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Cited by 18Sexual function and dysfunction studiesSexuality, Behavior, and TechnologySex work and related issues

Female sexual dysfunction: A potential minefield

Open access
Prabhu, Smitha S., Hegde, Snigdha, Sareen, Suhani·2022·Indian Journal of Sexually Transmitted Diseases and AIDS
DOI 10.4103/ijstd.ijstd_82_20PMC PMC9890990
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Abstract

Female sexual dysfunction (FSD) is a much-neglected aspect of feminine health, especially in patriarchal cultures. We collated data from pertinent published literature on FSD to explore the types, associations, and best possible approach to FSD in the Indian context. We fed search words “female sexual dysfunction,” “sexual health,” “India,” into medical search engines such as PubMed, Google Scholar, Clinical Key, ProQuest, SciVal for locating pertinent articles from which data was synthesized and extracted. Female sexual response is complex and is influenced by physiological, behavioral, social, and cultural factors. The latest Diagnostic and Statistical Manual of Mental Disorders-5 criteria classified FSD into female sexual interest/arousal disorder, female orgasmic disorder and genito-pelvic pain/penetration disorder, along with categories common to both genders like substance/drug induced and other unspecified subsets. Diagnosis requires detailed and specific history taking and clinical evaluation to rule out comorbidities. Treatment is multifaceted and prolonged, involving pharmacological, psychological, and behavioral therapy in both partners. Almost all Indian studies in this field have small sample sizes and none of the studies focused on FSD as the primary complaint. FSD is still an unexplored field of Indian medicine. Although newer treatment options and techniques are being explored, there is much to achieve. We need to develop culturally suitable questionnaires taking into account the Indian female psyche. Management should be holistic and involve focused liaison clinics, including dermatology, gynecology, psychiatry, clinical psychology, and urology specialties.

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  • A person may exhibit transient hypersexual behavior or bonding if they have increased sexual desire, attachment, or bonding to their partner after going through a traumatic experience, enduring emotional or attachment injury, abandonment, infidelity, or experiencing trauma following betrayal.

    “A person may exhibit transient hypersexual behavior or bonding if they have increased sexual desire, attachment, or bonding to their partner after going through a traumatic experience, enduring emotional or attachment injury, abandonment, infidelity, or experiencing trauma following betrayal (Glass, 2007;Prabhu et al., 2022).”

    From “Your Addiction, her Sexual Suffering”—A Qualitative Inquiry into the Effects of Compulsive Sexual Behaviors on Intimate Female Partners (2025) · cites this paper as Prabhu et al., 2022

    The Clinical Presentations section discusses reduced sexual desire, persistent unwanted genital arousal, and sexual aversion that may have roots in trauma. It does not address transient hypersexual behavior or increased desire and partner bonding after abandonment, infidelity, or betrayal. Searches for those terms and for increased desire following emotional injury found no supporting passage; page numbers were unavailable in our copy. (LLM, conf=0.75)

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1 of the 34 references couldn’t be matched to a known paper.

Research works printed but not linked: 3

  1. [2]Bitzer J Lipshultz L. Pastuszak A. Goldstein A. Giraldi A. Perelman M. (2016) The Female Sexual Response: Anatomy and Physiology of Sexual Desire, Arousal, and Orgasm in Women Management of Sexual Dysfunction in Men and Women New York, NY Springer https://doi.org/10.1007/978-1-4939-3100-2_18. Available at: The Female Sexual Response: Anatomy and Physiology of Sexual Desire, Arousal, and Orgasm inWomen | SpringerLink [Last accessed on 2020 Jul 05] · DOI
  2. [3]American Psychiatric Association DSM-5: Diagnostic and Statistical Manual for Mental Disorders 2013 5th USA American Psychiatric Press
  3. [23]Avery-Clark C Weiner L Peterson ZD A traditional masters and Johnson behavioral approach to sex therapy The Wiley Handbook of Sex Therapy 2017 Wiley-Blackwell 163 89 Chapter 11 10.1002/9781118510384 · DOI

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Authors
Prabhu, S. S., Hegde, S., & Sareen, S.
Affiliations
Manipal Academy of Higher Education (IN)
Corresponding author
Prabhu, Smitha S.
ORCID
Venue
Indian Journal of Sexually Transmitted Diseases and AIDS
Publisher
Ovid Technologies (Wolters Kluwer Health)
Published
2022-07
Volume
43
Issue
2
Pages
128-134
ISSN
  • 0253-7184 (ISSN-L)
  • 2589-0557
DOI
10.4103/ijstd.ijstd_82_20
PMC
PMC9890990
OpenAlex
W4313007602
Cited by
18
References
34
Citations by year
2026: 4 · 2025: 10 · 2024: 4
FWCI
0.60
Type
journal article
Language
en
Open access
Licence
cc-by-nc-sa
Locations
  • Indian Journal of Sexually Transmitted Diseases and AIDS (publishedVersion)
  • PubMed Central (publishedVersion, cc-by-nc-sa)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Medicine › Psychiatry and Mental health › Sexual function and dysfunction studies
  • Social Sciences › Psychology › Clinical Psychology › Sexuality, Behavior, and Technology
  • Social Sciences › Sociology and Political Science › Sex work and related issues
Keywords
female sexual dysfunction, female sexual interest/arousal disorder, female orgasmic disorder, sexual health, Indian women, diagnosis, pharmacotherapy, psychotherapy, behavior therapy, multidisciplinary management, culturally adapted questionnaire

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