The causes of Female Sexual Arousal Disorder (FSAD) can be multifaceted and typically involve a combination of physical and psychological factors. On the physical side, underlying health conditions such as endocrine disorders, hormonal imbalances, or cardiovascular diseases can lead to FSAD. Certain medications, especially those affecting the hormonal or cardiovascular system, can also contribute to the disorder. Menopausal changes, involving a decline in estrogen levels, can lead to diminished sexual arousal as well.

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