IRCT2014070318338N1 IRCT 2014-08-03 Vice Chancellor for research, Kashan University of Medical Sciences Comparison of the effect of cognitive-behavioral therapy and treatment with sildenafil on sexual function and marital satisfaction in women Comparison of the effect of cognitive-behavioral therapy and treatment with sildenafil in the treatment of arousal and orgasm disorders, sexual satisfaction and marital satisfaction 2013-12-22 anticipated 86 Complete https://irct.ir/trial/16657 interventional Randomization: Randomized, Blinding: Double blinded, Placebo: Not used, Assignment: Parallel, Purpose: Treatment. N/A female sexual dysfunction. Intervention 1: Treatment with 50 mg sildenafil orally one hour before intercourse. Intervention 2: Cognitive-behavioral therapy weekly for 8 sessions was conducted by a female therapist with a PhD in clinical psychology according to the following protocol: from the first to the third session: Introduction, general understanding of different types of sexual disorders and their effect on marital quality, explaining the value and importance of its treatment, determining the main problem, evaluating the method of intercourse, communication skills training, provide sex education and sexual knowledge, identifying irrational thoughts and beliefs and correct assertiveness training/ from the fourth to the sixth session: Cognitive restructuring and changing negative attitudes toward sexual issues, type one sensory concentration, type two sensory concentration, training Kegel exercises, using educational tools, penetration without orgasm, relaxation techniques to minimize everyday-life anxiety/ the seventh and the eighth sessions: the turning point maneuver, intercourse and orgasm, problem solving skills training and its application in everyday-life to minimize the distressing situations, summing up the points made during therapy sessions, elucidating the likelihood of recurrence of symptoms after treatment and responding correctly at the time of symptoms recurrence.