Sexual dysfunction

Question 1

HSDD:

What does HSDD stand for?

What is it?

How does it present?

Cause?

What surgery can lead to this? - 2

Answer 1

Hypoactive Sexual Desire Disorder

Loss of libido and sexual desire

Begins to affect personal relationship

Psychosexual issues
Depression
Menopause
Chemo
Radiotherapy 

Hysterectomy
Oophorectomy - removal of ovaries

Question 2

Dyspareunia:

What is it?

Causes?

Rx?

Complications

Answer 2

Difficult or painful intercourse

S - infection, skin conditions

Treat underlying cause
Lubricants
Local anaesthetic

Cycle of fear
Anticipation/avoidance

Question 3

Vaginismus:

What is it?

How does this happen?

What anatomical problem may cause this?

Rx?

Answer 3

Difficulty in vaginal penetration

Involuntary contraction of pelvic floor muscle

Vaginal septae

Vaginal dilator to stop the pubococcygeal reflex

Question 4

Vulvodynia:

What is it?

Rx?

Answer 4

Chronic pain syndrome that affects the vulva region -burning pain w/o any known cause

Pelvis floor exervide
Massage
Topical anaesthetic

Question 5

Treatment of general sexual health problems:

Lifestyle changes?

What can they be educated on?

Hormonal:

• What hormone replacement can someone undergoing menopause get?
• What hormone replacement can someone who has had an oophorectomy get?

Answer 5

Diet
Exercise
Reduce stress
Body image issues

Body function
Encourage explantation
Lubes

Oestrogen
Testosterone