problem, a careful assessment should vascular and neurological disorders may
follow for the presence of a genital dermatitis independently interfere with optimum sexual
condition. If a woman with sexual health functioning. Pharmacological treatment or
problems is under age 50 and experiences surgery for these disorders may enhance or
sexual pain, a careful physical examination impair sexual drive and or performance. Older
should evaluate for the presence or absence of adults with significant health problems, who are
vulvar vestibulitis syndrome/vestibular cared for in specialist nursing homes are
adenitis. Similar complaints of sexual pain in a generally discouraged from engaging in sexual
woman over age 50 should assess for the activity or sexual expression, or through using
presence of vaginal atrophy with dryness, loss tranquilizers. Treatment for sexual dysfunction
of rugae, mucosal thinning, pale hue, and lack is relatively effortless, and can involve
of shiny vaginal secretions. Ideally, the physical pharmaceutical or behavioural interventions.
examination should be performed without Older people with sexual dysfunction may
menses and without intercourse or douching for benefit from therapeutic interventions of, for
24 h before the exam. If dysfunction occurs at a example, hormone replacement therapy or
specific time, such as midcycle dyspareunia, the Viagra. However, there is some controversy
physical examination should be scheduled at over the safety of long- term hormonal therapy
the time of the sexual problem. Such scheduling in women, with the American College of
may require two visits: one for history-taking Physicians recommending postmenopausal
and one for the physical examination. hormone treatment to alleviate bone loss and
protect against cardiovascular disease, and the
The genital-focused examination should be Women’s Health Initiative publishing the
considered routine in the diagnosis of women’s results of its randomized controlled trial stating
sexual health problems, but its personal no protective effects of hormone use on
character demands that a rational explanation cardiovascular disease.
exist for its inclusion in the diagnostic process.
A focused peripheral genital examination is Psychiatric Disorder
recommended in women with sexual
dysfunction for complaints of dyspareunia, Many psychiatric disorders areassociated with
vaginismus, genital arousal disorder and sexual dysfunctions [7]. Impairment of sexual
combined arousal disorder, orgasmic disorder,
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