The U.S. Food and Drug Administration defines the four separate components
of Female Sexual Dysfunction (FSD) to be decreased sexual desire,
decreased sexual arousal, dyspareunia (pain with intercourse), and
persistent difficulty in achieving or inability to achieve orgasm
(anorgasmia). To establish a diagnosis of FSD, these components must be
associated with personal distress, as determined by the affected woman. A
topical combination of menthol/L-arginine and alprostadil can be used to
treat any of the defined components, or a combination of two or more of
the defined components of FSD, as a safe, first-line therapy for FSD.