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Sexual Problems & Solutions. Chapter 7. What is a Sexual Problem?. Evaluating a Sexual Problem. Duration: Primary or Secondary -How long has this been happening? Context: Global or Situational -Does this happen every time or in certain settings? Frequency: Total or Partial
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Sexual Problems & Solutions Chapter 7
Evaluating a Sexual Problem • Duration: Primary or Secondary -How long has this been happening? • Context: Global or Situational -Does this happen every time or in certain settings? • Frequency: Total or Partial -Does this happen every time in that setting or only some times?
Biological or Physiological Causes Neurological Hormones Vascular Physical Injury Alcohol SSRIs
Psychological Causes Stress People with PTSD have higher rates of sexual problems
Relationship Issues • Loss of Trust • Poor Communication • Anger and Resentment • Conflicting Sexual Expectations • Lack of Respect • Loss of Love
Sensate Focus Video: How to do Sensate Focus 1970
Masturbation as a Technique • increases awareness of bodily sensations • helps partners explain what feels best • sexual release while working on issues • can work on sexual difficulties alone
Male Erectile Disorder Penile Tumescence Monitor Penile Implant
Female Sexual Arousal Disorder • Negative Side Effects from Testosterone • Acne or oily skin. • Male-pattern hair loss from the scalp. • Male-pattern hair growth on the face and body. • Anger and hostility problems. • Shrinking breast size. • Hoarseness or a deeper voice. • Irregular menstrual cycles, if you have been menstruating. • An increase in the size of your clitoris.
Male Orgasmic Disorder 8% or less of men have experienced delayed or inhibited ejaculation Squeeze Technique
Painful Sex • Causes • STIs • vaginal infections • psychological issues • certain medications • allergy to latex/spermicides • Causes • past trauma • fears of pregnancy/STI • painful previous intercourse • belief in myths about painful first intercourse