Is this only a psychological issue?

Not necessarily. Hormonal changes, pelvic floor conditions, medication side effects, medical conditions such as diabetes or thyroid disorders, and relationship or psychological factors can all contribute, often together. Assessment looks at all of these.

Will I need an examination at the first visit?

A pelvic examination is only done if clinically relevant and with your agreement. Much of the first consultation is a detailed history to understand the pattern and timing of symptoms.

Can this be treated without medication?

Often, yes. Pelvic floor therapy, lubricants, addressing an underlying medical cause, or counselling can resolve symptoms without medication. Medication or hormonal treatment is used where indicated.

Is this confidential?

Yes, in the same way as any other gynecological consultation. Partners are welcome to attend but are not required to.

Sexual and Reproductive Health

Female Sexual Dysfunction Treatment in Bangalore

Low desire, arousal difficulty, pain during intercourse and difficulty reaching orgasm are common and treatable concerns. Assessment considers hormonal, physical and psychological causes together.

Call +91 73377 61236

What female sexual dysfunction covers

Female sexual dysfunction is a broad term for persistent difficulty with desire, arousal, orgasm, or pain during intercourse that causes distress or affects quality of life. It is common, under-discussed, and in most cases identifiable and treatable once properly assessed.

Symptoms

Common presentations

Persistent low or absent sexual desire
Difficulty becoming physically aroused
Pain or discomfort during or after intercourse
Difficulty reaching orgasm, or loss of sensation
Vaginal dryness
Anxiety or avoidance around intimacy

What contributes to it

Causes are often more than one factor acting together: hormonal changes around childbirth, breastfeeding or menopause; pelvic floor tightness or weakness; medical conditions such as diabetes or thyroid disorders; certain medications, including some antidepressants; and psychological or relationship factors. Assessment aims to identify which of these are contributing in your case, rather than assuming a single cause.

Assessment and treatment

How this is approached

1
Detailed history
Timing, onset and pattern of symptoms, medical history, medications and relevant life events are reviewed in a confidential conversation.
2
Targeted examination if needed
A pelvic examination is only carried out if clinically useful and with your agreement, to check for physical causes of pain or discomfort.
3
Relevant tests
Hormone levels, thyroid function or blood sugar may be checked where a medical cause is suspected.
4
Individualised treatment
Options include pelvic floor physiotherapy, lubricants or moisturisers, hormonal treatment, medication review, or referral for counselling, used alone or in combination.

New or worsening pain during intercourse, unexplained bleeding after intercourse, or pelvic pain outside of intercourse should be assessed promptly rather than managed as a purely sexual concern.

Clinical volume

Treated by Dr. Payal Mahapatra

MBBS, DGO, DNB - OBG, Fellowship in Reproductive Medicine. As of August 2026.

Years Experience

80k

Patients Treated

6.7k

IUI procedures

3.7k

Fertility surgeries

IVF cycles

Deliveries

FAQ

Questions patients ask

Yes. Low desire, arousal difficulty, pain during intercourse and difficulty reaching orgasm are all recognised clinical concerns with identifiable causes in many cases, and effective treatment options.

A confidential assessment, without embarrassment

Book a consultation with Dr. Payal Mahapatra to discuss your symptoms and the options available.

Monday to Sunday, 09:30 to 18:30

Call +91 73377 61236 WhatsApp