Complete information about vaginal dryness
Female Sexual Arousal Disorder is also called vaginal dryness. This diagnosis should not be made if the sexual arousal is insufficient in terms of focus, duration or intensity.
American Psychiatric Association The following diagnostic criteria for Female sexual arousal disorder has raised:
1- Continuously or repeatedly against sexual stimulation, the sliding-swelling response is not created or is not maintained until the completion of sexual activity.
2- The disorder causes a person’s major discomfort or interpersonal problems
3- Another psychiatric disorder such as depression (except for another sexual disorder) is not a better explanation for it and it is not caused by a general medical disease or the use of a drug or substance.
4- There are types.. throughout life/acquired..comprehensive/situational..caused by psychological factors/composite factors…
The World Health Organization This disorder Deficiency of genital response It is called Genital Response Failure and has the following diagnostic criteria:
1A- In women (the American Psychiatric Association has named this part as female sexual arousal disorder) a defect in the genital response, which is in the form of defects in vaginal slippage along with insufficient swelling of the labia, and curvature takes one of the following forms:
. General slippage does not occur under any circumstances
. Slippage may occur at first, but it does not last long enough to allow the penis to enter easily
. Situational: slippage occurs only in some situations (with a specific sexual partner or during masturbation or when vaginal intercourse is not intended)
1B- In men, when trying to get close, the necessary erection for sexual intercourse does not occur, and the deviation takes one of the following forms:
. At the beginning of the love game, an erection occurs, but it disappears or decreases when intercourse begins
. Erection occurs, but only when sexual intercourse is not intended
. There is a partial erection that is not enough for sexual intercourse, but there is no complete erection
. Swelling of the penis does not occur in any way
2- There are general criteria for sexual harassment:
– The person is not able to participate in the sexual relationship of his choice
– Distortion occurs frequently, but may not be present at times
– Kejkari has lasted at least 6 months
– Kejkari cannot be attributed to other mental or physical disorders or drugs
Mechanism and causes of the disorder
The response mechanism of vaginal slippage against sexual stimulation is due to the wide capillaries of the vaginal wall, which with the congestion of the blood vessels in that area, the transudate (slightly sticky cream-white slimy liquid) oozes out, and the response of vaginal slippage is created.
Changes in the level of testosterone, estrogen, prolactin and thyroxine hormones are involved in this disorder. Also, drugs with antihistaminic and anticholinergic properties reduce vaginal discharge. The phases of a woman’s period are also important. The peak of a woman’s arousal is before or immediately after her period or during ovulation in the middle of the cycle.
This disorder can be caused by general diseases as well as drugs and substances. In this regard, the American Psychiatric Association calls the female sexual arousal disorder caused by diseases as Sexual Dysfunction Due to a General Medical Disease. With the code of other sexual dysfunctions in women caused by general medical diseases and female sexual arousal disorder caused by drugs and substances, it has been named as Substance-Induced Sexual Dysfunction and with the code of arousal disorder.
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treatment (It must be done under the supervision of a doctor and self-treatment should be avoided)
Knowing whether the sexual dysfunction is primary or secondary, and whether it is only directed at the husband or is present in relation to any opposite sex at all, is important in the treatment of female sexual dysfunction.
Whatever the causes of sexual arousal disorder in women, it needs timely investigation and treatment. Sexual arousal disorder in women can be treated well by identifying and eliminating its underlying causes. An important point in the treatment of agitation disorder Women’s sexuality is that those suffering from this disorder should not arbitrarily take drug therapy because, in addition to the side effects that such drugs have in case of excessive consumption, sometimes they will be ineffective due to neglecting its origin or they will have a temporary effect. Another important point is that the affected person should not ignore this disorder because leaving or reducing marital relations due to this disorder will increase the intensity of the disorder and cause the person to face serious marital life crises in the future.
Improving lifestyle such as exercising, not smoking, alcohol and other substances, proper diet, spiritual thoughts
Conducting a consultation with a psychiatrist to identify the possible causes of the disorder and adjust or eliminate the effective factors, for example, setting the medications to the lowest effective level or drug treatments with antidepressants, especially dopaminergic agents such as bupropion or selegiline, or prescribing hormones in case of deficiency or prescribing sympathetic mimics Especially ephedrine or using Viagra to treat the disorder because vascular congestion causes slippage and Viagra aggravates vascular congestion and other appropriate treatments
Using synthetic lubricants, especially in postmenopausal women
Consultation with a psychiatrist or psychologist for psychotherapy
Source-drshamshiri