Testosterone Pellets: What You Need To Know

There are several FDA approved testosterone medications on the market for men.  Zero for women.  At the center, we only prescribe medications that have been approved by the FDA and are bioidentical.  Testosterone pellets are a great alternative for women who have been using topical testosterone products and are tired of applying testosterone gel to …

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What’s Wrong With This Picture?

I was perusing the December 21 & 28 edition of The New Yorker, when I came across Harry Bliss’s cartoon of two women sitting in Sofi’s Café with the caption: “Lately, I feel like the only time I have to myself is when I’m having sex with Brian.” Click here to see the cartoon. Having time to …

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The G Spot and Female Ejaculation

The argument over female ejaculation goes on and on and on. While no one really argues that some women “squirt” when they have orgasm, the scientific world seem split down the middle about what is in the ejaculate. Half the scientific world say that women’s secretions are primarily urine based, that is women pee while …

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Porcupine’s Dilemma

While listening to patients talk about how their desire to get close to someone is often constrained by their perceived need to “self-protect,” I couldn’t help but think of the Porcupine’s Dilemma, a parable made famous by German Philosopher, Arthur Schopenhauer. This parable describes a cold winter day where a group of porcupines huddle together …

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Why Couples Therapy Needs To Talk About Sex

If I had a dollar for every time I’ve heard of a couple in couples therapy with a therapist who never asked about sex, let’s just say I’d have many, many dollars. Yes, therapy should begin where the client is, and if a couple goes to therapy for a specific issue supposedly unrelated to sex, …

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Gratitude For The Holidays

In the mental health profession, we sometimes refer to this time of year as the “busy season.” The holidays are often a time of stress and with family members that we usually only see during the “holidays.” Many patients who I have not seen in months call and ask if I have a few …

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Affairs: Can They Be Good For Everyone?

Affairs – they can be incredibly complicated. And the web that is woven can often involve more than the two people married to each other and the outside love interest. Last week, the ethicist in the NY Times responded to a letter written to him about an affair. I think he did a pretty good …

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SAD: Seasonal Affective Disorder

Seasonal Affective Disorder (SAD) is a type of depression that’s related to changes in seasons. Most of my patients complain that their symptoms begin in the fall, continuing through the winter and end in the Spring.  However,  some patients feel SAD in the spring or early summer. Symptoms of SAD include: Irritability Low energy Low …

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