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Non-pharmacological interventions for female sexual dysfunction in low- and middle-income countries: a scoping review
Koochakzai M, Moghadam ZB, Siahkal SF, Arbabi H, Ebrahimi E
Medicine 2025 May 9;104(19):e42421
systematic review

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.

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