Female Sexual Health

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Introduction

Sexual health term was first offered by WHO in 1975 since that time the definition of sexual health s still developing. Sexual health is a condition of well- being that allows both male and female to fully participate and enjoy during sexual activity. It is hormonal dependant, and can be affected by physical, mental, emotional, social, or hormonal factors. For some women it is an important method to conceive her baby.

In some countries there are still women who feel shame to talk about their sexual health and their associated sexual dysfunction to their health care professionals or may be unware they have a problem or dysfunction with their sexual activity. The sexual dysfunction refers to different disorders; loss of desire, orgasm disorders, arousal disorder, dyspareunia, or vaginismus, or overlapping of more than one disorders.

Sexual Response Cycle

1. The excitement phase

it is the initial response when she fisrt aroused it is like I want to have a sex. There will be an increae in heart rate, respiration, and blood pressure. Resulting in vasocongestion (engorgement of blood vessels), as well as, increase in muscle tension called myotonia. Because of vasocongestion  the nipples hardens and there will be increase in the breast volume. The clitoris will increase in length and it will swell, labia majora, minora, and uterus will also be engorgement because of the increase in the blood supply.

1. The plateau phase

the blood flow continue to increase and heart rate, clitoris will be more sensitive, increase in the muscle tension of the body reach to hands, feet, face, and other areas .there will be espansion of the upper 2/3 of the vagina and tightness around the lower third to can grap the penis (pubovaginalis  is the responsile for this action) the uterus will be fully elvated and vagina expands and darkness of it is wall will be noted. The Bartholin glands produce additional lubrication in and around the vagina.

1. The orgasm phase represents the maximum sexual sensation can be reached.

It is a rhythmic, unvoluntary contraction of muscles of the PFM around uterus and vagina, and muscles all over the body. This  followed by release of built-up muscle tension

1. The resolution phase, marked by a return to baseline

Relaxation of the muscles, blood pressure returns to it is normal level, decrease in the blood flow to the genital organs, clitoris, labia majoa and minora, vaginal, uterus , all return to the normal resting position,

respiration return to the level of  prearousal phase.