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- Title
General Management of Female Sexual Dysfunction for Urologists.
- Authors
Bitzer, Johannes
- Abstract
Female sexual dysfunctions are grouped into desire, arousal, orgasmic, and sexual pain disorders according to international classification systems. The disorders frequently overlap and coexist, and the pathogenesis is in most cases due to an interaction of biological (body), psychological (mind), and sociocultural (environment) factors. Typical medical conditions are hormonal changes, depression, and drug treatment. Urological problems having a negative impact are incontinence, prolapse, and overactive bladder. Frequent psychological factors are lack of knowledge about the body, traumatic or negative experiences, and performance anxiety. Relationship factors include conflicts and difficulties in communication. The prevalence of the disorders varies over age groups. In adolescents, pain and orgasmic disorders are predominant, and later in life, arousal difficulties may arise accompanied by low desire. Based on the biopsychosocial concept, therapies frequently include concomitant medical and psychotherapeutic interventions in a multidisciplinary approach.
- Subjects
FEMALE reproductive organ diseases; SEXUAL dysfunction; UROLOGISTS; HEALTH care teams; PHYSICIAN practice patterns; PSYCHOTHERAPY; DISEASE risk factors
- Publication
Urology Research & Practice, 2023, Vol 49, Issue 1, p7
- ISSN
2980-1478
- Publication type
Article
- DOI
10.5152/tud.2021.20588