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Frequently Asked Questions

  • What are female sexual dysfunctions?

    The pathologies that prevent a woman to enjoy a plenty sexual life, have a solution

    The female sexual dysfunction is an alteration that prevents a woman from achieving pleasure and satisfaction in sexual relationships. The most important of them are anorgasmia (cannot achieve orgasm after stimulation), vaginism, dyspareunia (feeling pain during the sexual act) and anafrodisia (hypoactive sexual desire).

    What is anorgasmia?
    It is a blockage in the orgasmic phase of a woman´s sexual response. This dysfunction is quite frequent.
    There are different types of anorgasmia:
    a) Primary – when all the woman´s erotic life has been characterized by the absence of orgasms in the context of sexual relations.
    b) Secondary – when at a given point in time, the woman stops having orgasms in the context of sexual relations.
    c) Absolut – when it´s totally impossible to reach an orgasm, despite the different procedures at hand (self-stimulation, penetration, hetero-masturbation…);
    d) Relative – when the woman has orgasms but only through a particular and very concrete type of stimulation;
    e) Situational – when the orgasm can only be attained in very specific circumstances.

    Causes of anorgasmia
    The causes of anorgasmia can be organic, psychological or relational.
    Among the organic causes there are various pathologies:

    • Cardiovascular;
    • Endocrine (diabetes);
    • Hormonal insufficiency (particularly in estradiol, testosterone, growth hormone and thyroid hormone);
    • Neurologic;
    • Gynaecologic.

    Psychological and relational causes of anorgasmia have various possible sources:

    Condicionamento negativo decorrente de experiências sexuais e/ou culturais traumáticas;

    • Negative conditioning from sexual and/or cultural traumatic experiences;
    • Relational issues with the sexual partner;
    • Lack of sexual information and adequate stimulation;
    • Feeling of monotony in the relation;
    • Lack of concentration;
    • Anxiety;
    • Personal characteristics.

    What is vaginism?
    It is the impossibility of the vagina to allow the penetration. This phenomenon results from the involuntary muscle contraction of the outer third of the vagina.
    In some cases, women that suffer from vaginism can entail in sexual games and even achieve orgasms, nevertheless, the actual sexual intercourse doesn´t take place.
    Vaginism is not only related to penile penetration, but to all types of actions that include the insertion of objects into the vagina, actions which are impossible to accomplish:

    • Inserting tampons;
    • Using sexual objects;
    • Gynaecological exams;
    • Finger insertion.

    Causes of vaginism
    In vaginism, the majority of its causes are vast and eminently psychological:

    • Insufficient sexual information;
    • Weak body awareness;
    • Lack of communication (or poor communication) between the couple, particularly relating to the issue of fearing the pain (among other issues);
    • Traumatic experiences;
    • Rape and other sexual abuse;
    • Fear of getting pregnant;
    • Fear of getting a sexually transmitted disease;
    • Among others.

    What is dyspareunia?
    Dyspareunia is a perceived malaise in the woman during sexual intercourse, which turns it difficult and painful. It can vary from a simple post-coital irritation to profound pain.
    We can find organic and psychological causes in dyspareunia.

    Among the organic ones we have a set of diverse pathologies:

    • Infectious agents;
    • Genitourinary diseases;
    • Irritation caused by the barrier contraceptive material (condoms, diaphragm, intrauterine devices IUD, spermicide);
    • Hormonal decompensation and menopause;
    • Medical-chirurgical interventions.

    The most common psychological causes of dyspareunia which results in an inadequate stimulation and insufficient arousal are the feelings of ambiguity and/or unwillingness associated with the sexual relationship.


    What is anafrodisia?
    It’s an inhibition of the desire and will to have sexual intercourse. Mainly, it presents itself has the absence of erotic feelings. Women that bear this condition have a strong tendency to live their sexual relationship as a kind of punishment and perceive it as something that is unnecessary for their well-being.
    This condition brings feelings of discontentment and states of depression, which leads the woman to develop a series of pretexts that imply a certain tendency to avoid sexual intercourse. Still, these pretexts are intimately linked with the fear of compromising the relationship with her partner.
    The causes of anafrodisia are essentially organic, particularly in the cases of estrogen and testosterone insufficiency.

    However, in dyspareunia there are also psychological and emotional origins like:

    • Denial towards success, towards being loved and towards pleasure;
    • Fear of being rejected by her partner;
    • Difficulty expressing sexual desires;
    • Conflictual tendencies;
    • Inability to express your own individuality;
    • Prolonged stress;
    • Accumulated fatigue;
    • Unbalanced life style;
    • Among others.

    How to emend sexual dysfunctions in women?
    Women that suffer from this condition should seek a Consultation of Women´s Sexual Health as soon as possible. There are no reasons to feel shame, fear or guilt towards yourself or your partner. If the problem is detected as soon as possible, the solution will be very simple and swift.
    For psychotherapeutic purposes it is recommended the involvement of both members of the couple, since the inter-relational factor is one of the most frequent causes in this type of condition. Furthermore, this is always an issue that concerns both of them.
    Is it worth to seek for help if you don´t have a sexual partner?
    Definitely. It is desejável possible to enjoy health and personal well-being in the absence of a steady sexual partner. This way, a woman becomes frequently more self-confident and motivated to invest in new and more gratifying relationships.