Disorder of sex centre: So that vagina & muscles around it goes into painful spasm at the point of penis entry rather than relaxing.
- Hormones Disorder: Hypogonadotropic hypogonadism (hypothalamic or pituitary deficiencies) Hypogonadisms, Hypothyroidism, Testosterone deficiency, hyperprolactinemias, Hypogonadotropic states: Hypothalamic-pituitary deficiencies: Idiopathic GnRH deficiency, Kallman syndromes, Prader-Willi syndromes, Laurence-Moon-Biedl syndromes, pituitary hypoplasia, Ovarian Dysfunctions Hypothyroidisms Untreated endocrinopathies & Diabetics Glucorticoids excess, Cushing’s disease, Addisons disease
- Excess asthenia i.e. chronic asthenia is also a significant cause of low sexual excitation & arousal.
- Chronic vulvovaginitis, and chronic urethritis.
- Addiction as chronic alcoholism, chronic smoker, heroin or cannabis use.
- Drugs: Sedative: Narcotics, tranquillizers, amphetamine, cocaine, many antidepressants, and anti-psychotics, anti-hypertensives, many other drugs.
- Psychiatric disorder as depression, neurosis, & many other psychiatric disorders.
- Any kind of sexual dysfunction in man leading to non-enjoyment of sexual act by a female may lead to absent arousal & excitement.
- Any cause of painful sexual intercourse (as due to vaginismus or dyspareunia) will also lead to secondary loss of excitation in women whether married or unmarried.
- Decreased blood supply to the vagina due to various medical conditions can lead to diminishing vaginal lubrication, pain during intercourse
- Infections: In genital tract or vulvae vestibule, vulvovaginitis
- Less lubrication due to various reasons as hormone deficiency
- Connective tissue diseases leading to dryness
- Psychological problems: as depression & other psychiatry disorders
- Sicca syndrome
- Idiopathic
- Decreased blood supply to the vagina due to various medical conditions can lead to diminishing vaginal lubrication, pain during intercourse
- Vulvar vestibulitis
- Restrictive upbringing, Inadequate sexual information, early insecurity in the psychosexual role.
- Obstructive vaginal lesions: Vaginal stenosis, vaginal scarring, post-surgical problems, retroverted uterus, organic diseases of uterus, endometriosis, adenomyosis, tubes or ovaries, chronic pelvic inflammatory diseases, urethral diverticulum
- Idiopathic vulvodynia