Efficacy and safety of sildenafil in estrogenized women with sexual dysfunction associated with female sexual arousal disorder
- R Basson, R McInnes, M. D. Smith, G Hodgson, T Spain, N. Koppiker
- Obstet Gynecol
1. Declining sexual function is common with aging. There may be an additional decrement associated with the menopausal transition. 2. The causes of decreased sexual activity are multiple and include physiologic, psychologic, and social factors. 3. Definitions and Classification of Female Sexual Dysfunction, given by the consensus panel of the Sexual Function Health Council of the American Foundation for Urologic Disease, provide a standardized system for clinical diagnosis and treatment and are recommended for use by health care professionals [D]. 4. Sexual interest, behavior, and activity should be routinely assessed at office visits on a regular basis, and a plan should be developed to address the woman’s concerns. 5. Hormonal and behavioral therapy have had variable success in the treatment of sexual dysfunction but should be considered in patients who desire treatment for their dysfunction [B].