Vulvovaginal atrophy.

Vulvovaginal atrophy (VVA) is a common condition in menopausal women. It is most commonly caused by decreased estrogen levels which affects the vaginal tissue. This tissue becomes thin, pale, dry, friable and inflamed. Women will often complain about vaginal dryness, decreased lubrication and/or pain at the vaginal entrance. Other symptoms include pruritis (itchiness), bleeding, urinary …

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What’s the secret to making romantic love last?

Dining and Differentiation What’s the secret to keeping passion alive? There’s no one best answer, and every couple is different. But many therapists, myself included, talk about something called “differentiation” as a key factor. Differentation means being able to take care of yourself, as a separate person, while you’re in intimate dialog with your mate. …

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Topical hormones — keep away from children and pets!

Pediatricians and veterinarians around the country are reporting a strange phenomenon: children are showing signs of premature puberty and spayed dogs and cats (even puppies and kittens) are suddenly becoming hormonal. Although there can be a myriad of factors contributing to this trend, one culprit has concretely been identified- topical hormone transference. Estrogen and testosterone …

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Ask for it.

We had a patient today who told us that her sex life had improved significantly but that sometimes she just wanted more. I pushed her a bit to talk about what “more” was for her and she struggled with the answer. Finally she sighed. “I guess, like, sometimes I want more orgasms.” I looked at …

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Can Wellbutrin improve sexual functioning?

Wellbutrin is in a class of drugs known as serotonin-norepinephrine reuptake inhibitors, or NSRI. It is commonly prescribed as an anti-depressant and well known as a drug that can help people stop smoking. Simply speaking, Wellbutrin works by raising dopamine levels. What many people don’t know is that dopamine levels are closely linked to arousal …

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Monogamy and desire.

Author Esther Perel wrote the book, Mating in Captivity, in 2006. This is a great book for looking at the complicated relationship between long term monogamy and ongoing desire. Perel articulately explores how often our longing for stability and comfort can annihilate passion and desire. Perel furthered her research by traveling the world and asking …

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The sponge — it’s back!

Remember the Seinfeld episode where Elaine freaked out when she heard her beloved sponge was going off the market? I remember wondering, ‘What the heck is a sponge??” Well, the sponge is back and I’m sure Elaine is dancing somewhere in excitement. (Wait a minute…how old would Elaine be now???) The sponge is a form …

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Grandma’s got her groove.

Getting older doesn’t mean you just want to knit sweaters all day. A recent poll by Age UK, a British organization that aims to improve quality of life for seniors, revealed that out of 2,000 senior citizens polled in Great Britain, almost two-thirds of its participants enjoy a fulfilling sex life. One in eight (12%) …

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Are you done when he’s done?

It happened again today. A patient told me she was enjoying sex with her husband but that sometimes it was a little bit frustrating. When I asked her to explain she said “Well sometimes I don’t orgasm before he does or sometime I do orgasm before we have intercourse but then he has an orgasm …

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“The Secret Lives of Wives.”

The Secret Lives of Wives, by Iris Krasnow is a pretty interesting exploration of long term marriage where she investigates marriages that last between 15 and 70 years . She has also written books called, Surrendering to Marriage and Surrendering to Motherhood. Krasnow is a journalist by training. The book is an easy read because …

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