Hysterectomy & Alternatives

Causes of Sexual Dysfunction in Women

July 12, 2018

If you are a woman who lacks sexual desire, or perhaps worse, then you have the appetite but you can not enjoy sex because of pain, vaginal dryness, or other conditions, you’re not alone. A lot of elements in a woman’s life can interfere with sexual function, which often leads to reduce quality of life for her and her spouse. Research indicates that up to 40 percent of women experience some degree of sexual dysfunction, with about 12 percent reporting distressing sexual health issues.

Sexual dysfunction identifies an issue during any portion of sexual action, from arousal to orgasm. Physical aspects like illnesses, surgeries, and hormonal fluctuations related to menopause are often implicated in female sexual dysfunction, as well as the obvious issues of life stress and relationship issues. Here we’re going to speak about some of the most common physical causes that a lady may lack need for sex or experience challenges enjoying sex. 


Hysterectomy is the most common gynecological surgery, and about 20% of women report deterioration in sexual function post-operatively. A female may have a total hysterectomy, which the elimination of the entire uterus and cervix, a subtotal hysterectomy, which is the elimination of the uterus when keeping the cervix in place, or even a radical hysterectomy, which removes the uterus in addition to structures around it such as the ovaries and lymph nodes (may be done to treat reproductive cancers).

Removal of the uterus and ovaries triggers a large decline in sex hormones. Hormone replacement therapy–with or without testosterone replacement–may help to restore sexual function in women experiencing sexual problem following this surgery. Studies indicate that estrogen treatment in postmenopausal women who’ve had hysterectomies can improve vaginal blood circulation, vaginal dryness, and inability to climax.

Testosterone treatment may enhance sexual arousal and desire. 

Some women find that post-hysterectomythey overlook the contractions of the uterus they’ve associated with orgasm. Elimination of the cervix may create a change in the bodily feeling experienced during deep penetration during intercourse. There is wide variation in functioning post-hysterectomy.


Vaginismus is a continuous or recurrent spasm of the outer third of the vagina that interferes with sex. It induces vaginal sex to be painful or hard, and can also prevent pelvic exams. 

Additionally, it can usually be treated by the use of vaginal dilators of increasing diameter, also relaxation training. The achievement rate rises in couples where the partner is involved in the treatment procedure. While therapy can help, it is crucial to note that some girls have quite romantic, loving relationships without sex.

Peri-Menopause and Menopause 

When a woman approaches menopause she begins going through deep hormonal shifts, such as plummeting estrogen levels. This frequently leads to hot flashes, vaginal dryness, night sweats, mood swings, and decreased sensitivity to sensual touch. Testosterone drops with age for both women and men, which could also reduce a woman’s sexual appetite.

In postmenopausal or obese girls, estrogen replacement may reduce pain during sexual intercourse and alleviate vaginal lubrication.

Studies have also demonstrated that testosterone increases libido in women, therefore in case your diminished desire is a result of a drop in hormones, then it can very likely be solved with testosterone. But to date, these studies have used high levels of testosterone, which might lead to masculinization if taken for long intervals.

Although DHEA is also a male hormone, there have been very few studies of its effect on women and none have demonstrated that it improves a woman’s libido.

If you’re going through menopause, or you are at the years leading up to it, and you are noticing a change in sexual function, you might want to try increasing sexual or sexual massage, which can raise the connection between you and your spouse. You might also use lubricants and avoid sexual positions that allow quite deep penetration. 

While It Could Be Challenging, There Is Hope

Sexual reaction varies between girls and within every person, and sexual issues are very common. Some sexual issues, while distressing, can reflect normal variants in a female’s life. Shifting one’s focus to enhancing intimacy rather than having all interactions lead to intercourse might help. Not all sexual concerns or issues are”dysfunctions.”

Women need to listen to changes in their daily lives that may result in sexual dysfunction. In cases where drugs cause sexual issues, the solution may be as straightforward as changing the medicine or adjusting the dose.

Do not be scared to speak to your doctor and your partner. It can be challenging and embarrassing to initiate a conversation with a doctor about gender, but the vast majority of women can be helped if they’re prepared to talk openly with their healthcare provider to determine the best treatment for their particular problem.