Posts Tagged ‘sexual problems’

“IT’S ALL IN YOUR HEAD!” and other myths about painful intercourse

Friday, May 14th, 2010 by Shannon Bertha, ACS, DHS

I’m tired of doctors telling patients “it’s all in your head,” a quick response to a problem because they do not know what to say or how to help. Although this may be true in some circumstances, shouldn’t doctors acknowledge what a patient tells you? How do you know what they are feeling, emotionally or physically?

The other day I had a woman state that she had been to numerous doctors, who told her the pain she was experiencing was “in her head.” Rather than acknowledge this issue or explore it, they dismissed her, her feelings, even her symptoms!

What does this patient do? Feeling hopeless, as if pain during intercourse is something she would have to endure the rest of her life, she goes to the internet and finds something called vaginismus, painful intercourse . She reads testimonials on various websites, and learns that other women also experience pain during intercourse and this is not something “in her head.”

These women are, in fact, able to find treatment with specialists who have decades of experience with treatments, and which also house the newest solutions to this problem. At the Medical Center for Female Sexuality, we are able to treat patients with vaginismus relatively quickly in most cases; and most patients complete their treatment and go on to have satisfying, pain-free intercourse.

I commend women on their tenacity to find an answer to this problem and to not settle for “it’s in your head,” even if it comes from a powerful influencer such as a medical doctor. We know our bodies better than anyone can because we feel what is happening. So, trust those feelings and if you feel something that doesn’t seem quite right or the way you thought it should be, search until you get your answer or until you can find someone who can answer and acknowledge and treat this condition.

Sexual Disorders? Here’s what the new DSM-V says..

Monday, February 22nd, 2010 by Bat Sheva Marcus LMSW MPH PhD

 The  Diagnostic and Statistical Manual of Mental Disorders, (or the DSM as it is lovingly referred to by those of us in the profession) is the basic guide for psychological and psychiatric diagnoses. Put out by the American Psychiatric Association  it catalogues “disorders.” Often there is much debate about the legitimacy of labeling something a “disorder.” For example for many years homosexuality was considered a disorder by the DSM. In the most recent addition, however, it has been removed.

 So in the field of sex it is a common game we play to see what things the APA has labeled as a disorder today…. Liking sex too much? Having it too often? Getting turned on by high heels? The new DSM (the 5th) is slated to come out with its changes in the next few months. Here’s a great article on the general concerns regarding what is included and what’s not:

http://www.advocate.com/Society/Commentary/Sex_Disorders_According_to_the_APA/

 

Feel free to put your two cents in!

MCFS Clinical Director responds to the New York Times

Tuesday, December 1st, 2009 by Bat Sheva Marcus LMSW MPH PhD

New York Times

Sunday Magazine

November 29, 2009

 

Dear Editor:

Daniel Bergner’s article in the Times magazine section, Women Who Want to Want, once again poignantly expresses both the deep distress felt by women with the loss of their libido as well as the complexity of understanding and treating the condition. Women’s loss of desire, while experienced sharply and distinctly, can be extraordinarily varied in both its primary cause,  its contributing factors and in the range of treatment options. 

Women’s sexual problems, of necessity, must be assessed by integrating the emotional, physical, chemical and  psychosocial perspectives in order for us to be successful in treating them.  Most often, as your article states, recommended treatment protocols are unilateral; the underlying assumption being that one “magic bullet,” should alleviate the problem. Often we find that this leaves women who have tried a single approach feeling as though they have failed;  and more hopeless, resigned and unhappy.   

Only with an integrated approach to diagnosing and treating women with female sexual dysfunction, more will have a better chance at achieving what they are looking for, a full and satisfying sex life.  While critics may believe this is yet another “luxury” health problem, we’re certain none of them would want to settle for a tepid sex life.  And if what we see in our practice is any indication, they’re in good company. 

Bat Sheva Marcus LMSW, MPH, PhD

Clinical Director

Medical Center for Female Sexuality

2975 Westchester Avenue

Purchase, New York 10577

(914) 328-3700

260 East 66th Street

New York, New York 10065

(646) 839-0700

www.centerforfemalesexuality.com