Sexual desire inhibited by urethral expulsions: Two female cases with different aetiology

Abstract

Loss of sexual desire, often termed “hypoactive sexual desire” is a common problem among women of all ages. It has many different presentations and causes. Therapeutic success depends very much on understanding the nature of the symptom and identifying the possible responsible cause or causes in the particular patient. Two cases are presented of women who were referred for treatment of hypoactive sexual desire disorder in whom the underlying problem had not been identified by the referring therapist. Both women had lost sexual desire because of leakage of fluid from the urethra during orgasm. From the history and description of this occurrence it is evident that the women had different causes for the leakage and hence required different treatment. In one women, the leakage resulted from urinary incontinence and she was successfully treated by vaginal weights. The second woman experienced “female ejaculation” and was successfully treated by sex education and therapy. Following intervention, both women regained their sexual desire. These cases reinforce the necessity of obtaining full descriptions and history of the presenting problem.

Keywords:

• Sexual desire
• hypoactive sexual desire
• female ejaculation
• urinary incontinence