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Postby Lucius Warbaby on Tue Jul 31, 2001 3:58 am

<B>Female Sexual Arousal Disorder (FSAD)</B><P>FSAD is the inhibition of the general arousal aspect of sexual response. The woman with FSAD does not lubricate, her vagina does not expand, and there is no formation of the orgasmic platform. She also typically does not feel erotic sensations. She may find physical contact repulsive, she may have no feelings with regard to physical contact, or she may enjoy contact to a point. <P>Like all the dysfunctions, FSAD may be life long or acquired. Life long means that the woman has never been responsive to sexual stimulation. Acquired means that at some point the women has been responsive to sexual stimulation but is now unresponsive. But it can also be situational or generalized. Situational is when the dysfunction occurs in some situations and not others. Generalized is when the dysfunction occurs regardless of the situation. Therefore a woman can had FSAD that is; life long and situational, acquired and situational, life long and generalized, or acquired and generalized. For example, a woman who has FSAD as life long and situational would have always had trouble becoming aroused, but only with her partner. A woman who has FSAD as acquired and situational would have some period in the past without having trouble becoming aroused, but now does, but only with her partner. A woman who has FSAD as life long and generalized would have always had trouble getting aroused in all situations. And finally, a woman with FSAD as acquired and generalized would have had some period in the past absent of problems but now is unable to become aroused regardless of the situation. <P>The American Psychiatric Association in their recent edition of the DSM IV describes FSAD as: <P>"persistent or recurrent inability attain or maintain until completion of sexual activity, an adequate lubrication-swelling response of sexual excitement." <P>Some of the most common causes of this dysfunction are guilt and hostility. Guilt usually involves an internal conflict between a desire to enjoy sexual interaction and an unconscious fear of doing so. Hostility often involves her specific partner.<P>Just for your edification...<P><P>------------------
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Postby Lucius Warbaby on Tue Jul 31, 2001 4:01 am

<B>Female Orgasmic Disorder</B><P>Female Orgasmic Disorder is the impairment of the orgastic component of the female sexual response. It is important that this be separated from FSAD. With Female Orgasmic Disorder, the woman may be very sexually aroused but never reach orgasm. One women described it as," it is like I build to a plateau and get stuck. I never go beyond." Female Orgasmic Disorder can be either life long or acquired, situational or generalized. Life long Female Orgasmic Disorder (sometimes called anorgastic or preorgastic) is when the woman has never had an orgasm either through masturbation or with a partner. Acquired Female Orgasmic Disorder is when a woman has had an orgasm at some point in the past, but is now unable to experience an orgasm. Helen Singer Kaplan (1975) describes the range of female orgasm as follows: <P>On one extreme are the women who have never climaxed at all. Next are women who require intense clitoral stimulation when they are alone and not "disturbed" by a partner. Women who need direct clitoral stimulation but are able to climax with their partners fall into the middle range. Also near the middle are women who can climax on coitus but only after lengthy and vigorous stimulation. Near the upper range are women who require only brief penetration to reach their climax and at the extreme are women who can achieve an orgasm via fantasy and/or breast stimulation alone. <P>The DSM IV provides the following lengthy description of what they label, Female Orgasmic Disorder: <P>"Persistent or recurrent delay in, or absence of, orgasm in a female following a normal sexual excitement phase. Women exhibit wide variability in the type or intensity of stimulation that triggers orgasm. The diagnosis of Female Orgasmic Disorder should be based on the clinician's judgment that the woman's orgasmic capacity is less than would be reasonable for her age, sexual experience, and the adequacy of sexual stimulation she receives." <P>Of special import in the above description is the phrase, " the woman's orgasmic capacity is less than would be reasonable for her age, sexual experience, and the adequacy of sexual stimulation she receives." It is important to recognize normal individual variation when attempting to label this particular dysfunction. Sigmund Freud differentiated vaginal from clitoral orgasm. He believed that an orgasm produced by clitoral stimulation was immature and neurotic, whereas an orgasm produced by vaginal stimulation was seen as mature. Although we now understand that this is not true, the influence of this type of thinking still persists. If a woman is unable to experience an orgasm through intercourse, she is often seen as having a problem. This often leads to the woman being mislabeled as having an Female Orgasmic Disorder. <P>One of the most common causes of Female Orgasmic Disorder is the sex-equals-intercourse model of thinking. This model sets intercourse and orgasm as the goal for sexual interaction. Having intercourse and orgasm as a goal leads to pressure which often prevents orgasm from occurring. <P>Also, hostility towards her partner can lead a woman to Female Orgasmic Disorder. If a woman is angry at her partner she may "withhold" her orgasm in an attempt to get back at him/her. <P>Another cause of Female Orgasmic Disorder is ineffective sexual techniques. Sometimes the woman and/or her partner simply do not stimulate her effectively. Making love is not something we just "know," it is something we have to learn. Occasionally people simply do not know how to give or receive effective stimulation. Anxiety can also lead to ineffectual sexual techniques. Familial and/or religious teachings regarding sexuality sometimes cause the woman to avoid or actively discourage effective sexual stimulation.<P>...I found this on the wall...<P>------------------
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Postby Lucius Warbaby on Tue Jul 31, 2001 4:02 am

<B>Vaginismus</B><P>Vaginismus is an involuntary spasm of the vaginal entrance making intercourse impossible. This is generally thought to be a fairly rare dysfunction. However, Sarrel and Sarrel (1979) expand their definition of vaginismus to include difficult or uncomfortable penetration due to involuntary vaginal contractions. With this expanded definition the incidence is much higher, about 20% of all women seen by the Sarrel's experience some degree of vaginismus. <P>The DSM IV defines Vaginismus as, "Recurrent or persistent involuntary spasm of the musculature of the outer third of the vagina that interferes with sexual intercourse." Therefore the DSM-IV takes the more standard approach defining vaginismus in relation to sexual intercourse. <P>The cause of vaginismus is often a result of an aversive stimulus associated with penetration. Some of the more common aversive stimuli are traumatic sexual assaults, painful intercourse, and traumatic pelvic exam. Other causes can be pelvic disease and unconscious fear and/or guilt.<P>...of a Taco Bell bathroom stall... <P>------------------
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Postby Lucius Warbaby on Tue Jul 31, 2001 4:46 am

Well, I took the damn time to type that onto my laptop verbatim. You'd better be damn appreciative.
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Postby Lucius Warbaby on Thu Aug 09, 2001 7:12 am

He's lying...<P>------------------
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Postby Nate on Wed Aug 15, 2001 11:11 am

Imagine being Crohn and having that disease named after you.<P>-Nate<P>------------------
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Postby Lucius Warbaby on Fri Aug 17, 2001 7:02 am

I hate you...<P>Swallow gravel...<P>*buck buck*<P>------------------
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