Treatment of HSDD and Arousal Disorder
NPWH/ISSWSH Women's Sexual Health Course for NPs (16-03)
Irwin Goldstein, MD, IF
• Classify treatments aimed at increasing excitation and decreasing inhibition
• Apply non-hormonal strategies to treat women with low desire and arousal issues
The classification of female sexual dysfunction engages women with persistent distressing decreased
sexual interest, and/or low sexual arousal, and/or orgasmic dysfunction. Hormonal and non-hormonal
strategies are directed to rebalancing the central sexual reflex that is most likely abnormal due to
increased inhibition and decreased excitation. The various pharmacologic strategies—both hormonal and
non-hormonal—will be reviewed to restore sexual function by diminishing sexual inhibition
neurotransmitters and by increasing sexual excitation neurotransmitters.
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