X24 Fear of sexual dysfunction female (ICD-10:Z71.1)

Introduction

Fear of sexual dysfunction in females is a common concern that can significantly impact a woman’s quality of life and overall well-being^[1]. It is important to address this fear and provide appropriate guidance and support to help alleviate anxiety and improve sexual health^[2]. This guide aims to provide a comprehensive approach to diagnosing and managing fear of sexual dysfunction in females.

Codes

• ICPC-2 Code: X24 Fear of sexual dysfunction female
• ICD-10 Code: Z71.1 Person with feared complaint in whom no diagnosis is made

Symptoms

• Decreased sexual desire or interest^[3]
• Difficulty becoming sexually aroused^[4]
• Inability to achieve orgasm^[5]
• Pain during sexual intercourse^[6]
• Anxiety or fear related to sexual activity^[7]

Causes

• Psychological factors, such as past traumatic experiences, relationship issues, or body image concerns^[8]
• Hormonal imbalances, such as low estrogen levels^[9]
• Medical conditions, such as diabetes, cardiovascular disease, or neurological disorders^[10]
• Side effects of certain medications, such as antidepressants or antihypertensives

Diagnostic Steps

Medical History

• Gather information about the patient’s sexual history, including any past traumatic experiences or relationship issues.
• Assess for any underlying medical conditions or medications that may contribute to sexual dysfunction.
• Evaluate the patient’s overall psychological well-being and any symptoms of anxiety or depression.

Physical Examination

• Perform a thorough physical examination, including a pelvic examination, to assess for any physical abnormalities or signs of infection.
• Evaluate the patient’s overall health, including blood pressure, heart rate, and body mass index (BMI).

Laboratory Tests

• Hormone levels: Measure estrogen, progesterone, and testosterone levels to assess for hormonal imbalances.
• Blood glucose levels: Evaluate for diabetes, which can contribute to sexual dysfunction.
• Lipid profile: Assess for any abnormalities in cholesterol levels, which may impact sexual health.
• Thyroid function tests: Check thyroid hormone levels to rule out any thyroid disorders that may affect sexual function.

Diagnostic Imaging

• Pelvic ultrasound: Visualize the pelvic organs to assess for any structural abnormalities or signs of infection.
• Magnetic resonance imaging (MRI): Evaluate the pelvic region for any tumors or other abnormalities that may be contributing to sexual dysfunction.

Other Tests

• Psychological assessment: Consider referring the patient to a mental health professional for a comprehensive psychological evaluation.
• Sexual health questionnaire: Use validated questionnaires to assess the patient’s sexual function and identify specific areas of concern.

Follow-up and Patient Education

• Schedule regular follow-up appointments to monitor the patient’s progress and adjust treatment as needed.
• Provide education on sexual health, including communication techniques, relaxation exercises, and self-care strategies.
• Offer resources and support groups for patients to connect with others experiencing similar concerns.

Possible Interventions

Traditional Interventions

Medications:

Top 5 drugs for Fear of sexual dysfunction female:

1. Selective Serotonin Reuptake Inhibitors (SSRIs) (e.g., Fluoxetine, Sertraline, Paroxetine):
   • Cost: Generic versions can be $3-$50/month.
   • Contraindications: Hypersensitivity to SSRIs, concurrent use of monoamine oxidase inhibitors (MAOIs).
   • Side effects: Nausea, headache, sexual dysfunction.
   • Severe side effects: Serotonin syndrome, suicidal thoughts.
   • Drug interactions: MAOIs, other serotonergic drugs.
   • Warning: May take several weeks to see improvement in symptoms.
2. Estrogen therapy (e.g., Estradiol):
   • Cost: Varies depending on the specific formulation and dosage.
   • Contraindications: History of breast cancer, blood clots, liver disease.
   • Side effects: Nausea, breast tenderness, vaginal bleeding.
   • Severe side effects: Increased risk of breast cancer, stroke, blood clots.
   • Drug interactions: Certain anticonvulsants, St. John’s wort.
   • Warning: Regular monitoring of breast health and blood clotting factors is required.
3. Testosterone therapy (e.g., Testosterone gel):
   • Cost: Varies depending on the specific formulation and dosage.
   • Contraindications: History of breast or prostate cancer, liver disease.
   • Side effects: Acne, increased facial hair, voice deepening.
   • Severe side effects: Increased risk of cardiovascular events, liver damage.
   • Drug interactions: Certain anticoagulants, corticosteroids.
   • Warning: Regular monitoring of liver function and cardiovascular health is required.
4. Phosphodiesterase type 5 inhibitors (e.g., Sildenafil, Tadalafil):
   • Cost: Varies depending on the specific formulation and dosage.
   • Contraindications: Concurrent use of nitrates, severe liver or kidney disease.
   • Side effects: Headache, flushing, indigestion.
   • Severe side effects: Priapism (prolonged erection), sudden hearing loss.
   • Drug interactions: Nitrates, alpha-blockers.
   • Warning: Should not be taken more than once a day.
5. Oxytocin nasal spray:
   • Cost: Varies depending on the specific brand and dosage.
   • Contraindications: Hypersensitivity to oxytocin, uncontrolled hypertension.
   • Side effects: Nausea, headache, nasal irritation.
   • Severe side effects: Allergic reactions, hyponatremia.
   • Drug interactions: None reported.
   • Warning: Should be used under medical supervision.

Alternative Drugs:

• Bupropion: An antidepressant that may help improve sexual function.
• Buspirone: An anti-anxiety medication that may alleviate anxiety related to sexual activity.
• PDE5 inhibitors: Alternative formulations or dosages of sildenafil or tadalafil may be considered.
• Vaginal estrogen cream: For women experiencing vaginal dryness or pain during intercourse.

Surgical Procedures:

• Vaginoplasty: Surgical reconstruction of the vagina to improve sexual function and satisfaction. Cost: $5,000 to $15,000.
• Labiaplasty: Surgical reduction or reshaping of the labia to alleviate discomfort and improve self-esteem. Cost: $3,000 to $8,000.

Alternative Interventions

• Cognitive-behavioral therapy (CBT): A form of psychotherapy that helps individuals identify and change negative thought patterns and behaviors related to sexual dysfunction. Cost: $100-$200 per session.
• Sex therapy: A specialized form of therapy that focuses on addressing sexual concerns and improving sexual function. Cost: $100-$200 per session.
• Pelvic floor physical therapy: Exercises and techniques to strengthen the pelvic floor muscles and improve sexual function. Cost: $100-$200 per session.
• Yoga and mindfulness: Practices that promote relaxation, reduce anxiety, and improve body awareness. Cost: Varies depending on the specific class or program.
• Herbal supplements: Some herbal supplements, such as maca root or ginseng, may have potential benefits for improving sexual function. Cost: Varies depending on the specific supplement.

Lifestyle Interventions

• Regular exercise: Engaging in physical activity can improve blood flow, boost mood, and enhance overall well-being. Cost: Varies depending on the chosen activity (e.g., gym membership, fitness classes).
• Healthy diet: Consuming a balanced diet rich in fruits, vegetables, whole grains, and lean proteins can support overall health and sexual function. Cost: Varies depending on individual food choices.
• Stress management techniques: Practicing relaxation techniques, such as deep breathing exercises or meditation, can help reduce anxiety and improve sexual function. Cost: Free or minimal cost.
• Open communication with partner: Establishing open and honest communication with a partner can help address concerns and improve sexual satisfaction. Cost: Free.
• Self-care practices: Engaging in activities that promote self-care, such as taking time for oneself, practicing self-compassion, and prioritizing self-pleasure, can enhance overall well-being and sexual function. Cost: Varies depending on individual preferences.

It is important to note that the cost ranges provided are approximate and may vary depending on the location and availability of the interventions. It is recommended to consult with healthcare professionals and insurance providers for accurate cost information and coverage options.

Mirari Cold Plasma Alternative Intervention

Understanding Mirari Cold Plasma

• Safe and Non-Invasive Treatment: Mirari Cold Plasma is a safe and non-invasive treatment option for various skin conditions. It does not require incisions, minimizing the risk of scarring, bleeding, or tissue damage.
• Efficient Extraction of Foreign Bodies: Mirari Cold Plasma facilitates the removal of foreign bodies from the skin by degrading and dissociating organic matter, allowing easier access and extraction.
• Pain Reduction and Comfort: Mirari Cold Plasma has a local analgesic effect, providing pain relief during the treatment, making it more comfortable for the patient.
• Reduced Risk of Infection: Mirari Cold Plasma has antimicrobial properties, effectively killing bacteria and reducing the risk of infection.
• Accelerated Healing and Minimal Scarring: Mirari Cold Plasma stimulates wound healing and tissue regeneration, reducing healing time and minimizing the formation of scars.

Mirari Cold Plasma Prescription

Video instructions for using Mirari Cold Plasma Device – X24 Fear of sexual dysfunction female (ICD-10:Z71.1)

Localized (0) Sacrum (1) Prostate & Uterus (2) Kidney, Liver & Spleen (3) Heart, Bile & Pancreas (4) Lungs (5) Throat, Lymphatic & Thyroid (6) Neuro system & ENT (7)

Use the Mirari Cold Plasma device to treat Fear of sexual dysfunction female effectively.

WARNING: MIRARI COLD PLASMA IS DESIGNED FOR THE HUMAN BODY WITHOUT ANY ARTIFICIAL OR THIRD PARTY PRODUCTS. USE OF OTHER PRODUCTS IN COMBINATION WITH MIRARI COLD PLASMA MAY CAUSE UNPREDICTABLE EFFECTS, HARM OR INJURY. PLEASE CONSULT A MEDICAL PROFESSIONAL BEFORE COMBINING ANY OTHER PRODUCTS WITH USE OF MIRARI.

Step 1: Cleanse the Skin

• Start by cleaning the affected area of the skin with a gentle cleanser or mild soap and water. Gently pat the area dry with a clean towel.

Step 2: Prepare the Mirari Cold Plasma device

• Ensure that the Mirari Cold Plasma device is fully charged or has fresh batteries as per the manufacturer’s instructions. Make sure the device is clean and in good working condition.
• Switch on the Mirari device using the power button or by following the specific instructions provided with the device.
• Some Mirari devices may have adjustable settings for intensity or treatment duration. Follow the manufacturer’s instructions to select the appropriate settings based on your needs and the recommended guidelines.

Step 3: Apply the Device

• Place the Mirari device in direct contact with the affected area of the skin. Gently glide or hold the device over the skin surface, ensuring even coverage of the area experiencing.
• Slowly move the Mirari device in a circular motion or follow a specific pattern as indicated in the user manual. This helps ensure thorough treatment coverage.

Step 4: Monitor and Assess:

• Keep track of your progress and evaluate the effectiveness of the Mirari device in managing your Fear of sexual dysfunction female. If you have any concerns or notice any adverse reactions, consult with your health care professional.

Note

This guide is for informational purposes only and should not replace the advice of a medical professional. Always consult with your healthcare provider or a qualified medical professional for personal advice, diagnosis, or treatment. Do not solely rely on the information presented here for decisions about your health. Use of this information is at your own risk. The authors of this guide, nor any associated entities or platforms, are not responsible for any potential adverse effects or outcomes based on the content.

Mirari Cold Plasma System Disclaimer

• Purpose: The Mirari Cold Plasma System is a Class 2 medical device designed for use by trained healthcare professionals. It is registered for use in Thailand and Vietnam. It is not intended for use outside of these locations.
• Informational Use: The content and information provided with the device are for educational and informational purposes only. They are not a substitute for professional medical advice or care.
• Variable Outcomes: While the device is approved for specific uses, individual outcomes can differ. We do not assert or guarantee specific medical outcomes.
• Consultation: Prior to utilizing the device or making decisions based on its content, it is essential to consult with a Certified Mirari Tele-Therapist and your medical healthcare provider regarding specific protocols.
• Liability: By using this device, users are acknowledging and accepting all potential risks. Neither the manufacturer nor the distributor will be held accountable for any adverse reactions, injuries, or damages stemming from its use.
• Geographical Availability: This device has received approval for designated purposes by the Thai and Vietnam FDA. As of now, outside of Thailand and Vietnam, the Mirari Cold Plasma System is not available for purchase or use.

References

1. Basson R. Women’s sexual dysfunction: revised and expanded definitions. CMAJ. 2005;172(10):1327-1333. doi:10.1503/cmaj.1020174
2. Kingsberg SA, Woodard T. Female sexual dysfunction: focus on low desire. Obstet Gynecol. 2015;125(2):477-486. doi:10.1097/AOG.0000000000000620
3. Shifren JL, Monz BU, Russo PA, Segreti A, Johannes CB. Sexual problems and distress in United States women: prevalence and correlates. Obstet Gynecol. 2008;112(5):970-978. doi:10.1097/AOG.0b013e3181898cdb
4. Laumann EO, Paik A, Rosen RC. Sexual dysfunction in the United States: prevalence and predictors. JAMA. 1999;281(6):537-544. doi:10.1001/jama.281.6.537
5. Rosen RC, Taylor JF, Leiblum SR, Bachmann GA. Prevalence of sexual dysfunction in women: results of a survey study of 329 women in an outpatient gynecological clinic. J Sex Marital Ther. 1993;19(3):171-188. doi:10.1080/00926239308404902
6. Latthe P, Mignini L, Gray R, Hills R, Khan K. Factors predisposing women to chronic pelvic pain: systematic review. BMJ. 2006;332(7544):749-755. doi:10.1136/bmj.38748.697465.55
7. McCabe MP, Sharlip ID, Lewis R, et al. Incidence and Prevalence of Sexual Dysfunction in Women and Men: A Consensus Statement from the Fourth International Consultation on Sexual Medicine 2015. J Sex Med. 2016;13(2):144-152. doi:10.1016/j.jsxm.2015.12.034
8. Brotto LA. The DSM diagnostic criteria for hypoactive sexual desire disorder in women. Arch Sex Behav. 2010;39(2):221-239. doi:10.1007/s10508-009-9543-1
9. Santoro N, Worsley R, Miller KK, Parish SJ, Davis SR. Role of Estrogens and Estrogen-Like Compounds in Female Sexual Function and Dysfunction. J Sex Med. 2016;13(3):305-316. doi:10.1016/j.jsxm.2015.11.015
10. Maiorino MI, Bellastella G, Esposito K. Diabetes and sexual dysfunction: current perspectives. Diabetes Metab Syndr Obes. 2014;7:95-105. Published 2014 Mar 6. doi:10.2147/DMSO.S36455