Can Sexual Dysfunction Be Treated?
You do not need to suffer from sexual problems silently. Treatment is available. The type of treatment will depend on the cause and the specific problem area.

Physical examination - The first step in treating a problem related to sex is a thorough history and physical examination to rule out underlying, untreated medical causes. The doctor may recommend lab tests, laparoscopy (a minor surgical procedure using an endoscope) or a diagnostic imaging test, such as ultrasound, to help with the diagnosis.

Emotional healing - Emotional problems may respond best to therapy. You should feel comfortable talking with the doctor. Individual or couples' counseling may be helpful. The doctor may also recommend a professional therapist who is trained in issues related to sexuality.

Learning what feels good - Instruction in sexual technique through books and videos may help, so can exploring your body through masturbation and learning progressive muscle relaxation techniques, such as contracting and releasing the pelvic muscles. Vaginal lubricants can be applied to reduce any discomfort or dryness. It might also be helpful to talk about your sexual likes and dislikes with your partner.

Infections & hygiene - Vaginal and urinary tract infections will respond to medication. Perhaps you need to pay more attention to hygiene, for yourself, your partner or any objects used in vaginal penetration, including vibrators.

Managing illness - More effective control of chronic illness, including diabetes and cardiovascular disease, may restore sexual health. A change in prescription drugs may be recommended. Some medications for depression, for example, may lower sex drive.

Treating Pain - Deep pelvic pain during sexual intercourse or other type of vaginal penetration may be related to several factors, pelvic disease, cancer of the cervix and gynecological conditions, including endometriosis. A physical examination will allow the doctor to make the proper diagnosis and rule out illness.

Vaginal pain related to involuntary muscle spasm, or vaginismus, can also be treated. The doctor may recommend use of vaginal dilators or even tampons of varying sizes that you can gradually insert into the vaginal opening while learning how to relax the muscles. If necessary, a counselor or therapist specializing in sexual disorders may be recommended.

Hormones - Depending on your particular health status, hormone replacement therapy, which replaces declining levels of estrogen, progesterone and sometimes testosterone, may help. Rather than taking oral medication, some women respond to estrogen-containing vaginal creams or estrogen-containing vaginal rings, which are worn during the day or night. The use of medications like Viagra is used to treat male impotence, but its benefit in treating female sexual dysfunction is very controversial and not recommended until further medical research has been conducted.

For more information on sexual dysfunction and or to discuss your personal concerns, please call the office of Kathryn Wood, M.D., at 972.769.WOOD to schedule a confidential appointment.