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Although the causes may vary widely, it is important to know that -- whatever the cause -- sexual and relationship issues can be treated. If you or your partner have concerns related to sexual functioning, please contact our office. The advantages of choosing a specialist in couple and sex therapy with specialized training in treating relationship problems and sexual dysfunctions are:. Sexual difficulties may be lifelong or may begin in response to certain life events such as medical conditions or treatment, depression, medication use, change in a relationship, or aging.

Some life changes such as job stress, child birth, relocation, grief or retirement can cause changes in sexual functioning. An individual's history and experiences with sex also influence sexual adjustment and styles of expression. A very common complaint that can rise to the level of a serious personal or relationship problem is the lack of sexual desire or even the avoidance of sexual situations entirely see below.

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This problem may reflect a difference between the desired frequency of sexual contact between partners, or it can come from such diverse sources as serious physical problems, hormonal deficiencies, relationship problems, past sexual trauma, past sexual pain, or negative feelings about sexuality. The key to this issue is the correct diagnosis of the problem because these desire differences so often lead to bad feelings and name calling.

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Sexual avoidance sometimes from anxiety about sex, from pain associated with sexual contact, and sometimes from serious relationship issues including abusive or coercive behavior. Pain felt during intercourse can be caused by physical problems, emotional concerns, or both. For example, a variety of inflammatory conditions which can be difficult to diagnose are sometimes prematurely attributed to emotional causes, although the emotional stress of these conditions often requires attention as well.

A detailed history and referral to your physician for a careful physical examination are needed to better understand the components involved in painful intercourse. The most common and obvious problems are problems with achieving and maintaining an erection.

The popular treatments now available like Viagra may well help the problem, but often mask the difficulties that need to be addressed physically or in the relationship. These problems have in the past been under-diagnosed, discounted as unimportant, or inadequately treated.

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As with all difficulties, this can be a very devastating problem and deserves a good diagnostic understanding before attempting treatments. If you have never experienced an orgasm, you are not alone. For these women, experiencing an orgasm is elusive, yet it doesn't have to be that way. Through the process of comfort and permission giving, education, information, and at-home exercises, you will be able to change the quality of your sexual experience. Orgasm difficulty is often associated with medicines being taken, problems in relationships, or may be related to lifestyle. Lack of desire is a very common problem, which may be due to current stress, relationship problems or health related issues.

Often, arousal problems may manifest itself by lack of lubrication. This lack of lubrication may arise from a of physical and relationship causes and often can be treated. Orgasm difficulties have tended to be a women's "problem" as the erectile problems have been a man's "problem. In addition, having an ejaculation too early premature ejaculation has been one of the major problems that men believe plaque their sexual functioning.

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Although there are medical treatments and causes of such early ejaculation, there are also numerous and clear causes based on anxiety, experience, and learned negative sexual patterns. Do you have any of the following issues? Why Work with a Specialist? Common Sexual Concerns Sexual difficulties may be lifelong or may begin in response to certain life events such as medical conditions or treatment, depression, medication use, change in a relationship, or aging.

Absent or Low Sexual Desire A very common complaint that can rise to the level of a serious personal or relationship problem is the lack of sexual desire or even the avoidance of sexual situations entirely see below.

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Sexual Fears and Avoidance Sexual avoidance sometimes from anxiety about sex, from pain associated with sexual contact, and sometimes from serious relationship issues including abusive or coercive behavior. Painful Intercourse Pain felt during intercourse can be caused by physical problems, emotional concerns, or both.

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Sexual Arousal for Men The most common and obvious problems are problems with achieving and maintaining an erection. Achieving Orgasm for Women If you have never experienced an orgasm, you are not alone. Sexual Arousal for Women Lack of desire is a very common problem, which may be due to current stress, relationship problems or health related issues. Achieving Orgasm for Men Orgasm difficulties have tended to be a women's "problem" as the erectile problems have been a man's "problem.

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