Female Sexual Dysfunction: Exposing the Silent Struggle

Female Sexual Dysfunction: Exposing the Silent Struggle

female sexual dysfunction

Female Sexual Dysfunction (FSD) is a pervasive issue that often goes unnoticed due to societal taboos and lack of awareness. This silent struggle affects countless women, impacting their quality of life and well-being. Let’s shed light on FSD, exploring its causes, symptoms, and the holistic solutions that Functional Medicine provides.

Understanding Female Sexual Dysfunction

Female Sexual Dysfunction is a term that encompasses a variety of disorders affecting the sexual health and quality of life for women. Despite its prevalence, there is a significant lack of understanding and awareness surrounding this complex issue. FSD manifests in a variety of ways that affect different aspects of sexual function such as:

  • Desire: Characterized by a lack or absence of sexual desire.
  • Arousal: Difficulty in becoming or staying aroused during sexual activity.
  • Lack of Orgasm: Challenges in achieving orgasm.
  • Pain: Experiencing pain during sexual intercourse.

A significant common thread is that these conditions are disruptive to a healthy and vibrant life. What is causing these disorders? These symptoms can be caused by a number of conditions and scenarios

Causes of Female Sexual Dysfunction

The causes of FSD are multifaceted and it is often an overlooked and misunderstood condition. The most common causes can be categorized into physical, hormonal, psychological, and lifestyle-related factors:


  • Medical Conditions: Chronic diseases such as diabetes, cardiovascular diseases, and neurological disorders can impact sexual function.
  • Surgical Procedures: Surgeries, especially those related to the pelvic area, can affect sexual response and function.
  • Medication Side Effects: Some medications, including antidepressants and antihypertensives, can lead to sexual dysfunction.


  • Menopause: The decline in estrogen levels during menopause can lead to vaginal dryness and decreased libido.
  • Hormonal Imbalances: Imbalances in sex hormones, thyroid hormones, and adrenal hormones can all play a role in FSD.


  • Mental Health Issues: Conditions like depression, anxiety, and stress can significantly impact sexual desire and function.
  • Relationship Issues: Problems within a romantic relationship can lead to or exacerbate sexual dysfunction.
  • History of Sexual Abuse or Trauma: Past traumas can profoundly affect a woman’s sexual health.


  • Substance Abuse: Alcohol, nicotine, and illicit drugs can impair sexual function.
  • Lack of Physical Activity: A sedentary lifestyle can lead to decreased sexual desire and arousal.
  • Poor Diet: Nutritional deficiencies and unhealthy eating habits can also contribute to FSD.

Understanding the causes of FSD is crucial for effective diagnosis and treatment. Since the condition is often caused by a combination of factors, a holistic approach that considers physical, hormonal, psychological, and lifestyle factors is essential for managing and treating FSD effectively. For personalized medical advice and treatment, women should consult with healthcare providers who are knowledgeable and experienced in sexual health and dysfunction.

Why Don’t We Talk About This?

Society has long ignored or avoided addressing female sexual issues, contributing to the silent struggle many women face. Societal avoidance of issues around female sexuality is deeply rooted in cultural, educational, and social norms. This ignorance stems from various factors:

1. Cultural Taboos: Many cultures stigmatize open discussions about sexuality, particularly women’s sexuality.

2. Insufficient Education: There is a glaring lack of comprehensive sexual education that addresses female sexual health and dysfunction.

3. Stigmatization: Women with FSD often experience shame and isolation due to societal stigmatization.

4. Gender Bias and Research Gap in Healthcare: Historically, medical research has focused more on male sexual dysfunction, leaving a gap in understanding and addressing FSD.

Changing societal perspectives on Female Sexual Dysfunction requires a concerted effort to break the silence surrounding this condition. Through open dialogue, education, advocacy, support, and public awareness, society can shed its ignorance and avoidance of FSD, creating an environment where affected women can seek and receive the understanding, support, and treatment they need and deserve.

Functional Medicine Approach to FSD

Functional Medicine offers a unique approach to treating FSD. It addresses the root causes and works to rebalance your bodily systems and lifestyle for optimized wellness. 

Hormone Balancing: Hormonal imbalances are a significant cause of FSD. Functional Medicine practitioners use advanced testing to identify imbalances and prescribe bio-identical hormones or supplements to restore balance.

Nutritional Support: Nutrition plays a crucial role in sexual health. Practitioners may recommend dietary changes, supplements, or nutraceuticals to address deficiencies and support hormonal health.

Stress Management: Chronic stress adversely affects sexual function. Techniques like meditation, yoga, and counseling can help manage stress levels.

Lifestyle Modifications: Adopting a healthy lifestyle, including regular exercise, adequate sleep, and avoiding toxins, can positively impact sexual health.

Personalized Treatment Plans: Functional Medicine focuses on individualized care, developing treatment plans that consider each patient’s unique health profile and needs.

Addressing Female Sexual Dysfunction requires breaking the silence and actively working towards understanding and resolving the issues women face. Through the holistic and personalized approach offered by Functional Medicine, it is possible to not only treat FSD but also empower women to reclaim their sexual health and vitality.

If you are struggling with FSD, Dr. Brooke would love to help! Schedule a Discovery Call today to learn more about how Functional Medicine can help you restore your sexual wellness. 

To learn more about female sexual function and dysfunction, Dr. Brooke recommends Come as You Are by Emily Nagoski Ph.D. 

Disclaimer: This blog post is for educational purposes only. It is not intended as medical advice or for use in diagnosis or treatment.