The first step in managing female sexual dysfunction is to see the doctor for assessment and appropriate treatment. Physical disorders should be treated. For sexual dysfunction associated with aging and dryness of the vagina, vaginal lubricants, moisturizers or estrogen treatment (such as a vaginal cream, vaginal ring, or low-dose tablet taken by mouth) can be effective. If possible, medications thought to be causing sexual dysfunction should be switched to another. When psychological factors are foremost, counselling from a psychiatrist, psychologist, or sex therapist may help to remove or reduce the causes. Psychotherapy may be more useful if there has been some trauma in a woman’s background, or problems that stem from stress or relationships.