Non-pharmacological interventions for female sexual dysfunction in low- and middle-income countries: A scoping review.

Zahra Behboodi Moghadam, Shahla Faal Siahkal, Elham Ebrahimi, Maryam Koochakzai, Hayedeh Arbabi

Journal: Medicine 2025;104(19):e42421

PMID: 40355189

Abstract

BACKGROUND

Sexual function is a multidimensional phenomenon affected by many different physical, physiological, and mental factors. Sexual dysfunction (SD) can affect the different aspects of personal and familial health. Non-pharmacological interventions for SD management have received great attention in recent years, though SD is still mostly managed using pharmacological interventions.

METHODS

In this scoping review, we searched the PubMed/Medline, Web of Science, Scopus, and Google Scholar databases to find relevant studies published between January 2014 and February 2024.

RESULTS

Twenty articles were included in the review. Non-pharmacological interventions such as cognitive-behavioral therapy, sexual education and counseling based on theories and models, mindfulness-based cognitive-behavioral sex therapy, phytotherapy and vaginal electrical stimulation, multimedia applications, and sexual health education programs can improve women's sexual function.

CONCLUSION

Given the effectiveness of non-pharmacological interventions and the heavy costs of pharmacological interventions, non-pharmacological interventions can be used for SD management in low- and middle-income countries.

Copyright © 2025 the Author(s). Published by Wolters Kluwer Health, Inc.

Address: Department of Midwifery, School of Nursing and Midwifery, Zabol University of Medical Sciences, Zabol, Iran.; Department of Midwifery and Reproductive Health, School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran.; Department of Midwifery and Reproductive Health, School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran.; Department of Midwifery, Islamic Azad University, Marand Branch, Marand, Iran.; Department of Midwifery, School of Nursing and Midwifery, Zabol University of Medical Sciences, Zabol, Iran.; Nursing and Midwifery Care Research Center, School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran.
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