title: [How to manage a woman with a sexual complaint in clinical practice?].
abstract: OBJECTIVE
  To describe the main female sexual dysfunctions, their mechanisms, and the broad outlines of their therapeutic management.
  
  
  METHODS
  Review of consensus conferences and published guidelines on this subject and a reflexion from our own clinical experience, in urogynaecological practice.
  
  
  RESULTS
  Female sexual dysfunction is frequent and can present in different ways; pain, problems concerning desire and satisfaction. These symptoms can be associated with concomitant male sexual dysfunction. These symptoms can be managed by a gynaecologist if he/she is trained accordingly. Knowledge of this is essential for a gynaecologist in daily practice but also for an urologist treating both female urinary incontinence or pelvic prolapse and male sexual dysfunction.
  
  
  CONCLUSIONS
  Women's sexual disorders can considerably affect the quality of life of the partner and the couple. As the patients hesitate to speak of such matters the clinician should begin the dialogue with simple open questions.
authors.affiliation: Service de gynécologie, hôpital Jeanne-de-Flandre, CHRU de Lille, 59037 Lille, France.
authors.forename: F
authors.initials: F
authors.lastname: Collier
authors.forename: F
authors.initials: F
authors.lastname: Cour
mesh_terms: D000465:Algorithms; D005260:Female; D006801:Humans; D012735:Sexual Dysfunction, Physiological / Q000175:diagnosis* / Q000628:therapy*; D020018:Sexual Dysfunctions, Psychological / Q000175:diagnosis* / Q000628:therapy*
keywords: Anorgasmia; Anorgasmie; Dysfonction sexuelle féminine; Dyspareunia; Dyspareunie; Female sexual dysfunction; Sexual desire disorder; Trouble du désir sexuel; Vaginisme; Vaginismus