Sexual problems in women

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Decreased libido or difficulties during intercourse: Professor François Haab offers tailored solutions for women’s sexual problems

Introduction

Sexual disorders in women encompass a range of symptoms that can affect desire, arousal, lubrication, comfort, or pleasure during intercourse. These can manifest as decreased libido, pain, blockages, apprehension, or difficulty reaching orgasm.

These disorders are not solely psychological: they can be linked to hormonal, anatomical, urinary, or emotional factors, or to certain pelvic pathologies. A medical and functional evaluation helps determine the cause and allows for a comprehensive treatment plan.

Symptoms and clinical forms

Loss of interest or a lasting decrease in libido
Difficulty feeling desire, even in a favorable context
Fatigue, stress or associated pain
Sensations of burning, tension, or pulling
Pain at the entrance or deeper
A possible link with irritation, hormonal imbalance, prolapse, or excessive perineal contractions.
Insufficient lubrication, difficulty penetrating
More common after childbirth or in cases of hormonal fluctuations
Source of micro-lesions and discomfort
Orgasms are rare or absent despite stimulation
Sometimes linked to a muscular, nervous or psychological disorder
It may be secondary to pain or apprehension.
Reflex or involuntary tension of the perineal muscles
Difficulty or inability to have penetrative sex
Often associated with apprehension or prior pain

Possible causes

Hormonal variation (postpartum, breastfeeding, perimenopause)
Dryness linked to a drop in estrogen levels
Drug treatments (antidepressants, antihypertensives…)
Recurrent urinary or vaginal infections
Postpartum or post-surgery scars
Genital prolapse
Pelvic pathologies (endometriosis, chronic pain)
Pelvic floor hypertonia
Local sensory disturbances
Nerve irritation (pudendal…)
Stress, fear of pain, anxiety
Decrease in self-confidence
Tensions in the couple
History of trauma

Diagnosis

Nature of symptoms and duration
Emotional context
Triggering factors
Gynecological and obstetric history; Impact on quality of life
Perineal assessment
Looking for dryness, irritation, or localized pain
Checking for infection or inflammation
Samples in case of suspected infection
Pelvic ultrasound if deep pain is present
Hormonal evaluation if dryness or decreased libido
Urological assessment if associated urinary symptoms
Tone, relaxation, contractility
Detection of vaginismus or hypertonia

Possible treatments

Local hormonal treatments
Vaginal lubricants or moisturizers
Treatment of infections or inflammations
Relaxation or strengthening exercises
Manual or probe therapy as indicated
Learning muscle control
Perineal relaxation
Body therapies
Management of pelvic tension
Support from a sex therapist if necessary
Work on anxiety, self-confidence, or bodily experience
Relational approach if needed
Treatment of a prolapse
Surgery in cases of pelvic pathology
Integrated urogynecological care

Why consult Professor Haab?

Professor François Haab is a specialist in functional urology and pelvic-perineal disorders.
It adopts a comprehensive approach: medical, functional, perineal and psychosexual.
He favours progressive, non-invasive solutions tailored to each patient.
Supportive guidance helps to restore a comfortable and serene sexuality.

Patient Journey

Each patient benefits from personalized support, from the initial consultation to post-treatment follow-up. The process includes a thorough assessment, a clear presentation of the various treatment options, and a gradual approach tailored to each individual’s situation.

Are you experiencing sexual difficulties?

Don’t face these problems alone: appropriate care can very often improve the situation.
Urology Clinic Paris Opéra – Paris 17th arrondissement
In-person or teleconsultation available
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Sexual problems in women

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FAQ – Frequently Asked Questions

What female sexual disorders can be treated?

The most frequent reasons for consultation are pain during intercourse (dyspareunia), vaginal dryness, decreased desire, disorders related to menopause or postpartum, and the sexual impact of urinary disorders.

What is the link between the perineum and sexuality?

The pelvic floor plays a central role in sensitivity and pleasure. A weakened pelvic floor (due to pregnancy or childbirth) or, conversely, one that is too tight can impair the quality of sexual intercourse. Appropriate pelvic floor rehabilitation often significantly improves sexual function.

What solutions can be proposed?

Depending on the diagnosis: specialized perineal rehabilitation, local treatments for dryness (moisturizers, topical estrogens), pain management, and sexological support. Treatment is personalized and often multidisciplinary.

When should you consult a doctor?

As soon as a sexual problem becomes a source of embarrassment or suffering, for you or your partner, these still taboo subjects have concrete solutions; a consultation allows you to discuss them in a supportive medical setting.

Pr François Haab's expertise

Chirurgien Urologue à Paris

Sexual problems in women: there are solutions.

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