On scheduling sex — when you have kids.

Often times I’ll tell patients with children that they need to schedule specific times for sex. They will look at me quizzically, not quite getting what I am suggesting. “Good sex” in our society is so often synonymous with “spontaneous sex,” that to suggest scheduling sex, is almost like suggesting sex with your clothes on. …

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Resolve Nothing

As a new year begins, we often here people speak about their “New Year’s Resolutions.”  More often than not these resolutions are about changing something about yourself. Popular ones include: losing weight, getting to the gym more often, eating healthy, etc.  But what if we stopped and thought for a moment about what we like …

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Understanding Vulvodynia

If you have vaginal pain with intercourse, you may have been diagnosed with vulvodynia. And you may feel terribly confused by all the information you are getting from your doctor or from looking up the condition on line. And that’s totally understandable because the truth is that there can be some disagreement by doctors themselves …

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New Treatment for Provoked Vestibulodynia (PVD)

I am so excited to share with you a new treatment for Provoked Vestibulodynia (PVD) called low level laser therapy. PVD is defined as chronic, unexplained, vulvar pain in response to or pressure. This pain may be in response to non-sexual activities such as tampon insertion, or gynecologic examination. Most patients with PVD present …

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Exercise and Sex

On the subject of exercise, one of my favorite lines is from the movie “Legally Blond”.  Elle Woods, played by Reese Witherspoon, declares: “I just don’t think that Brooke could’ve done this [murder]. Exercise gives you endorphins. Endorphins make you happy. Happy people just don’t shoot their husbands”.  While the logic is a little um, stretched, she definitely has a …

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Vulvodynia – Do I really need surgery??

There is a certain type of vulvar pain which until now was basically untreatable without surgery. The good news, we always told patients, was that with the right surgery there is a 98% chance that you will be pain free. The bad news, unfortunately, was that the surgery is pretty miserable. You’re out of work …

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Intrarosa- Treatment for Post-Menopausal Pain

There is a new drug out there for the treatment of post-menopausal pain with intercourse called Intrarosa. It was recently approved by the FDA and adds yet another treatment option for women that are experiencing the painful effects of postmenopausal vaginal atrophy. It is a daily use vaginal insert. This new treatment would be for …

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Did You Know?

In our center, we often discuss—with our patients and amongst the staff– the myths and misconceptions people have around relationships and sexuality.  But it’s hard to be aware of it, because you don’t know what you don’t know. And with the abundance of inaccurate sexual information all over the place, it’s difficult to get the …

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On Kissing

Why we kiss. How we kiss. When we kiss. You never knew that kissing could be so complicated. But it really is! Whether kissing is a prelude to sex, a way to assess your potential partner or not connected to sex but merely a way to stay intimate has been studied for years. And honestly, …

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Rethinking ERT to Ease Menopause Symptoms

The New York Times wrote a blog about rethinking the use of hormones to ease menopause symptoms. The biggest debate over Estrogen Replacement Therapy or ERT is whether the risks outweigh the benefits. Such risks include breast cancer, heart disease, stroke and blood clots. The Women’s Health Initiative was a large randomized study that showed …

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