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Barriers and goals in clinical management

Gynaecologists play a key role in the initial assessment and manage­ment of FSD as immediate carers of women's reproductive health. Although measures are available to diagnose and treat the varied types of sexual disorders in women, some specific dimensions such as abuse, violence, trauma, or any associated psychological or psychi­atric manifestations may pose considerable challenges, with impacts on patient-related clinical outcomes.

At times, the key issues may also stem from unresolved interpersonal factors or partner's sexual dysfunction or the disorder may even be lifelong, necessitating ex­pert referrals. While some traditional or conservative societies pre­clude masturbation as a form of sexual function, most other cultures often regard a partnered sexual activity to represent emotional well­being and quality of life. Therefore, psychosexual education together with couple counselling may benefit women who are refractory to other management approaches (51). Empirical evidence supports the importance of psychosexual therapy in circumventing the bar­riers to improve a woman's response to standard interventions, with far-reaching benefits towards couple's sexual health. As mentioned earlier, specific cognitive, behavioural, and lifestyle changes also ef­fectively superimpose on conventional interventions to overcome other obstacles encountered in the process.

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Source: Arulkumaran S., Ledger W., Denny L., Doumouchtsis S. (eds.). Oxford Textbook of Obstetrics and Gynaecology. Oxford University Press,2020. — 928 p.. 2020
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