Establishing the cause of sexual dysfunction is half the battle. The stage of sexual activity at which a woman is having problems may offer some clues. Other evidence may be found through physical and psychological testing. In sexual desire disorder, a woman experiences a decreased interest in having sex. If the lack of interest is new and extends to all partners and situations, the doctor will likely consider causes such as medications, medical conditions such as depression, hormonal changes, or imbalances in certain neurotransmitters (the brain’s chemical messengers). On the other hand, sexual desire disorder may be caused by interpersonal factors if it’s confined to one partner or one situation. Sexual arousal disorder would entail a woman’s inability to become lubricated, aroused, or sexually excited, even after being sexually stimulated. Orgasmic disorder would mean that a woman may enjoy sexual activity but has difficulty reaching orgasm or takes a very long time to reach orgasm. Physical causes are rare, except in cases of nerve damage in the spine. Psychological factors may range from never having learned how to have an orgasm, to unrealistic expectations from a partner, to feelings of guilt at experiencing pleasure. Orgasmic disorder is diagnosed only when a woman has no difficulty with arousal, only with climax. Apart from this, a medical diagnosis is necessary.
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