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Erectile Disorder

There are few things that have as much power to affect our sex role image as our ability to perform sexually. This is why performance anxiety is such a potent fear for men, merely the thought of losing an erecting is often enough to cause an erectile disorder. Too many men simply stop trying because they are too embarrassed to look for help. They feel they are frustrating and letting down their partner and feel guilty, it does not have to be this way. Don’t let anyone tell your sex life is over until you decide it is.
Sex therapists are trained to assist people to work through the anxiety of not being able to perform sexually and sort out what are physical reasons such as age, medications, illness and lack of male hormones and what are psychological reasons such as stress, anxiety and dysfunctional schemas that are disturbing your natural ability to get and maintain an erection firm enough for intercourse.
Some of the most important questions to ask are; Is the issue situational? Or does it happen every time? Is your penis able to obtain the necessary firmness under other circumstances when there is no pressure to perform such as night erections?
There is a great variety of medications, assistive devices and medical interventions that can now be perused. Sex therapists can assist you to narrow your search down to the few essentials that that you need to be able to continue to enjoy sex and feel great about your gender role again.


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Female Orgasmic Disorder

Are you or your partner unable to orgasm? Well you are not alone! Although research has had a very hard time gathering reliable statistics on this pervasive issue it is considered to be somewhere between 10%-70% of all females depending on how you define sex.
It is interesting to note that only 20% of females claim to be able to climax during intercourse and when men are asked they claim about 80% of their partners where able to climax during intercourse. Clearly, there is a major misconception regarding this important physiological function going on.
In fact 100% of females are able to reach an orgasm and even multiple orgasms. How is it possible that so few have mastered the art? Most women are not taught how to masturbate, women get the societal message that its “bad” or “slutty” to have a sex drive and be interested in learning how to masturbate. This is unfortunate as research clearly shows women who learn how to masturbate are much more likely to be able to orgasm during sex and/or intercourse.
Many women struggle with a concept called “Observer Syndrome”. That concept refers to the tendency to focus on how you look during sex, if your partner is enjoying themselves or what chores need to be done, rather than the pleasure of sex. A Sex Therapist can assist you to work through the observer syndrome, teach you effective methods to masturbate and techniques to increase your ability to reach orgasm during sexual activity.

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What happens at a Sex Therapist appointment?

A Sex Therapist works largely just like any other therapist. You can expect to fill out a form about confidentiality called Informed Concent and some other background information.
Many clients like to take time in advance to explain about their particular concern, usually asking if it falls within the spectrum of sex therapy. If your concern is about sex, sexual function or sexual concern, chances are a Sex Therapist can help. In most cases a Sex Therapist will work with both members of the couple if the client is in a sexual relationship.
A Sex Therapist is bound by the same ethical rules as other therapists about confidentiality, boundaries with clients and maintaining a professional relationship. There is no touch or sexual activity that occurs at a Sex Therapist office. There is no removal of clothes or inspection or manipulation of body parts.
There is a lot of re-education about sex and how our bodies function. There will likely be correction of misconceptions about sex, messages we have picked up during our upbringing will be identified and sometimes modified. There will be extensive information and sexual history gathering. A Sex Therapist may assign homework, books, recommend assistive devices, referrals to other professionals and do trauma recovery.
Sex Therapists are trained to talk to people about sex, they will do so in a clinical and respectful manner using appropriate language. It’s a lot easier to talk to a Sex Therapist than you would expect, after all, we want to help you get your sexy on.

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What kind of concerns can you bring to a Sex Therapist?

Sex therapists diagnose and treat a variety of concerns. Many individuals and couples experience a drop of and a lack of desire in an otherwise good relationship. For women it’s called “Female desire Sexual Interest/Arousal disorder” and for men it’s called “Male Hypoactive Sexual Desire Disorder”.

Because human sexual arousal is a complicated process that involves many different mechanisms it’s not always easy to pinpoint one culprit. Many times the “reason” is a combination of factors such as; hormonal imbalance, physiological issues such as endometrioses or scar tissue after giving birth, foreskin that is too tight to name a few. Many sexual issues have come about because of a yeast infection that has been passed back and forth between partners without them ever being treated for it at the same time. Our general health can also play a factor in our sexual response, things like blood pressure, hypothyroidism, diabetes and aging.

Psychological factors tend to be a part of the issue, anxiety is the polar opposite of sexual desire and depression can dampen desire as well. Stress, lack of sleep and relationship issues will affect your ability to experience normal sexual desire.
A good place to start to think about your ability to desire sex is, do you still have sexual fantasies? Do you still (ever) masturbate? Does the thought of having sex with your partner seem like a lot of work? Those are the kind of questions a Sex Therapist will ask you help you find your sexy back!

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What does a Sex Therapist actually do?

There are few things in life we are less comfortable with talking about as our sex lives. A sex therapist creates a safe space to talk about everything you always wanted to know but were too afraid to ask. The most common question I get is “…is this normal?” Chances are they are very normal, they just have not had a chance to experience normalcy because most people are not in the habit of talking about it.

Sex Therapists are specially trained in analyzing and treating the complexity and layers of sexual concerns and can additionally teach their clients to enhance and expand their current level of sexuality.

Sex is a complicated phenomenon, involving bodily functions, expectations, history of experiences, even some unconscious psychological messages and has enormous power to affect client’s self-image. Multiply that complexity by two (or more) people interacting and now we have multiple variables that can interact in unforeseen ways. Don’t believe anyone who tells you sex should be simple, there is nothing simple about it.

Most people grew up with inadequate sex education and sex therapists will spend a fair amount of time re-educating their clients about the specifics of their particular concern.

A sex therapist will diagnose the concern and suggest an appropriate level of clinical intervention. They have knowledge about when to refer clients to doctors, physiotherapists, assistive devices and other resources that can assist them reach their therapeutic goals.