Genital arousal disorder may also develop when certain chronic disorders, such as diabetes and multiple sclerosis, damage nerves. Improving the relationship and the settings for sexual activity and identifying what stimulates the woman sexually can help. For example, couples may do sensate focus exercises. Sexual arousal disorders involve a lack of response to sexual stimulation—mental or emotional subjectivephysical such as swelling, tingling, or throbbing in the genital area or vaginal wetnessor both. If the cause is atrophic vaginitis or a low level of estrogen for example, after menopausedoctors often recommend using estrogen inserted into the vagina as a cream with a plastic applicatoras a tablet, or in a ring similar to a diaphragm. In genital arousal disorder a type of sexual arousal disorderstimulation that does not involve the genitals such as watching an erotic video makes women feel aroused, but when the genitals are stimulated including during intercoursewomen are unaware of any physical responses or physical pleasure. Depression, low self-esteem, anxiety, stress, and relationship problems can interfere with sexual arousal.
Inadequate sexual stimulation or the wrong setting for sexual activity can also contribute.
This is the Consumer Version. For these exercises, partners take turns touching each other in pleasurable ways. Such exercises can enhance intimacy and lessen anxiety before sexual activity. They include the following:. They may also be aware of certain physical changes.