Causes of female sexual dysfunction
FSAD can result from an underlying medical condition, such as high blood pressure or diabetes. It can also be caused by irritations, infections and growths in the vaginal area, or reactions to contraceptive devices. Medications used to treat high blood pressure, peptic ulcers, depression or anxiety and cancer may also cause problems.
Another factor is the physical, hormonal and emotional changes that occur during or after pregnancy, while breastfeeding or, very importantly, during and after the menopause.
FSAD is also often linked to psychological causes. These can include:
Inadequate or ineffective foreplay
Depression
Poor self-esteem
Sexual abuse
Feelings of shame or guilt about sex
Fear of pregnancy
Stress and fatigue
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