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Among the disorders of sexual arousal, the lack of subjective excitement or physical genital response to sexual stimulation, not genital and / or genital kind belong.
Sexual arousal disorder can be divided into subjective, genital or combined. All definitions are based on the clinic and differ for. T. by the reaction of women to genital and non-genital stimulation as follows:
Among the disorders of sexual arousal, the lack of subjective excitement or physical genital response to sexual stimulation, not genital and / or genital Art. Sexual arousal disorder can be divided into subjective, genital or combined include. All definitions are based on the clinic and differ for. T. by the reaction of women to genital and non-genital stimulation as follows: Subjective: Women feel despite a physical genital reaction (eg genital vasocongestion.) By any sexual genital or non-genital stimulation (eg, kissing, dancing, watching. not excite an erotic video, physical stimulation). Genital: Subjective arousal occurs in response to a non-genital stimulation (eg an erotic video.) But not in response to genital stimulation. Women of this disorder mainly affects postmenopausal; it is sometimes referred to as “genital deadness” ( “genital numbness”). Vaginal lubrication and / or genital sexual sensitivity are reduced. Combined: The subjective excitability to any sexual stimulation is absent or low, and the women report a lack of physical genital excitability (that is, they indicate that they need external Gleitmitttel and that it no longer comes to a swelling of the clitoris..). Etiology causes can psychological and / or physical nature (overview of sexual function and sexual disorders of women: Etiology) (eg, depression, low self-esteem, anxiety, stress, distractibility.). Also inadequate sexual stimulation or unfavorable framework for sexual activity can help. A disturbance of the genital excitability may be due to low estrogen levels after menopause or after childbirth. A roll of the age-related decline in testosterone levels or the vulva dystrophy (z. B. lichen sclerosus) can play. Certain chronic diseases (eg. As diabetes, multiple sclerosis) can damage vegetative or somatic nerves, leading to decreased vasocongestion or sensitivity in the genital area. Diagnosis Diagnosis is clinically detected (overview of sexual function and sexual disorders of women: diagnosis). Treatment Subjective arousal disorder The treatment is similar to the case of disturbances of sexual desire and interest (s. Disorders of sexual desire and interest) .Genitale arousal disorder If an estrogen deficiency condition before the treatment consists primarily of vaginal estrogen (or administered systemically when estrogens for other indexed perimenopausal symptoms). A therapy with vaginal dehydroepiandrosterone (DHEA; 13 mg at night) is located in the study. This medicine may increase in 2 weeks lubricity reducing vulvovaginal atrophy and and improve genital sensitivity and ability to orgasm in 12 weeks. It does not seem to increase the testosterone or estrogen levels in serum. Serum DHEA is moderately increased, but the levels are still significantly lower than in younger women.