I’ve been reading a lot lately about FSD, or female sexual dysfunction. Is there such at thing? It strikes me as a fictitious “ailment” that is being promulgated to sell pharmaceuticals to unsuspecting women. What are your thoughts?
I share your skepticism. I think that, for the most part, female sexual dysfunction, or FSD, is a fictional disorder. I also think pharmaceutical companies are trying to hit on a female version of Viagra to treat this imaginary disorder so they can make a bundle, just like they did with as the male version.
So much of female sexuality is caught up with the cultural context of a women’s role in society — family obligations, body image and patriarchal views of marriage, etc. For the most part, men aren’t nearly so encumbered. So when one talks about female sexuality, particularly when the notion of a condition or a disorder arises; ya gotta ask yourself, what’s going on here?
I too have been noticing a lot of discussion in the popular culture lately about female sexual dysfunction. My first response is to ask myself, who’s raising the issue and why? Sure some women, like some men, experience difficulties in terms of desire, arousal and orgasm, but what of it? Is it a syndrome? Is it really a dysfunction? I personally don’t think so. The sexual difficulties most people experience can be explained and dealt with in a less dramatic way then with drugs?
And here’s an interesting phenomenon; the repeated appearance of the term female sexual dysfunction in the media lately actually gives the concept legitimacy. I’m certain the pharmaceutical industry is hoping that it will. If they can make the connection in the public mind between what women experience in terms of desire, arousal and orgasm concerns and what men describe as erectile dysfunction, then most of the work is done. In other words, I think the entire effort is a marketing ploy.
I think we can safely say that, in order to determine what female sexual dysfunction might be, one has to clearly understand what a “normal” sexual response is for a woman. This is where we traditionally run into problems. Sex science is notoriously lacking in this endeavor. One thing for certain, although both women and men have a discernable sexual response cycle, a woman’s sexual response is not the same as a man’s. Even though we can’t say with certainty what “normal” is, therapists are famous for turning difficulties into disorders. And once you have a disorder it becomes the basis for developing a drug therapy. So you can see how this becomes a self-fulfilling prophecy.
Currently there’s a real buzz among clinicians concerning the efficacy of Addyi, the so-called “female Viagra”. But most sexologists, myself included, are unimpressed. Basically, the drug in question is an antidepressant. When I heard that, red flags began to fly. Antidepressants are notorious for their adverse side effects, especially in terms of sexual arousal in both men and women. The second problem with the study was the whole notion of desire and distress. Lots of women experience diminished sexual arousal but are not distressed by it. But if there’s no distress, clinically speaking, then it can’t be considered a disorder. You see where I’m going with this, right? If there’s not a “disorder” there’s no need for a pharmaceutical intervention.
According to the research some of the women in the clinical studies leading up to the approval of the drug claimed they were less distressed by their “condition,” Hypoactive Sexual Desire Disorder, than they were at the beginning of the study. According to clinical trials of Addyi held in 2013, only 8% – 13% of the women experienced “much improved” sexual desire and only about 2 more satisfying sexual encounters per month were had. In other words, when behaviors were studied, the actual number of satisfying sexual episodes reported by these less distressed women hardly changed of all. This indicates to me that the antidepressant helped lift the spirits of the distressed women, but did nothing to increase their satisfaction with their sexual outlet.
Twice the FDA rejected Addyi for its severe side effects and marginal ability to produce the effect that it is being marketed for. And despite the fact that the drug is now available, those side effects still exist. Women who take the pill are likely to experience dizziness, nausea, drowsiness, fainting spells, and falling blood pressure. Coupled with alcohol and even hormonal contraceptives the odds of these potential side effects occurring increase. Persons with liver ailments, or taking certain other medicines, such as types of steroids are also at higher risk. On the other hand Viagra has very mild side effects that may include headaches, indigestion, blue-tinted vision and in some cases a stuffy nose.
While a man can pop Viagra an hour or so before he plans to have sex, women who are looking for increased sexual desire need to take Addyi daily for up to a month before they should expect to see any effects.
Dr Sherry Ross says there has long been a gender bias in the way women’s sexual dysfunction has been treated compared to men’s
By Olivia Blair
Despite modern society being able to openly discuss female sexuality, there remains a number of existing taboos.
One of the most glaring is female orgasms. Women are rarely taught about the intricate details of their anatomy and often work these things out through their own experimenting.
What is the best way to get an orgasm? How often should I have one? Should I be able to have one during penetrative intercourse? Why have I never had one? – questions not uncommon to hear among small friendship groups of women over a bottle of wine.
Dr Sherry A Ross, an LA-based gynaecologist with 25 years experience aims to educate with a complete guide to the vagina in her new book She-ology: The Definitive Guide to Women’s Intimate Health. Period.
In the foreword of her book, Dr Sherry notes that “talking about the mighty V outside of doctor’s offices and bedrooms has remained a major taboo” and devoted an entire chapter to the female orgasm. The Independent asked the gynaecologist and obstetrician all the questions about female orgasms that are rarely spoken about.
Why might some women never orgasm?
Attitudes regarding sex, sexuality and gender vary greatly between different cultures and religions. Certain sexual practices, traditions and taboos are passed down through generations, leaving little to the cause of female pleasure or imagination.
For some women, finding and/or enjoying sexual intimacy and sex is difficult, if not impossible. Research suggests that 43% of women report some degree of difficulty and 12% attribute their sexual difficulties to personal distress. Unfortunately, sexual problems worsen with age, peaking in women 45 to 64. For many of these women the problems of sexual dysfunction are treatable, which is why it is so important for women to share their feelings and concerns with a health care provider.
Unfortunately, there has been a history of “gender injustice” in the bedroom. Women have long been ignored when it comes to finding solutions to sexual dysfunction. In short, there are twenty-six approved medications for male erectile dysfunction and zero for women. Clearly, little attention has been paid to the sexual concerns of women, other than those concerns that involve procreation.
How many women might never orgasm?
During my 25 years in private practice, I’ve met a number of women in their 30s, 40s and 50s who have never even had an orgasm. In fact, 10 to 20% of all women have never experienced one.
Issues related to sex are not talked about enough even with a health care provider. Let’s just start by saying, 65 per cent of women are embarrassed to say the word vagina and 45 per cent of women never talk about their vagina with anyone, not even with their doctor.
Some patients say they have pain with sex, have problems with lubrication, don’t have a sex drive or don’t enjoy sex. My first question is “Are you having problems in your relationship?”, “Do you like you partner?” , “Are you able to have an orgasm?”, “ Do you masturbate?” These open-ended questions tend to bring out sexual dysfunction including the inability to have an orgasm.
There is a great deal of embarrassment and shame when a woman admits she has never experienced an orgasm.
Is the inability to not orgasm normal?
The inability not to have had an orgasm can reflect women’s inability to know they own anatomy and may not be a disorder at all. In a survey of women aged 16-25, half could not find the vagina on a medical diagram. A test group of university- aged women didn’t fare much better with one third being unable to find the clitoris on a diagram. Clearly, if you can’t find it, how are you going to seek enjoyment from it?
Women must first understand what brings them pleasure and in their pursuit of happiness they have to understand where their clitoris is and how to stimulate it. Masturbation is a skill. It has to be learned, just as walking, running, singing and brushing your teeth.
What is an orgasm disorder and how would you categorise one?
The inability to have an orgasm falls under the category of Female Sexual Dysfunction of which there are five main problems: low libido or hypoactive sexual desire disorder, painful sex, sexual arousal disorder, an aversion to sex and the inability to orgasm.
Hypoactive sexual disorder, the most common female sexual dysfunction, is characterised by a complete absence of sexual desire. For the 16 million women who suffer from this, the factors involved may vary since sexual desire in women is much more complicated than it is for men. Unlike men, women’s sexual desire, excitement and energy tend to begin in that great organ above the shoulders, rather than the one below the waist. The daily stresses of work, money, children, relationships and diminished energy are common issues contributing to low libido in women. Other causes may be depression, anxiety, lack of privacy, medication side effects, medical conditions such as endometriosis or arthritis, menopausal symptoms or a history of physical or sexual abuse.
You are the person in charge of your vagina and clitoris. First and foremost, get to know your female parts intimately. Understanding your sexual response is a necessary health and wellness skill. Make mastery of that skill a priority.
Complete Article HERE!
At the start of every relationship, everything is brand new, and we just can’t get enough of our partner. During the honeymoon phase, we engage in extra PDA, barely keeping our hands off each other, especially sexually. However, there comes a point where one of us wants sex, and the other isn’t in the mood for it, but science suggests we should consider having more sex for our health’s sake.
Sex droughts can hit couples, which can be a sign of comfortability, or married life. Infrequent sex can occur due to children, work, and stress, but having sex can actually lighten the load of these daily obstacles.
April Masini, relationship expert and author, believes “intimacy is as important as an apple keeping the doctor away.”
“Nurturing intimacy in relationships is important — and should be just as important a health concern as getting a regular mammogram or a colonoscopy! Happy, healthy, intimate relationships are crucial to good physical and mental health,” she told Medical Daily.
Scientists have found the reason why sex feels so good is due to the release of dopamine and opioid chemicals. Sexual stimulation sends the brain into an altered state of consciousness; it blocks out everything else, and allows us to solely concentrate on the sensation. In other words, it enhances brain activity.
Regular sex can do more than make us feel good; it can boost our overall health in these five ways.
Boosts Immune System
Frequent sex can help keep our immune system strong, protecting us from getting the common cold. Dr. William Kolbe, author of the book The Rejuvenating Power of Masturbation, suggests sex’s immune boosting power comes from its interaction with the pituitary.
“Sexual intimacy(solo and paired) sends signals to the pituitary to stimulate the major endocrine axis including the thymus gland, a major player in our immune system,” he told Medical Daily.
A 2009 study in Psychology Reports found having sex at least once or twice a week led to 30 percent more immunoglobulin A (IgA) in their saliva, than those who reported having no sex. IgA is an antibody that helps fight infections and the common cold. They reach their peak in couples who had sex a few times a week.
Lowers Blood Pressure
Sex does not significantly raise blood pressure in men, rather it can help lower it to normal levels. A 2000 study in Biological Psychology, researchers asked 51 healthy men and women, between the ages of 20 to 47 about how much sex they have; followed by measuring their blood pressure.
They concluded more sex was linked to decreased blood pressure.
According to Kolbe: “Intimacy is an excellent cardiovascular workout thus providing positive effects to blood pressure. The increase in sex hormone production, especially estrogen, is very beneficial for the heart.”
Aids Heart Health
Unsurprisingly, sex is good for lowering our blood pressure, and for reducing the risk of heart disease. A 2002 study in J Epidemiol Community Health found regular sexual intercourse reduces the risk of stroke and coronary heart disease (damage or disease in the heart’s major blood vessels) in men.
Similarly, a 2010 study in the American Journal of Cardiology found men with low frequency of sex had an increased risk of cardiovascular disease. Men who reported sexual activity of once a month or less had a higher risk of cardiovascular disease than men who reported having sex twice a week or more. This study is the first to look at frequency of sex and heart risk independently from erectile dysfunction, according to the researchers. They speculate men who are having sex regularly, may be in supportive intimate relationships. This may improve health via stress reduction and social support.
Feeling relaxed and mellow after sex tend to go hand in hand in the bedroom. A 2002 study in Archives of Sexual Behavior suggests semen may have antidepressant properties. Contact with semen during sex can help boost happiness levels for women, therefore, reducing stress
“Sex can reduce a woman’s stress level. This is especially so if the woman is relaxed and not constricted during the sex,” Dr. Fran Walfish, Beverly Hills family and relationship psychotherapist, told Medical Daily.
Keri Simon, a clinical social worker in St. Louis, who sees many couples, believes the stress hormone cortisol is reduced via a connection.
“More is communicated through intimate gestures which in a primitive example, communicates we have no need to be on defense, addressing our fight or flight responses. This communication is powerful — just ask anyone who has felt connection through a squeeze of the arm, pat on the back, hug, etc., and they can share that human intimacy is a powerful force of connection,” she told Medical Daily.
It’s likely some of us pass out right after sex, and this happens for a reason. The endorphins released during sex can help us enter natural states, like euphoria, leading us to feel less stressed. The oxytocin released during orgasm also promotes sleep. They’re released from the pituitary gland of the brain during periods of strenuous exercise, emotional stress, pain, and orgasm. Oxytocin is known as the “love hormone” because it’s typically released when two people make physical contact.
Interestingly, a 2014 study found women in romantic relationships who got an extra hour of sleep had higher levels of sexual desire. They also experienced a 14 percent increase in the likelihood of sex the next day. Women with longer average sleep duration also reported greater vaginal lubrication during sex than those with shorter average sleep.
The relationship between going to sleep and good sex seems to work both ways.
Complete Article HERE!