Almost two-thirds of the women may have had sexual difficulties at some time. Most of them experience pain with intercourse or difficulty to become aroused. But also a lot of women have a problem with reaching orgasm or are unorgasmic.
      Sexual difficulties can be caused by insufficient stimulation, by a lack of communication, physical discomfort, fear of infection or fear of getting pregnant. Also same physical problems of childhood can be a reason for sexual dysfunction.

Treatment of sexual dysfunction
      Lack of arousal can be caused by insufficient foreplay or if some of the partners is emotionally disturbed. Good communication and sensate focus exercises can solve these kinds of problems. In these exercise, two partners take turns caressing each other`s body, avoiding the genital area. When the caressing become pleasurable for both partners, they move on with manual stimulation and then with further sexual activity.
      Some home methods of overcoming sexual difficulties are:
The patient should examine her body and her genital area and identify sensitive areas that produce pleasurable feelings. Also main accent should be put on psychological stimulation by sexual fantasy. If these methods did not give result, than maybe using the vibrator on or around the clitoris can be effective. And if once masturbation has resulted with orgasm, than the patient should continue doing that in presence with her partner and demonstrate sexual stimulation techniques.
      If the problem is dyspareunia (pain during the intercourse) some tests related to hypostrogenism (reduced secretion of estrogenic hormones), endometriosis or maybe pelvic infections should be done.
      Vaginismus is spasm of levator ani muscle. The penetration in vagina is painful or impossible. Treatment of vaginismus include putting vaginal dilator (the smallest one) into vagina by the woman. There is four available sizes of these dilators. As each dilator is replaced with the next larger size without pain, muscle relaxation occurs.
      Also some medications have influence to the sexual function. The medications that interfere with sexual function are antihypertensive agents, antipsychotics and antidepressants.