What is dyspareunia?

Dyspareunia is the term that refers to any recurrent genital pain that women experience when they have sexual intercourse. Vaginal pain can develop into a cycle of anticipation of pain which can then cause physical tension that will maintain or increase pain. Women will then naturally avoid having sex in order to avoid the pain. Possible causes of dypsareunia include functional, medical, and psychological conditions. Sex Therapy Los Angeles

To read more about the causes of dyspareunia, go to http://www.sexwithoutpain.com/dyspareunia.htmo

Patrick Carnes comments on sex addiction on CBS

See last weeks early show on CBS on Sex Addiction.


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Sex-Surrogate Therapy

Many people think sex-surrogate therapists are a thing of the past.  Fortunately for many, they are not! Sex Therapy Los Angeles

A sex-surrogate therapist can act as a substitute partner if you don’t have a partner at home who is able or willing to work with your sexual concerns.  Often surrogacy is limited to women helping men because men seem to have more sexual problems during sex with women.  A qualified sex- surrogate often has extensive training and creates a safe and supportive environment to resolve sexual issues.

When working with a sex-surrogate, it is advisable to be in therapy with a sex therapist.  This creates a comprehensive program because the sex therapist and sex-surrogate can create a treatment plan together with you to fit your needs.

To learn more about sex-surrogate therapy visit the Center for Sexual Enhancement’s website at:


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Premature Ejaculation in Pakistan

Some time at the beginning of 2009 I got an email in my info@centerforhealthysex box from a man named “Michael” in Pakistan.  He wrote that he was suffering from high anxiety and premature ejaculation and had the courage to reach out and ask me for help.  Knowing that his problem was not unusual and fairly easy to address, I referred him to two books I thought would be helpful.  To my surprise, he wrote back telling me he was a student who could not afford to purchase books and had no means to charge books on-line.   Sex Therapy Los Angeles

Buying a book on-line is a basic transaction in my world so I was taken aback that this simple activity was a hardship for him.  So I decided to buy the books for “Michael” and mail them to him in Pakistan.  After a debacle with a bookseller on Amazon and a number of communiques with “Michael” as we waited for the books to arrive at my office, I finally sent the books via US mail.  I have to say I was not that confident that he would get them because his address was so convoluted.  It read something like this: the name of his employer, across from the butcher shop, next to the bank, Pakistan and a postal code of sorts (I’m not kidding!)

Ten days later, “Michael” received the books and sent me a thank you note.  He was incredibly grateful and began reading them.  After a few months, I received an email from him letting me know his progress.  I think you might be as moved as I was when you read his note.  It reminded me how little it takes to help someone restore their sexuality.  For those of you who have more access and resources than “Michael” did, I hope this inspires you to reach out and get help.  

Once I was very worried about my P E. I was unable to know why it occurs.
I used to ejaculate within a minute . Luckily I got two useful books recommended me by honourable Miss Alexandra
Katehakis. The name of one book is : Coping with Premature Ejaculation written by Michael E Metz and Barry W Mc Carthy. The book has a biopsychosocial approach which has not only helped me substantially to control rapid ejaculation, but also increased my sexual joy. For the first time, I understood the multi causal and multidimensional problem of Premature Ejaculation and to enjoy sex with enhanced ejaculatory control. The book presents different diagnostic methods and tools to scientifically evaluate and assess P.E. I came to know exactly in what type of P E, I was suffering from. I also found the psycho sexual exercises very useful.
The other book that was recommended me was : Anxiety and Phobia Workbook written by Edmund J
Bourne. For most people, P E is caused by anxiety. The book has a holistic approach to overcoming anxiety, phobia, depression etc.  When I learned how to manage my anxiety, I gained good control of my P E.
In short I found these two books very beneficial and I recommend these books to all those guys who are worried about their premature ejaculation. I am still on the path of progress.
With best wishes

Are you having sex with a sex addict?

If a woman’s partner is a sex addict, first and foremost she should make sure that any sex she is having with him is safe sex. Sex addicts frequently engage in risky sex, which may include unprotected sex.

This can be a difficult thing for a woman to ask of her partner, primarily because it requires confronting his infidelity, but a woman’s health can depend on it. It is also important for a woman whose partner is a sex addict to seek counseling for herself as well as her partner. Being in a relationship with a sex addict can have a real effect on a woman’s self esteem, and her feelings of desirability, power and trust.

To read the rest of this article go to http://www.estronaut.com/a/sex_addiction_what_is.htm

Are you worried about sexual performance?

Erectile dysfunction and anorgasmia can leave people feeling isolated, alone and afraid that something is wrong with them.  A good sex therapist can help you take a detailed look at the messages you got about sex and sexuality, how you view your masculinity/feminity, how you feel about your body, and your past sexual experiences. Sex Therapy Los Angeles

When you step out of the ideas you have about what you think you should be and let yourself be who you really are, sex becomes less about a performance and more about an expression of yourself.

Take a look at this article and let us know what you think by clicking the comment button below. http://www.archive.drsommers.com

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Premature ejaculation

Premature ejaculation is one of the most common dysfunctions a man can have.  If you think you ejaculate too fast, then you probably do.  Don’t despair though, this is an easy enough problem to overcome.

This article gives some sound, simple exercises to try.


If after you try these suggestions and still feel you need help, contact a sex therapist.  You can find one in your neighborhood by going to:


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If you can tune in to the Dr. Jennifer Berman show this Saturday night, Deena Goodman, Vaginal Physical Therapist, will be a guest on the show, which should air from 11-11:30pm PST.

Deena will be talking about anorgasmia and the type of work she does as a Physical Therapist to help women who are unable to achieve orgasm.

This should be a ‘hot’ night of radio, and just in time for Valentine’s Day!

Tune in to Progressive talk radio station, AM1150 radio.
Thanks for listening!

Erectile Dysfunction

At Risk: Men With Dysfunction Should Ask About Heart


Erectile dysfunction is almost as strong a predictor of heart disease as smoking or family history, according to a report published last week in The Journal of the American Medical Association.

Researchers studied 3,816 men with erectile dysfunction and 4,247 men with no dysfunction, and they tracked the incidence of angina, heart attack, arrhythmias, stroke and other heart problems over seven years. Men who reported erectile dysfunction before or during the study had a 45 percent increased risk of a cardiovascular event compared with men who never reported the problem.

“Erectile dysfunction is treatable,” said Dr. Ian M. Thompson, the lead author of the report and chairman of urology at the University of Texas Health Science Center at San Antonio. “It may be the event that gets a man in to see a doctor. That patient should ask his physician: ‘I used to smoke. My dad died of a heart attack. Now I have E.D. Do I need further evaluation?’ Then the doctor has additional responsibilities to think about cardiac illness as well.”

The link between erectile dysfunction and cardiovascular disease, the authors write, has previously been established, but the magnitude of the effect has not been known until now.

The authors acknowledge that the results depend on patient reports of erectile dysfunction that may be difficult to assess and that they did not collect data on blood pressure medications or medications for erectile dysfunction, which may have altered the results.

Still, the association held even after controlling for smoking, cholesterol level, family history and other factors.

December 27, 2005
The Consumer

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Erectile Dysfunction

Are you and/or your partner concerned about erectile dysfunction?  Many men suffer from this problem and often times the solution to the problem is easier then people think.

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Here are some frequently asked questions:

What Is Erectile Dysfunction?

Erectile dysfunction, commonly referred to as ED, is the inability to achieve and sustain an erection suitable for sexual intercourse.

2. Is Erectile Dysfunction a Normal Part of Aging?

No. ED doesn’t have to be a part of getting older. While it is true that older men may need more stimulation (such as stroking and touching) to achieve an erection, they should still be able to get an erection and enjoy sex.

3. Can Erectile Dysfunction Be Prevented?

For people who are at risk of developing ED due to personal behavior, such as drinking too much alcohol, steps may be taken to prevent its occurrence. However, other causes of ED may not be preventable.

4. How Is Erectile Dysfunction Treated?

There are many different ways ED can be treated, including: oral medications, sex therapy, penile injections and surgery. Each type of treatment has its own advantages and disadvantages. Talk to your doctor to determine the best treatment for you.

5. How Successful Is Viagra at Treating ED in Diabetics?

Viagra is generally a successful therapy for erectile dysfunction, with about 50% of people achieving positive results using the drug with a minimum of side effects.

6. Does Insurance Cover ED Treatment?

Insurance coverage of ED depends upon the type of treatment prescribed. If there is a documented medical condition that is shown to be causing ED, insurance will usually cover at least some of it. Sex therapy and medications that have not yet been approved by the FDA, however, are generally not covered. Along with sexual therapy and medications not approved by they FDA, Medicaid does not cover vacuum constriction devices or penile implants. Talk to your insurance provider to determine if the treatment you are considering will be covered.

Reviewed by the doctors at the Glickman Urological Institute at The Cleveland Clinic.

Edited by Charlotte E. Grayson, MD, WebMD, June 2004.

Portions of this page © The Cleveland Clinic 2000-2004

For more information on this topic, visit http://webcenter.health.webmd.netscape.com/content/article/57/66226.hz=1818_00000_0000_rl_06

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