Minus one.

When a couple faces sexual dysfunction, in one or both partners, it can be a difficult and heartbreaking journey that challenges the foundation of the relationship. But let’s talk about what sexual dysfunction means for a woman who is single. For most women it doesn’t just feel like there is no ‘plus one’ in the …

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Going oral.

In her new book An Intimate Life, sex surrogate Cheryl Cohen Greene (the one portrayed by Helen Hunt in The Sessions) describes her work with a man who has been unable to get an erection with his wife. After much exploration, it is discovered that the source of his problem is a very simple one: …

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Attachment theory and addiction.

As any reader of my blogs know, I am obsessed with attachment theory. The basic reason being that I think it makes so much sense of relationships. For so long I thought love and relationships were mysterious and miraculous. I still think a relationship that works well is pretty much miraculous but the reason why …

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Be gentle with your vulva.

When a patient comes to me complaining of vulvar pain my first question is, “Do you use soap on your vulva?”  I am often met with a quizzical look and the dreaded response, “Yes, of course!” When I hear that answer my heart sinks. Let this be my public service announcement: NO SOAP ON YOUR …

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“I’m absorbing!”

Testosterone. We tend to prescribe it often around here. It helps. For some women it helps a little. For some women it helps a lot. Janet (not her real name) came in for her first appointment a bit defensive. I think she didn’t really believe we could help her disinterest in sex and I get …

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