Evidence for the Impact of Stress and Trauma on Sexual Function in Women: Review and Clinical Recommendations

Obstet Gynecol Clin North Am. 2024 Jun;51(2):285-298. doi: 10.1016/j.ogc.2024.02.003. Epub 2024 Mar 11.

Abstract

Stressors occur in a spectrum, ranging from daily hassles to life-threatening experiences, and can significantly impact sexual functioning. Thus, this review summarizes the intricate relationship between trauma spectrum experiences and women's sexual functioning. Biological mechanisms are described to elucidate the physiologic complexity that manifests because of trauma-related experiences. Additionally, both psychological and social implications are discussed. Treatment recommendations for practitioners working with women are discussed, underscoring the importance of adopting a trauma-informed care model.

Keywords: Sexual dysfunction; Trauma spectrum; Trauma-informed model.

Publication types

  • Review

MeSH terms

  • Female
  • Humans
  • Sexual Behavior / physiology
  • Sexual Dysfunction, Physiological / etiology
  • Sexual Dysfunction, Physiological / therapy
  • Sexual Dysfunctions, Psychological / etiology
  • Sexual Dysfunctions, Psychological / psychology
  • Sexual Dysfunctions, Psychological / therapy
  • Stress Disorders, Post-Traumatic
  • Stress, Psychological* / complications
  • Women's Health