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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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Evaluating 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

    -Does this happen every time in that setting or only some times?


Biological or physiological causes
Biological or Physiological Causes

Neurological

Hormones

Vascular

Physical Injury

Alcohol

SSRIs


Psychological causes
Psychological Causes

Stress

People with PTSD have higher rates of sexual problems


Relationship issues
Relationship Issues

  • Loss of Trust

  • Poor Communication

  • Anger and Resentment

  • Conflicting Sexual Expectations

  • Lack of Respect

  • Loss of Love



Sensate focus
Sensate Focus

Video: How to do Sensate Focus

1970


Masturbation as a technique
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
Male Erectile Disorder

Penile Tumescence Monitor

Penile Implant


Female sexual arousal disorder
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
Male Orgasmic Disorder

8% or less of men have experienced delayed or inhibited ejaculation

Squeeze Technique


Painful sex
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


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