Diseases like multiple sclerosis and Parkinson's disease, vulvodynia, cardiovascular disease, etc Spinal cord injury Pelvic trauma Diabetic neuropathy Hormonal imbalances A gynecological operation such as hysterectomy or cancer surgeries Use of certain Medication Alcoholism and smoking Aging Childbirth trauma Mental health problems, such as anxiety or depression Stress and financial pressures Embarrassment Guilt about enjoying sex Past sexual or emotional abuse 
Gynecologist Psychiatrist Psychotherapist Clinical psychologist
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