I’m here today to discuss with you the forms of female sexual dysfunction. We hear information about male sexual dysfunction, ED, and whatnot. But female sexual dysfunction or FSD is something that maybe many of us haven’t quite heard about.
The idea of how can I address women sexual helalth was always there. And I will tell you that I went to medical school in the late nineties. And I was a second-year medical student when Viagra was approved. And I will never forget we had a one-hour lecture on sexual dysfunction. And we spent 59 minutes on erectile dysfunction and the great new drug Viagra that was coming out. We spent one minute one female. And what this person said was, you know, the majority of sexual issues in women are psychological in nature. So I really advise my patients just to go home, relax, have a glass of wine, and they’ll be fine. And I remember I thought my head was going to explode when I heard that. I couldn’t believe that that was the solution.
Then you know Viagra comes out, and there are a bunch of what I call menopause aged men who having this renaissance in their sexual function, I mean they’re now able to have erections again. But the problem is that their female counterparts, who are the same age, had been going for years with low sex drive, and vaginal dryness, and having painful intercourse. And many marriages, they decided, you know, sexual intercourse is not something we’re going to do because of your erectile dysfunction and my issues. So there was this silent contract of we do other forms of sexual intimacy but not penetration.
So Viagra comes out and all the sudden the men are ready to go, and the women are like “wait, what about me?”. And I don’t know if you know this that in the early 2000-2001 there was a third of divorces due to people stepping out on a relationship because again the women were not able to keep up with their male partners or couldn’t give their male partners what they needed. And so we thought in New York, especially what were called Viagra divorces.
So, as a result, there was really after Viagra with release and explosion in the research and understanding behind what are the sexual concerns of women and what kind of solutions can be found. And what we identified is that you take men, they have premature ejaculation. It is measurable biggest objective. They have erectile dysfunction that is objective. You can see these things happening. What about women? How you quantify low sexual desire? What do you call normal? Or for a woman who has, you know, lubricant issues, what’s normal lubrication, what is that? The answer is it’s really a subjective experience. How do you tell a woman “your desire should be X”. Every woman has her own level of sexual desire. And every woman has her own level of desire that is appropriate for her.