Female Sexual Dysfunction-VIDEO: Female Sexual Dysfunction

Video Transcription

Video Summary

In this informative webinar, Dr. Sadaf Lodhi, a seasoned OBGYN and sexual health specialist, discusses female sexual dysfunction, focusing on issues such as desire, arousal, orgasm, and sexual pain. The presentation explores a notable study, the PROSIDE study, which identifies the prevalence of sexual problems in women, particularly around midlife. Dr. Lodhi emphasizes the importance of assessing sexual history in patients, especially in those aged 40–65, when issues are most prevalent.<br /><br />Dr. Lodhi expands on the different types of female sexual dysfunction as classified in the DSM-5, and notes their persistence must cause personal distress to be clinically significant. The session also highlights the concept of hypoactive sexual desire disorder (HSDD), where a lack of sexual desire causes distress, underlining the role of both biological and non-biological factors. Dr. Lodhi discusses how sexual desire often shifts from spontaneous to responsive in long-term relationships, a normal progression that impacts many patients' experiences.<br /><br />The lecture underscores the dual control model of sexual response, showing how excitation and inhibition factors affect sexual function. It also explores the biology of sexual arousal and desire, including the role of neurotransmitters and the impact of SSRIs.<br /><br />Towards treatment, Dr. Lodhi advocates a biopsychosocial model, combining potential therapies including hormonal, lifestyle, and sex therapies. Openness, referral to specialists, and non-judgmental communication are encouraged to effectively address sexual health concerns. The discussion concludes with resources available for practitioners to better understand and assist patients facing these challenges.

Keywords

female sexual dysfunction

sexual health

PROSIDE study

DSM-5

hypoactive sexual desire disorder

biopsychosocial model

neurotransmitters

sexual arousal

treatment therapies

Dr. Sadaf Lodhi