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Orgasmic disorders are common in women. Unfortunately a lack of consistent, uniform definitions has made this a difficult disorder to study in depth. Etiology is frequently multifactorial, with psychologic issues often playing a prominent role. Diagnosis depends on a detailed history, which then guides treatment to target the underlying causes. Cognitive behavioral therapy has the most favorable outcome evidence to date.

Many drugs may have effects on sexual function. Sexual function is complex and psychological and relationship issues are likely to have greater impacts on sexual function in women than drugs. Although it is important to understand the effects of drugs on sexual function, physicians should use caution in "medicalization" of sexual function in women [106].

Desire and arousal disorders are very common. These disorders can cause significant distress to a patient. A successful approach depends on an accurate diagnosis, which is dependent on history. Laboratory evaluation is usually not helpful, whereas psychosexual therapy is helpful in many cases. Although there is some evidence that drug therapy is helpful in some cases, no drug has been approved for the treatment of these disorders.