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    Psychotherapy

    If sexual issues are preventing true closeness between you and your partner, you may want to consider some form of therapy.

    If the problem is a lack of knowledge about sex, your health care provider or a sex therapist can teach you (and your partner) about the sexual response cycle and the elements of sexual stimulation. Armed with this new knowledge, many couples can go forward on their own.

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    Understanding Female Sexual Problems -- Prevention

    If you're a woman wanting to prevent sexual problems, avoid alcohol and recreational drugs that can lessen sexual desire or impair your sexual response. Keep existing medical conditions such as diabetes under control. Discuss side effects of medications with your doctor or pharmacist in case an alternative with fewer sexual effects is available. Relaxed, clear teaching to promote understanding of one's body and of sexual functioning, emphasizing the importance and normalcy of sexuality, is critical...

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    Psychotherapy can help a woman identify problems in her life that may be expressed as sexual problems.

    • For some women these problems are fairly clear, including past sexual or other abuse, rape, or traumatic sexual encounters.

       

    • For others, the problems may be less clear-cut, involving unresolved emotional issues or dissatisfaction with other areas of life.

       

    • In either case, the therapist usually focuses on resetting the woman's attitudes toward sex.

       

    • The goal is to get rid of old attitudes that get in the way of enjoyable sex, establishing new attitudes that increase sexual responsiveness.

    If the problem relates to your relationship, couples counseling is recommended. (You don't have to be married to go to a "marriage counselor.")

     

    • The couples therapist is trained and experienced at helping couples recognize, understand, and solve their problems.

       

    • First, the counselor explores the relationship to find the trouble spots.

       

    • The counselor will recommend exercises and activities that will improve the couple's communication and trust.

       

    • If that can be accomplished, often the sexual problem can be solved more easily.

     

    Sex Therapy

    A sex therapist may take couples therapy one step further by focusing on the couple's physical relationship. After identifying the couple's attitudes about sex and the sexual problem, the sex therapist recommends specific exercises to refocus the couple's attention and expectations. Specific objectives may include any of the following:

     

    • Learning to relax and eliminate distractions

       

    • Learning to communicate in a positive way what you would like

       

    • Learning nonsexual touching techniques

       

    • Increasing or enhancing sexual stimulation

       

    • Minimizing pain during intercourse

    Sex therapists often use what are called "sensate focus" exercises to treat sexual problems. The exercises start with nonsexual touching and encourage both partners to express how they like to be touched. The goal is to help both partners understand how to recognize and communicate their preferences.

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