43% of women suffer from sexual dysfunction.

When you hear the words “sexual dysfunction” do you think of it as a male or female problem? The vast majority of people think that only men suffer from sexual dysfunction. They think of erectile dysfunction. They think of Viagra. They may snicker at the thought that women can also suffer from sexual dysfunction. Most …

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HRT reduces risk of heart failure and heart attack.

A paper published in the BMJ Group’s Journal of Family Planning and Reproductive Healthcare cast doubt on the Women’s Health Initiative (WHI) and the Million Women Study, which associated hormone replacement therapy (HRT) with an increased risk of breast cancer. As years go by it is becoming more evident that the Million Women Study is …

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Emotional affairs.

I recently had a friend ask me if I thought an emotional affair was dangerous. She asked me this question because she has been having some difficulty in her marriage and she found herself being drawn to a close family friend. They had a lot of shared history and she felt comfortable talking to him. …

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Dopamine and sexual functioning.

Dopamine is a neurotransmitter, which is a chemical released by nerve cells to send signals to other nerve cells. “Dopamine plays a major role in the brain system that is responsible for reward-driven learning. Every type of reward that has been studied increases the level of dopamine transmission in the brain, and a variety of …

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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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