Q: What is sexual dysfunction?

A: Sexual dysfunction in general is difficulty during any stage of the sexual response cycle.  Specifically those stages are desire, excitement, plateau, and orgasm.  This difficulty will result in an individual or a couple not being able to enjoy sexual activity.

Q: Why don’t I want to have sex?

A: This question is a common question from both males and females.  There are many reasons why individuals lack the desire to have sex that can be primary issues or secondary issues.  After a complete blood workup is done (and if everything is within normal limits) things that should be looked at are stress levels, attraction to current partner, relationship issues, partner sexual dysfunction, trauma, depression, fatigue, medication, previous sex education, religion, and family patterns with regard to sexuality.  It is important to note that each case is different and the list just presented are just issues that need to be explored.

Q: What is normal?

A: This question and variations of it (am I normal, is that normal, etc) are questions that are asked frequently.  The word normal is relevant to those who view it as relevant.  Essentially, what is normal for one person may not be normal for another.  It is because of this that the word normal is usually not used.  It is important to live our lives to what we consider the best of our ability.  The word normal is a comparison word that will keep clients in a constant state of not being their true selves (and accepting themselves).

Q: Do males enjoy anal stimulation?

A: Many males absolutely enjoy anal stimulation.  It is through anal stimulation (because of the many nerve endings in this area)that the male prostate can be massaged which can bring great pleasure to the male.   It is important to ask a male partner if they enjoy this activity before acting upon it.

Q: Can I control my ejacualtion?

A: In most cases, Yes.  There are many ways to learn to control ejaculation from tried and true methods such as the “Squeeze Technique” to the “Stop/Start Technique.”  One of the things to really explore is anxiety levels and thought processes.  Both anxiety and thought processes can play havoc with ejaculation.  Sensitivity of the penis needs to be explored, kegel exercises need to be done, learned behavior about sex and sexuality need to also be explored.  There are in addition many products on the market that can help with delaying ejaculation.

Q: Is my testosterone low if I cannot achieve an erection?

A: This may be possible.  After a full blood workup to assess any underlying medical conditions we then move into exploring other possible causes for lack of erection.  These can include depression, anxiety, grief, self esteem issues, body image issues, medications, age, and overall health to name a few.  Again, each case is different and it is important to explore all avenues.