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Attract Hotter Women

Attracts Hotter Women is a product which has been in the market for a period with the main target being to help men attracts hotter women in their circle. Some people think you can attract hotter women through money, status or good looks, but according to Brent, these are not determining fact. To him, one needs to have an excellent social introduction, good vibes, give a gift, and have a fantastic conversation with the lady. This product has been used by many people and has been proved to be the best when it comes to attracting hotter women in your life. The vibe is what determines whether one would attract hotter women. Good vibes need one to be himself when it comes and has good energy when it comes to approaching hotter women. The product requires no technical skills or intermediate level when using this product. In addition to that, the product is available in memberships and e-book where one gets some bonuses after purchase. Continue reading...

Attract Hotter Women Summary


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Highly Recommended

The writer presents a well detailed summery of the major headings. As a professional in this field, I must say that the points shared in this book are precise.

As a whole, this book contains everything you need to know about this subject. I would recommend it as a guide for beginners as well as experts and everyone in between.

Assessment Of Low Desireinterest And The Associated Low Arousability To Identify Therapeutic Options

The DSM-IV-TR definition of hypoactive sexual desire disorder is problematic because its only focus is on initial desire, does not acknowledge the many reasons that motivate the woman towards sexual activity, and ignores the broad range of frequency of fantasies among sexually healthy women. An international group has recently proposed the following definition for women's sexual interest desire disorder There are absent or diminished feelings of sexual interest or desire, absent sexual thoughts or fantasies and a lack of responsive desire. Motivations (here defined as reasons incentives), for attempting to Lack of appropriate sexual context and sexual stimulation is a frequent precipitating and maintaining cause of low interest desire. Common examples include too little nongenital caressing and lack of privacy or safety. Interpersonal issues can be both precipitating and maintaining, particularly when there is minimal emotional intimacy with the partner. Expectation of a negative...

Chlamydia trachomatis

Routine screening of asymptomatic, sexually active adolescent females undergoing pelvic examination is recommended. Annual screening should be done for women age 20-24 years who are either inconsistent users of barrier contraceptives or who acquired a new sex partner or had more than one sexual partner in the past 3 months. II. Gonorrhea. Gonorrhea has an incidence of 800,000 cases annually. Routine screening for gonorrhea is recommended among women at high risk of infection, including prostitutes, women with a history of repeated episodes of gonorrhea, women under age 25 years with two or more sex partners in the past year, and women with mucopurulent cervicitis.

Intraspecies Effects Of Volatile Pheromones In Mice

In the mid-1950s, a few years before the term pheromone was introduced, several studies demonstrated that odors derived from mice affected the physiological status of conspecifics (Bruce, 1959 Van Der Lee and Boot, 1955 Whitten, 1956). Evidence for pheromone communication in mice has continued to accumulate since then. For example, odors from male mice accelerate the onset of puberty (Vandenbergh, 1969), synchronization of estrous cycles (Whitten, 1956), and pregnancy block in female mice (Bruce, 1959). In contrast, female odors postpone puberty of female mice and lengthen the estrous cycle (Van Der Lee and Boot, 1955). Female odors also influence developmental processes in male mice, for example, affecting the concentration of androgens (Macrides et al., 1975) and the maturation of sperm (Koyama and Kamimura, 2000). The possession of such intraspecies effects satisfies the definition of a primer phero-mone, which is a substance that primes changes in the physiological conditions of...

Behaviors guided by tactile cues

Courtship and copulation in nonvenomous species have been studied in detail, and a useful terminology has been developed. Precourtship behaviors are those by which the potentially large distances between male and female are reduced. These behaviors usually involve the following of female pheromone trails by males. In some species, males may also use a head-raised posture to search for visual cues arising from females. An important role of visual cues has been established for ratsnakes (genus Elaphe) and is believed to exist in other genera as well. Males are attracted by the visual cues, and when the male is relatively near the female, chemical cues become readily available regarding the female's specific and sexual identity and her state of sexual readiness. On making contact with a receptive conspecific female, the male initiates a series of behaviors typically grouped into three phases tactile-chase, tactile-alignment, and intromission and coitus. At first the male exhibits a high...

And the Pilosebaceous Unit

Pilosebaceous Unit

Apocrine glands are found predominantly in the axillary and anogenital regions, although they are also found in the ear canal (ceruminal glands) and eyelids (Moll's glands). They are derived from epidermis and develop as an outgrowth of follicular epithelium. They represent compound sweat glands with a secretory coil that extends deep through the dermis into subcutaneous tissue and drains via a long straight secretory duct, usually into a hair follicle. The function of apocrine glands in humans is not altogether clear but in other mammals they are responsible for sexual attraction, and scent production is responsible for axillary and inguinal odour. They become functionally active and larger at puberty. The secretion is opalescent and malodorous.

Voyeurism Exhibitionism and Frotteurism

A paraphilia involves, over at least a 6-month period, recurrent, intense sexually arousing fantasies, sexual urges or behaviors. The targets of the fantasies, urges or behavior reflect three subtypes ofparaphilia A paraphilia involves, over at least a 6-month period, recurrent, intense sexually arousing fantasies, sexual urges or behaviors. The targets of the fantasies, urges or behavior reflect three subtypes ofparaphilia

Causes and symptoms

Acquired, situational HSDD in the adult is commonly associated with boredom in the relationship with the sexual partner. Depression, the use of psychoactive or antihypertensive medications, and hormonal deficiencies may contribute to the problem. HSDD may also result from impairment of sexual function, particularly erectile dysfunction on the part of the male, or vaginismus on the part of the female. Vaginismus is defined as a conditioned voluntary contraction or spasm of the lower vaginal muscles resulting from an unconscious desire to prevent vaginal penetration. An incompatibility in sexual interest between the sexual partners may result in relative HSDD in the less sexually active member. This usually occurs in the presence of a sexually demanding partner.

Psychological Treatment of the Paraphilias


From a cognitive-behavioral perspective, the paraphilias are primary and chronic. Although fundamentally altering a sexual interest is not viewed as possible, managing the interest is. Therefore, treatment does not focus on cure, but on management of associated thoughts, fantasies, and urges, reduction of associated distress, and conscious choices about behavior. In this framework, exploration of underlying life history themes takes place after behavioral goals have been achieved and relapse prevention strategies learned, and is conceptualized as of secondary importance relative to the need for behavioral control. Drive impairment. High biological drive may fuel sexual urges or cravings that are preoccupying, distressing, and difficult to control, increasing the risk of behavioral escalation. Drive assessment inquires about an individual's ability to control his urges, his subjective experience of his drive, frequency of masturbation, and amount of time spent feeling sexually...

Model Of Sexual Response Showing Various Incentives And Motivations To Be Sexual And Arousal Triggering And

Some would argue that there is no such thing as apparent innate or spontaneous desire (26). This presupposes that desire is always part of arousal, triggered by a stimulus with a sexual meaning. It is facilitated or inhibited by situational and partner variables, such that sexual motivation will occur only when appropriate sexual stimuli are present and the woman has a sufficiently sensitive sexual response system. The assumption is that the occurrence of sexual motivation, including fantasies, must be the result of sexual information processing of some kind even though in some, or even most cases, the initiating sexual stimulus may not be known. For most people, their sexual response system reacts

The Genetics Of Sexual Orientation

We hypothesize that one central neuronal pathway establishes sexual attraction to either males or females, usually toward the opposite sex. However, a variety of genetic and nongenetic biological effects might intersect this pathway. Hence, there might be several subgroups of gay men and women, each with their own specific biological origin.

Sexual aversion disorder

First time or making a career change have also been found to cause loss of desire. Not having enough time for oneself or to be alone with one's partner may also contribute to normal and naturally reversible loss of desire. Loss of privacy resulting from moving a dependent elderly parent into one's home is a common cause of loss of desire in middle-aged couples. Depression, fatigue, or stress also contribute to lessening of sexual interest.

Sexual differentiation

Successful reproduction requires the appropriate genitalia and endocrine organs, as well as the necessary software, in the form of hypothalamic and pituitary secretions that regulate reproductive function and corticolimbic brain systems that influence sexual motivation and parental care of the offspring. Predictably, gonadal hormones also support the sexual differentiation of hypothalamic-pituitary-gonadal (HPG) axis. The essential gender difference in mammalian HPG function is the positive surge in hypothalamic gonadotrophin-releasing hormone (GnRH) in response to estrogen. This GnRH surge supports the pulse of pituitary luteinizing hormone (LH) essential for ovulation. The capacity for such positive feedback effects of estrogen is lost in the male rodent (although not in all male mammals) as a function of perinatal testosterone exposure (Levine, 1997). In genetic females, perinatal testosterone exposure results in the loss of the LH surge and the capacity for ovulation. Similarly,...

The Sexual Response Cycle

Takes place more slowly in women and is characterized by the production of lubricating fluid in the vagina, an increase in the diameter of the clitoris, and increased congestion of the labia with blood. For both sexes, phase II (plateau) is marked by a rise in the blood congestion of the pelvis and a strong feeling of sexual tension. A sex flush colors the forehead, neck, and chest, sometimes extending to the abdominal area. Phase III (orgasm) occurs in two stages in men a preejaculatory contraction of the muscles involved in ejaculation, and actual ejaculation. The same muscles are involved in the orgasms of women as those of men. During phase IV (resolution), which is usually completed more quickly in men than in women, the congestion of the blood vessels that occurred during the previous phases of the sexual response cycle decreases. After a time, the cycle can be repeated. The duration of this recovery, or refractory period, is generally longer for men than for women some women...

Premature ejaculation

Premature ejaculation (PE) refers to the persistent or recurrent discharge of semen with minimal sexual stimulation before, on, or shortly after penetration, before the person wishes it, and earlier than he expects it. In making the diagnosis of PE, the clinician must take into account factors that affect the length of time that the man feels sexually excited. These factors include the age of the patient and his partner, the newness of the sexual partner, and the location and recent frequency of sexual activity.

Biological Theories of the Paraphilias

Understanding of the neurobiology of sexual functioning, both normal and deviant, is incomplete. Nevertheless, it is clear that sexual interest and function derive from both the central nervous system and endocrine factors. In normal sexual arousal, central nervous system involvement includes a cascade of connections from the neocortex to the limbic system and the hypothalamus, particularly the preoptic area and the brainstem (113). Sexual arousal begins via either sensory input, such as tactile, visual or olfactory stimulation, or via fantasy in the neocortex. This cortical arousal propagates through the limbic system and hypothalamus to enable a progression of physiologic events that promote sexual behaviors and orgasm. Subcortical brain areas are important for sexual functioning and include the limbic system and the preoptic nuclei in the hypothalamus. Both peptides, such as beta endorphin and oxytocin, and LHRH modulate sexual behavior in animals. A recent well-designed...

Medical Letter In Reference To Erical Dysfunction

Sexual desire and the deconstruction and reconstruction of the human female sexual response model of Masters & Johnson. In Everaerd W, Laan E, Both S, eds. Sexual Appetite, Desire and Motivation Energetics of the Sexual System. Amsterdam Royal Netherlands Academy of Arts and Sciences, 2001 63-93.

Reproductive Biology

Sexually receptive female releases pheromones, leaving trail. Within 0.039-0.078 in (1-2 mm) of trail, male can detect chemicals in trail up to 10 seconds after female passed, and begins pursuit. Once in close proximity, male detects hydromechanical disturbance caused by female swimming motions, and grasps female using fifth legs. Single spermatophore transferred during copulation, using tip of fifth leg. Spermatophore discharges its sperm contents into copulatory pore, leading to seminal receptacle in female genital region. Using stored sperm, single female can produce numerous batches of eggs, which are broadcast into water column at rate of 16-32 per day. Two types of eggs produced, subita-neous eggs, which hatch after about one day, and resting eggs, which sink to sediment. Resting eggs typically provide overwintering stage, hatching in spring.

Nonhormonal Pharmacological Treatment of Low Desire Interest

The place of pharmacological management for women's complaints of low desire interest is undecided. This is because of broad normative range of women's appreciation of sexual desire, especially in the long-term relationship and because of the importance of women's subjective arousal in influencing and triggering their desire and the minimal focus until now on the whole entity of subjective arousal. Thus, the appropriate outcome criteria for a desire drug are unclear. Studies with bupropion hydrochloride have suggested benefit over placebo. Of 30 women with active drug, 19 improved during a 12-week double blind placebo-controlled study for nondepressed women having a spectrum of sexual complaints, including low desire interest (91). A more recent study, again of nondepressed women, this time diagnosed with hypoactive sexual desire, were treated in a single blinded manner and 29 responded to the active drug and none had responded to the initial 4-week placebo phase (14). The entity of...

Epidemiology Of Sexual Dysfunction

Laumann et al. (43) have recently completed a survey of 27,500 men and women aged 40-80 in 29 countries. In Northern European countries, lack of sexual interest was reported in 25.3 of women. Problems with orgasm and pain were reported in 16.9 and 17.7 , respectively. In men, low libido was reported in 12 , erectile dysfunction in 12 , and rapid ejaculation in 20.6 . Similar values were reported for other world regions, with minor differences in prevalence among different regions.

Brain Evolution And Behavior A Role For Genomic Imprinting

These important anatomical changes in the evolutionary development of the mammalian brain have been crucial in the reorganization of reproductive strategies involving sex differences in the brain and behavior. Especially important has been the pseudogenization of vomeronasal and olfactory receptor genes and the downregulation of gonadal and placental hormones in determining sexual and maternal care together with the upregulation of social determinants of behavior. Castrate male primates continue to show a sexual interest in females years after gonadectomy (Michael and Wilson, 1973) but lose sexual interest within days of losing dominance and social status (Keverne, 1992). Reproductive strategies are therefore very complex and embedded in social learning and social structure of the group in which primates live. Moreover, delaying the onset of puberty and extending the period of postnatal care has permitted extensive growth and enlargement of the neocortex. In Old World female primates,...

Gender Role Conflict Related to Perceived Expectations of the Majority Cultures Gender Role Norms

Some tribes gave a great deal of power to women and were matrilineal and matrifocal. Indeed, the institutionalization of alternative roles for women existed among Plains tribes. For example, manly-hearted women were independent and aggressive (LaFromboise et al., 1990, p. 458) crazy women were sexually adventurous (LaFromboise et al., 1990, p. 458). In many tribes, females could actually assume masculine social and occupational roles. This practice was institutionalized through the berdache (LaFromboise et al., 1990, p. 459), which sometimes included marriage to a same-sex partner. In other tribes, there was acceptance of uninhibited sexual expression, and there was social acceptance of nontraditional women and men, lesbian women, and homosexual men.

Does He have an Endocrinological Cause to His ED

Androgen and prolactin levels are of particular concern. Hyperprolactinaemia occurs secondary to stress, drugs (such as neuroleptics and infertility treatments), cirrhosis, breast manipulation, or pituitary adenoma tumour. A high level of circulating prolactin causes inhibition of gonadotrophin releasing hormone which lowers levels of testosterone. Men with low testosterone levels may exhibit a decrease in sexual interest. Causes of low testosterone include renal failure, hypogonadism, bilateral cryptorchidism, other hypothalamic-pituitary-gonadal axis

Medicalization Of Sexuality

Bancroft points out that the interface between psychological processes and physiological response, especially in women, is not well understood. He discusses the numerous male-female differences in sexuality. He also asks, when is a sexual problem a sexual dysfunction, as many times impaired sexual interest or response in women is psychologically understandable and thus rather an adaptive response to a problem in the sexual relationship rather than sexual dysfunction.

Defining And Conceptualizing The Paraphilias

Sexual urges, fantasies, or behaviors generally involving an unusual object, activity, or situation (5). Although the DSM-IV-TR lists eight specific paraphilias, paraphilia as a broad category represents a heterogeneous group of disorders and diverse behavioral expressions. The DSM-IV-TR defines three subtypes of paraphilias

Conclusions And Implications For Future Work

The original suggestions for an MHC odortype connection that were made by Thomas stemmed in part from his interests in how dogs track people. The implication was that each person had a unique body odor that the dogs exploited. Presuming that this is true, then it should be possible to replace the dog with an instrument that can identify individual people much as can be done with fingerprints. Our mouse studies implicating MHC genes and genes at other locations in the genome in odortype specification imply that the odortype of an individual may be extremely complex. This is consistent with the necessity, at least so far, for the sophisticated olfactory apparatus of the dog or the mouse to discriminate such odors. Nevertheless, it seems reasonable to guess that it may not be so long before we can take an odor sample from an individual and determine the identity of the person. It may indeed be that people are already doing this at a subconscious level and that odor plays a role in sexual...

Clinical features of mania

Manic symptoms can be considered the opposite of depressive ones. Mood may swing rapidly between cheerfulness, irritability, or aggression. Energy is increased, with overactivity, disinhibition, distractibility, reduced need for food and sleep, increased sexual interest, and financial extravagance. This behaviour

Female orgasmic disorder

Normally, when a woman is sexually excited, the blood vessels in the pelvic area expand, allowing more blood to flow to the genitals. This is followed by the seepage of fluid out of blood vessels and into the vagina to provide lubrication before and during intercourse. These events are called the lubrication-swelling response. well as in a single individual from experience to experience. Unlike men, woman can have multiple orgasms in a short period of time. Mature women, who may be more sexually experienced than younger women, may find it easier to have orgasms than adolescents or the sexually inexperienced.

Comparisons Of Longterm Effects Of Diagnosis And Treatment By Cancer Site Breast Cancer And Hodgkins Disease

Social quality of life Female Hodgkin's disease survivors who were unemployed initially, continued to be unemployed while those who were working at least parttime were more likely to report being employed full-time at follow-up (8.4 increase, although not statistically significant). Male survivors, on the other hand, were more likely to report being unemployed at the second interview. Overall, the unemployment rate of Hodgkin's disease survivors who were over age 30 at the time of treatment increased from 18.8 to 34.1 (p 0.03). Survivors reported that the number of friends and relatives to whom they felt close also was reduced. These constrictions in one's social network could be related to illness imposed restrictions, reduced social activity (lack of employment or not being married, loss of friends due to death) or to stigma. Using multivariate analysis, these different explanations were tested. While the model developed explained 48 of the variance, the only significant variable...

Physical characteristics

Flycatchers and thrushes) rictal bristles at the base of the bill (a widespread adaptation for insectivory) thin, pointed bill hatchlings naked or only partially downy ten primaries scutellate tarsi and lack of strong sexual dimorphism (Sylvia is a notable exception). Most genera have twelve tail feathers, but there are a few exceptions. Wing shape and length ranges from short and rounded in sedentary species, to longer and more pointed in long-distance migrants. Moult timing and pattern are highly variable.

Normal Sexual Desire For

Results of the survey indicated a consistent and significant decline with age in feeling desire, in sexual thoughts and dreams, and in the desired level of sexual activity. The decline in sexual interest neither preceded nor followed a similar decline in sexual behavior or events. They appeared to occur together. Since the data were cross-sectional, it was not possible to answer the question about which came first there was no evidence here of a disjunction between the level of sexual activity desired and the level of activity actually reported it is not the case that as men age they desire at a level that is different from that which they report. However, the authors also found that satisfaction did not follow the same path in that men in their sixties reported levels of satisfaction with their sex life and partners at about the same level as younger men in their forties. The authors of the MMAS considered many factors that might be associated with the decline in sexual interest and...

Behavioral Models of Etiology

Clinical work in the Internet era provides observational support for the role of conditioning in the paraphilias. Exposure to Internet-based sexually explicit material and accompanying high levels of sexual arousal appear to, in some individuals, profoundly influence the development of conditioned sexual fantasy and arousal responses. However, there is a wide range of responses to comparable levels of exposure. Therefore, caution must be exercised in drawing conclusions about any direct causative effects of exposure Internet or otherwise on the development or latensification of psychosexual pathology. Fisher and Barak have presented eloquent reviews on the effects of exposure to pornography, concluding that it is difficult to distinguish between the effects of exposure and the effects of pre-existing underlying personality factors in individuals who seek such exposure (97).

Social and Economic Differences

When serving as leaders, women's style tends to be participative and democratic rather than directive or authoritarian. Rather than dispassionately stating their opinions, asking questions, or presenting information, women are more likely than men to smile and gaze at others and to agree or express support. In contrast, men in leadership positions tend to be more directive and even autocratic. Men are less likely to become emotionally close to other people, preferring instead to maintain control by keeping the relationships fairly superficial and letting the facts speak for themselves. Sometimes, however, men misinterpret eye contact or a smile from a woman as a promise, perceiving interpersonal warmth as a sexual come-on and friendliness as sexual interest (Abbey, 1987 Johnson, Stockdale, & Saal, 1991 Kowalski, 1993). In such cases, their responses to such false perceptions may leave men open to charges of sexual harassment.

Psychological Treatments

Behavioral therapy (CBT) focuses on the restructuring of myths or distorted thinking about sex. Couple therapy may be necessary focusing on interpersonal issues including trust, respect, as well as ways to relate to each other, which foster sexual attraction. Psychodynamic therapy is often recommended to address issues in the woman's past developmental period. Particular attention to family of origin and relationships to parental figures is often needed. A further component is that of systemic therapy sexual differentiation, that is, the ability to balance desire for contact with the partner vs. desire for uniqueness as an individual. Schnarch (79) suggests that this is extremely important for healthy sexual desire.

Homosexual Brains Are Different

A comparable size difference was found in sheep (Roselli et al., 2004). Sheep are a unique animal model in which to study sexual partner preference since variations in sexual attraction occur spontaneously in domestic ram populations. Most domestic rams are sexually attracted to and active with estrous ewes but as many as 8-10 of rams exhibit a sexual partner preference for other males. These male oriented rams mount and ejaculate like other males only their choice of sexual partner is different. They are thus ideal animal models in that their coital behavior is masculinized, but not their sexual partner preference. An analogue of the SDN ovine SDN (oSDN) , a hypothalamic nucleus thought to be involved in mate selection, was identified in the sheep brain (Roselli et al., 2004). Furthermore, the oSDN was found to be larger in female-oriented rams than in male-oriented rams (MORs), and similar in size in MORs and ewes. It is hypothesized that the oSDN corresponds with human INAH3...

Patient Preference Sexual Scripts and Pharmaceutical Choice

Owing to multiple factors including the organization of health care delivery, attitudinal beliefs, and pharmaceutical advertising the majority of patients suffering from ED (when they do seek treatment) are likely to consult their PCP or a nonpsychiatric physician specialist (21). Although a few select physicians (primarily multiskilled psychiatrists) will provide sexual counseling as an exclusive modality when appropriate, most nonpsychiatric physicians will initiate treatment with a PDE-5 regardless of etiology. All three PDE-5s are used worldwide and are now FDA approved in the USA. All have good success rates Simple cases do respond well to oral agents, with proper advice on pill use, expectation management, and a cooperative sex partner. However, physicians should offer patients choices, especially those who are pharma-ceutically naive. Providing an unbiased, fair-balanced description of treatment options, including pharmaceutical benefits on the basis of the pharmacokinetics,...


Major depressive disorder is a serious mental disorder that profoundly affects an individual's quality of life. Unlike normal bereavement or an occasional episode of the blues, MDD causes a lengthy period of gloom and hopelessness, and may rob the sufferer of the ability to take pleasure in activities or relationships that were previously enjoyable. In some cases, depressive episodes seem to be triggered by an obviously painful event, but MDD may also develop without a specific stressor. Research indicates that an initial episode of depression is likely to be a response to a specific stimulus, but later episodes are progressively more likely to start without a triggering event. A person suffering major depression finds job-related responsibilities and such other tasks as parenting burdensome and carried out only with great effort. Mental efficiency and memory are affected, causing even simple tasks to be tiring and irritating. Sexual interest dwindles many people with MDD become...


Several studies in the O'Donohue review had a mixture of diagnoses and some included men with HSDD. In one such group the results were not reported separately for men and women. Another looked at 40 couples in which the men experienced erectile dysfunction and or loss of sexual interest, and compared the effectiveness of three treatments weekly couple counseling, monthly couple counseling, and T (56). Subjects were divided into two groups, with high or low levels of sexual interest. Each group was randomly allocated to (i) testosterone or placebo therapy and (ii) weekly or monthly counseling. Results indicated no statistically significant group differences in initial clinical ratings and substantial relapse between the first and second follow-up in the erections ratings and sexual interest ratings. In addition the frequency of sexual thoughts at the second follow-up were (statistically) significantly greater in the placebo group.

Case Study

In retrospect, Rebecca had always been more sexually interested than Jim prior to their marriage, and in the early days, sexual frequency seemed not to be a problem. In accord with the psychiatrists' usual pattern of practice to see partners separately as part of an assessment, and in an effort to understand Jim's point of view, he saw Jim alone. The psychiatrist discovered in the process that Jim was in fact just as disinterested in sexual matters as his wife described. He had few thoughts about sexual issues, denied having sexual fantasies or dreams, masturbated rarely, and had never had any sexual experiences with other women (or men). Although Jim understood his wife's distress, he also thought that her sexual interest was excessive. With reluctance, Jim accepted the idea of referral to another psychiatrist who had a special interest in the care of people with sexual problems.


Frotteurism is a disorder in which a person derives sexual pleasure or gratification from rubbing, especially the genitals, against another person, usually in a crowd. The person being rubbed is a victim. Frotteurism is a paraphilia, a disorder that is characterized by recurrent intense sexual urges and sexually arousing fantasies generally involving objects, the suffering or humiliation of oneself or one's partner (not merely simulated), or children or other nonconsenting persons. Recurrent, intense, or sexually arousing fantasies, sexual urges, or behaviors that involve touching and rubbing against a nonconsenting person. The person has acted on these sexual urges, or the fantasies or urges cause significant distress to the individual or are disruptive to his everyday functioning. Paraphilia A disorder that is characterized by recurrent intense sexual urges and sexually arousing fantasies generally involving (1) non-human objects, (2) the suffering or humiliation of oneself or one's...


Because chlamydial infections usually are not associated with overt symptoms, prevention of infection and screening of asymptomatic high risk patients is the most effective means of preventing disease and sequelae. Behavioral interventions (i.e., delaying intercourse, decreasing the number of sex partners, and use of barrier contraception) should be pursued aggressively. A decreased prevalence of C. trachomatis infections has been reported in regions with active chlamydial screening programs. High-risk patients who should be routinely tested for Chlamydia include women with mucopurulent cervicitis, sexually active women less than 20 years old, and older women with more than one sex partner during the last 3 months or inconsistent use of barrier contraception while in a nonmonogamous relationship (Johnson et al., 2002). Because of the frequency of repeated chlamydial infections within the first several months following treatment of an initial infection, (Burstein et al., 1998...

Ill Partner

Although little exists in the literature on the sexual impact on partners when one of them becomes ill, the syndrome of diminished sexual interest in the well partner is familiar to sexuality professionals who work with the physically ill in rehabilitation centers (B. Lawrie, personal communication, 2004). The change seems much more evident in men than women, perhaps because men are


Low sexual desire is usually seen as a symptom of andropause ADAM PADAM. To explain the desire change, a great deal of emphasis has been given to laboratory values, especially alterations in T. However, the typical history has received much less attention. Only one study of aging men seems to have examined various manifestations of sexual desire. Schiavi et al. reported on 77 volunteer couples who responded to an announcement concerning a examination of factors contributing to health, well-being, and marital satisfaction in older men. Three groups of men were compared 45 -54, 55 -64, and 65 -74. The following were conclusions related to the issue of sexual desire (i) sexual interest, responsiveness, and activity was noted even among the oldest men (ii) increasing age was associated with ED, but not with HSDD or PE (premature ejaculation) (iii) the following frequencies consistently decreased with age desire for sex, sexual thoughts, maximum time uncomfortable without sex, coitus, and...


Vaginismus can occur under different circumstances. It can begin the first time vaginal penetration is attempted. This is known as lifelong vaginismus. Alternately, vaginismus can begin after a period of normal sexual functioning. This is known as acquired-type vaginismus. For some women, vaginal tightening occurs in all situations where vaginal penetration is attempted (generalized type). For other women, it occurs in only one or a few situations, such as during a gynecological examination at the doctor's office, or with a specific sex partner (situational type). According to the professional's handbook, the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV-TR), in order for a condition to be diagnosed as vaginismus, the response must be due to psychological factors or a combination of psychological and medical factors, but not to medical factors alone. Because of this DSM-IV-TR criterion, this entry focuses on the psychological causes and treatments of vaginismus.


In most societies, marriage circumscribes a large majority of sexual relationships. Data from the U.S. show that almost all married men and women are sexually active and almost all have only one sex partner their spouse. Unmarried men and women have much lower levels of sexual activity than the married, in part because a substantial minority have no sex partner at all. (Just under a quarter of unmarried men and a third of unmarried women who were not cohabiting at the time of the survey had no sex partner in the previous year.) Men and women who are cohabiting are at least as sexually active as those who are married but are less likely to be sexually exclusive (Laumann et al. 1994).


Sex partners should be evaluated, tested, and treated if they had sexual contact with the patient during the 60 days preceding onset of symptoms in the patient or diagnosis of chlamydia. The most recent sex partner should be treated even if the time of the last sexual contact was 60 days before diagnosis of the index case. Patients do not need to be retested for chlamydia after completing treatment with doxycycline or azithromycin unless symptoms persist or reinfection is suspected, because these therapies are highly efficacious. A test of cure may be considered 3 weeks after completion of treatment with erythromycin. Testing at


O'Carroll's survey uncovered only one study describing the therapeutic use of a hormone alone. This investigation involved a double-blind crossover comparison of T and placebo in a group of men with normal circulating T levels (59). Ten men complained principally of loss of sexual interest and 10 men complained of erectile failure. The authors found a significant increase in sexual interest produced by T in the first group but qualified this by saying that in only 3 10 of the subjects was it considered to be an adequate form of treatment, and in the others, the changes were either small or did not generalize to the sexual relationship. O'Carroll concluded his review by saying that T may have a modest role to play in the treatment of some men who present with low sexual interest but he also cautioned others in the interpretation of the data to remember that this study involved a group of only 10 men (50).


The use of medications in the treatment of depression began in the late 1950s with the successful introduction of tricyclic antidepressants and MAO inhibitors. Treatment of depression with medications has greatly increased since the advent of selective serotonin reuptake inhibitors (SSRIs) such as fluoxetine (Prozac) and sertraline (Zoloft). While these medications are no more effective than their predecessors, they have fewer side effects and are much safer for patients who may be likely to overdose. Selecting the optimal antidepressant medication is not always a straightforward process, however, and the patient may have to try out various drugs for a period of weeks or months before finding one that is effective for him or her. In addition, while the SSRIs have comparatively few side effects, such complaints as loss of sexual interest or functioning, nervousness, headaches, gastrointestinal complaints, drowsiness, and insomnia can be significant obstacles to the patient's taking the...

Chaste tree

Historical note Chaste tree has been used since ancient times for a variety of gynaecological conditions, such as aiding expulsion of the placenta after birth and promoting menstruation. Leaves of the chaste tree were worn byvestal virgins in ancient Rome as a symbol of chastity and it was used during that time to promote celibacy. The berries have been used to reduce fever and headaches, stimulate perspiration and to 'check violent sexual desires' in monasteries. A commercially preparation of chaste tree has been available in Germany for over 50 years and it is still commonly used for menstrual irregularities.

Case Example Joyce

Joyce began dating at age 15 and was sexually active fairly quickly in each of a succession of relationships. She describes herself as promiscuous throughout high school and college. The majority of her relationships are characterized by relatively early onset of physical intimacy, which included intercourse and oral sex (both fellatio and cunnilingus). Sexual behavior always began as pleasurable for her but fairly rapidly became unpleasant. She reports that she felt very sexually attracted to her male partners initially, but at the point in the relationship that sex became routine or expected, her responsiveness declined and sexual behavior became aversive to her. Intercourse became painful and disgusting to her and she experienced revulsion at even the idea of sex with her current partner. Importantly, she maintained sexual drive such that she masturbated to orgasm on a regular (once a week) basis and she also continued to experience sexual attraction and desire for men other than...

Sex Therapy

A. noted for the first time slowed erective attainment. Regardless of his level of sexual interest or the depth of his wife's commitment to the specific sexual experience, it took him progressively longer to attain full erection. With each sexual exposure, his concern for the delay in erective security increased until finally . . . he failed for the first time to achieve an erection quality sufficient for vaginal penetration. viewing of pornographic movies and live strippers to self-stimulation and sex education programs (Butler & Lewis, 1993). Many therapists also recommend masturbation and fantasy for adults who do not have sexual partners and want to reduce their sexual tensions.

Sex In Adulthood

Freud was right Preschool children have sexual desires. So do 80- and 90-year-old adults. For most people, sex is a lifelong interest and activity. It does not stop with aging, and it does not kill you. Unfortunately, it does not make you live longer, either, but it may make you wish that you could. Having spent quite a bit of time on a farm, as a boy I knew something about the birds and the bees, or rather the dogs, cats, cows, horses, and pigs. Although much of their information concerning reproduction was grossly inaccurate, my friends talked quite a bit about doing it, making out, and assorted sexual aberrations. A few boys also told dirty stories or jokes and used bathroom vocabulary. Because my slightly puritanical parents and grandparents had warned me about the dangers of precocious sexual thoughts and behavior, I mostly limited myself to merely ogling rather than indulging. The girls my age were even more sexually naive than I. The daughter of our elementary school principal...


It is not uncommon for people who are chemically dependent to also have an addictive sexual disorder. (When someone is addicted to sex, there is an intense desire to gratify sexual urges and fantasies or to behave in ways that cause clinically significant distress sexual indulgence, often compulsive, is a major disruptive force with respect to social relationships.) In one four-year study of a treatment program, 33 of the chemically addicted patients also were sexually compulsive. Some physicians believe that the predatory thirteenth step is evidence of turning from one addiction to another in this case, addictive sexual disorder.

Hormonal Treatment

Contextual, and societal) and or physical factors negatively affecting sexual interest and arousability. On the basis of available data, no specific testosterone regimen or dose can yet be recommended. The chosen formulation of testosterone must have pharmacokinetic data indicating that it produces blood levels within the normal premenopausal range. Achieving physiological free testosterone levels by transdermal delivery appears to be the best approach. Tibolone is a synthetic steroid with tissue selective estrogenic, progestogenic, and androgenic actions. In use in Europe for more than 10 years, tibolone provides some relief from vasomotor symptoms (93), estrogen agonist activity on the vagina (94) and bone (95), but not on the endometrium (96). Tibilone was thought not to have estrogen agonist activity on breast tissue but a recent, albeit nonrandomized but very large study of postmenopausal hormonal therapy showed a similar increase in breast cancer in women receiving tibolone and...


Some explanations for the dramatic increase in cohabitation in many societies over the last several decades focus on long-term social change, including rising individualism and secularism (Lesthaeghe 1983) economic change, especially women's increasing labor force participation liberalization of attitudes toward gender roles (McLanahan and Casper 1995) and the sexual revolution (Bumpass 1990). Together, these changes have shifted attitudes and values away from responsibility to others and toward individual goal attainment, away from patriarchal authority toward egalitarianism, away


The natural course of C. trachomatis infection was recently described in a study of Columbian women followed for a 5-year period (Molano et al., 2005). Eighty-two women found to be positive for C. trachomatis at the start of the study were studied at 6-month intervals. Most of the women (57.3 ) were 30 years of age (70.7 were 25 years of age). Infection was classified as persistent if the same serotype was found at follow-up visits. Women who had taken antibiotics effective against C. trachomatis while infected were excluded. All study women reported 1-2 lifetime sex partners (82.9 reported a single lifelong sex partner), thus the potential for repeated infection from an untreated male sex partner was high. Approximately 46 of the infections were persistent at 1 year, 18 at 2 years, and 6 at 4 years of follow-up as determined by PCR of cervical scrape samples. Thus, in nearly half of this female cohort, an adaptive immune response effective in eradicating their infection or in...


Fetishism is a form of paraphilia, a disorder that is characterized by recurrent intense sexual urges and sexually arousing fantasies generally involving non-human objects, the suffering or humiliation of oneself or one's partner (not merely simulated), or children or other non- consenting persons. The essential feature of fetishism is recurrent intense sexual urges and sexually arousing fantasies involving specific objects. While any object may become a fetish, the distinguishing feature is its connection with sex or sexual gratification. A diagnosis of fetishism is made only if an individual has acted on these urges, is markedly distressed by them, or if the fetish object is required for gratification. Paraphilia A disorder that is characterized by recurrent intense sexual urges and sexually arousing fantasies generally involving (1) non-human objects, (2) the suffering or humiliation of oneself or one's partner (not merely simulated), or (3) children or other non-consenting persons.

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