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Sex Therapy

Increasing sexual intimacy u “Eyes-open” orgasm u Sensate focus u One partner = active u One partner = passive u Encourages communication u Tell partner preferences

Treatment of anorgasmia u Kegel exercises u Masturbation exercises u Use of a vibrator

Learning to become orgasmic u Genital exploration u Masturbation u Effective way to learn what produces erotic response & orgasm for anorgasmic women u Vibrators u Good way to get first orgasm u Manual stimulation recommended later u Eros

Increasing orgasm during intercourse u Direct manual stimulation of clitoris u Female-initiated movements u Bridge maneuver

Vaginismus u Hegar dilators u Graduated sizes

Premature ejaculation u Increases with man-above position u Treatment u Squeeze technique u Apply pressure to glands of penis to delay ejaculation

Difficulty maintaining erection u (Erectile dysfunction) u Basic psychological cause u Anxiety u Penile implants u (For physiological Erectile dysfunction) u Restores the ability to have an erection u Semi-rigid rods u Inflatable prosthetic devise u

Inflatable prosthetic devise

Malleable penile implant

Viagra u Four million Americans are taking it u Originally developed for cardiovascular disease u Takes effect in1-2 hours with physical stimulation

Hypoactive sexual desire u Most difficult sexual problem to treat

PLISSIT Treatment model u Permission u Limited information u Specific suggestions u Exercises or activities to do at home u Intensive therapy