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Role of Women in Overcoming
ED with their Partners
21 February 2016
Dr. Martha Tara Lee
Clinical Sexologist
• Doctorate in Human Sexuality
• Masters in Public Policy and
Management
• Bachelor of Arts (Comm)
• Certificate in Sex Therapy
• Certitificate in Practical Counselling
• Cert in Life Coaching
Agenda
1. Background
2. Myths/
misconceptions
about sex
3. What happens?
4. Suggestions of
what to do
What is Sexology?
Study of sexual interests, behavior, and function which combines:
Biology Physiology Medicine Psychology Statistics Epidemiology
Criminology Religion Philosophy Zoology Anthropology Sociology
Sexologists study:
Sexual
development
Sexual
orientation
Sexual
relationships
Sexual activity Sexualities of
special
group
Sexual Response
Consider the Impact of Culture
Culture Impacts Function
• Sex is not discussed 
– Ignorance re: anatomy, function, technique
• Sense of self ≠ societal expectations 
– Anxiety, confusion, shame, isolation
– More depression, substance abuse, unprotected sex
• Gender role inequities 
– Poor communication re: safer sex, sexual needs
– Sexual inhibition/avoidance after sexual trauma
Sex and Gender Differences
• Sexiness criticized in women; admired in men:
– ‘Slut’ vs. ‘stud’
• Premarital / extramarital sex unacceptable for women;
condoned in men:
– Intact hymen, chastity belt
• Sexual pleasure valued less / taboo for women:
– ‘My husband’s needs come first’
– Female genital circumcision
• Stigma greater for older women than men:
– ‘All dried up’, ‘withered’ vs. ‘he’s a real Don Juan’
• Sex means sexual intercourse
• Talking about sex is not natural, proper, or
necessary
• Sex is for younger people
• Men should initiate sexual activity
• Sex should be spontaneous
• A firm penis is a requirement for satisfying sex
• Quality sex ends with a orgasm
Myths about Sexuality
Misconceptions of
Sexual Function & Satisfaction
• Men want sex more than women
• Women care about intimacy more than men
• If you love your partner, sex will be wonderful
• My partner should know what I want
• Good sex is spontaneous
• Movies and TV portray sex as it really is
• Bigger is always better
Facts about Sexual Function
• Both women and men enjoy sex / intimacy
• Fulfilling sex often requires planning / effort
• Changes in function occur with life stress, aging,
illness, and many medications
• Lifestyle adaptations preserve sexual satisfaction
in many circumstances
Laumann EO, Paik A, Rosen RC. Sexual dysfunction in the United
States: prevalence and predictors. JAMA 1999;281:537-544.
• Internalize things – must have done
something wrong
• No longer attractive to their partner – own
self-perceived lack of attractiveness
• Accusations of affair/ adultery
What happens when there is
persistent ED
Line of questioning 
hurt 
feel attacked 
pull back 
He Says/ She Says
Line of questioning 
hurt 
feel attacked 
pull back 
He Says/ She Says
confirmation
more attacks
pull back
Line of questioning 
hurt 
feel attacked 
pull back 
He Says/ She Says
confirmation
more attacks
pull back
Communication Break-down
Relationship Problems
• Anger
• Poor Communication
• Criticism
• Neurotic Interactions
• Incompatible Sexual
fantasies
• Alcoholism & Sexual Abuse
• Phobic Avoidance of Sexual
Intercourse
• Unconscious Conflict about
Sex, Commitment, Pregnancy
• Sexual Abuse Issues
Psychosocial Issues
• Lifelong or acquired
• Symptom or situational
• Unresolved history of sexual abuse or trauma
• Body image/ Self-esteem issues
• Psychiatric history
• Stress, anxiety, sadness
• Relationship conflict
• Partner’s sexual dysfunction
1.Get educated
2.Don't personalize it
3.Don't feel rejected
4.Be positive
5.Discuss things calmly
6.Discuss outside of the bedroom
7.Reassurance - treat your man as your best
friend
8.Encourage but don’t push
9.Continue being sexual - lots of different ways
to be sexual
10.Go with your guy to the doctor
11.Adopt a healthy lifestyle together
Suggestions of What to Do
We Don’t Ask Because Of…
• Personal embarrassment
• Lack of knowledge re: clinical relevance
• Ignorance re: who, when, how, or what to
ask
• Concern re: not knowing how to answer
questions
• Concern re: becoming
aroused/uncomfortable
• Concern re: appearing seductive/intrusive
• Uncertainty about legal issues
• Time constraints
Lack of Sexuality Education
We Can Make a Difference
By Talking about Sex
What is Your Approach?
• Sex-positive
• Non-judgemental
• Educational
• Client-centered
• Do no harm
Dr. Martha Tara Lee
Clinical Sexologist
Eros Coaching Pte Ltd
Website: www.eroscoaching.com
Email: drmarthalee@eroscoaching.com

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Role of Women in Overcoming ED

  • 1. Role of Women in Overcoming ED with their Partners 21 February 2016
  • 2. Dr. Martha Tara Lee Clinical Sexologist • Doctorate in Human Sexuality • Masters in Public Policy and Management • Bachelor of Arts (Comm) • Certificate in Sex Therapy • Certitificate in Practical Counselling • Cert in Life Coaching
  • 3. Agenda 1. Background 2. Myths/ misconceptions about sex 3. What happens? 4. Suggestions of what to do
  • 4. What is Sexology? Study of sexual interests, behavior, and function which combines: Biology Physiology Medicine Psychology Statistics Epidemiology Criminology Religion Philosophy Zoology Anthropology Sociology
  • 7. Consider the Impact of Culture
  • 8. Culture Impacts Function • Sex is not discussed  – Ignorance re: anatomy, function, technique • Sense of self ≠ societal expectations  – Anxiety, confusion, shame, isolation – More depression, substance abuse, unprotected sex • Gender role inequities  – Poor communication re: safer sex, sexual needs – Sexual inhibition/avoidance after sexual trauma
  • 9. Sex and Gender Differences • Sexiness criticized in women; admired in men: – ‘Slut’ vs. ‘stud’ • Premarital / extramarital sex unacceptable for women; condoned in men: – Intact hymen, chastity belt • Sexual pleasure valued less / taboo for women: – ‘My husband’s needs come first’ – Female genital circumcision • Stigma greater for older women than men: – ‘All dried up’, ‘withered’ vs. ‘he’s a real Don Juan’
  • 10. • Sex means sexual intercourse • Talking about sex is not natural, proper, or necessary • Sex is for younger people • Men should initiate sexual activity • Sex should be spontaneous • A firm penis is a requirement for satisfying sex • Quality sex ends with a orgasm Myths about Sexuality
  • 11. Misconceptions of Sexual Function & Satisfaction • Men want sex more than women • Women care about intimacy more than men • If you love your partner, sex will be wonderful • My partner should know what I want • Good sex is spontaneous • Movies and TV portray sex as it really is • Bigger is always better
  • 12. Facts about Sexual Function • Both women and men enjoy sex / intimacy • Fulfilling sex often requires planning / effort • Changes in function occur with life stress, aging, illness, and many medications • Lifestyle adaptations preserve sexual satisfaction in many circumstances Laumann EO, Paik A, Rosen RC. Sexual dysfunction in the United States: prevalence and predictors. JAMA 1999;281:537-544.
  • 13. • Internalize things – must have done something wrong • No longer attractive to their partner – own self-perceived lack of attractiveness • Accusations of affair/ adultery What happens when there is persistent ED
  • 14. Line of questioning  hurt  feel attacked  pull back  He Says/ She Says
  • 15. Line of questioning  hurt  feel attacked  pull back  He Says/ She Says confirmation more attacks pull back
  • 16. Line of questioning  hurt  feel attacked  pull back  He Says/ She Says confirmation more attacks pull back Communication Break-down
  • 17. Relationship Problems • Anger • Poor Communication • Criticism • Neurotic Interactions • Incompatible Sexual fantasies • Alcoholism & Sexual Abuse • Phobic Avoidance of Sexual Intercourse • Unconscious Conflict about Sex, Commitment, Pregnancy • Sexual Abuse Issues
  • 18. Psychosocial Issues • Lifelong or acquired • Symptom or situational • Unresolved history of sexual abuse or trauma • Body image/ Self-esteem issues • Psychiatric history • Stress, anxiety, sadness • Relationship conflict • Partner’s sexual dysfunction
  • 19. 1.Get educated 2.Don't personalize it 3.Don't feel rejected 4.Be positive 5.Discuss things calmly 6.Discuss outside of the bedroom 7.Reassurance - treat your man as your best friend 8.Encourage but don’t push 9.Continue being sexual - lots of different ways to be sexual 10.Go with your guy to the doctor 11.Adopt a healthy lifestyle together Suggestions of What to Do
  • 20.
  • 21. We Don’t Ask Because Of… • Personal embarrassment • Lack of knowledge re: clinical relevance • Ignorance re: who, when, how, or what to ask • Concern re: not knowing how to answer questions • Concern re: becoming aroused/uncomfortable • Concern re: appearing seductive/intrusive • Uncertainty about legal issues • Time constraints
  • 22. Lack of Sexuality Education
  • 23. We Can Make a Difference By Talking about Sex
  • 24. What is Your Approach? • Sex-positive • Non-judgemental • Educational • Client-centered • Do no harm
  • 25. Dr. Martha Tara Lee Clinical Sexologist Eros Coaching Pte Ltd Website: www.eroscoaching.com Email: drmarthalee@eroscoaching.com