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Thursday, June 30, 2011

List of Political Sex Scandals - (2)


Our Favorite Political Sex Scandals

Maxim.com - the Ultimate Guys' Guide - check out sexy photos and videos of celebrities, Hometown Hotties, and our Hot 100. Maxim is your source of funny lists, jokes, sexy women ...

www.maxim.com/humor/lists/43984/our-favorite-political-sex-scandals.html

Gallery World: The 15 Hottest Political Sex Scandals This Decade

In politics, there’s not much more interesting than a ruined reputation, and nothing can top that better than a classic sex scandal. It’s the kind of thing that interests ...

mygalleryworld.blogspot.com/2009/12/15-hottest-political-sex-scandals-this.html

Juiciest Political Sex Scandals - Lovechildren, gay affairs, and ...

From Eliot Spitzer’s $80,000 worth of prostitute action to Mark Sanford “hiking the Appalachian trail,” this decade has been ripe with political sex scandals. The Frisky ...

www.newser.com/story/77177/juiciest-political-sex-scandals.html

Political Sex Scandals

Prompted by the RNC expensing trips to bondage clubs, the folks at the Daily Beast took a look at all 58 scandals over the past 20 years involving all

www.outsidethebeltway.com/political_sex_scandals

Top 10 Political sex scandals in History - Believe It or Not ...

Political sex scandals are about much more than just people getting caught with their pants down. To many, they suggest that these people cannot be trusted.

believe-or-not.blogspot.com/2009/09/top-10-political-sex-scandals-in.html

American Political Sex Scandals: What Would We Do Without Them?

America is a country that loves sex and political power. Think it's a modern phenomenon? Hardly. The country's Founding Fathers pioneered it. A good example is the randy behavior ...

www.politicsdaily.com/2010/09/08/american-political-sex-scandals-what-would-we-do...

Top 10: Political Sex Scandals - AskMen UK

These politicians have risked everything for a little on the side - is it only human, or incredibly shameful?

uk.askmen.com/top_10/entertainment/top-10-political-sex-scandals.html

Top 10 Political sex scandals | Must Read Stuff

Top 10 Political sex scandals,Political sex scandals are about much more than just people getting caught with their pants down. To many, they suggest that these people cannot be ...

www.mustreadstuff.com/top-10-political-sex-scandals

Political sex scandals: the phenomenon of the "centipede" - Boing ...

For years, Bruce Sterling has been blogging about political sex scandals around the world, calling them "centipedes" -- today, he's defined the term in a little essay explaining ...

www.boingboing.net/2008/05/30/political-sex-scanda.html

Funny Current Events - Hot Political Issues and Scandals

A collection of political cartoons on political sex scandals and politicians caught with their pants down.

politicalhumor.about.com/od/currentevents

World’s 10 biggest political sex scandals — RT

Find the Latest RT news about the United States of America. Read also RT articles and exclusive interviews with famous people.

rt.com/usa/news/world-s-10-biggest-political-sex-scandals

Americas Top 53 Political Sex Scandals

AMERICA’S TOP 53 POLITICAL SEX SCANDALSJust remember that our list is purely subjective. As always, we welcome your comments at editor@politicker.com1Bill ClintonPresident of ...

www.docstoc.com/docs/7719916/Americas-Top-53-Political-Sex-Scandals

The party of the sex scandal - The Daily Voice - Black America's ...

Political Sex Scandals Involving Sexual Harassment/Rape. Republicans (4) Ernie Konnyu (R-CA) - sexual harassment complaints by two female staffers (1987)

thedailyvoice.com/voice/2008/08/the-party-of-the-sex-scandal-001028.php

Political Sex Scandals | Bill Cammack

Add John Edwards to the list of politicians who were discovered to have had sex outside of their marriage, including Eliot Spitzer, Bill Clinton, David

billcammack.com/2008/08/10/political-sex-scandals

15 Most Shocking Political Sex Scandals (TV 2008) - IMDb

With Conor Knighton, Joel Stein, Cenk Uygur, John Amato. 1

www.imdb.com/title/tt1278291

Political Sex Scandals - Sex Scandals - Zimbio

Sex Scandals. Sex scandals are taking over the internet and the global public consciousness. Track recent sex scandals and debate their impact on society here.

www.zimbio.com/Sex+Scandals/pictures/4/Political+Sex+Scandals

Political Sex Scandals: Why Do They Hurt the Republicans More Than ...

Political Sex Scandals: Why Do They Hurt the Republicans More Than Democrats? Like most people, I saw the train wreck of a press conference by SC Gov. Sanford (R) yesterday.

levellers.wordpress.com/2009/06/25/political-sex-scandals-why-do-they-hurt-the...

Political sex scandals? California is strictly minor league ...

California may be one of the world's biggest economies, and Los Angeles may be the global city of the future, but compared with the rest of the country this place is second class ...

opinion.latimes.com/opinionla/2008/03/political-sex-s.html

David Rosen: America's Top 10 Sex Scandals

America's Best Political Newsletter. ... Exclusive to CounterPunch Newsletter Subscribers! How Bill Saved Hillary from a Federal Indictment

www.counterpunch.org/rosen08012007.html

Sanford The Latest In A Series Of Political Sex Scandals : It's ...

Political sex scandals in the 21st century. So far. ... The stunning admission of an extramarital affair by South Carolina Gov. Mark Sanford, an early favorite of many ...

www.npr.org/blogs/politicaljunkie/2009/06/sanford_just_the_latest_sex_sc.html

Political Sex Scandals - CBS News Video

CBS News video: Political Sex Scandals - Politics and scandals are often intertwined, as former presidential candidate John Edwards recently admitted to having an ...

www.cbsnews.com/video/watch/?id=4335542n

Keeping Up With Political Sex Scandals - Washington Post ...

The brouhaha surrounding Rep. Tim Mahoney (D-Fla.) and ... Mark Foley was forced to resign amid a sex scandal of his own. Mahoney ... not seek re-election in 2009 and the ...

voices.washingtonpost.com/washingtonpostinvestigations/2008/10/sex_and_politics...

Speaking of Political Sex Scandals

No tickling here that we know of, but an important reminder that there is another member, Republican Senator John Ensign of Nevada, who is under investigation -- criminal ...

swampland.blogs.time.com/2010/03/10/speaking-of-political-sex-scandals

Speaking of Political Sex Scandals

No tickling here that we know of, but an important reminder that there is another member, Republican Senator John Ensign of Nevada, who is under investigation -- criminal ...

swampland.blogs.time.com/2010/03/10/speaking-of-political-sex-scandals

AMERICA'S TOP 53 POLITICAL SEX SCANDALS

The 42 nd President was impeached following a sexual relationship with White House intern Monica Lewinsky. As Governor of Arkansas, he had alleged relationships with Gennifer ...

www.politickernj.com/files/Top53SexScandals.pdf

John Amato on E's 15 Most Shocking Political Sex Scandals | Crooks ...

I was asked to participate in E Entertainment's two hour documentary called 15 Most Shocking Political Sex Scandals at 5/8 PST-EST and 9:30/12:30 PST-EST tonight and I'm sure ...

crooksandliars.com/2008/09/01/john-amato-on-es-15-most-shocking-political-sex-scandals

World’s 10 Biggest Political Sex Scandals

World’ 10 bigge t political ex candal Monicagate: Oral Hi tory “I did not have exual relation with that woman”. The e word made headline

www.strangecosmos.com/content/item/161111.html

America's Top 53 Political Sex Scandals | Politicker NJ

Eliot Spitzer is just the latest in a long list of political sex scandals that goes back to the Continental Congress. Politicker.com has a list of America’s Top 53 Political Sex ...

www.politickernj.com/americas-top-53-political-sex-scandals-0

Political Sex Scandals - ABC News

From Bill Clinton to Larry Craig, news of indiscretions from politicians' lives.

abcnews.go.com/Politics/slideshow/political-sex-scandals-11766911

terselubung: Top 10 Political Sex Scandals

Politicians are honest, truthful and the heart of this beautiful nation, right? WRONG! Their politics may be correct at times but often their morals are extremely flawed.

terselubung.blogspot.com/2010/02/top-10-political-sex-scandals.html

The 10 Dumbest Political Sex Scandals | SPIKE

Politics is one of the few industries in which a considerable lack of smarts and fancy book learnin' can actually be listed as a special skill on a resume. It might not get in the ...

www.spike.com/blog/10-dumbest-political/99202

The Top 10 Political Sex Scandals of All Time | Sex ...

From Warren G. Harding to Eliot Spitzer, American politicians sure know how to have a good time.

www.alternet.org/sex/81423/?page=entire

Ten Political Sex Scandals - Comment Central - Times Online - WBLG

The political sex scandal is with us again. As John Edwards admits to an affair with Rielle Hunter, Comment Central takes a walk down resignation road. Who got away with it?

timesonline.typepad.com/comment/2008/08/we-take-a-look.html

Yes, the Northwest does have more political sex scandals ...

Oregon, Idaho and Washington have 4 percent of the nation's population but 12 percent of the worst political scandals of the last 20 years. Go figure.

blog.oregonlive.com/mapesonpolitics/2010/03/yes_the_northwest_does_have_mo.html

Top 10: Political Sex Scandals | Listropolis

From Source: AskMen.com. Ah, politicians. Idealistic men and women who want to make the world a better place, or corrupt men and women who are self-serving and egomaniacal.

www.listropolis.com/2009/10/top-10-political-sex-scandals

Political sex scandals: The latest in a long tradition ...

PA. First Minister Peter Robinson's wife, Iris Robinson (a member of the Belfast Assembly and Westminster MP for Strangford), released a statement yesterday confirming a "brief affair

www.independent.co.uk/news/people/news/political-sex-scandals-the-latest-in-a-long...

Jon Stewart Goes After Political Sex Scandals And Hypocrisy

This is the reason why Jon Stewart and The Daily Show deserve all the accolades they receive: they take a topic that would be so very banal in the hands of any one else, and make ...

www.mediaite.com/online/jon-stewart-goes-after-political-sex-scandals-and-hypocrisy

Kuala Lumpur Journal - Political Sex Scandals Rock Modest Malaysia ...

Sex and politics have collided in Malaysia before but wider use of the Internet has helped disseminate the kind of informations and rumors that used to be filtered out.

www.nytimes.com/2008/08/04/world/asia/04malaysia.html

List of Political Sex Scandals (1)

List of federal political scandals in the United States ...

This article provides a list of political scandals of the United States. ... (1996) See also Sex scandals. Anthony Lee Coelho (D-CA) Resigns rather than face inquiries ...

en.wikipedia.org/wiki/Political_scandals_of_the_United_States

America's Top 10 Political Sex Scandals | Nerve.com

If it were up to me, there'd be a law — make it a constitutional amendment — forbidding the press from covering those acts performed by politicians in private and not directly ...

www.nerve.com/dispatches/almond/americastop10politicalsexscandals

Category:Political sex scandals - Wikipedia, the free encyclopedia

Subcategories. This category has only the following subcategory. P [+]

en.wikipedia.org/wiki/Category:Political_sex_scandals

Sex and Politics - Sex Jokes - Political Sex Scandals

Jokes, cartoons, and satire about political sex scandals, as well as other humor about sex and politics.

politicalhumor.about.com/od/sexandpolitics

Scandals - Sex, Political & Celebrity Scandal @ The Frisky

In 2006, Ted Haggard was one of the most powerful ministers in the United States—he was the head of the enormous New Life Church in Colorado and the leader of the National ...

www.thefrisky.com/tag/scandals

Political Sex Scandals - ABC News

Political Sex Scandals Redux ... New York Rep. Vito Fossella admits that he does indeed have a love child.

abcnews.go.com/Politics/Blotter/popup?id=2841254

Political Sex Scandals - Video

A confession about the new obsession.. Watch Video about Politics,Sex,Scandals by Metacafe.com

www.metacafe.com/watch/1219782/political_sex_scandals

Top 10: Political Sex Scandals - AskMen.com

These politicians have risked everything for a little on the side - is it only human, or incredibly shameful?

www.askmen.com/top_10/entertainment/top-10-political-sex-scandals.html

Twanna A. Hines: Political Sex Scandals: Obama, McCain & Palin

Woe is the modern American politician: so much sex, too little time. Ho, hum. Nothing new.

www.huffingtonpost.com/twanna-a-hines/political-sex-scandals-ob_b_137583.html

Political sex scandals

A powerful foreign figure was just placed under investigation for sexual misconduct and here in the United States we’re having a bout of dirty deed déja-vu.

funtuna.blogspot.com/2011/01/political-sex-scandals.html

FoxNews.com - Political Sex Scandals of Congress

Political sex scandals have become so common that it's almost cliché to point out that fact every time another one breaks. But for those who would like their memories jogged ...

www.foxnews.com/slideshow/politics/2010/05/18/political-sex-scandals

Political sex scandals a nonpartisan affair - CNN.com

If there's one thing Democrats and Republicans have in common, it's sex scandals.

edition.cnn.com/2009/POLITICS/07/14/political.sex.scandals/index.html

The 15 Hottest Political Sex Scandals This Decade | Manolith

In politics, there's not much more interesting than a ruined reputation, and nothing can top that better than a classic sex scandal.

www.manolith.com/2009/11/30/political-sex-scandals

Political Sex Scandals - Topic - Associated Content from Yahoo ...

Associated Content from Yahoo! is a platform that enables everyone to publish their content in any format (text, video, audio, images) on any topic and then distributes that ...

www.associatedcontent.com/topic/134760/political_sex_scandals.html

Gov. Mark Sanford - Top 10 Political Sex Scandals - TIME

Scandal: Year-long affair How Outed: Press Conference The Sanford saga began with a disappearing act. The South Carolina governor apparently left home in a black SUV on June ...

www.time.com/time/specials/packages/article/0,28804,1721111_1721210,00.html

FoxNews.com - RAW DATA: Timeline of U.S. Political Sex Scandals

1802 -- Thomas Jefferson is rumored to be having an affair with his slave Sally Hemings. DNA tests of their descendents confirm it in 1998. 1884 -- Grover Cleveland wins his ...

www.foxnews.com/politics/2009/06/24/raw-data-timeline-political-sex-scandals

Political sex scandals a nonpartisan affair - CNN

If there's one thing Democrats and Republicans have in common, it's sex scandals.No matter which party the philanderer belongs to, the public wants all the juicy details, as ...

articles.cnn.com/2009-07-14/politics/political.sex.scandals_1_scandals-fanne-foxe-rep...

Pictures Portal: Political sex scandals

Italy's Berlusconi was asked to quit recently. Find out why & discover other scandals.

picturesportal.blogspot.com/2011/01/political-sex-scandals.html

America's Top 10 Political Sex Scandals - Page 2 | Nerve.com

5. Out of the Closet and into the Stall Wouldn't it be weird if a Republican Senator from a conservative state pleaded guilty to disorderly conduct, after having been arrested for ...

www.nerve.com/dispatches/almond/americastop10politicalsexscandals?page=2

America's 50 Most Scandalous Political Scandals - Zimbio

5 Political Careers That Were Ended in Men's Rooms; 7 Scandalous Love Children; 10 Most Bizarre Political Sex Scandals; 8 Scandals That Outed Gay Politicians

www.zimbio.com/America%27s+50+Most+Scandalous+Political+Scandals

Top 10: Political Sex Scandals - AskMen

... scandals are so damaging, they can destroy careers, or even bring down governments. Here are 10 of the most shocking and salacious political sex scandals in history. More ...

www.askmen.com/top_10/entertainment/top-10-political-sex-scandals_1p.html

Political sex scandals

Politics and sex scandals seem to go hand and hand today. Here are some of the most notable from the last four decades.

www.nydailynews.com/news/politics/galleries/political_sex_scandals/political_sex...

American Political Sex Scandals: What Would We Do Without Them?

America is a country that loves sex and political power. Think it's a modern phenomenon? Hardly. The country's Founding Fathers pioneered it. A good example is the randy ...

www.politicsdaily.com/2010/09/08/american-political-sex-scandals-what-would-we-do...

Sex and Politics in America - A Guide To Political Sex Scandals in ...

An overview of political sex scandals in America. ... When sex is involved, Americans and the media respond to political entanglements with a Puritanical bent.

uspolitics.about.com/od/biographies/tp/sex_and_politics.htm

Scandals - Sex, Political & Celebrity Scandal @ The Frisky

In 2006, Ted Haggard was one of the most powerful ministers in the United States—he was the head of the enormous New Life Church in Colorado and the leader of the National ...

www.thefrisky.com/tag/scandals

Top 10 Political Sex Scandals | Top 10 Lists | TopTenz.net

Politicians are honest, truthful and the heart of this beautiful nation, right? WRONG! Their politics may be correct at times but often their morals are

www.toptenz.net/top-10-political-sex-affairs.php

Political Sex Scandals: Are Women To Blame? - Jillian Bandes ...

Political Sex Scandals: Are Women To Blame? - Jillian Bandes: The explanations of many political scandals that involve sexual affairs invariably

townhall.com/columnists/JillianBandes/2009/10/14/political_sex_scandals_are_women_to_blame

First Read - A decade of sex scandals

... the last 10 years or so, American politics has seen its fair share of sex scandals -- both ... Since joining the network in 2003, he has reported on and written about political races ...

firstread.msnbc.msn.com/_news/2009/06/24/4439169-a-decade-of-sex-scandals

Political SEX SCANDALS - Video

A confession about my new obsession. Watch Video about Ashley,Dupre,Girls by Metacafe.com

www.metacafe.com/watch/1291688/political_sex_scandals

Gov. Mark Sanford - Top 10 Political Sex Scandals - TIME

Scandal: Year-long affair How Outed: Press Conference The Sanford saga began with a disappearing act. The South Carolina governor apparently left home in a black SUV on June ...

www.time.com/time/specials/2007/article/0,28804,1721111_1721210,00.html

Political Sex Scandals | BP Music Videos

About Us: Funny political videos from the team that produced "I Got a Crush on Obama." More

www.barelypolitical.com/barelymusic/episode/MV_20080404/political-sex-scandals

Political Sex Scandals - Associated Content from Yahoo ...

With recent news stories on embattled Detroit Mayor Kwame M. Kilpatrick " Sex, Text Messaging & Lie's scandal. Plus misconduct by other elected official in office what does it all ...

www.associatedcontent.com/article/608707/political_sex_scandals.html

Political sex scandals - Nashville Nonpartisan | Examiner.com

Today’s top news is, Gov. Sanford is in the hot seat for an extramarital affair, last week it was Sen. Ensign from Nevada, and news reporters act as if this is

www.examiner.com/nonpartisan-in-nashville/political-sex-scandals

The 12 Most Shocking Political Sex Scandals Of The Decade

As 2009 ends, the Huffington Post is taking a look back at one of the recurring themes of the past decade -- embarrassing political sex scandals. Which one is the worst?

www.huffingtonpost.com/2009/12/23/the-12-most-shocking-poli_n_401609.html

Political scandal: Information from Answers.com

Political Scandals Scandals are events committed by particular individuals that ... Sex is another contributor to political scandal. It has been used for material gain or to get ...

www.answers.com/topic/political-scandal

The Top 10 Political Sex Scandals of All Time | Sex ...

From Warren G. Harding to Eliot Spitzer, American politicians sure know how to have a good time.

www.alternet.org/sex/81423

A History of Political Sex Scandals (washingtonpost.com)

A guide to some of the more notable public embarrassments over the last five decades and how individual politicians weathered the storm

www.washingtonpost.com/wp-srv/politics/interactives/2009/sexscandal/index.html

Sex problems review


Definition

Sexual problems are defined as difficulty during any stage (desire, arousal, orgasm, and resolution) of the sexual act, which prevents the individual or couple from enjoying sexual activity.

Information

Sexual difficulties may begin early in a person's life, or they may develop after an individual has previously experienced enjoyable and satisfying sex. A problem may develop gradually over time, or may occur suddenly as a total or partial inability to participate in one or more stages of the sexual act. The causes of sexual difficulties can be physical, psychological, or both.

Emotional factors affecting sex include both interpersonal problems and psychological problems within the individual. Interpersonal problems include marital or relationship problems, or lack of trust and open communication between partners. Personal psychological problems includedepression, sexual fears or guilt, or past sexual trauma.

Physical factors contributing to sexual problems include:

  • Injuries to the back
  • An enlarged prostate gland
  • Diseas

e (diabetic neuropathy, multiple sclerosis, tumors, and, rarely, tertiary syphilis) Drugs, such as alcohol, nicotine, narcotics, stimulants, antihypertensives (medicines that lower blood pressure), antihistamines, and some psychotherapeutic drugs (used to treat psychological problems such as depression) Endocrine diso

  • rders (thyroid, pituitary, or adrenal gland problems)
    • Failure of various organs (such as the heart and lungs)
  • Hormonal deficiencies (low testosterone, estrogen, or androgens)
  • Nerve damage (as in spinal cord injuries)
  • Problems with blood supply
  • Some birth defects

Sexual dysfunction disorders are generally classified into four categories: sexual desire disorders, sexual arousal disorders, orgasm disorders, and sexual pain disorders.

Sexual desire disorders (decreased libido) may be caused by a decrease in the normal production of estrogen (in women) or testosterone (in both men and women). Other causes may be aging, fatigue, pregnancy, and medications -- the SSRI anti-depressants which include fluoxetine (Prozac), sertraline (Zoloft), and paroxetine (Paxil) are well known for reducing desire in both men and women. Psychiatric conditions, such

as depression and anxiety, can also cause decreased libido. Sexual arousal disorders were previously known as frigidity in women and impotence in men. These have now been replaced with less judgmental terms. Impotence is now known as erectile dysfunction, and frigidity is now described as any of several specific problems w

ith desire, arousal, or anxiety.

For both men and women, these conditions may appear as an aversion to, and avoidance of, sexual contact with a partner. In men, there may be partial or complete failure to attain or maintain an erection, or a lack of sexual excitement and pleasure in sexual activity.

There may be medical causes for these disorders, such as decreased blood flow or lack of vaginal lubrication. Chronic disease may also contribute to these difficulties, as well as the nature of the relationship between partners. As the success of Viagra attests, many erectile disorders in men may be primarily physical, not psychological conditions.

Orgasm disorders are a persistent delay or absence of orgasm following a normal sexual excitement phase. The disorder occurs in both women and men. Again, the SSRI antidepressants are frequent culprits -- these may delay the achievement of orgasm or eliminate it entirely.

Sexual pain disorders affect women almost exclusively, and are known as dyspareunia (painful intercourse) and vaginismus (an involuntary spasm of the muscles of the vaginal wall, which interferes with intercourse). Dyspareunia may be caused by insufficient lubrication (vaginal dryness) in women. There may also be abnormalities in the pelvis or the ovaries that can cause pain with intercourse. Vulvar pain disorders can also cause dyspareunia and inability to have intercourse due to pain.

Poor lubrication may result from insufficient excitement and stimulation, or from hormonal changes caused by menopause or breast-feeding. Irritation from contraceptive creams and foams may also cause dryness, as can fear and anxiety about sex.

It is unclear exactly what causes vaginismus, but it is thought that past sexual trauma such asrape or abuse may play a role. Another female sexual pain disorder is called vulvodynia or vulvar vestibulitis. In this condition, women experience burning pain during sex which may be related to problems with the skin in the vulvar and vaginal areas. The cause is unknown. Sexual dysfunctions are most common in the early adult years, with the majority of people seeking care for such conditions during their late 20s through 30s. The incidence increases again in the perimenopause and postmenopause years in women, and in the geriatric population, typically with gradual onset of symptoms that are associated most commonly with medical causes of sexual dysfunction. Sexual dysfunction is more common in people who abuse alcohol and drugs. It is also more likely in people suffering from diabetes

and degenerative neurological disorders. Ongoing psychological problems, difficulty maintaining relationships, or chronic disharmony with the current sexual partner may also interfere with sexual function.

PREVENTION

Open, informative, and accurate communication regarding sexual issues and body image between parents and their children may prevent children from developing anxiety or guilt about sex, and may help them develop healthy sexual relationships.

Review all medications, both prescription and over-the-counter, for possible side effects that relate to sexual dysfunction. Avoiding drug and alcohol abuse will also help prevent sexual dysfunction.

Couples who are open and honest about their sexual preferences and feelings are more likely to avoid some sexual dysfunction. One partner should, ideally, be able to communicate desires and preferences to the other partner.

People who are victims of sexual trauma, such as sexual abuse or rape at any age, are urged to seek psychiatric advice. Individual counseling with an expert in trauma may prove beneficial in allowing sexual abuse victims to overcome sexual difficulties and enjoy voluntary sexual experiences with a chosen partner.

SYMPTOMS

  • Men or women:
    • Inability to feel aroused
    • Lack of interest in sex (loss of libido)
    • Pain with intercourse (much less common in men than women)
  • Men :
    • Delay or absence of ejaculation, despite adequate stimulation
    • Inability to control timing of ejaculation
    • Inability to get an erection
    • Inability to keep an erection adequately for intercourse
  • Women:
    • Burning pain on the vulva or in the vagina with contact to those areas
    • Inability to reach orgasm
    • Inability to relax vaginal muscles enough to allow intercourse
    • Inadequate vaginal lubrication before and during intercourse
    • Low libido due to physical/hormonal problems, psychological problems, or relationship problems

CALL YOUR HEALTH CARE PROVIDER IF...

Call for an appointment with your health care provider if sexual problems persist and are a concern.

SIGNS AND TESTS

The health care provider will investigate any physical problems and conduct tests based on the particular type of sexual dysfunction you're experiencing. In any case, a complete medical history should be taken and physical examination should be done to:

  • Highlight possible fears, anxieties, or guilt specific to sexual behaviors or performance
  • Identify predisposing illness or conditions
  • Uncover any history of prior sexual trauma

A physical examination of both the partners should include the whole body and not be limited to the reproductive system.

TREATMENT

Treatment depends on the cause of the sexual dysfunction. Medical causes that are reversible or treatable are usually managed medically or surgically. Physical therapy and mechanical aides may prove helpful for some people experiencing sexual dysfunction due to physical illnesses, conditions, or disabilities.

For men who have difficulty attaining an erection, the medication sildenafil (Viagra), which increases blood flow to the penis, may be very helpful, though it must be taken 1 to 4 hours before intercourse.

Men who take nitrates for coronary heart disease should not take sildenafil. Mechanical aids and penile implants are also an option for men who cannot attain an erection and find sildenafil isn't helpful.

Women with vaginal dryness may be helped with lubricating gels, hormone creams, and -- in cases of premenopausal or menopausal women -- with hormone replacement therapy. In some cases, women with androgen deficiency can be helped by taking testosterone. Kegel exercisesmay also increase blood flow to the vulvar/vaginal tissues, as well as strengthen the muscles involved in orgasm.

Vulvodynia can be treated with testosterone cream, with use of biofeedback and with low doses of some antidepressants which also treat nerve pain. Surgery has not been successful.

Behavioral treatments involve many different techniques to treat problems associated with orgasm and sexual arousal disorders. Self-stimulation and the Masters and Johnson treatment strategies are among the many behavioral therapies used.

Simple, open, accurate, and supportive education about sex and sexual behaviors or responses may be all that is required in many cases. Some couples may benefit from joint counseling to address interpersonal issues and communication styles. Psychotherapy may be required to address anxieties, fears, inhibitions, or poor body image.

PROGNOSIS AND OUTCOME

The prognosis (probable outcome) depends on the form of sexual dysfunction. In general, the probable outcome is good for physical dysfunctions resulting from treatable or reversible conditions. It should be noted, however, that many organic causes do not respond to medical or surgical treatments. Prolonged physical dysfunction can also create sexual dysfunction.

In functional sexual problems resulting from either relationship problems or psychological factors, the prognosis may be good for temporary or mild dysfunction associated with temporary stress or lack of accurate information. However, those cases associated with chronically-poor relationships or deep-seated psychiatric problems typically do not have positive outcomes.

COMPLICATIONS

Some forms of sexual dysfunction may cause infertility.

Persistent sexual dysfunction may cause depression in some individuals. The importance of the disorder to the individual (and couple, when applicable) needs to be determined. Decreased sexual function is important only if it is a cause of concern for the couple. Sexual dysfunction that is not addressed adequately may lead to conflicts or potential breakups.

References

Eyler AE, Biggs WS. Medical human sexuality in family medicine practice. In: Rakel RE.Textbook of Family Medicine. 7th ed. Philadelphia, Pa: Saunders Elsevier; 2007: chap 55.

Lentz GM. Emotional aspects of gynecology: sexual dysfunction, eating disorders, substance abuse, depression, grief, loss. In: Katz VL, Lentz GM, Lobo RA, Gershenson DM eds.Comprehensive Gynecology. 5th ed. Philadelphia, Pa: Mosby Elsevier; 2007: chap 9.

Lue TF, Broderick GA. Evaluation and nonsurgical management of erectile dysfunction and premature ejaculation. In: Wein AJ, ed. Campbell-Walsh Urology. 9th ed. Philadelphia, Pa: Sauders Elsevier; 2007: chap 22.