A Psychiatrist’s Guide to Sexual Dysfunction in Women

Sexuality is an integral component of a woman’s global well-being. Sexual dysfunction not only contributes to personal and interpersonal stress but also may herald other medical or psychosocial problems that significantly affect a woman’s health. Many physicians feel uncomfortable or inadequately trained to discuss sexuality issues with their patients, but the vast majority of patients believe that it is appropriate for physicians to address sexual function within the context of routine physical and mental health assessments. While many women experience sexual dissatisfaction or dysfunction, they may feel uncomfortable volunteering the information. It is crucial that health care providers, particularly psychiatrists, avoid making assumptions about a patient’s sexual behaviors or preferences and ask directly about sexual functioning and concerns. The psychiatrist can become more comfortable discussing sexual issues with patients by gaining an understanding of the normal sexual response and developing an approach to the evaluation and treatment of common sexual dysfunctions. Asking about sexual concerns and problems will provide an opportunity to educate patients and dispel sexual misconceptions. Furthermore, it will give patients “permission” to address sexual issues in a professional, confidential, and non-judgmental setting. The information provided in this manuscript is considered to be relevant for psychiatrists who practice in in-patient, out-patient and community care settings.