1. Sexuality and Quality of Life in Congenital Hypogonadisms
Camil Castelo-Branco
Hospital Clínic. University of Barcelona

2. Turner’s Sd. Multidisciplinary Team
Gynecological Endocrinology Unit
Camil Castelo-Branco
Cristina Ros
Joan Balasch
Rhinology Unit and Smell Clinic
Isam Alobid
Joaquim Mullol
Silvia Centellas
Cytogenetics and Clinical Genetics Unit
Ester Margarit
Anna Serra
Department of Neurophysiology
Joan Santamaria
Anna Tercero
Department of Cardiology
Paula Dantas
Steroids lab
Gregori Casals
Dept. Psychiatry
Esther Gómez
Teresa Godás
Department of Endocrinology
Irene Halperin

3. Populations who may experience female sexual dysfunction (FSD):
Abused
Perimenopausal
Pregnancy
Multiple sclerosis
Childhood sex abuse
Chemotherapy
Genital mutation
Post menopausal
Lack of sensitivity
Gynecological cancer
Radiation
Battered
Neurogenic disease
Sexual trauma
Spinal cord injury
Vascular disease
Post-hysterectomy
Post-partum
(Brassil et. al, 2002)

4. Statistics
Different epidemiologic studies on FSD suggested that up to 49% of women experienced sexual dysfunction.
Blümel JE, Castelo-Branco C et al. Menopause. 2004;11(1):78-81.
Castelo-Branco C, Blumel JE, et al.J Obstet Gynaecol Jul;23(4):
TS represent < 0.03% General population
Castelo-Branco C. Maturitas Dec;79(4):471-5.
Ros C & Castelo-Branco C. Gynecol Endocrinol Sep;28(9):
US population data revealed that 9.7 million women (50-74 y) self-report complaints of diminished vaginal lubrication, pain and discomfort with intercourse, decreased arousal, and difficulty achieving orgasm.
Berman J et al. Urology. 1999;54(3):385-91

5. Etiology
“The etiologies of female sexual dysfunction affect a variety of populations and may be caused by psychological, emotional, or physiological reasons. Often, the etiology is multifactorial & interrelated.”
Castelo-Branco C et al. Expert Opin Ther Patents. 2007;17(6):

6. Etiology: Psychological Causes
As with most disorders, female sexual dysfunction can be caused and aggravated by psychological causes.
(Sexual or) Emotional Abuse
Depression
Relationship Issues
Stress
Self Esteem