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Pelvic Pain and Female Sexual Dysfunction

Pelvic pain and female sexual dysfunction are not typically discussed among women; however both are very common problems . Many women will experience pelvic pain and/or sexual dysfunction at some point in their life. Some women may experience pain that resolves quickly, however others will experience more persistent pain or chronic pelvic pain. Pelvic pain may occur with menstrual cycles, bowel movements, urination, exercise, or simple movements such as sitting or standing.

Common types of female sexual dysfunction include:

Hypoactive Sexual Desire Disorder: the persistent or recurrent deficiency (or absence) of sexual fantasies/thoughts, and/or desire for, or receptivity to, sexual activity which causes personal distress.

Sexual Aversion Disorder: the persistent or recurrent phobic aversion to and avoidance of sexual contact with a sexual partner, which causes personal distress.

Sexual Arousal Disorder: the persistent or recurrent inability to attain or maintain sufficient sexual excitement, causing personal distress. It may be express as a lack of subjective excitement or a lack of genital (lubrication/swelling) or other somatic responses.

Orgasmic Disorder: the persistent or recurrent difficulty, delay in, or absence or attaining orgasm following sufficient sexual stimulation and arousal, which causes personal distress.

Dyspareunia: recurrent or persistent genital pain associated with sexual intercourse.

Vaginismus: recurrent or persistent involuntary spasm of the musculature of the outer third of the vagina that interferes with vaginal penetration, which causes personal distress.

NonCoital Sexual Pain Disorder: recurrent or persistent genital pain induced by noncoital sexual stimulation.