Abstract
FSD is a multifactorial and complex problem of women in the community. The approach to FSD is not the same as in men. FSD is an important aspect of quality of life in women after any pelvic surgery. The importance of nerve-sparing pelvic surgery has been well documented in urology and colorectal surgery, and should soon be integrated into gynaecology and oncology. Education about FSD after this complication should be included in fully informed consent. The management of FSD should include a psychological and medical evaluation; the medical management of FSD is developing rapidly and the future of this field will be interesting and encouraging. Gynaecologists should play a major role in managing FSD, irrespective of its cause, but further studies are essential for formulating effective treatment strategies.