This document compares golf and sex, noting similarities in how they can both be enjoyed throughout life, provide exercise and stress relief, and be more fun with a partner. It discusses how practicing is important to maintain skill in both golf and sex. Various benefits of golf and sex are listed, such as social aspects, setting your own pace, and achieving moments of exhilaration. The document also covers topics like arousal, sexual response cycles, age-related changes to sex drive, and treatments for sexual issues.

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

7. #SEXislikeGOL

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

20. Sexual Response Cycle
#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

22. How Does Arousal Work?

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”

40. Newest
treatments
to restore
vaginal
health
#SEXislikeGOL

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