Archive for July, 2008

vaginismus

Monday, July 28th, 2008

I have to write about vaginismus. It’s a condition where a woman can’t get a penis into her vagina. It can be mild… so mild that often-time she can get a penis in the vagina for very short periods but it’s unpleasant and painful. Or it can be severe, so severe, she can’t touch herself near her vagina,can’t have a gynecological exam, can’t insert a tampon.

It is one of the most devastating conditions we see in patients. Not becaus ethe absence of intercourse is by definition the loss of a sex life. But these women start to think that there is something crazy and abnormal about them. They start to feel horrible about themselves. They start to avoid any sexual encounters with partners. Some even go so far as to stop dating altogether.

Seeing vaginismus patients has become a large part of our practice. I used to think it was much rarer than I do now. My heart breaks for these patients. Part of the problem is psychological, they are uptight, scared, anxious, petrified. Much of the problem is physical. Their vaginas are tight and there is pain. What always strikes me is how much avoidance these women exhibit. They have every excuse in the book why they haven’t dealt with the problem, can’t deal with it now, and can’t do excercise. The physical part of it is very treatable, if they don’t run away petrified. And no. I haven’t seen a correlation with sexual abuse.

Viagra and women

Wednesday, July 23rd, 2008

Do we go around in circles? Here’s an article which suggest that Viagra helps women who are having trouble with orgasm due to antidepressants. I have to say, our anecdotal experience corroborates the findings. the article does add that Viagra doesn’t do anything for “desire.” Hmmm…. well sure. Viagra helps blood flow, thus making it easier to orgasm. Anyhow, here’s the article. Enjoy

On "remote control penises" and other such inventions

Monday, July 21st, 2008

You never know that the next “big break through” is going to be. Or what’s just around the corner. Here’s an amusing article from the San Francisco Chronicle on The Remote Control Penis and, as a secondary issue, the “remote control birth control for men.” Have a chuckle and ladies… who knows? Maybe condoms, diaphragms and birth control pills will  have seen better days.

One person at a time…

Friday, July 18th, 2008

I received the following e mail anecdote from a fellow sexologist the other day.

I thought it should be filed under the headings of “you’re never too old to have a sense of humor about sex” and “you never know where you’ll find help..”

Enoy:

Thought you might appreciate this real life conversation I had today

My 86 year old neighbor and I were talking in the hallway. We have had
coffee before and she knows I changed careers and am now a sexologist.

She whispers to me, “I have something funny to tell you.” We stepped
into my apartment and in a regular voice she says “Recently, I met
with my physical therapist and were discussing my bones, joints and
exercise activity. He tells me that it is okay if I move around a bit.
I had the strangest flashback as that was the same thing my first lover
said to me some sixty years ago”!

We had a great laugh together and she said she had wanted to tell
someone how funny it was, but I was the only person who would
understand.

We are always helping to promote a sex-positive world, even if
sometimes it is one person at a time!
Pamela Dare Rogers, Ph.D., D.H.S.

It isn't all in your head

Tuesday, July 15th, 2008

Somehow, we women have gotten a raw deal. Everyong thinks our problems are in “our head.” It makes me INSANE… insane I tell you… when a women comes in and tells me she’s had vaginal pain for 3 years and since the doctor didn’t “see anything” she’s spent the last three years in therapy discussing why she might be having the pain. Listen women… pain is pain. In MOST cases you feel pain when something is not working right, NOT because you had a controling father. So don’t let anyone tell you it’s in your head when it’s not!!

I'm not sure if this should be titled more BDSM or Privacy…

Wednesday, July 9th, 2008

Here is an interesting and relevant article from today’s NY times – Talk About Privacy. A wealthy high level executive in Britain is involved with BDSM  and the story is picked up by the tabloids. It might cost him his job and he has now taken the case to court claiming a severe invasion of privacy. Good for him. It is. Once again I need to ask the question –”why are we all so interested in looking into each other’s bedrooms????” Is it because our sex lives are so unsatisfactory? Is it because we don’t allow normal conversation and discourse on the issue so we all have to resort to being peeping tom’s through the tabloids?” Any thoughts?

BDSM

Sunday, July 6th, 2008

I just came back from an AASECT conference (American Association of Sex Educators Counselors and Therapist — yes… there really is such a thing.) It was held in New Orleans of all places. Just imagine 800 sex therapists of one kind or another together in the sin city of the world. It makes for some great stories!

All kidding aside, it did make me feel like I needed to do a post on BDSM. BDSM  stands for some variation on Bondage/Domination/Sadism/Masochism, since it seems that many people are involved in this in one way or another. Believe it or not it covers a wide range of activity from much that is mainstream to much that is considered much “kinkier.” Take a woman who likes to be “pushed around” when she is having sex, or who likes her lover to be the strong man and “take her.” That’s part of it. How about a guy who likes to have his girlfriend use his tie to playfully tie his arms to the bedpost? All of that would fall into the category of BDSM behavior. So there are many people who like to be involved in BDSM of some sort.

Clearly there is a wide range and many BDSM activities can be more severe, or more controlling or even more painful, although I think most of the people involved in these activities would say that pain and pleasure are mixed together. And all responsible BDSM activity always should include a “safe” word, a word that you and your partner know means “enough. Stop it right now…”  And that word should not be “no” or “stop” because people say that half of the fun is being able to wriggle and say “no. stop” knowing full well that he or she won’t and that they really don’t want them too?

At the point where an individual really  wants pain only you should consider it out of the realm of the sexual activity and a dangerous zone. But it’s important for people to realize that a little BDSM “play” (dressing up in leather, telling your partner exactly what you want them to do while you sit watching from the sidelines, or asking for few spanks on the rear end) is part of the fun for some people, making sex a little illicit, a little naughty and much hotter. For many people BDSM is not their thing… and you should never let yourself get talked into taking part in something you don’t want to do. Like romantic walks on the beach… BDSM does it for some people and not for others.

If you haven’t seen the movie ”Secretary” which depicts a more intense BDSM relationship, you may want to rent it –