Fantasies… Fantasies… Fantasies…

When I fantasize about something, does that mean that I really want that thing to happen? (I get asked this all the time!) NO. No. And no. All it means is that you like to fantasize about that activity/act/event. Now, very commonly women get upset about their fantasies because they think that they are not …

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Finding Your Way

Whenever I use GPS on my phone, it takes a few moments for it to find my location. Otherwise, the app can’t help me get anywhere.  Sometimes, people avoid coming in for treatment because it can be scary to slow down and see where you’re at on the map; whether it’s an individual issue or …

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Happy Birthday Smiley Face!

The smiley face is 50 something years old. It was created by Harvey Ross Ball, an American graphic artist to raise employee morale at the company for which he worked. His design has become the most iconic version and there have been many variations since its inception. The notion that an idea can be conveyed …

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Punishing Sex Offenders

Our country hates and demonizes sex offenders.  Their punishments are often severe and life-long. We punish them far more harshly than we do any other type of offenders. And this is largely based on the fact that we believe sex offenders have “very high” recidivism rate. That is, we believe that once “let back out …

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Libido: Easy Come Easy Go

Where did my libido go? This is a very common question we get at Congtythamtu Women’s Health. Often decreased libido is associated with pregnancy, early parenting or menopause. It is important to remember that 90% of sex occurs between the ears, not between the sheets. What goes on beneath the sheets is a reflection of …

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Transdermal vs. Oral Estrogen for Menopause

For the treatment of menopausal symptoms, I have always preferred using the estradiol patch as opposed to oral estrogen (oral conjugated equine estrogens). With the patch, which allows a continuous delivery of estrogen, you don’t see the same fluctuations of estrogen as you do with the oral pill.  The absorption through the skin bypasses the …

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Make Sex Normal

How often do you think about sex? The best answer –as often as possible. This is the message behind a new website called Make Sex Normal. Make Sex Normal was created by Debby Herbenick PhD a sex educator at the Kinsey Institute. When sex is made normal it implies that sex is totally devoid of …

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Another Attack on Healthy Sexuality

There are numerous things that continue to surprise me as a therapist. I have worked with hundreds of sexual assault survivors for over ten years, and very few ever reported the assaults.  There are numerous reasons for that, but one reason that continues to shock me is the shame these individuals feel in disclosing the …

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You May Not Need The Vestibulodynia Surgery After All!

So you’ve been told you need surgery for your Vestibulodynia. Maybe you do. And maybe you don’t.  A new treatment protocol might make that surgery unnecessary. Provoked Vestibuloydynia (PVD) is clinically defined as chronic, unexplained, vulvar pain or discomfort in the vulvar area in response to any type of pressure.  The pain may be in …

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