Chapter 7

Problem Men (%) Women (%)

Hypoactive Sexual Desire 9.5-17.6 16-33.9

Erectile Disorder 11.2-20.6 N/A

Premature Ejaculation 15.7-24.7 N/A

Difficulty Lubricating N/A 7-25.2

Inability to Reach Orgasm 8.1-14.5 8-14

Pain During Sex 1-9.7 8.1-14

Performance Anxiety 17-20 11.5-16

No Pleasure in Sex 8.1 21.2

✔ Duration: Primary or Secondary -How long has this been happening?

✔ Context: Global or Situational -Does this happen every time or in certain settings?

✔ Frequency: Total or Partial -Does this happen every time in that setting or only some times?

Neurological Hormones Vascular

Physical Injury Alcohol SSRIs

Stress

✔ Loss of Trust✔ Poor Communication✔ Anger and Resentment✔ Conflicting Sexual Expectations✔ Lack of Respect✔ Loss of Love

1970

✔ increases awareness of bodily sensations

✔ helps partners explain what feels best

✔ sexual release while working on issues

✔ can work on sexual difficulties alone

Penile Tumescence Monitor

Penile Implant

Negative Side Effects from Testosterone

✔Acne or oily skin.✔Male-pattern hair loss from the scalp.✔Male-pattern hair growth on the face and body.✔Anger and hostility problems.✔Shrinking breast size.✔Hoarseness or a deeper voice.✔Irregular menstrual cycles, if you have been menstruating.✔An increase in the size of your clitoris.

Squeeze Technique

8% or less of men have experienced

delayed or inhibited ejaculation

Causes✔STIs✔vaginal infections ✔psychological issues ✔certain medications✔ allergy to latex/spermicides

Causes✔past trauma ✔fears of pregnancy/STI✔painful previous intercourse✔belief in myths about painful first intercourse