Urogynecology: sexual disorders in women

Urinary incontinence during sexual intercourse directly affects female sexual function and negatively affects the quality of sexual life. And urinary incontinence during orgasm is usually associated with overactive bladder.

Orgasmic disorders are the constant or periodic absence (slowing down) of orgasm during a normal arousal phase. Congenital generalized anorgasmia is manifested in the absence of orgasm throughout sexual life.

Congenital situational anorgasmia is the absence of orgasm with a partner, while a woman sometimes experiences an orgasm during masturbation.

Acquired generalized anorgasmia should be mentioned if the patient has stopped experiencing orgasm, although such a problem has not been observed before.

Problems related to sexual satisfaction include dissatisfaction with achieving emotional unity during sexual intercourse between a woman and her partner, dissatisfaction with sexual intercourse with her partner, and dissatisfaction with the fullness of sexual life.

Many women experience various painful sensations during intimate relations with a partner, such as pain in the vagina during sexual intercourse (dyspareunia), spasm of the smooth muscles of the outer third of the vagina, which occurs when trying to insert the penis into the vagina, or vaginismus. Such sexual disorders can be congenital and acquired, situational and generalized, and by etiology - organic, psychogenic, mixed or unknown etiology.

Chronic pelvic pain syndrome is a persistent or recurring pain in the pelvic area that is combined with symptoms of the lower urinary tract, sexual dysfunctions, intestinal disorders, or gynecological diseases. As a rule, in order to make such a diagnosis, it is necessary to exclude infectious diseases of the genitourinary organs and the gastrointestinal tract with the help of a full-fledged examination, which can be performed at a European Medical Center.

Gynecological examination

During a vaginal examination, the presence of cicatricial deformity of the vagina and urethra is determined (due to surgery or radiation therapy); the size of the anterior vaginal arch; the position of the urethra and neck of the bladder; the presence and shape of the cystocele and rectocele; the position of the cervix and body of the uterus.

When assessing the mucous membrane of the vulva and vagina, the specialist will pay attention to the presence of atrophic changes, which may indicate a lack of estrogen, leading to a decrease in the tone of the urethra and a violation of its closing function.

The determination of involuntary urine discharge during coughing or straining (cough test) is perhaps the most important test performed during a gynecological examination. In the case of involuntary urine discharge when coughing, urinary incontinence during exertion may be a preliminary diagnosis.

The doctors of the EMC Urological Clinic have accumulated considerable experience in the diagnosis, as well as conservative and surgical treatment of all of the above diseases. In our Clinic, specialists help women solve such problems, return to an active lifestyle, and gain self-confidence.