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| Read opinions of our clients on: |
Revitalizing Psychiatry
Better Sex
Better Sex - Everybody needs it to some extent
It is very hard to tell precisely what is the norm in sexuality and what is a dysfunction or a disorder. Until
recently, sexuality was to a great degree suppressed by morals, religions, traditions, taboos, etc., and
there were very few researches and publications on the subject. Even now sexuality is surrounded by
many myths that are based on folklore, media and people’s fantasies. Some of the myths are:
1. Married couples have a lot of sex (reality: 56 times a year on average)
2. “Real men" are ready for sex most of the time with rock hard sustainable erections (reality: in a survey
of men between the ages 40 and 70 years, 52% reported some degree of erectile difficulty)
3. “Real men" always cared about women’s satisfaction (reality: As long as sex was considered primarily
as the means of reproduction, pleasure was left out of the equation of female sexuality, particularly in the
male-dominated societies in the west. This began to change around the 1960s. The mass availability of
reliable contraceptives and women’s heightened awareness of their individuality have rendered
procreation a markedly lower priority and simultaneously dampened the double standard in regard to
sexual fulfillment [1])
4. A sexual intercourse is prolonged, vigorous and consuming (reality: in the middle of 20th century 75% of
men ejaculated within 2 minutes [2]. The duration of intercourse did not become a major clinical issue
until the past 2 decades or so)
5. Most of women have an orgasm during a sexual intercourse (reality: 30 to 40% of women do not have an
orgasm with intercourse)
6. Although the majority of people do not believe now that a sexual intercourse should be used for
reproduction purposes only, for many, the perception of what constitutes desirable sex is shaped by
images in the media, in which nonverbal genital sex is often overvalued (reality: since the reality of pp. 2 - 5
there is a strong need for manual, oral or self stimulation)
Sex usually involves two people and a sexual dysfunction is often connected to a depression (or other
mood disorder), feelings of shame, guilt, etc., in one or both partners. This is why a sexual disorder should
not be treated only by a drug (such as Viagra, Levitra, etc.) prescribed by your family physician or
urologist. There should be a psychological/psychiatric evaluation of one or both partners by a qualified
psychiatrist, who can also provide a combined psychological (sex therapy) and pharmacological treatment.
A good classification of sexual disorders is given in [3]. We summarize this classification it the following
table with links to pages with more information and possible treatment options:
References:
1. Hong, J. Survival of the fastest: On the origins of premature ejaculation. Journal of Sex Research, 1984,
Vol. 20, 109-112
2. Kinsey, A. C., Pomeroy, W.B., & Martin, C.E. Sexual behavior in the human male. Philadelphia, 1948:
Saunders
3. Principles and Practice of Sex Therapy. Third Edition, New York, The Guilford Press, 2000
It is very hard to tell precisely what is the norm in sexuality and what is a dysfunction or a disorder. Until
recently, sexuality was to a great degree suppressed by morals, religions, traditions, taboos, etc., and
there were very few researches and publications on the subject. Even now sexuality is surrounded by
many myths that are based on folklore, media and people’s fantasies. Some of the myths are:
1. Married couples have a lot of sex (reality: 56 times a year on average)
2. “Real men" are ready for sex most of the time with rock hard sustainable erections (reality: in a survey
of men between the ages 40 and 70 years, 52% reported some degree of erectile difficulty)
3. “Real men" always cared about women’s satisfaction (reality: As long as sex was considered primarily
as the means of reproduction, pleasure was left out of the equation of female sexuality, particularly in the
male-dominated societies in the west. This began to change around the 1960s. The mass availability of
reliable contraceptives and women’s heightened awareness of their individuality have rendered
procreation a markedly lower priority and simultaneously dampened the double standard in regard to
sexual fulfillment [1])
4. A sexual intercourse is prolonged, vigorous and consuming (reality: in the middle of 20th century 75% of
men ejaculated within 2 minutes [2]. The duration of intercourse did not become a major clinical issue
until the past 2 decades or so)
5. Most of women have an orgasm during a sexual intercourse (reality: 30 to 40% of women do not have an
orgasm with intercourse)
6. Although the majority of people do not believe now that a sexual intercourse should be used for
reproduction purposes only, for many, the perception of what constitutes desirable sex is shaped by
images in the media, in which nonverbal genital sex is often overvalued (reality: since the reality of pp. 2 - 5
there is a strong need for manual, oral or self stimulation)
Sex usually involves two people and a sexual dysfunction is often connected to a depression (or other
mood disorder), feelings of shame, guilt, etc., in one or both partners. This is why a sexual disorder should
not be treated only by a drug (such as Viagra, Levitra, etc.) prescribed by your family physician or
urologist. There should be a psychological/psychiatric evaluation of one or both partners by a qualified
psychiatrist, who can also provide a combined psychological (sex therapy) and pharmacological treatment.
A good classification of sexual disorders is given in [3]. We summarize this classification it the following
table with links to pages with more information and possible treatment options:
References:
1. Hong, J. Survival of the fastest: On the origins of premature ejaculation. Journal of Sex Research, 1984,
Vol. 20, 109-112
2. Kinsey, A. C., Pomeroy, W.B., & Martin, C.E. Sexual behavior in the human male. Philadelphia, 1948:
Saunders
3. Principles and Practice of Sex Therapy. Third Edition, New York, The Guilford Press, 2000
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