Female sexual dysfunction is a health problem caused by multiple and multi-dimensional that negatively affects the physical well-being and emotional well-being. It is age related, progressive, and very common influence 30-50% of American women. Based on National Health and Social Life Survey of 1749 women, 43% complained of sexual dysfunction. Although this study has a large sample size and representation by little, it is limited by the transverse plane.(Lobo, 2006) In addition, women over age 60 were not affected, and no adjustment or association has been made for menopausal status or risk factors for health. Another study of 448 women over sixty years has shown that two thirds of them were sexually inactive, 12% of married women had relationships with adversity, and about 14% qualified dying during sex. (Spector, 2009)The Cycle of The Female Sexual Response
Masters and Johnson first distinuished the female sexual response in 1966 consists of four phases: excitement, plateau, orgasm and resolution phases. During sexual arousal, both the clitoris and the labia minora become engorged body fluid, and vagina and the clitoris and the diameter measures both increase. Masters and Johnson observed that the increase of the labia minora in diameter and two to three times during sexual happiness, and therefore become everted, exposing their inner surface.(Rosen, 2004) In 2003, Wilson proposed the aspect of "desire" and form into three phases, consisting of desire, arousal and orgasm, desire to be the component to encourage the general response cycle. AFUD Classification and Delineation Of Female Sexual Dysfunction
Sexual Function Health Council American Foundation convened the Consensus Panel AFUD a section consensus interdisciplinary seminar consisting of 19 experts in female sexual dysfunction selected from 5 countries.(Spector, 2009) The section consisted of specialists in endocrinology, surgery, family, gynecology, nursing, pharmacology, physiology, psychiatry, psychology, surgery, rehabilitation and urology. The purpose of this section is to evaluate and revise existing definitions and classifications of female sexual dysfunction. More specifically the risk factors for health and causes of sexual dysfunction in women have been integrated with pre-existing definitions psychologically based. (Wilson, 2003) Female Pelvic Anatomy
An understanding of pelvic anatomy prescribed for women and physiology is the basis for evaluation and repair of sexual dysfunction in women. Although women pelvic anatomy is composed of a continuum of interrelated bodies in the structure and function, it is the assembly of cooperation between them in two categories: external genitalia and the inside.(Rosen, 2004) The bodies of the external genitalia are collectively known as the vulva, which is forced forward by the symphysis pubis, posteriorly by the anal sphincter and laterally by the ischial tuberosities. The vulva includes the lips, the interlabial space, the clitoris and vestibular bulbs. The internal genitalia consist of the vagina, uterus, fallopian tubes and ovaries.
Vagina
The vagina is a part of the middle cylindrical body that connects the uterus with the external genitalia, usually measuring from 7 to 15 centimeters counting measure on the position of the ...