The Challenges of Sexuality in Marriage

If I had to sum up the challenges of sexuality in marriage, it would be a borrowed quote from Dr. Jack Morin, author of “The Erotic Mind”. He defines eroticism as “the interplay of sexual arousal with the challenges of living and loving.” What are challenges of living that can get in the way of sexual …

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The Perk of Predictability

Sometimes unpredictability makes life more fun, adventurous, and interesting. But when it comes to sexual dysfunction, unpredictability can intensify the emotional pain and lead to continued avoidance and distance.  When you can’t trust that your body and mind will show up for sex the way you hope, it may make you want to say, why …

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When vaginismus treatment fails after successful vaginismus treatment

During the many years I treated Vaginismus I have also supported a number of women who regressed after successful vaginismus treatment. The most common reasons are: Returning to a busy work program often coupled with failure to continue dilating Lack of sexual interest, low libido, lack of lubrication, anorgasmia (failure to achieve orgasm) Disgust with …

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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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Lack of a message IS a message.

In our work treating female sexual dysfunction, we often see the same phenomenon take place: A woman will come to us for treatment after years of suffering from an issue that prevents her from having an enjoyable sex life. The issue could be anything from low desire, poor arousal, inability to orgasm or painful intercourse. …

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The rise of arousal.

And the media buzz term of the week is…….female arousal. With the news about clinical trials in the advancement of Lybrido, a new drug being tested that purports to increase sexual arousal in women, the discussion around women’s sexuality has shifted from a whisper to a shout. The idea that a female arousal drug may …

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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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An ode to being aroused.

The other day a patient who was coming from very far away on the train said to us, “I was going to read 50 Shades of Grey on the way down here, but then I figured I might get turned on and couldn’t do anything about it.” Hmmmm…It occurred to me that many of my …

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