Doctor Phan Chi Thanh examines a patient - Photo: BSCC
This is also a fundamental difference in the sexual function of men and women.
Erectile dysfunction in women
According to Dr. Phan Chi Thanh from the Central Obstetrics and Gynecology Hospital, when men experience erectile dysfunction, they will certainly be very confused and want to seek medical attention or find ways to overcome this condition immediately. Because if not treated promptly, sexual activity becomes very difficult, almost impossible, because "the mind is willing but the body is weak."
"However, most women with erectile dysfunction, also known as impotence, tend to ignore it. In fact, many women with erectile dysfunction are unaware they have the condition."
"Even without an erection and without lubrication, women can still manage to have intercourse, unlike men who are 'impotent' due to erectile dysfunction. This is why erectile dysfunction in women is often underestimated," Dr. Thanh stated.
This expert stated that women with arousal disorders experience vaginal dryness, resulting in insufficient lubrication during intercourse, causing pain. This is a general vascular condition that can precede and signal underlying cardiovascular and blood pressure problems.
Many women believe that vaginal dryness during intercourse is due to psychological and social factors affecting their menstrual cycle, thereby impacting their desire and orgasm. However, in reality, the factors affecting sexual intercourse are arousal, and the cause stems from physical factors.
"Many women have sexual needs and desires that stem from psychological factors. Sometimes, it's because they're 'bored with their husbands,' leading to a gradual decrease in desire and difficulty in having sex—that's another case."
However, it's different with arousal disorders. This happens even when women have desire and need, but are unable to achieve satisfying sexual arousal. Despite strong feelings, they are "powerless"—similar to erectile dysfunction in men," Dr. Thanh explained.
The main causes of libido disorders are physical issues, age, and hormonal imbalances, especially during menopause and perimenopause.
For middle-aged women, vaginal dryness and pain during intercourse are very common, affecting up to 50% of women. This is a major reason for the gradual decrease in libido and can lead to secondary sexual dysfunction.
How can we fix this?
According to Dr. Pham Minh Ngoc, deputy director of the Hanoi Center for Sexual Medicine, arousal disorders or decreased arousal are among the sexual dysfunctions in women.
Women may experience sexual dysfunction when entering the premenopausal stage. The glands in the vagina atrophy, resulting in little or no lubrication, causing painful intercourse, which hinders successful sexual activity.
Estimates suggest that in the 45-64 age group, 1 in 8 experience decreased libido, and 1 in 15 experience impaired arousal and pleasure. Postmenopausal women often experience multiple disorders simultaneously, with 50-65% experiencing decreased libido accompanied by impaired arousal, and 70% experiencing impaired orgasm and sexual pain.
Vaginal dryness in women is often associated with inflammation and a decrease in estrogen and progesterone levels. Treating the inflammation and supplementing with these hormones can resolve the issue.
Hormone therapy needs to be properly prescribed.
Dr. Pham Minh Ngoc added that the use of hormone therapy is safe and effective for menopausal women if properly prescribed.
After treatment, many patients experienced significant improvement in hot flashes, reduced stress, improved libido, firmer skin, and enhanced memory and concentration.
In some cases, endocrine therapy can also prevent osteoporosis, reduce cardiovascular risk, and alleviate urinary disorders and urinary tract infections.
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LINH HAN
Source: https://tuoitre.vn/khi-phu-nu-roi-loan-cuong-20250416232505868.htm
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