Female Sexual Dysfunction 4

Question 1

What is the treatment for genito-pelvic pain/penetration disorder?

Answer 1

• Vaginal moisturized and pH balancer
• Vaginal lubricants
• Estrogen replacement
• Treat underlying etiology
• Pelvic floor physical therapy
• Vaginal dilator therapy
• Postmenopausal hormonal therapy
• Trigger point injections/topical anesthetics
• Sexual therapy/psychotherapy

Question 2

What should be avoided in the treatment of FSD?

Answer 2

• Petroleum-based products
• Antihistamines
• Douching

Question 3

What are the psychological risk factors for FSD?

Answer 3

• History of sexual abuse, domestic violence, or trauma
• Early loss of a parent
• Difficult relationship with a parent(s)
• Strict prohibitions against sexual behavior in childhood
• Psychiatric disorders (e.g., depression, anxiety, PTSD, OCD)
• Stress