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Female Sexual Dysfunction (FSD). Susan R Davis Chair of Women’s Health Women’s Health Research Program Monash University, Melbourne, Australia. WHO Definition.
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Female Sexual Dysfunction(FSD) Susan R Davis Chair of Women’s Health Women’s Health Research Program Monash University, Melbourne, Australia
WHO Definition • Sexuality is experienced and expressed in thoughts, fantasies, desires, beliefs, attitudes, values, behaviors, practices, roles and relationships. • While sexuality can include all of these dimensions, not all of them are always experienced or expressed.
Sexual health is a state of physical, emotional, mental and social well-being related to sexuality; it is not merely the absence of disease, dysfunction or infirmity
FSD is associated with significant decreases in health-related quality of life • Large negative effects on mental health, vitality, social function • Affected women are more likely to be • depressed, • dissatisfied with their home life, • dissatisfied with emotional and physical relationship with their sexual partner. • The overall effect of HSDD on quality of life is similar in magnitude to that of diabetes and back pain. Biddle et al 2009
CLASSIFICATION OF Female Sexual Dysfunction (FSD)DSM-V released 2013 • Sexual Interest/Arousal Disorder • Orgasmic disorder • Genito-Pelvic Pain/Penetration Disorder • Persistent arousal disorder
The definition of FSD is evolving Agreement on main issues being: Desire; arousal; orgasm; sexual pain with personal distressbeing a criterion for dysfunction Need to consider other conditions: Dyspareunia Secondary to medical or psychiatric illness, medication/substance induced. Persistent sexual arousal disorder in women
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