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Female Sexual Dysfunction - FSD

Female Sexual Dysfunction

Female Sexual Dysfunction (FSD) is characterized in ways both physical and emotional/psychiatric. FSD is not only complex in its definition, it seems to become more complicated with the added experience of the woman who has had a hysterectomy with loss of ovaries through removal, chemotherapy, or loss of function (for those retaining ovaries) from the surgical experience.

Sexual dysfunction within the HysterSisters community is observed as a post-op experience, usually many months post-op. It is also noteworthy that experiencing FSD is a surprise to the woman who has experienced a hysterectomy and who was previously enjoying a satisfying sexual relationship with her husband of many years.

Whether a HysterSister is in her 20's or her 60's, the report of distress over sexual dysfunction spans the age brackets. Researchers tell us that about 50% women surveyed feel that a satisfying sexual relationship is important to their quality of life. Distress is reported by those HysterSisters whose Female Sexual Dysfunction has interrupted that enjoyment.

There are four main categories of FSD:

  • Hypoactive Sexual Desire Disorder (HSDD)
  • Female Sexual Arousal Disorder (FSAD)
  • Female Orgasmic Disorder
  • Sexual Pain Disorders

Talk to Your Doctor About FSD

If you find yourself distressed and concerned about your sexuality, its important to schedule an appointment with your physician. While sexuality may not be an easy topic of discussion, its very important. Share your struggle with your physician. Without your persistance there can be no treatment.

Below are some ideas to consider as you prepare for that appointment.

  • Educate yourself.
  • Read books and articles to better understand what to ask your doctor.
  • Initiate conversation.
  • Don’t expect your doctor to specifically ask about your concern.
  • Take a helpful article.
  • "I was reading this book/article and wondered what you thought about it."
  • Prepare a discussion starter.
  • "I was hoping that you might be able to help me with this problem I am having."
  • Acknowledge the subject.
  • Discussing sex can be embarrassing or uncomfortable but you need medical direction for treatment.
  • Be specific.
  • Be sure and use an accurate description of the problem and appropriate vocabulary.
  • Persist.
  • "If you can't help me with this, who would you recommend?"
  • Share information.
  • If you've heard of a potential treatment, provide the information to your doctor. This is especially helpful if the information is based on research and already accepted in the medical community.
  • Bring your spouse or a friend.
  • Sometimes it might help you to bring someone with you to your appointment. It can possibly help to provide support for you.
  • Ask for additional time.
  • If you find the doctor doesn't seem to have adequate time for a discussion, ask for additional time. Or ask if you need to make another appointment for a longer time slot.
  • After your appointment.
  • If you are unsatisfied with the discussion with your doctor, don't stop there. This will take effort on your part. Don't give up!
  • Keep Looking.
  • Look for a physician who will listen if you are not satisfied with the discussion during your appointment.
  • Ask for physician referrals.
  • Friends and family may have referrals for you to consider. Especially keep an ear out for friends who may struggle from similar concerns.
  • "Interview" several/many doctors.
  • It may take you several doctor appointments before you find the physician that you feel most comfortable and is most helpful.


Buy it for the problem,  use it for the pleasure!

Pain During Intercourse

Pain during intercourse (also referred to as dyspareunia) is defined as pain or discomfort in a woman's labial, vaginal, or pelvic areas during or after sexual intercourse.

There are many other reasons for painful intercourse, including Endometriosis, adhesions (scar tissue), interstitial cystitis (a bladder condition), and ovarian cysts. Infections also can cause discomfort at the vaginal opening. A weakening of the supporting structures such as a bladder prolapse (cystocele) or Uterine prolapse can also cause discomfort or even pain during intercourse.

The top 5 leading causes of pain during intercourse are the following:

Hormones:
Natural or surgical menopause can result in sexual discomfort due to hormonal changes. Decreasing levels of Estrogen can dry up our bodies own natural lubrication and leave vaginal tissue dry and fragile. Over the counter Lubricants often provide temporary relief. The use of an Estrogen cream or other Hormone Replacement Therapy can provide a more permanent solution.

Vulvodynia:
A condition in which part of the vulva is chronically inflamed. It can cause a burning pain at the opening of the vagina. It can often make intercourse near impossible due to the severity of pain experienced.

Cutting out certain foods has shown beneficial to many woman as has decreasing/controlling muscle spasms through the use of a biofeedback device, that may be contributing to the pain. As a last resort, surgery to remove the chronically inflamed skin has helped some woman but should be considered only after more conventional treatments have failed.

Interstitial Cystisis (IC):
A chronic inflammation of the bladder that can lead to severe pelvic pain. It is often described as feeling as if you have a UTI but antibiotics fail to provide relief.

The pain with this condition usually increases during intercourse.

There are variety of treatments, sufferers usually can find relief through one of them.... no single therapy seems to work for everyone.

Deep penetration often causes the discomfort with IC, avoiding this may help.

Endometriosis:
A condition, that can be extremely painful, leaves tissue from the lining of the uterus to grow into other areas such as the vagina or pelvis where it becomes inflamed. Pain with intercourse is reported by more than half of the woman suffering this condition.

Birth control pills, drugs that temporarily suppress estrogen production or surgery to excise the tissue can often bring many relief. Some find that limiting intercourse to the week or two after your cycle may help minimize the discomfort.

Infection:
Sometimes the first sign of an infection can be pain during intercourse. Lubrication can be reduced by yeast and bacterial infections. This can result in the irritation at the opening of the vagina, itching, unusual discharge or odor is usually accompanying. A urinary tract infection will hurt most when you urinate but can also cause pain during intercourse because of the pressure on a tender, inflamed bladder.

Once infections are diagnosed, most are easily treated with antibiotics, pills or with yeast an antifungal cream.

When to seek treatment:
Any new or worsening pain, bleeding, or discharge following intercourse should always be reported to your health care provider.

Generally, pain with intercourse is not an emergency. It is a condition most appropriately checked by a group of specialists including your Gyn.

Any of the following symptoms should be checked immediately at the nearest ER:

  • New onset of pain or pain more severe than previous episodes and that lasts more than just a few minutes
  • Any bleeding following pain, particularly new or severe pain
  • Nausea, vomiting, or rectal pain following intercourse

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    Page Created at 12-09-2004 - 02:11 AM, Last Modified 08-23-2016 - 08:28 AM
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