Sexual Dysfunction & Other Challenges

What is vaginismus?

Published: Oct 7 2008
Dear Sex Counselor, I have trouble with any kind of vaginal penetration. It’s like there is a wall inside the opening of my vagina, and whether it’s my doctor trying to do an exam or my partner trying to pleasure me with vaginal penetration, nothing can get in and it hurts when we try. What’s going on? When a woman experiences a closure of...

Blood pressure medications, erectile function, and alternatives to intercourse

Published: May 17 2006
Dear Sex Counselor, About six years ago, I developed high blood pressure. My physician put me on beta blockers. You know what they do to a man’s virility. Anyhow, over the first three years, I saw a steadily decreasing ability to have sex with my wife. At the end of three years, I was so frustrated and embarrassed at my attempts that I quit...

Rheumatoid Arthritis and Sexuality

Published: Mar 29 2011
Q: Dear Sex Counselor, I am living with rheumatoid arthritis, and the pain and fatigue that I experience can make sexual intimacy difficult or impossible. Is there anything I can do to improve my sex life? __________________________________________________________________ Chronic pain and fatigue can make you feel like your sex life is over,...

Pelvic Floor Therapy

Published: Nov 16 2015
Why see a pelvic floor therapist? Many pelvic floor conditions can be managed and healed without surgery. Seeing a physical therapist (PT) or an occupational therapist (OT) who is trained as a pelvic floor therapist may help you better understand your symptoms and design a personalized program to help alleviate your pelvic discomfort or pain...