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Witgout vs. We will not publish anything without witjout you and only the Guardian has access to contributions. Was this helpful? Thank you for your feedback. Later, another gynaecologist carried out surgery to try to resolve jn problem, but this left Anna with scar tissue. Goldmeier said it can take women months or years to seek help for sexual dysfunction, if at all, with services patchy and getting worse. One difficulty is that treatment for sexual dysfunction can be complex, particularly for women, and while it can in some cases include medication, it can also require other approaches, including psychosexual care. The problem, he said, was compounded by it becoming increasingly difficult for GPs to know where to refer a patient.

Some sexual dysfunction services are commissioned by clinical commissioning groups but these services can crop up in several different hospital departments, including gynaecology and urology.

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