Some Physical Factors Contributing to Female Sexual Dysfunction
Category | Factor |
|---|---|
Genital factors | Congenital malformations Sexually transmitted infections Genitourinary syndrome of menopause Vulvar dermatoses (eg, lichen sclerosus, vulvovaginal chronic graft-versus-host disease) Obstetric trauma Postsurgical introital narrowing Radiation fibrosis Recurrent tearing of the posterior fourchette |
Other physical factors | Bilateral oophorectomy in premenopausal women Breastfeeding Physical disability Fatigue Hyperprolactinemia Nerve damage (eg, due to diabetes, multiple sclerosis, peripheral neuropathy, or spinal cord dysfunction) |
Medications and other substances | Certain antidepressants, particularly selective serotonin reuptake inhibitors (SSRIs) Antihistamines Beta-blockers and other antihypertensive drugs Gonadotropin-releasing hormone agonists Opioids |