Vaginal irritation Among the most distressing of the many factors in dyspareunia are the complaints of burning, itching, or aching in the vagina during or after intercourse. The existence of chronic vaginal irritation frequently robs women of their full freedom…
Intercourse Pain For years, a woman’s complaint “it hurts when I have intercourse” has been an anathema to the therapist. Even after an adequate pelvic examination, the therapist frequently cannot be sure whether the patient is complaining of definitive but…
The term dyspareunia difficult or painful coitus has always been presumed to refer to coital distress in women. The word stems from Greek, and somewhat freely translates into “badly mated.” Since no comparable word reflecting or suggesting coital distress for…
While the multiplicity of etiological influences is acknowledged, the factor of religious orthodoxy remains of major import in primary orgasmic dysfunction as in almost every form of human sexual inadequacy.
To be diagnosed as having primary orgasmic dysfunction, a woman must report a lack of orgasmic attainment during her entire lifespan. There is no definition of male sexual dysfunction that parallels this severity of exclusion.
Random orgasmic inadequacy is illustrated in the history below. With but two episodes of orgasmic attainment in her life, Mrs. H provides a history of one manipulative and one coital effort to orgasmic release. Her two highlighted sexual experiences were as much of a surprise to her when they occurred as they were to her husband.
Both contributing positively or negatively to any state of sexual responsivity but having no biological demand to function in a complementary manner. With the reminder that finite analysis of male sexual capacity and physiological response also has attracted little scientific interest in the past.
For many women, one of the most frequent causes for orgasmic dysfunction, either primary or situational, is a lack of complete identification with the marital partner.
To consider situationally non-orgasmic, a woman must have experienced at least one instance of orgasmic expression, regardless of whether it was induced by self or by partner manipulation, developed during vaginal or rectal coital connection, or stimulated by the oral-genital exchange.
Although emphasis has been placed upon the role of premature ejaculation in the etiology of primary orgasmic dysfunction, primary or secondary impotence also contributes. Again the basic theme of man and woman coital interaction must be emphasized.
