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Involves any problem during any phase of the sexual response cycle that prevents an individual or couple from experiencing satisfaction from sexual activity.


Includes disorders of libido, arousal and orgasm, as well as dyspareunia and vaginismus.



Four Types of FSD


1. Hypoactive Sexual Disorder

2. SexuaI Arousal Disorder

3. Orgasmic Disorder

4. Sexual Pain Disorders

    • Dysparunia

    • Vaginismus




FSD-Sexual Arousal Disorder


Female Sexual Arousal Disorder (FSAD)-patients have the desire to have sex, but their genital area fails to respond in the normal way, making sex painful or impossible.


The American Foundation of Urological Diseases has defined Female Sexual Arousal Disorder (FSAD) as "a persistent or recurring inability to attain or maintain sufficient sexual excitement that causes personal distress", which may be experienced due to lack of subjective excitement, genital lubrication/swelling, genital sensation orothersomatic responses


  • It is the female equivalent of impotence
  • Usually psychological
  • Estrogen deficiency may also be a related cause


FSAD is age-related, progressive and highly prevalent affecting 30-50% of American Women





Studies comparing the Sexual dysfunction in couples have revealed that 40% of men had erectile or ejaculatory dysfunction whereas 63% of women had arousal or orgasmic dysfunction.


Masters and  Johnson estimate sexual dysfunction plagues 50% of all marriages.





Risk Factors

  • Hypertension
  • Smoking/substance abuse
  • Hyparlipidemia
  • Previous pelvic surgery





  • Diabetes, heart disease, neurological disorders, hormonal imbalances
  • Chronic disease (liver or renal)
  • Arthritis
  • Urinary incontinence
  • Substance abuse
  • Pregnancy and postpartum states (pr0|0nged with lactation)
  • Medications: Influence desire, arousal, ability to attain orgasm
  • Medications Affecting Arousal: Antichclinergics, Antihistamines, Antihypertensive,
  • Psychoactive meds (same plus, MAOIs)



Psychological Psychosocial


  • Stress, anxiety
  • Religious taboos
  • Sexual performance concerns
  • Marital/relationship problems
  • Depression
  • Guilt
  • Post sexual trauma




Surgical (combination of effects)


  • Combination of surgical and psychological effects
  • Gynecological malignancy
  • 74% reported decreased desire
  • 40% reported dyspareunia
  • Breast Cancer survivors
  • 21-39% incidence of sexual dysfunction (believed to be secondary to chemo or hypoestrogenism from ovarian failure)
  • Hysterectomy for Benign disease
  • 30% reported decreased responses




This information is meant for giving information about Gelagra Topical Gel.

It does not contain a complete list of all the risks or benefits of taking Gelagra Topical Gel.

Your doctor or pharmacist can provide more comprehensive information.

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