Female Sexual Health


When a woman has a sexual health problem, it can impact many aspects of her life, including her personal relationships and her self-esteem as well as her overall health.

Sexual Health Issues For Women

A woman's sexuality is a complex interplay of physical and emotional responses that affects the way she thinks and feels about herself. A woman's sexual health has major impact on her overall health. Sexual problems are associated with feelings of isolation, low self-esteem and depression, and frequently impact patients’ relationships, mood state and quality of life. It is estimated that 43% of American women suffer from sexual health issues. One third of all women, regardless of age, have diminished sexual interest. In addition, nearly one fourth of all women do not experience orgasm, while one fifth of women suffer sexual pain disorders. Despite significant progress in basic sexual medicine research and clinical therapies in recent years, sexual problems remain among the most frequently overlooked and mismanaged patient complaints.

Few healthcare professionals have the opportunity to be trained in the diagnosis and treatment of sexual dysfunction.  This is where Dr. Bahnmiller takes a dedicated special interest in helping women with their sexual issues in order to heighten their relationships and overall health.  Dr. Bahnmiller has and is currently continuing extensive training in the evaluation, diagnosis and treatment of women and their sexual health.

Most frequently overlooked and mismanaged patient complaints.

  • Vulvar and Vaginal Skin Disorders
  • Vulvar and Vaginal Atrophy
  • Vestibulodynia
  • Vaginismus
  • Sexual Aversion
  • Sexual Addiction in Women
  • Persistent Genital Arousal Disorder in Women (PGAD)
  • Pelvic Floor Muscle Dysfunction
  • Orgasmic Anhedonia (PDOD)
  • Interstitial Cystitis
  • Hypoactive Sexual Desire Disorder in Women (HSDD)
  • Hypertonic Pelvic Floor Muscle Dysfunction
  • Gender Nonconformance (Gender Identity Disorder)
  • Female Orgasmic Disorder
  • Enlarged Mons Pubis (Excessive Pubic Fat)
  • Enlarged Labia Minora
  • Enlarged Labia
  • Enlarged Clitoris
  • Dyspareunia
  • Arousal Disorder (Lack of Lubrication)

Many women experience a problem with sexual function from time to time. However, when the problems are persistent, they can cause distress for the women and her partner, and can have a negative impact on their relationship

Identifying potential sexual health risk factors

There are many reasons why a woman may experience a sexual health problem.  Certain medicines (such as oral contraceptives and chemotherapy drugs), diseases (such as diabetes or high blood pressure), excessive alcohol use or vaginal infections can cause sexual problems. Depression, relationship problems or abuse (current or past abuse) can also cause sexual dysfunction. You may have less sexual desire during pregnancy, right after childbirth or when you are breastfeeding. After menopause many women feel less sexual desire, have vaginal dryness or have pain during sex due to a decrease in estrogen (a hormone in the body). The stresses of everyday life can also affect your ability to have sex. Being tired from a busy job or caring for young children may affect your sexual desire. You may also be bored by a long-standing sexual routine.

“ Every woman has the right to sexual health.”

There are several types of sexual dysfunctions. They can be lifelong problems that have always been present, acquired problems that develop after a period of normal sexual function or situational problems that develop only under certain circumstances or with certain partners. Causes of sexual dysfunctions can be psychological, physical or related to interpersonal relationships or sociocultural influences.

Sometimes determining what is causing the issue is as important as treating it, in case the risk factor can be eliminated and the sexual health concern disappear.  Learning that something you are doing or a medication you are taking may cause a problem in the future may mean you want to modify the activity now or talk with your doctor about an alternative medication.  You may have several sexual health concerns from the same risk factor or from multiple risk factors. It may be helpful to let your doctor know that you have some of these risk factors because that may help in diagnosing the specifics of your desire, arousal, orgasm and/or sexual pain issues and subsequently in treating them.  You may have none of the risk factors listed. The causes and risk factors listed on this site are provided as information only and are not meant for self-diagnosis and treatment.

  • Vaginal Cancer
  • Uterine Cancer
  • Urinary Incontinence
  • Trazodone
  • Sexual Abuse
  • Radiation Therapy
  • Pudendal Nerve Entrapment
  • Pelvic Trauma
  • Partner Sexual Health Problems
  • Panic
  • Oral Contraceptives / Birth Control Pills
  • Multiple Sclerosis
  • Metabolic Syndrome
  • Menopause
  • Lower Urinary Tract Symptoms (LUTS)
  • Low Testosterone
  • Low Estrogen / Estrogen Deficiency
  • Interstitial Cystitis (IC)
  • Infertility Treatment
  • Hysterectomy
  • Hypothyroidism
  • Hyperthyroidism
  • HIV
  • Hematologic Cancers
  • Endometriosis and Adenomyosis
  • Diabetes
  • Depression
  • Colorectal Cancer
  • Chlamydia
  • Childbirth
  • Chemotherapy
  • Cancer Surgery
  • Breast Cancer
  • Bladder Cancer
  • Bicycle Riding
  • Anxiety
  • Anti-psychotic Medications
  • Anti-depressants and SSRIs
  • Anti-convulsive, Anti-epileptic Medications

Stop suffering in silence

Many women are hesitant to talk about their sexuality with their health care professionals, and many health professionals are reluctant to begin a discussion about sexuality with their patients.

Diagnostic Tests

Diagnosis of women’s sexual health concerns begins with identification of the sexual health problem. This includes undergoing a sexual, medical and psychosocial history and physical examination, independent psychological evaluation, completion of psychometrically validated outcome questionnaires, and laboratory testing. The next phase involves educational discussions with the patient and the partner, if possible, concerning relevant topics such as physiology of sexual function and pathophysiology of sexual dysfunction based on the pertinent information identified during the identification phase. Specific individual patient (and partner) educational needs and goals of sexual health care management need to be addressed.

  • Vulvoscopy
  • Neurologic Testing
  • Genital Biopsy
  • Endothelial Function Testing
  • Duplex Doppler Ultrasound
  • Diagnostic Nerve Block of the Vestibule
  • Cotton Swab Test
  • Blood Tests

Offering state-of-the-art treatments

About one third of women experience sexual dysfunction, which may lead to women's loss of confidence in their sexual lives. We offer state-of-the art treatments to help you enjoy a happy and healthy sex life

Treatment Options

Treatment of women's sexual health concerns follows a step-care process that begins with modification of reversible causes and then proceeds to first-line, second-line, and third-line treatment strategies. Maneuvers to modify reversible causes include sex therapy, cognitive behavior therapy, physical therapy, lifestyle changes including exercise and diet, alteration of prescription medications, discontinuation of recreational drugs, management of partner sexual dysfunction, and other behavior modifications such as relaxation therapy. First-time therapies include hormone therapy (androgens, local and/or systemic estrogens, progestins), dopamine agonist therapy, oral phosphodiesterase type-5 inhibitors and vacuum clitoral device therapy. Second-time therapies include invasive maneuvers such as reconstructive surgery. The most logical, efficacious way to restore sexual function in women with sexual health problems is to manage the sexual problem with multiple disciplines, proceed in a step-care process and, whenever possible, to engage the partner.

  • Flibanserin (Addyi)
  • Yohimbine
  • Vibrators
  • Vestibulectomy
  • Varenicline Treatment
  • Vacuum Device
  • Testosterone Therapy
  • Sling Surgery
  • Sex Therapy
  • Pubic Fat Liposuction and Lift
  • Physical Therapy
  • PDE5 inhibitors
  • Oxytocin
  • Lubricants and Moisturizers
  • Labia Minora Reduction (Labioplasty, Labiaplasty)
  • Labia majora reduction
  • Labia Majora Fat Injections
  • Female genital Aesthetic Surgery
  • Exercise and Diet
  • Estrogen Therapy
  • Dorsal Slit Surgery
  • Dopamine Agonists
  • Clitoris Reduction
  • Clitoral Hood Reduction
  • Arousal Oils and Creams
  • Anticholinergic Therapy

Introducing- Ivy Cameron ARNP 

Ivy Cameron is an Advanced Registered Nurse Practitioner (ARNP). She graduated from Gonzaga University is 2007 with a master’s degree in nursing and has been practicing in Obstetrics/ Gynecology specialty since graduating. Ivy has been OB nurse for over 30 years. She is a member of ISSWSH (International Society for the Study of Women’s Sexual Health) and is currently working on completing her Sexual Health fellowship. Her specialties include pelvic pain, pain with intercourse, incontinence, hormone therapy, hypoactive sexual desire disorder (HSDD), and other sexual dysfunctions.