It appears that almost half of all women have experienced some form of sexual dysfunction. "Therefore, it is an important topic to familiarize with and screen for as a primary care physician, as many patients may not report these symptoms unless they are elicited during the history taking process of the patient encounter. Female sexual dysfunction is often multifactorial and complex; it is affected by such factors as depression and anxiety disorders, life stressors, interpersonal conflict between the couple, medication side effects, age, religious concerns, personal health, privacy issues, personal body image, substance and alcohol abuse, and hormonal influences."
Sexual desire is the first phase in the cycle of female sexual health. Physical arousal follows. Heart rate, breathing, blood pressure and blood flow, all become heightened. Pelvic muscles contract leading to orgasm, and these same pelvic muscles relax at the subsequent resolution.
This cycle is complex and delicate, and can be easily derailed. Any difficulties can throw things out of whack. A primary care physician who is educated and informed on all aspects of female sexual health, and adept at treating female sexual dysfunction, can be great help and support to women experiencing distress.