There are several types of female sexual dysfunction (FSD). The five most common difficulties include:

• Inhibited sexual desire. Oral contraceptives, antidepressants, tranquilizers and other medications can cause a lowered sex drive.
  
  
• Painful intercourse (dyspareunia). Some women who have been through menopause find that they have less vaginal lubrication. At times, hormone replacement therapy or vaginal creams containing estrogen are recommended. Serious side effects are associated with some of these medications, and other options may be available. For example, many women find over-the-counter lubricants to be a successful remedy.
  
  
• Lack of orgasm (anorgasmia). Sometimes referred to as female orgasmic disorder, a persistent delay or absence of orgasm can be caused by either physical or psychological factors. Common reasons for women failing to achieve orgasm include severe stress or anxiety, depression, or various medical conditions (e.g., incontinence). Certain medications, such as antidepressants, antipsychotics or antihypertensive drugs, can also cause a lack of orgasm. Lack of orgasm that is not physical or psychological in cause (e.g., an impatient partner) is not a form of sexual dysfunction.
  
  
• Vaginismus. Characterized by a persistent or recurring spasm of the outer third of the vagina, vaginismus often interferes with sexual intercourse.
  
  
• Hypoactive sexual desire disorder. Characterized by a persistent absence of sexual fantasy or desire.