Sexual dysfunction affects nearly four in ten women, but the majority continue to suffer in silence due to stigma, embarrassment, and fear of being judged. Experts warn that the problem, often linked to hormonal changes, pregnancy, menopause, diabetes, obesity, stress, and even complications from pelvic surgeries, remains one of the most underreported health concerns among women.

Despite its prevalence, doctors say that very few women seek timely medical help, delaying diagnosis and effective treatment. “Sexual problems are not only common in men but also in women. In fact, 40% of women tend to experience sexual dysfunction, and many cases go unreported,” said Dr. Neela Desai, Obstetrician & Gynaecologist, Apollo Spectra Hospital, Pune.

According to her, the most common issues include low libido, difficulty in arousal, painful intercourse, vaginal dryness, and urinary incontinence. “About four out of ten women aged 25 to 37 face problems such as vaginal dryness. Causes can be physical, like hormonal fluctuations, diabetes, thyroid problems, or pelvic floor weakness, as well as psychological, such as anxiety, depression, and relationship stress. Symptoms often overlap and worsen if ignored, affecting not only intimate health but also overall well-being and quality of life,” she explained.

Dr. Desai stressed that silence around sexual health can lead to strained relationships and loss of self-confidence. “The most important step is breaking the silence and encouraging women to view sexual health as a vital part of overall health. Most cases are treatable with timely consultation. Treatment may involve hormonal therapy, medications, pelvic floor exercises, counseling, or lifestyle changes like stress management, weight control, and a healthy diet,” she added.

Echoing similar concerns, Dr. Madhulika Singh, Senior Consultant Obstetrician & Gynaecologist, Ankura Hospital for Women and Child, Aundh, said nearly 20% of women struggle with sexual dysfunction but often dismiss it due to myths, taboos, and lack of awareness. “Common issues such as low libido, vaginal dryness, or painful intercourse can take away peace of mind. Many women do not realize that these problems can be improved. Regular exercise, balanced nutrition, stress management, avoiding smoking, limiting alcohol, and maintaining a healthy weight all play a significant role in recovery. Counseling too can make a big difference,” she said.

Both experts agreed that it is time to break the stigma and normalise conversations around sexual health. Seeking timely help, they say, not only restores physical health but also improves confidence, relationships, and overall quality of life.