PGAD (Persistent Genital Arousal Disorder).

We recently had a PGAD patient in her 80’s. The PGAD (or PGAS) started a few months ago after a head trauma and a broken hip. Her symptoms were classic: constant genital engorgement (she described it as heat and a feeling of fullness) and a burning feeling that was always present and was driving her …

More

Gender differences.

In a recent article by Fisher and Alexander, the researchers posit that the differences between the sexes (in terms of sexual beliefs and practices) are really differences in perception rather than in actuality. The differences exist primarily in terms of “ gender norms” that society has created rather than in actual differences. The authors state …

More

Sex and the vibrator movie.

I admit it. I have been waiting all my life (okay, maybe just the last 10 years) for someone to make a quality film about the incredibly interesting history of vibrators. Really. I’m not kidding. And finally, someone is doing it. (Well, I can’t actually vouch that it’s quality, but it is a real film). …

More

Newlywed’s guide to intimacy.

In my work at the Center I frequently see “Torah observant” women who are struggling with sexual and relationship issues in a new marriage. They are from a community where certain rules and rituals must be observed. A new book called The Newlywed’s Guide to Physical Intimacy has just come out by Jennie Rosenfeld, PhD …

More

Seeing vaginismus everywhere.

My husband claims I see vaginismus everywhere. Okay. Maybe he’s right. Maybe I do…it kills me. When I see a woman who is totally avoidant of relationships I suspect she is fearful of penetration. When I see a young girl fearful of tampons, I suspect she is panicked at the idea of putting something inside. …

More

Musings on where desire comes from.

I have been struggling mightily recently with a spate of Ultra-Orthodox women who are completely desireless…I mean totally, completely. Almost asexual. I told my husband the other night that I am embarrassed to admit it but I sometimes despair when I’m working with these patients. We help, but it’s such a struggle. Sometimes I feel …

More

Let’s get it on.

The Guide to Getting it On is a book by Paul Joannides. He describes himself as a research psychoanalyst and he writes a blog regularly for Psychology Today called “As You Like It”. He deals with a lot of important issues in both his book and in his blog, however his style in the book …

More

On learning to kiss and other fables.

A woman I know told me the following story which I thought was wonderful. She has been dating a guy for the past few months who (by all accounts) seems like a keeper. They have a lovely relationship. One day a week or two ago they were on the phone and he said, “You know, …

More

Asexuality.

The concept of asexuality first came to my attention a few months ago when I began to see a young woman who was struggling with the fact that she felt no desire to be sexual. As a teenager she felt ostracized from having no interest in sex of any kind. Her girlfriends were all talking …

More

Adversity and desire.

It happens all the time. A tearful, distraught woman sits down and informs us that: Her husband is leaving her/has left her. Her husband is having/was having an affair. She believes this is due to the fact that they haven’t had sex in (you fill in the blank: 6 months, 1 year, 2 years, 5 …

More