To diagnose female sexual dysfunction, your doctor likely will begin with a physical exam and a thorough evaluation of symptoms. She may do a pelvic exam to check the health of the reproductive organs and a Pap smear to detect changes in the cells of the cervix (to check for cancer or a pre-cancerous condition). She may order other tests to rule out any medical problems that may be contributing to the woman's sexual dysfunction.
An evaluation of your attitude regarding sex, as well as other possible contributing factors (such as fear, anxiety, past sexual trauma/abuse, relationship problems, or alcohol or drug abuse) will help the doctor understand the underlying cause of the problem and make appropriate treatment recommendations.