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Many individuals and couples experience sex-related problems at some point in their lives. Sexual problems are often the result of a troubled relationship, past sexual trauma, low self-esteem, depression, health problems or medications. All of these can negatively affect sexual functioning. According to a recent study in the Journal of the American Medical Association, 3 out of 10 men, and 4 out of 10 women, experience sexual problems. The type of problems most commonly reported by men are premature ejaculation, erectile dysfunction and low sexual desire. Women most commonly reported problems with arousal, low sexual desire and pain during intercourse.
In addition to these concerns, people seek sex therapy when they have tried to resolve their problems themselves without success. They may want to improve their communication during sex, or are unable to resolve the differences in their desired frequency of sex. An individual or couple may feel inhibited or fearful about sex or some aspect of sex. Others may have experienced past sexual trauma, such as forced sexual contact or abuse that has troubled them for years, perhaps from childhood. You and your partner deserve to have pleasurable and satisfying sex lives. Sex Therapy can successfully treat a wide variety of problems that interfere with health, fulfilling sexual activity.
Some examples of the sexual difficulties that can be treated effectively with sex therapy are:. In addition, relationship and intimacy problems may affect sexual functioning, can also be successfully treated by a sex therapist. Following are brief descriptions of some common sexual problems. Boulware specializes in the treatment of these disorders.
Inhibited sexual desire is one of the most common complaints of couples seeking sex therapy. ISD refers to the lack of sexual appetite or response, together with a low rate of sexual activity. They usually do not fantasize about sex or initiate sex. There are usually underlying psychological issues with ISD, such as avoidance of sexual contact because of fear of rejection, performance anxiety, embarrassment, fear of criticism or body image concerns.
A person with ISD often participates in intercourse only as a marital duty. Affection is sometimes withheld, because there is a fear it might lead to the other partner starting sexual activity. A person finding sex distasteful or repulsive characterizes sexual aversion, the most extreme form of ISD. This person may have been traumatized by past experiences, such as molestation or rape.
ISD occurs in both men and women and can cause emotional distress or serious relationship problems. When one person is less interested in sex that the other, it can be a source of conflict, communication problems and power struggles. Relationship counseling and psychotherapy can help resolve this condition before the relationship becomes further strained. In the US, more than 20 million men have experienced erecticle dysfunction. There are two types of erectile dysfunction, Primary and Secondary.
Primary Erectile Dysfunction refers to never achieving or sustaining an erection satisfactorily for sexual intercourse. Secondary ED refers to ly being able to achieve satisfying sexual intercourse. It is a persistent or recurrent inability to obtain or maintain an erection long enough to complete intercourse the majority of the time. Most men have erectile problems from time to time, but when it happens frequently, treatment should be sought. ED should always be evaluated by a physician before sex therapy, since there may be an underling medical condition.
Some of the physical problems that can increase the risk of ED are diabetes, high blood pressure, heart problems, hormonal imbalance, prostate problems and certain drugs, especially blood pressure medication and anti-psychotic drugs that can cause ED as a side effect. Some of the psychological issues that can cause ED are: performance anxiety, depression, low self-esteem, traumatic early sexual experiences, a religious belief that sex as a sin, anger towards women and fear of getting a woman pregnant.
Both partners can be adversely affected by communication becoming strained or breaking down entirely and distancing the couple emotionally. His partner may think he no longer loves or finds her attractive. However, it is far more likely that the man is overly concerned with pleasing her. Sex therapy can help break this cycle for men with or without partners. Men frequently assume that once they use Viagra, or similar products, and have reliable erections again, that all the difficulties in their relationship will disappear.
Viagra, penile injection therapy or vacuum erection devices can restore physical erections, but, they do not resolve non-sex related problems in the relationship. In fact, sometimes, a return to sexual functioning may create new problems, which, can best be resolved with sex therapy while continuing to use a Viagra-type product.
Premature Ejaculation is ejaculation that occurs sooner than a man wishes, or too quickly during intercourse to satisfy his partner. Premature ejaculation is considered the most common male sexual complaint. Premature Ejaculation is almost always due to the lack of knowledge and awareness of the sensual or sensory mechanisms of the body.
These men simply have not learned to focus their attention on the pleasurable sensations that accompany their rising excitement. Most premature ejaculators do not have major psychological problems — they just have poor control and lack awareness of their sensory cues. In cases where psychological issues are involved, they may be related to early negative experiences, such as masturbating quickly to avoid getting caught or discovered, visiting prostitutes, etc.
In therapy, special homework asments are given for learning to focus on the sensations of arousal and tension leading to ejaculation, and for learning new skills and behaviors that will prevent or delay ejaculation. PE is highly treatable and a trained sex therapist is very successful resolving it. Studies show that 80 to 90 percent of the men who take advantage of sex therapy for PE achieve better control.
Retarded Ejaculation Male Orgasmic Disorder Other terms: inhibited male orgasm, ejaculatory incompetence, retarded ejaculation. Delayed ejaculation is the inability to ejaculate inside the vagina during intercourse. Men with this condition need extensive stimulation to orgasm, or, in some cases, are unable to reach orgasm. Many men who cannot ejaculate during intercourse may be able to reach orgasm by masturbation, or manual or oral stimulation by their partner.
Common reasons include heavy alcohol or cocaine use, narcotic addiction, and use of psychoactive drugs, including tranquilizers and antidepressants. Some married Sex Alma women seeking men with this disorder can only orgasm with other women. Treatment for Male Orgasmic Disorder generally involves exploring psychological issues, graduated homework asments and behavioral techniques that minimize performance pressure and maximize the focus on pleasure to increase response time.
One of the most common complaints by women is the inability to achieve orgasm. About 15 percent of woman do not experience an orgasm under any circumstances with any type of stimulation. Treatment focuses on emotional or situational factors that that may contribute to the problem. Therapy usually involves giving information and asing specific techniques to be practiced at home. These steps help reduce anxiety and modify the tendency to be overly focused on preorgasmic sensations. A unique program of therapy is deed for each woman that will help her discover the sensations that will give her enough pleasure for orgasm.
These new skills can ultimately be incorporated during interplay with her sexual partner. With this type of therapy program, most women can learn to become orgasmic. Women can occasionally experience pain during intercourse.
But persistent painful intercourse should be brought to the attention of a medical professional. Intercourse pain can be a of endometriosis, infection or sexually transmitted disease, vaginal dryness from lack of lubrication, inadequate foreplay, allergic reaction to a douche preparation or spermicide, or thinning of the vaginal wall in postmenopausal women. Once physical causes of pain are ruled out, psychological factors can be evaluated. If dysparenia has existed for months or years, psychological counseling is suggested to address stress or anxiety about sexual intercourse.
Women frequently have tension, fear or anxiety accompanying intercourse. Some have psychological trauma, often stemming from a history of sexual abuse or trauma.
Painful intercourse can disrupt sexual interest and cause relationship or marital problems. Professional help should be sought as early as possible for this condition. This is a disorder in which the muscles surrounding the outer third of the vagina opening go into involuntary spasms making sexual intercourse difficult or impossible.
In addition, women with this condition may have difficulty using tampons and having a gynecological exams. Attempting sexual penetration may lead to pain, humiliation, feeling inadequate or fear of having sex.
Sexual abuse from childhood, rape or a painful first sexual experience is the most common psychological causes of vaginismus a defense against recalling the painful memories. Other factors may be: fear of intimacy, fear of pregnancy and a woman unconsciously expressing anger towards her partner. Treatment of vaginismus includes educating the couple about this condition, psychotherapy for underlying emotional problems, self-esteem, body image and relationship counseling for the marital stress this problem usually brings.
A reconditioning program directed at eliminating the vaginismus reflex using dilators could be very successful in treating this condition. Some people with sexual problems have experienced sexual trauma like sexual abuse, incest, molestation, rape asor adult. Sexual trauma can cause a wide spectrum of sexual problems, including the inability to reach orgasm, lack of interest in sex, vaginismus, fear of intimacy or touching. Research indicates that about one in three women and one in seven men have been victims of sexual abuse as children.
Sexual abuse lacks the essential conditions for a positive sexual experience — consent, respect, trust and safety. Children who are sexually abused are robbed of the opportunity to explore their sexuality at their own pace.Sex Alma women seeking men
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Sex Therapy: Is it for you?