Sex Therapy

Definition

Sex therapy is the treatment of sexual dysfunction.

Purpose

Sex therapy utilizes various techniques in order to relieve sexual dysfunction commonly caused by premature ejaculation or sexual anxiety and to improve the sexual health of the patient.

Precautions

Sexual dysfunction conjures up feelings of guilt, anger, insecurity, frustration, and rejection. Therapy is slow and requires open communication and understanding between sexual partners. Therapy may inadvertently address interpersonal communication problems.

Description

Sex therapy is conducted by a trained therapist, doctor, or psychologist. The initial sessions should cover a complete history not only of the sexual problem but of the entire relationship and each individual's background and personality. The sexual relationship should be discussed in the context of the entire relationship. In fact, sexual counseling may deemphasize sex until other aspects of the relationship are better understood and communicated.

There are several techniques that combat sexual dysfunction and are used in sex therapy. They include:

• Semans' technique: which is used to help combat premature ejaculation with a "start-stop" approach to penis stimulation. By stimulating the man up to the point of ejaculation and then stopping, the man will become more aware of his response. More awareness leads to greater control, and open stimulation of both partners leads to greater communication and less anxiety. The start-stop technique is conducted four times until the man is allowed to ejaculate.
• Sensate focus therapy, the practice of nongenital and genital touching between partners in order to decrease sexual anxiety and build communication. First, partners explore each other's bodies without touching the genitals or breasts. Once the couple is comfortable with nongenital touching, they can expand to genital stimulation. Intercourse is prohibited in order to allow the partners to expand their intimacy and communication.
• Squeeze technique, which is used to treat premature ejaculation. When the man feels the urge to ejaculate, his partner squeezes his penis just below the head. This stops ejaculation and gives the man more control over his response.

Aftercare

Habits change slowly. All the techniques must be practiced faithfully for long periods of time to relearn behaviors. Communication is imperative.

Resources

BOOKS

Masters, William H., Virginia E. Johnson, and Robert C. Kolodny. Heterosexuality. New York: Harper Collins Publishers, Inc., 1994.

sex therapy treatment of sexual disorders and dysfunction, including impotence , orgasmic dysfunction, vaginismus (spasm of the muscles of the vagina), premature ejaculation, and lack of sexual responsiveness, not caused by a physical problem. Pioneered by Masters and Johnson in the early 1970s, sex therapy is based on the premise that sexual behavior is learned and that problems can be alleviated through sex education, sensitization exercises, and improved communication between sexual partners. Treatment is generally short-term and focused on the sexual problem, although in some cases sex therapists also address underlying problems in the relationship. It is most successful when it includes the patient's sexual partner.