Fast Five Quiz: Female Sexual Interest/Arousal Disorder/Hypoactive Sexual Desire Disorder

Christine Isaacs, MD


April 03, 2019

Dyspareunia, a primary cause of genitopelvic pain and penetration disorder, is one of the three categories of FSD. Dyspareunia due to vulvovaginal atrophy and vaginal dryness from low estrogen levels is common in menopausal women. Other causes of dyspareunia include structural changes in anatomy resulting from past genital surgery or traumatic childbirth (insertional or penetrative pain), or from intraperitoneal causes (deep pain). A thorough history-taking is critical to help clinicians determine the initial onset, location, nature, and severity of the patient's dyspareunia, as well as discover sexual practices or positions that exacerbate or relieve dyspareunia

Lack of patient education, a partner with sexual dysfunction, and elevated patient testosterone levels are not primary causes of FSIAD/HSDD.

For more on dyspareunia, read here.


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