Sexual function problems
What are sexual function problems?
Sexual Dysfunction Symptoms:
(Definition adapted from IUGA/ICS Joint Report 2010)
A departure from normal sensation &/or function experienced by a woman during sexual activity.
The vagina is all too commonly viewed as being in a ‘fixed’ state, described when there is a problem perceived about its dimensions as either too tight or too loose. Except in exceptional pathological states (induced by conditions such as atrophy and surgical or radiation induced stenosis) the vagina is a dynamic organ. The dimensions and its responsiveness result from a complex interplay of psychological, neurological, emotional, hormonal, physical and environmental/social influences.
- There may be up to a 50% reduction of the coital rate in the first year of marriage and a further 50% reduction after 20 years.
- The decline in sexual activity is greater for women than men of the same age.
- The sharpest decline in sexual activity for women is at the mean age of menopause.
However, approximately one third of women over 60 remain sexually active.
The physical basis of female sexual dysfunction
- Vaginal scar tissue
- Vaginal skin tags
- Labial elongation
- Endometriosis
- Interstitial cystitis
- Vaginal wall prolapse
- Uterine prolapse
- Vaginal epithelial relaxation
- Vaginal wall prolapse
- Detached perineal body
- Clitoral hood hypertrophy
- Vaginismus
- Urinary incontinence
- Appearance of external genitalia
- Vaginal flatus
Dr Onuma has internationally recognised expertise in sexual function surgery. His approach is:
