Efficacy found from biopsychosocial approach to women’s sexual health

In a recent interview with Contemporary OB/GYN, Somi Javaid, MD, FACOG, a board-certified OB-GYN and expert in menopause and sexual health, discussed the importance of a biopsychosocial approach in improving sexual health outcomes.

Javaid highlighted how sexual wellness is a crucial aspect of overall health, affecting mental well-being, confidence, relationships, and even physical health, particularly pelvic floor function. She explained that sexual health issues often contribute to anxiety, depression, and isolation, as many women feel alone in their struggles. Despite the prevalence of sexual health concerns, impacting nearly 43% of women, many patients experience dismissal from health care providers, leading them to feel invisible. Javaid shared examples of patients receiving inadequate advice, reinforcing the stigma and lack of proper medical attention given to women's sexual health.

The biopsychosocial approach, which Javaid advocated, addresses 3 critical components. The first is biological, including neurochemistry, hormones, medications, and medical history, all of which impact sexual function.

The second component is psychological, which encompasses thoughts, emotions, behaviors, and beliefs about intimacy. These factors significantly influence sexual health.

Finally, Javaid discussed the social component. This includes relationships, work, family dynamics, and financial stressors, which can also impact sexual well-being.

Javaid stressed that successful treatment requires a comprehensive, individualized plan. Unlike male sexual health, which often revolves around blood flow and has numerous treatment options, female sexual health requires a multidimensional approach. Treatments should integrate medication such as FDA-approved drugs Addyi and Vyleesi for low libido, pelvic floor therapy, sexual health counseling, and curated products. Patient comfort and belief systems should be factored into the plan to ensure effectiveness. Education is also essential, as empowering patients with knowledge about their sexual health fosters better outcomes.

By utilizing the biopsychosocial model, health care providers can offer a well-rounded, patient-centered approach, ultimately enhancing women's sexual health and overall quality of life.

This video is part 2 of a 3-part series. Click here part 1 and here for part 3.