Sex therapy in Van
A structured psychotherapy for sexual function problems such as vaginismus, premature ejaculation, psychologically caused erectile dysfunction, low desire and difficulty reaching orgasm, used after medical causes have been ruled out.
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What is sex Therapy?
Sex therapy is a usually short-term, goal-focused therapy that works on the psychological, relational and learned sides of problems that make sex difficult. The first step is to investigate, with a urologist or gynaecologist, whether there is a medical cause such as a hormonal, vascular or neurological problem or a medication side effect. A detailed sexual history is then taken, and myths and fears are discussed (psychoeducation). Treatment uses cognitive behavioural techniques, gradual "sensate focus" exercises the couple do together, step-by-step exposure work that reduces fear in vaginismus, and behavioural techniques to notice and manage arousal in premature ejaculation. There is no physical contact or examination in sessions; exercises are done at home, in the privacy of the person or couple. Structured therapy programmes for vaginismus are reported to enable many women to have intercourse; for premature ejaculation and erectile dysfunction, behavioural methods often work better combined with medication. Response varies from person to person.
How is sex Therapy done?
- Urology or gynaecology assessment to rule out medical causes
- A detailed sexual history individually and, if needed, with the couple
- Psychoeducation on the sexual response cycle and how the problem is maintained
- Planning gradual exercises to do at home and reviewing them in sessions
- Working on anxiety, shame and relationship problems; a relapse prevention plan
Who is sex Therapy suitable for?
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