Sexual Dysfunction in Women

Rachel Kristina Moyer, MD, Emily A Yocom, DO and Shelby Takeshita, M.D. Reviewed 04/2024

BASICS

Female Sexual Dysfunction (FSD) is a common multidisciplinary concern faced by ~43% of women in the United States.
Evaluation should include exploration across biomedical, sexual, and psychosoci...

DIAGNOSIS

Take a thorough sexual history and perform trauma-informed genitourinary exam based on areas of concern from history
Diagnosis will require assessment of the above multifactorial etiologies f...

TREATMENT

Treatment should be multifactorial in nature and tailored to the patient. It is important to address underlying medical/psychiatric conditions, and use a mixture of the medical and lifestyle...

ONGOING CARE

Multiple visits may be necessary due to issues identified which require further exploration and to help destigmatize discussion of sexual function (2)[C]

FOLLOW-UP RECOMMENDATIONS

As need...

REFERENCES

Kershaw V, Jha S. Female Sexual Dysfunction. Obstet Gynecol. 2022;24(1):12-23. doi: 10.1111/tog.12778.

American College of Obstetricians and Gynecologists. Female sexual dysfunction: ACOG...

CODES

ICD10

R37 Sexual dysfunction, unspecified

F52.0 Hypoactive sexual desire disorder

N94.1 Dyspareunia

F52.31 Female orgasmic disorder

N94.2 Vaginismus

F52.6 Dyspareunia not due to a substance or kn...

CLINICAL PEARLS

Female sexual dysfunction is a common, complex, multifactorial problem.
Causes of female sexual dysfunction can be identified with thorough history and physical exam
Symptoms of sexual d...

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