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Why Don’t More
Women Enjoy Golf?
#SEXislikeGOL
F
SEX
Medical Director, AgeDefy, LLC
Senior Partner, Moreland OB/GYN
Former Golfer
On earth to make life better for women
Joi M Davis, DO
#SEXislikeGOL
It is…
• Something you can enjoy throughout life
• Therapeutic (stress reliever)
• Primarily a psychological game
• Exercise!
• More fun if you play with someone you love
#SEXislikeGOL
Golf is a lot like sex…
You can’t walk on to the course and play well if
you haven’t played in eons
You must routinely practice in some way to keep
that feeling for hitting a shot, otherwise it’s lost
There are many different ways to play
It can reveal and build character
#SEXislikeGOL
Golf is a lot like sex…
•#SEXislikeGOL
“Golf is a game of respect and
sportsmanship; we have to respect its
traditions and its rules”
Jack Nicklaus
#SEXislikeGOL
Phases of Golf Swing
Phases of Sexual
Response Cycle
#SEXislikeGOL
•#SEXislikeGOL
“We can get so much out of golf. I
know I have, and I’d like to see the
same for you. Golf is the game of a
lifetime, one in which you can get
better and better. It’s not what you do
that counts, but what you attempt to
do.”
George Knudson
Benefits of Golf
#SEXislikeGOL
• It lets you set your own pace
• Physical and mental challenge
• You can drive a golf cart if you get tired
• Practice technique and improve
• Social (it can become boring by yourself)
• Play at home or on vacation
• Getting hole-in-one, perfect shot (exhilarating)
• Excuse to buy cool toys
• Play with someone you love
• Many different ways/places to play
(Additional) Benefits of Sex
#SEXislikeGOL
• Keeps immune system healthy
• Boosts libido
• Improves bladder control
• Lowers blood pressure
• Counts as exercise (5 calories/min)
• Lowers heart attack risk
• Keeps hormones in balance
• Lessens pain, eases stress, and reduces anxiety
• Improves sleep
• Reduces prostate cancer risk
• Boosts self-esteem and happiness
•#SEXislikeGOL
“Golf is a difficult game, but it’s a little
easier if you trust your instincts. It’s too
hard a game to try to play like someone
else.”
Nancy Lopez
#SEXislikeGOL
Frequency
There is no “normal” frequency or set of sexual
behaviors
Things change with time
There is no problem if it is working for you and
your partner
≠
desire/satisfaction
Let’s look at numbers…
Sexual Dysfunction Presentation
Sexual Dysfunction Presentation
Sexual Desire
Refers to a person’s interest in being sexual
One of the most significant and universal
changes that occurs with age
Determined by interaction of 3 separate, but
related, components
1. DRIVE
2. BELIEFS, VALUES, EXPECTATIONS
3. MOTIVATION
#SEXislikeGOL
1. DRIVE
Biological component of desire
Manifested by:
• Sexual thoughts, feelings, fantasies, dreams
• Erotic attraction to others
• Seeking out sexual activity (alone or with a partner)
• Genital tingling or sensation
Declines with age in both men and women
Exact role of hormones is not well understood
• Testosterone/estrogen
• Dopamine
• Serotonin
• Norepinephrine
• Melanocortins
• Oxytocin
2. BELIEFS, VALUES,
EXPECTATIONS
#SEXislikeGOL
More positive = greater desire
In general, women who enjoy sex will continue
to do so during peri / postmenopause
Women who did not enjoy sex may view mid-
life reduction as a relief rather than a loss
3. MOTIVATION
Psychological and interpersonal
Driven by emotional and relationship factors
Characterized by willingness
Has greatest effect on desire
Most complex and elusive component
#SEXislikeGOL
Sexual Response Cycle
#SEXislikeGOL
SEXUAL DYSFUNCTION (Female Interest / Arousal
Disorder):
Any sexual complaint or problem resulting from
disorders of desire, arousal, orgasm, or sexual pain
that causes marked distress or interpersonal difficulty
Definition
How Does Arousal Work?
Potential Factors Influencing
Woman’s Sexual Function
• Previous attitudes toward sex
• No available partner
• Conflict with a relationship
• Partner’s loss of/renewed interest in sex
• Age-related changes
• Body image/weight gain
• Health concerns
• Psychological problems
• Physical/sexual abuse
• Incontinence
• Sleep disturbances
#SEXislikeGOL
Treatment Options
NONPHARMACOLOGIC
• Modify sexual technique
• Increase sexual novelty
• Enhance relationship/communication with partner
• Improve health and body image
PHARMACOLOGIC
• Treat medical, psychological or sleep problem
• Modify medications that affect function
• Hormones (estrogens/androgens)
• Viagra/Cialis/Levitra
• Addyi
#SEXislikeGOL
•
“Find a good teacher that will keep
the game fun. Work hard and don’t
be afraid to have success or
disappointment. That is what golf
is all about.”
Paula Creamer
#SEXislikeGOL
Testosterone
• Contributes to sex drive in women
• Plays a role in motivation, desire and sexual sensation
• Declines with age
Testosterone (oral, topical, pellets) treatment is
controversial in women
Side effects of Testosterone (physiologic levels
recommended):
• Excess facial body hair
• Change in lipids or liver function
• Enlargement of clitoris
• Weight gain
• (Permanent) lowering of voice
• Change in emotions (anger)
Addyi
(flibanserin)
Treatment of acquired,
generalized hypoactive sexual
desire disorder (HSDD) in
premenopausal women
Once-daily, non-hormonal,
multifunctional serotonin agonist
antagonist
1 in 5 women experience side
effects (fatigue, low BP, fainting)
Daily use adds 0.5-1 additional
sexual satisfying events per
month (compared to placebo)
Cannot use with alcohol
FDA-approved on
August 18, 2015
• Sexual History
• Religious Attitudes and Beliefs
• Family Attitudes
• Early Sexual Experiences
• Poor Sexual Habits
• Difficult with Intimacy
• Concern with Performance
Rid the baggage in your head that interferes with
enjoyment and fulfillment of a sexual experience:
It’s about the Grey Matter
#SEXislikeGOL
The greatest golfers have the ability to calm their mind
and maintain focus even under pressure.
They focus only on the ball in front of them and the hole
they are aiming for.
They are able to put the last hole behind them.
#SEXislikeGOL
In golf, if you are more
concerned with the score
than the process of
engaging the ball and the
motion of the body – odds
are you will experience a
poor shot Don’t be more
concerned with the outcome
than with the process.
Anxiety is detrimental to good sex:
• Stay in the moment
• Focus on immediate bodily
feeling
• Stay connected and engaged
with your partner
• Allow yourself to feel their
presence.
•#SEXislikeGOL
“Walk away for a week or so…you
wake up one morning and think about
playing again. Then get over it!
Some of my best days have come after
nearly walking away from the course.
Just remember the last shot that made
you feel great and focus on that.
Positive attitude builds on itself!”
•
“Golf is boring – and it’s not even
a real sport. It’s the only game
you can play while taking a nap.”
Anonymous
#SEXislikeGOL
•#SEXislikeGOL
“I still can’t imagine why anyone
would play this game – Life is too
short to waste hours of it chasing
after a little dimpled white ball.”
Anonymous
•#SEXislikeGOL
“The fun part of golf is the variety of
shots. When you hit a shot
and the ball does what you want it to
do…That’s wonderful. It’s just great
when you hit the ball. You should
always try not to make the ball cry.”
Johan Cryff
•#SEXislikeGOL
“Golf is like love. One day you
think you are too old and the next
day you want to do it again.”
Roberto de Vicenzo
Sexual Dysfunction Presentation
Vaginal Changes with Menopause
• Thinning of walls
• Loss of elasticity (rugal folds)
• Shortening/narrowing of canal
• Reduced secretions
• Increase in pH (normally acidic)
• Reduced lactobacilli (healthy bacteria)
• Susceptible to trauma
• Vulnerable to infection
#SEXislikeGOL
Symptoms of Vaginal Atrophy
• Dryness
• Burning/Irritation
• Decreased Lubrication during sex
• Dyspareunia (Vulvar/Vaginal pain w/sex)
• Vulvar/Vaginal bleeding w/sex
• Vaginal discharge
• Pelvic pressure/Vaginal bulge
• Frequency of urination
• Painful urination
• Bladder/Urethral Discomfort
• Hematuria (Blood in the urine)#SEXislikeGOL
Treatments of Vaginal Atrophy
#SEXislikeGOL
• Hormonal Medications
• Estrogens
• Androgens (DHEA)
• Estrogen Agonist-Antagonist (Osphena)
• Non-Hormonal
• Vaginal Lubricants
• Vaginal Moisturizers
• Regular sexual activity
• NEW: Laser Vaginal Rejuvenation
• PROMISING – PRP “Oshot”
Newest
treatments
to restore
vaginal
health
#SEXislikeGOL
Femilift™
(laser vaginal
rejuvenation)
• Minimally invasive, virtually painless
procedure
• Gentle treatment for controlled safety and
accuracy
• Maximum precision with Alma CO2 laser
• Fast and efficient delivery of fractionated
laser energy split into micro pixels
• No post-treatment downtime
• Excellent patient satisfaction and long
term success
The lasting benefits of FemiLift can be an
improved quality of life and deeply enhanced
self esteem.
#SEXislikeGOL
Procedure using your own blood platelets to restore
vaginal tissue
Platelets encourage stem cells to generate healthier,
more functional tissue in areas of sexual response
• G-Spot, O-Spot, Skene’s Glands, urethra, vaginal wall
Adapted by the creator of the Vampire Facelift, Dr.
Charles Runels
May also improve urinary incontinence
O shot ®
#SEXislikeGOL
Incontrolmedical
.com
Intensity’s scientific design
heightens the female sexual
response, improving intimate
experience.
InTone provides a
comprehensive, home-based
pelvic floor rehabilitation
program to ensure you
eliminate your bladder leakage
symptoms.
#SEXislikeGOL
•#SEXislikeGOL
If you watch a game, it’s fun.
If you play it, it’s recreation.
If you work at it, it’s GOLF.
Bob Hope
•
“The right way to play golf is to go
up and hit the bloody thing”
George Duncan
#SEXislikeGOL
•
“To play well, you must feel tranquil
and at peace. I have never been
troubled by nerves in golf because I felt
I had nothing to lose and everything to
gain.”
Harry Vardon
#SEXislikeGOL
•
“Clean the club, wash the balls
and ask yourself to be
amazing”
Unknown
#SEXislikeGOL
•
“Your best days are still ahead.
Few that are mature are in their
physical prime. Fortunately, golf
is a test of feel and skill more
than physical fitness, so one can
still achieve a personal best in
their 50s and 60s.”
#SEXislikeGOL

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Sexual Dysfunction Presentation

  • 1. • Why Don’t More Women Enjoy Golf? #SEXislikeGOL F SEX
  • 2. Medical Director, AgeDefy, LLC Senior Partner, Moreland OB/GYN Former Golfer On earth to make life better for women Joi M Davis, DO #SEXislikeGOL
  • 3. It is… • Something you can enjoy throughout life • Therapeutic (stress reliever) • Primarily a psychological game • Exercise! • More fun if you play with someone you love #SEXislikeGOL Golf is a lot like sex…
  • 4. You can’t walk on to the course and play well if you haven’t played in eons You must routinely practice in some way to keep that feeling for hitting a shot, otherwise it’s lost There are many different ways to play It can reveal and build character #SEXislikeGOL Golf is a lot like sex…
  • 5. •#SEXislikeGOL “Golf is a game of respect and sportsmanship; we have to respect its traditions and its rules” Jack Nicklaus
  • 6. #SEXislikeGOL Phases of Golf Swing Phases of Sexual Response Cycle
  • 8. •#SEXislikeGOL “We can get so much out of golf. I know I have, and I’d like to see the same for you. Golf is the game of a lifetime, one in which you can get better and better. It’s not what you do that counts, but what you attempt to do.” George Knudson
  • 9. Benefits of Golf #SEXislikeGOL • It lets you set your own pace • Physical and mental challenge • You can drive a golf cart if you get tired • Practice technique and improve • Social (it can become boring by yourself) • Play at home or on vacation • Getting hole-in-one, perfect shot (exhilarating) • Excuse to buy cool toys • Play with someone you love • Many different ways/places to play
  • 10. (Additional) Benefits of Sex #SEXislikeGOL • Keeps immune system healthy • Boosts libido • Improves bladder control • Lowers blood pressure • Counts as exercise (5 calories/min) • Lowers heart attack risk • Keeps hormones in balance • Lessens pain, eases stress, and reduces anxiety • Improves sleep • Reduces prostate cancer risk • Boosts self-esteem and happiness
  • 11. •#SEXislikeGOL “Golf is a difficult game, but it’s a little easier if you trust your instincts. It’s too hard a game to try to play like someone else.” Nancy Lopez
  • 12. #SEXislikeGOL Frequency There is no “normal” frequency or set of sexual behaviors Things change with time There is no problem if it is working for you and your partner ≠ desire/satisfaction
  • 13. Let’s look at numbers…
  • 16. Sexual Desire Refers to a person’s interest in being sexual One of the most significant and universal changes that occurs with age Determined by interaction of 3 separate, but related, components 1. DRIVE 2. BELIEFS, VALUES, EXPECTATIONS 3. MOTIVATION #SEXislikeGOL
  • 17. 1. DRIVE Biological component of desire Manifested by: • Sexual thoughts, feelings, fantasies, dreams • Erotic attraction to others • Seeking out sexual activity (alone or with a partner) • Genital tingling or sensation Declines with age in both men and women Exact role of hormones is not well understood • Testosterone/estrogen • Dopamine • Serotonin • Norepinephrine • Melanocortins • Oxytocin
  • 18. 2. BELIEFS, VALUES, EXPECTATIONS #SEXislikeGOL More positive = greater desire In general, women who enjoy sex will continue to do so during peri / postmenopause Women who did not enjoy sex may view mid- life reduction as a relief rather than a loss
  • 19. 3. MOTIVATION Psychological and interpersonal Driven by emotional and relationship factors Characterized by willingness Has greatest effect on desire Most complex and elusive component #SEXislikeGOL
  • 21. SEXUAL DYSFUNCTION (Female Interest / Arousal Disorder): Any sexual complaint or problem resulting from disorders of desire, arousal, orgasm, or sexual pain that causes marked distress or interpersonal difficulty Definition
  • 23. Potential Factors Influencing Woman’s Sexual Function • Previous attitudes toward sex • No available partner • Conflict with a relationship • Partner’s loss of/renewed interest in sex • Age-related changes • Body image/weight gain • Health concerns • Psychological problems • Physical/sexual abuse • Incontinence • Sleep disturbances #SEXislikeGOL
  • 24. Treatment Options NONPHARMACOLOGIC • Modify sexual technique • Increase sexual novelty • Enhance relationship/communication with partner • Improve health and body image PHARMACOLOGIC • Treat medical, psychological or sleep problem • Modify medications that affect function • Hormones (estrogens/androgens) • Viagra/Cialis/Levitra • Addyi #SEXislikeGOL
  • 25. • “Find a good teacher that will keep the game fun. Work hard and don’t be afraid to have success or disappointment. That is what golf is all about.” Paula Creamer #SEXislikeGOL
  • 26. Testosterone • Contributes to sex drive in women • Plays a role in motivation, desire and sexual sensation • Declines with age Testosterone (oral, topical, pellets) treatment is controversial in women Side effects of Testosterone (physiologic levels recommended): • Excess facial body hair • Change in lipids or liver function • Enlargement of clitoris • Weight gain • (Permanent) lowering of voice • Change in emotions (anger)
  • 27. Addyi (flibanserin) Treatment of acquired, generalized hypoactive sexual desire disorder (HSDD) in premenopausal women Once-daily, non-hormonal, multifunctional serotonin agonist antagonist 1 in 5 women experience side effects (fatigue, low BP, fainting) Daily use adds 0.5-1 additional sexual satisfying events per month (compared to placebo) Cannot use with alcohol FDA-approved on August 18, 2015
  • 28. • Sexual History • Religious Attitudes and Beliefs • Family Attitudes • Early Sexual Experiences • Poor Sexual Habits • Difficult with Intimacy • Concern with Performance Rid the baggage in your head that interferes with enjoyment and fulfillment of a sexual experience: It’s about the Grey Matter #SEXislikeGOL
  • 29. The greatest golfers have the ability to calm their mind and maintain focus even under pressure. They focus only on the ball in front of them and the hole they are aiming for. They are able to put the last hole behind them. #SEXislikeGOL
  • 30. In golf, if you are more concerned with the score than the process of engaging the ball and the motion of the body – odds are you will experience a poor shot Don’t be more concerned with the outcome than with the process. Anxiety is detrimental to good sex: • Stay in the moment • Focus on immediate bodily feeling • Stay connected and engaged with your partner • Allow yourself to feel their presence.
  • 31. •#SEXislikeGOL “Walk away for a week or so…you wake up one morning and think about playing again. Then get over it! Some of my best days have come after nearly walking away from the course. Just remember the last shot that made you feel great and focus on that. Positive attitude builds on itself!”
  • 32. • “Golf is boring – and it’s not even a real sport. It’s the only game you can play while taking a nap.” Anonymous #SEXislikeGOL
  • 33. •#SEXislikeGOL “I still can’t imagine why anyone would play this game – Life is too short to waste hours of it chasing after a little dimpled white ball.” Anonymous
  • 34. •#SEXislikeGOL “The fun part of golf is the variety of shots. When you hit a shot and the ball does what you want it to do…That’s wonderful. It’s just great when you hit the ball. You should always try not to make the ball cry.” Johan Cryff
  • 35. •#SEXislikeGOL “Golf is like love. One day you think you are too old and the next day you want to do it again.” Roberto de Vicenzo
  • 37. Vaginal Changes with Menopause • Thinning of walls • Loss of elasticity (rugal folds) • Shortening/narrowing of canal • Reduced secretions • Increase in pH (normally acidic) • Reduced lactobacilli (healthy bacteria) • Susceptible to trauma • Vulnerable to infection #SEXislikeGOL
  • 38. Symptoms of Vaginal Atrophy • Dryness • Burning/Irritation • Decreased Lubrication during sex • Dyspareunia (Vulvar/Vaginal pain w/sex) • Vulvar/Vaginal bleeding w/sex • Vaginal discharge • Pelvic pressure/Vaginal bulge • Frequency of urination • Painful urination • Bladder/Urethral Discomfort • Hematuria (Blood in the urine)#SEXislikeGOL
  • 39. Treatments of Vaginal Atrophy #SEXislikeGOL • Hormonal Medications • Estrogens • Androgens (DHEA) • Estrogen Agonist-Antagonist (Osphena) • Non-Hormonal • Vaginal Lubricants • Vaginal Moisturizers • Regular sexual activity • NEW: Laser Vaginal Rejuvenation • PROMISING – PRP “Oshot”
  • 41. Femilift™ (laser vaginal rejuvenation) • Minimally invasive, virtually painless procedure • Gentle treatment for controlled safety and accuracy • Maximum precision with Alma CO2 laser • Fast and efficient delivery of fractionated laser energy split into micro pixels • No post-treatment downtime • Excellent patient satisfaction and long term success The lasting benefits of FemiLift can be an improved quality of life and deeply enhanced self esteem. #SEXislikeGOL
  • 42. Procedure using your own blood platelets to restore vaginal tissue Platelets encourage stem cells to generate healthier, more functional tissue in areas of sexual response • G-Spot, O-Spot, Skene’s Glands, urethra, vaginal wall Adapted by the creator of the Vampire Facelift, Dr. Charles Runels May also improve urinary incontinence O shot ® #SEXislikeGOL
  • 43. Incontrolmedical .com Intensity’s scientific design heightens the female sexual response, improving intimate experience. InTone provides a comprehensive, home-based pelvic floor rehabilitation program to ensure you eliminate your bladder leakage symptoms. #SEXislikeGOL
  • 44. •#SEXislikeGOL If you watch a game, it’s fun. If you play it, it’s recreation. If you work at it, it’s GOLF. Bob Hope
  • 45. • “The right way to play golf is to go up and hit the bloody thing” George Duncan #SEXislikeGOL
  • 46. • “To play well, you must feel tranquil and at peace. I have never been troubled by nerves in golf because I felt I had nothing to lose and everything to gain.” Harry Vardon #SEXislikeGOL
  • 47. • “Clean the club, wash the balls and ask yourself to be amazing” Unknown #SEXislikeGOL
  • 48. • “Your best days are still ahead. Few that are mature are in their physical prime. Fortunately, golf is a test of feel and skill more than physical fitness, so one can still achieve a personal best in their 50s and 60s.” #SEXislikeGOL