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  • 1. Sexual Challenges
  • 2.  Our levels of desire in terms of both wanting sex and getting aroused can shift over the years or from week to week of partner to partner. “How sexual I feel at any given time depends a surprising amount on how much sleep I’m getting, how my partner and I are getting along, whether I’m feeling depressed, what level of antidepressant I’m taking, and a bunch of other even less tangible factors.”
  • 3.  A number of pharmaceutical companies have worked over the past two decades to discover medications that enhance woman’s sexual desire A particularly problematic aspect of this effort is a new practice of defining women as female sexual dysfunction (FSD), a medical disorder deserving treatment Your level of desire is a problem only if it causes you distress Anxiety and sleep deprivation can also cause low sexual desire A cultural shift in how we think about desire may be overdue
  • 4.  Doctors may prescribe testosterone treatment to help problems with arousal, but the treatments are not approved by FDA and the science supporting the use of testosterone in women is limited In studies the only factor consistently linked to sexual desire and satisfaction is exercise.
  • 5.  Vaginal penetration typically doesn’t hurt, but there are times even with plenty of arousal and added lubrication you may experience discomfort and pain Conditions can contribute to or cause pain during intercourse or other forms of penetration:  Insufficient lubrication  Local infection  Local Irritation  Tightness in the vaginal entrance.  Pain deep in the pelvis “ I have to be enormously aroused to be able to accommodate a man’s penis. It takes multiple orgasms usually, so my partner has to be very patient.”
  • 6.  Localizedvulvodynia is marked by a painful burning or sharp sensation in and around the opening to the vagina when there is any kind of penetration
  • 7. Medications Certain medications can affect sexual desire and the likelihood and intensity of orgasms
  • 8.  Estrogen, Progesterone, and testosterone are hormones that affect a woman’s sexual desire and functioning Many factors affect hormone levels at any given time  Menstrual cycle  The Pill and other hormonal birth control methods  Pregnancy  Nursing  Perimenopause/menopause  Adrenal or ovary removal (oophorectomy)
  • 9.  Some people, including health care providers, assume that teenage girls and women with disabilities are sexless, but in reality they are just as capable of having sex. “While the disability does, in reality, affect how we do things and what we are able to do together, it does not define our relationship.”
  • 10.  Lack of sexual desire not always being a disorder, it is sometimes just due to anxiety or sleep deprivation. We have grown as a society to believe that if you are not having a healthy amount of sexual intercourse your relationship is dysfunctional and something must be wrong, but who defines what a healthy amount of sexual intercourse is. Sometimes we are really just too tired or to stressed out to even get aroused.
  • 11.  “The first time I had sex with my boyfriend after I became paralyzed, it was awful. But then, over time, it got better with communication and experience. I was surprised that I could still orgasm after my injury, since no one at the hospital discussed it with me.”  I was told that paralyzed individuals could have sex, but I never thought it was actually possible due to the lack of feeling especially in their lower halves. This quote stood out to me because it proved me wrong and corrected my awful bias.
  • 12.  When we are not affected, why do you think we ignore such topics as Female sexual dysfunction (FSD) or Disabled sex?