Sexual Arousal Disorder

a Partial or total lack of physical response as indicated by lack of lubrication and vasocongestion of genitals a Persistent lack of subjective sense of sexual excitement and pleasure during sex

Management a Treat decreased lubrication with KY Jelly or Astroglide. a Menopausal symptoms may respond to oral or topical estrogen. a Sildenafil (Viagra) may be helpful.

a Referral for psychosocial consultation or therapy if psychological issues exist

Complaints of sexual arousal disorder are typically accompanied by complaints of dyspareunia, lack of lubrication, or orgasmic difficulty.

Lack of orgasm during intercourse is considered a normal variation of female sexual response if the woman is able to experience orgasm with a partner using other, noncoital methods.

Sildenafil citrate (Viagra) and other vasodilators are currently undergoing clinical trials with women for sexual dysfunction treatment.

Atrophic vaginitis ^ coital pain ^ decreased sexual desire

Exogenous administration of estrogen improves vaginal lubrication, atrophic conditions, hot flashes, headaches, and insomnia.

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