Women’s sexuality is a complex area that can be prone to various types of dysfunction. One area that needs special understanding and attention is arousal disorders in women. It is worthwhile to analyze the causes of these disorders and the challenges they pose to the health professionals. sexual health.

Table of Contents:

Sexual desire disorder in women: definition and type

Sexual desire disorders in women encompass a wide range of difficulties related to lack of or too little sexual desire. This phenomenon can have both physical and psychological causes. For many women, lowered libido can be the result of hormonal changes, such as menopause or endocrine disruption. However, psychological aspects such as stress, depression or relationship problems also affect the level of desire.

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Types of desire disorders include:

  • Hypoactive sexual desire disorder: Characterized by low levels of interest in sex, lack of erotic fantasies and infrequent sexual desires.
  • Lack of sexual desire: A woman may feel a complete lack of desire for sexual activity, even in situations that she previously found satisfying.

Sexual excitement disorders: an introduction to the problem

Sexual arousal is another key aspect of sexual satisfaction. Arousal disorders include difficulty achieving and maintaining an appropriate level of arousal during sexual activity. This phenomenon can lead to problems reaching orgasm, which in turn can affect the level of satisfaction with sex life.

Excitement disorders
Photo: Kinga Howard

Causes of desire and arousal disorders in women

Psychological Factors:

  • Stress and depression: High levels of stress, or the presence of depression, can significantly affect libido and the ability to feel arousal.
  • Self-esteem problems: Low self-esteem, or difficulty accepting one’s own body, can affect the sexual sphere.

Physical Factors:

  • Hormonal changes: Menopause, pregnancy or hormonal disorders, can significantly affect desire and arousal.
  • Health problems: chronic diseases, such as diabetes and hypertension, can negatively affect sexual functioning.

Therapeutic challenges in the treatment of sexual dysfunction in women

Psychological therapy:

  • Sexual Desire Therapy: Focuses on identifying the psychological causes of desire disorders and developing therapeutic strategies.
  • Couples therapy: Sexual dysfunction often affects relationships, so couples therapy can be a key component of treatment.

Drug therapy:

  • Hormone medications: For hormone-related disorders, hormone medications can be an effective option.
  • Medications to improve blood flow: In some cases, blood flow-enhancing drugs may be recommended to improve excitement.

Sexual education and awareness as key to understanding sexual dysfunction in women

An important aspect in the treatment of desire and arousal disorders in women is education and increased awareness. Working with doctors, psychologists, sexologists, and participating in therapy, can help identify individual causes and tailor treatment to the patient’s specific needs.

Lack of desire for sex in women is a multidimensional phenomenon, and the reasons can be varied. It is important to understand that each woman is an individual, and different factors can affect her ability to experience sexual desire. If lack of desire for sex becomes a problem, it is worth consulting a doctor or a sex specialist. sexual health to identify specific causes and tailor an appropriate therapeutic approach.

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Kehrer syndrome – widow’s disease

In today’s society, which is trying to be more and more open about sex, intimate diseases still remain in a deeply taboo zone. Despite progressive sexual awareness, women are often embarrassed to talk to doctors or psychotherapists about their abnormal symptoms. One rare case of this kind is widow’s disease, also known as five-symptom disease or Kehrer syndrome. What exactly is this condition and how can it be treated?

Kehrer syndrome - widow's disease
Photo: Getty Images

Widow’s disease: not just among widows….

Sexual intercourse does not always end in orgasm, especially for women. Reports such as “Sexuality of Poles 2017,” by Professor. Zbigniew Izdebski, suggest that men (55%) are more likely to be satisfied with their sex lives than women (49%). Kehrer syndrome occurs when a woman does not reach orgasm for a long time, leading to physiological symptoms in her. The term “widow’s disease” emerged when it applied mainly to widowed women who suffered after the loss of a partner, including in the intimate sphere.

It should be noted that the main group susceptible to widow’s disease are young women with a normal libido, but who do not experience sexual satisfaction for various reasons. It is important to understand that a woman suffering from lack of sexual satisfaction is normal, and the need for sexual fulfillment is as important as other physiological needs.

Causes of Kehrer’s disease

  1. Lack of sexual relations
    • Kehrer’s disease is often associated with a lack of regular sexual intercourse, leading to frustration and sexual dissatisfaction.
  2. Mismatch between partners
    • Conflicts related to sexual incompatibility between partners can promote the development of Kehrer’s disease.
  3. Change of partner, lack of fulfillment
    • A woman who has experienced sexual satisfaction in previous relationships may not achieve orgasm in her current relationship due to various factors, such as poor technique or lack of communication.
  4. Mental blocks
    • More complex reasons, such as mental blocks, can prevent a woman from achieving sexual satisfaction in her current relationship.
  5. Sexual dissatisfaction in a relationship
    • Even a woman in a relationship may not experience sex as often as her needs require, which can also lead to sexual dysfunction.

It is worth noting that Kehrer syndrome is a complicated problem, and the causes can be diverse. If this disease is suspected, it is important to consult a specialist for an accurate diagnosis and referral for appropriate treatment.

Kehrer syndrome: the trap of confusing symptoms

Kehrer syndrome is a specific sexual disorder that should not be confused with anorgasmia, which is the difficulty of achieving orgasm both physically and mentally. On the contrary, Kehrer syndrome may be the result of this condition.

A common name for this condition is also “5-symptom disease.” There are two phases in it, the first of which begins with the lack of a satisfying sex life, which takes a strong toll on a woman’s psyche. As a result, symptoms such as irritability, anxiety, nervousness or bitterness may appear.

Certain circumstances that favor this phase can be compared to “premenstrual syndrome on steroids.” It is an intense experience that can last for an entire month, not just before menstruation.

Once the mental stage is passed, disturbing physiological symptoms usually appear.

5 symptoms of Kehrer’s disease

  • Lower abdominal pain (lumbar and sacral region),
  • Varicose veins, which appear in the small pelvis, thighs, lower legs and anus,
  • Itching of the vagina and vulva, as well as accompanying discharge – this is often mistaken for intimate infections,
  • Swelling and thickening of the uterus, irregular menstruation, as well as the non-appearance of natural mucus – this symptom often makes intercourse difficult,
  • Pain and spasms of the sacro-uterine ligaments.

Treatment of Kehrer’s disease

  • Partner Therapy:
    • Changing your partner’s attitude toward sexual intercourse.
  • Self-stimulation (autoeroticism):
    • Self-exploration of pleasure as part of the therapeutic process.
  • Pharmacotherapy:
    • In the case of non-acceptance of masturbation, pharmacotherapy can help the patient to increase her libido level.
  • Establishing a new relationship:
    • If a new, satisfying relationship is established, symptoms may disappear on their own.


Remember that diagnosis and treatment of intimate diseases should be carried out by a qualified gynecologist after carefully ruling out other possible causes. Do not underestimate the symptoms, as they may also indicate other health problems. Combating the taboos around these issues is key to providing full care and understanding to those affected by sexual dissatisfaction.

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