[Female sexual dysfunction].

Female sexual dysfunction is common with a prevalence of 20 % to 50 %. Its etiology is multifactorial. Female sexual dysfunction is a complex neurovascular phenomenon, influenced by psychological, neurological, muscular and endocrine factors. In pelvic floor dysfunction sexual dysfunction is the result of anatomical und functional changes, as well as the therapy applied. Sexual dysfunction in urinary incontinence is frequent; its combination with prolaps has a negative cumulative effect. Pelvic floor surgery, irrespective of the surgical procedures, may lead to sexual dysfunction. An individualised approach to treatment is important when assessing and counselling women.