1. men are asking for help with a rising concern
Time Magazine recently published an article on the negative effects internet porn can have on
male virility (Time, April 11, 2016). I wondered as I read how many men, especially those in the
18-25 age group, will sit up and take notice of this new information. There is some compelling
information and new research that men who grew up experiencing sex primarily through internet
porn use are now reporting some problems with sexual functioning with actual partners.
These clients have been showing up in my practice at Franco Psychological Associates.
Otherwise fit and healthy men, are reporting problems like erectile dysfunction, delayed orgasm,
and other problems with desire and intimacy. During my assessment of their sexual history and
current functioning we are discussing any habitual use of pornography and masturbation. Of
course, not all sexual functioning problems are related to pornography use as some have
physical or medical origins such as vascular problems, medication side effects, and substance
use. However, If a man is experiencing problems with sexual functioning with a partner, and if a
physician has ruled out any medical or physical concerns, the next step should be a sexual
history and current functioning assessment by a sex therapist.
Sex Therapy is a growing field and for me is part and parcel of the practice of relationship
counseling as a Marriage and Family Therapist. For more information on Marriage and Family
Therapy and/or Sex Therapy check out the websites: American Association of Marriage and
Family Therapists (www.aamft.org) or the American Association of Sexuality Educators,
Counselors and Therapists (https://www.aasect.org/).
A complete and through assessment of a person’s psychological, physical, relational,
intergenerational and social and cultural history is part of a workup for sexual problems in
intimate relationships. Typically this assessment happens during the intake phase of treatment
and assessment. Once a diagnosis is made, treatment options can be discussed with the client.
If referral to a medical professional is needed that becomes part of the treatment plan. Most
sexual problems are treatable and once resolved can result in reduced anxiety and improved
intimacy in relationships. If you are interested in discussing your sexual health and intimacy
issues, please contact me at FPA.
Heidi B. Roeder, M.S., LPC, LMFT
Licensed Professional Counselor
Licensed Marriage and Family Therapist
2016 Candidate for Sex TherapyCertification (AASECT)