Abstract

The female sexual response is highly variable and multifaceted and is a result of interplay of physiological, psychological and interpersonal factors. The advent of technology and non-invasive functional brain imaging has provided a map of the regions of the brain involved in sexual arousal and the neurochemistry that underlies the process. However, this increase in the understanding of the biological basis of female sexuality has only reinforced the role of interpersonal and cultural factor in the sexual response, specially the genesis of sexual desire. An acceptance of this by professionals, has led to the consensus for a more holistic biopsychosocial approach for the management of female sexual concerns.

The presentation will discuss the current research on the neural and hormonal basis for female desire and explore the role of sexual desire as a motivator and a force for sexual activity in the context of the prevailing models of the female sexual response.

There is a need for the recognition of the place and value of sexual desire in the female sexual response and an appreciation that whereas there is a biological 'drive', this is tempered by the motivational aspect (individual and relationship psychology) and the cultural and moral overlay of values and attitudes. This will in turn provide the milieu for understanding normal and dysfunctional sexual desire and assist us on the road to discovering a best practice model for the diagnosis and management of 'female desire disorders'.