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Sex therapy

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therapists. Today, sexual problems are no longer regarded as symptoms of hidden deviant, pathological, or psychological defects in maturity or development. Sex therapy has also influenced the emergence of sexual medicine and exploring integrative approaches to sex therapy, in addition to reducing or eliminating sexual problems and increasing sexual satisfaction for individuals of all stages of life. Health therapists, educators, and counselors are conducting research and administering surveys to fully understand normative sexual function – what most people do and experience as they grow older and live longer.
2346: 447: 233: 461: 148:. Whereas sex therapists discuss and instruct clients in sex-based exercises to be performed at home between sessions, sexual surrogates participate in the exercises with their clients as part of helping them to practice and develop improved skills. Therapists and surrogates sometimes collaborate on cases. 224:'s last surveys in 1999, 2004, and 2009 statistics show well-being among older adults has increased; however, overall sexual satisfaction has decreased. Nevertheless, older adults believed that an active sexual life offers great pleasure and contributes materially to overall emotional and physical health. 160:
conflicts. The sexual dysfunctions which may be addressed by sex therapy include non-consummation, premature ejaculation, erectile dysfunction, low libido, unwanted sexual fetishes, sexual addiction, painful sex, or a lack of sexual confidence, assisting people who are recovering from sexual assault,
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Over the years, little attention has been paid to older adults and sexuality. As the population of older adults and life expectancy continue to grow, there is information about sex therapy but it is often not easily accepted. Cultural and sexual roles are always changing throughout the life-course.
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Sex therapy can be provided by licensed psychologists or physicians, who have undergone training and become certified. These trainings and certifications usually begin with a master's degree, and internship, and a license. This can take up to two years, and longer if a doctoral degree is desired.
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Sex therapy requires rigorous evaluation that includes a medical and psychological examination. The reason is that sexual dysfunction may have a somatic base or a psychogenic basis. A clear example is erectile dysfunction (sometimes still called "impotence"), whose causes may include circulatory
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A therapist's misunderstanding of these conflicts can lead to resistance or serve as a barrier to improving sexual dysfunctions that are directly or indirectly related to sex. The interest in sex therapy among couples has increased along with the number of sexuality educators, counselors, and
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are usually considered to be a byproduct of old age. The emotional byproducts of maturity, however — increased confidence, better communication skills, and lessened inhibitions — can help create a richer, more nuanced, and ultimately satisfying sexual experience. During
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problems commonly caused by stress, tiredness, and other environmental and relationship factors. Sex therapy can either be on an individual basis or with the sex partner. Sex therapy can be conducted with any adult client, including older adults, any
125:) to treat premature ejaculation. Sex therapists assist those experiencing problems in overcoming them, in doing so possibly regaining an active and healthy sex life. The transformative approach to sex therapy aims to understand the 323:, and medications. Sex therapists working with older adults should know about sexuality and aging. They should also be aware of how stereotypes affect their clients. This is especially true for 370:, among others. Much of sex therapy and sexual dysfunction in Western cultures was limited to scientific discussion, especially throughout the 19th century and into the early 20th century. 384:
In the 1950s, sex therapy was concerned with "controlling sexual expression" and repressing what was then-considered deviant behaviors, such as homosexuality or having sex too often.
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Sex therapy with older adults looks at factors which influence sexuality in older adults, including sexual desire, sexual activity, the value of sexuality, and health. It can include
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are credited with revolutionizing sex therapy in the mid-century and included couple therapy and behavioral interventions that focused on being present in the moment such as
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Sex therapy has existed in different cultures throughout time, including ancient India, China, Greece, and Rome. It has taken the form of manuals, spells, anaphrodisiacs or
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began conducting research in the area of human sexuality during the first half of the 20th century. This work was groundbreaking and controversial in the scientific arena.
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Lawless, Julia. The Encyclopedia of essential oils: the complete guide to the use of aromatic oils in aromatherapy, herbalism, health, and well being. Conari Press, 2013
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of sex therapy, with a primary focus on male sexual dysfunction. The 1990s brought penile injections and medications such as Viagra as well as the marketing of
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and neurological disorders that may interfere in sexual function, along with some medications and surgeries. Older men experience changes that occur in sexual
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or as incapable of possessing sexual desires. The presence of sexual dysfunction during old age can be impacted by health problems. There are many
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Both physical and emotional transformation throughout various stages of life can affect the body and sexuality. The subsequent decline in
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modified some of Masters and Johnson's ideas to better suit her outpatient practice, including introducing medication. Both integrated
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or vaginal pain. These physical changes often affect the intensity of youthful sex and may give way to more subdued responses during
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Older adults may also need more education about their sexuality and sexual functioning. Curriculum for this includes communication,
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Principles and Practice of Sex Therapy, Fourth Edition, Chapter 1: Sex Therapy Today, Current Issues and Future Perspectives
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problems and performance anxiety. Sex therapy is frequently short term, with duration depending on the causes for therapy.
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Sex therapy for older adults is similar to sex therapy with other populations. It includes the use of water-based
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and surgical procedures to increase the size of the vaginal opening and treat vulvar pain were also introduced.
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Berry, Michael D. (2013). "The History and Evolution of Sex Therapy and its Relationship to Psychoanalysis".
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Evans, Sandra (2004). "Sex and death: The ramifications of illness and aging in older couple relationships".
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was introduced to assist both male and female sexual dysfunction. Dilators were used to treat women with
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Certified sex therapists do not have sexual contact with their clients. Sex therapy is distinct from
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Sex therapy sessions are focused on the individual's symptoms rather than on underlying
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or relationship difficulties with subsequent effects on couple's sexual relationships.
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Xu, F; Schillinger, J. A.; Aubin, M. R.; St Louis, M. E.; Markowitz, L. E. (2001).
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that sought to create a structured system of levels for the therapist to follow.
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1976) is an option. The work of Jack Annon in 1976 also saw the creation of the
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changes and decline is another factor that influences sexual activity.
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Nursing for Wellness in Older Adults: Chapter 26, Sexual Function
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Sex therapy, at any age, often involves sensate-focused touching.
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strategy for the improvement of sexual function and treatment of
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The Interface Between the Psychodynamic and Behavioral Therapies
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as well. The combination of hypnotic procedures with humanistic
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The New Sex Therapy: Active Treatment Of Sexual Dysfunctions
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Rehabilitation: The Use of Theories and Models in Practice
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International Journal of Applied Psychoanalytic Studies
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College of Sexual and Relationship Therapists (COSRT)
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Kaplan, Helen Singer (1980). "The New Sex Therapy".
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(2014). 269:, resulting in the decreased production of 121:) to increase erectile response and Paxil ( 2384: 2370: 2362: 1222: 1208: 1200: 2701:Sexual and reproductive health and rights 986: 241:As people age, they are often viewed as 516: 780: 257:and affect both erectile function and 319:(for decreased vaginal lubrication), 41:. This includes dysfunctions such as 7: 505:Society for Sex Therapy and Research 400:into their practice and Kaplan used 109:Modern sex therapy often integrates 2515:Friends with benefits relationships 55:lack of sexual interest or arousal 25: 1183:, New York, Brunner/Mazel, 1974. 701:"Sexuality in Midlife and Beyond" 480:Certified Sex Addiction Therapist 2344: 988:10.1097/00007435-200105000-00010 944:"Older, Wiser, Sexually Smarter" 459: 445: 2300:LGBT-affirming religious groups 1195:"How to Become a Sex Therapist" 1116:J. L. Moreno, James M. Enneis: 866:Sexual and Relationship Therapy 348:sexually transmitted infections 261:. While older women experience 1464:Sexually transmitted infection 555:Leiblum, Sandra (2006-11-30). 281:, vulvar, and labial tissue). 1: 1511:Women who have sex with women 975:Sexually Transmitted Diseases 699:Harvard Health Publications. 631:McIntosh, Elna (2014-01-28). 1644:History of erotic depictions 1534:Criminal transmission of HIV 1118:Introduction into Hypnodrama 878:10.1080/14681990410001715445 671:10.1007/978-1-4613-3000-4_25 398:cognitive behavioral therapy 1629:Counterculture of the 1960s 2778: 2351:Human sexuality portal 273:. This leads to increased 180: 2339: 1496:Men who have sex with men 820:10.1080/00224490802624414 787:: CS1 maint: unfit URL ( 1146:Elsevier Health Sciences 600:"Sex Therapy Definition" 2635:Physical attractiveness 808:Journal of Sex Research 485:Certified Sex Therapist 295:mental health disorders 265:effects of aging after 2676:Human female sexuality 2609:Split attraction model 2490:Committed relationship 1772:Split attraction model 1762:Sexual objectification 1672:Anarchism and love/sex 1179:Kaplan, Helen Singer, 903:Miller, Carol (2009). 490:List of sex therapists 453:Human sexuality portal 419:The mid-1980s saw the 237: 211:life. Issues with low 191:levels and changes in 183:Sexuality in older age 2726:Sex-positive movement 2721:Sex-positive feminism 2706:Sex Addicts Anonymous 2579:Queer heterosexuality 1732:Sex-positive movement 1385:Reproductive medicine 1380:Obesity and sexuality 1327:Sexual response cycle 1134:Davis, Sally (2006). 536:Bancroft, J. (2009). 402:psychodynamic therapy 350:(STDs/STIs), such as 327:-identified clients. 310:psychodynamic therapy 235: 81:), highly overactive 43:premature ejaculation 2681:Human male sexuality 2572:Romantic orientation 2258:Buddhist monasticism 2248:Christian demonology 2074:Urethral intercourse 1873:Erotic sexual denial 1564:Cybersex trafficking 1437:Erectile dysfunction 665:. pp. 363–377. 540:Edinburgh: Elsevier. 410:Hans-Werner Gessmann 375:Henry Havelock Ellis 373:Sexologists such as 201:erectile dysfunction 169:-identified people. 51:erectile dysfunction 18:Sexuality counselors 2458:Casual relationship 2406:Sexual relationship 2312:Sacred prostitution 2101:Wet T-shirt contest 1965:Non-penetrative sex 1923:Mammary intercourse 1604:Revenge pornography 1375:Masters and Johnson 1337:Vaginal lubrication 1193:Westberg, Marisol, 802:Kontula, O (2009). 762:Hillman, Jennifer. 394:Helen Singer Kaplan 386:Masters and Johnson 317:personal lubricants 177:Aging and sexuality 47:delayed ejaculation 2741:Stanley v. Georgia 2686:Right to sexuality 2655:Sexual frustration 2594:Sexual orientation 2158:Red-light district 2054:Sexual penetration 2042:Sexual intercourse 1960:Nipple stimulation 1639:Golden Age of Porn 1539:Child sexual abuse 1506:Sexual orientation 1432:Sexual dysfunction 1370:Male contraceptive 1332:Sexual stimulation 1281:Nocturnal emission 612:on 2 February 2016 561:. Guilford Press. 238: 217:sexual dysfunction 39:sexual dysfunction 2749: 2748: 2731:Sexual revolution 2640:Sexual attraction 2589:Sexual abstinence 2478:Celibacy syndrome 2359: 2358: 2268:Hindu monasticism 2253:Clerical celibacy 2119:Adult video games 1830:Sexual activities 1747:Sexual attraction 1737:Sexual abstinence 1649:Sexual revolution 1634:Feminist sex wars 1589:Sexual misconduct 1584:Sexual harassment 1549:Indecent exposure 1256:Clitoral erection 1155:978-0-443-10024-6 916:978-0-7817-7175-7 680:978-1-4613-3002-8 568:978-1-60623-827-1 500:Sexual assistance 467:Psychology portal 163:gender expression 111:psychotherapeutic 16:(Redirected from 2769: 2736:Sexual surrogate 2696:Sexual addiction 2495:Conventional sex 2386: 2379: 2372: 2363: 2349: 2348: 2273:Jain monasticism 2037:Sexual fetishism 1955:Mechanics of sex 1838:Conventional sex 1742:Sexual addiction 1677:Extramarital sex 1459:Sexual surrogate 1295:male ejaculation 1224: 1217: 1210: 1201: 1167: 1166: 1164: 1162: 1131: 1125: 1114: 1108: 1107: 1105: 1103: 1097: 1090: 1084:Goodwach, Raie. 1081: 1054: 1051: 1045: 1044: 1041:10.1002/aps.1315 1024: 1009: 1008: 990: 966: 960: 959: 957: 955: 950:on 18 March 2014 939: 928: 927: 925: 923: 899: 890: 889: 861: 852: 851: 849: 847: 842:on 6 August 2016 838:. 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106: 103: 99:sexual assault 87:hypersexuality 26: 24: 14: 13: 10: 9: 6: 4: 3: 2: 2774: 2763: 2760: 2759: 2757: 2742: 2739: 2737: 2734: 2732: 2729: 2727: 2724: 2722: 2719: 2717: 2714: 2712: 2709: 2707: 2704: 2702: 2699: 2697: 2694: 2692: 2689: 2687: 2684: 2682: 2679: 2677: 2674: 2673: 2671: 2667: 2661: 2658: 2656: 2653: 2651: 2650:Sexual ethics 2648: 2646: 2643: 2641: 2638: 2636: 2633: 2631: 2628: 2627: 2625: 2621: 2615: 2612: 2610: 2607: 2605: 2604:Single person 2602: 2600: 2597: 2595: 2592: 2590: 2587: 2585: 2582: 2580: 2577: 2573: 2570: 2569: 2568: 2567:Romantic love 2565: 2561: 2558: 2557: 2556: 2553: 2551: 2548: 2546: 2543: 2541: 2538: 2536: 2533: 2531: 2528: 2526: 2525:Homosexuality 2523: 2521: 2518: 2516: 2513: 2511: 2508: 2506: 2503: 2501: 2498: 2496: 2493: 2491: 2488: 2484: 2483:Herbivore men 2481: 2479: 2476: 2474: 2471: 2470: 2469: 2466: 2464: 2461: 2459: 2456: 2452: 2449: 2448: 2447: 2444: 2438: 2435: 2433: 2432:Demisexuality 2430: 2429: 2428: 2425: 2424: 2423: 2420: 2418: 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1971: 1968: 1966: 1963: 1961: 1958: 1956: 1953: 1951: 1948: 1944: 1941: 1939: 1936: 1934: 1931: 1930: 1929: 1926: 1924: 1921: 1919: 1916: 1914: 1911: 1909: 1906: 1904: 1903:Forced orgasm 1901: 1899: 1896: 1894: 1891: 1889: 1886: 1884: 1881: 1879: 1876: 1874: 1871: 1869: 1866: 1864: 1861: 1859: 1856: 1854: 1851: 1849: 1846: 1844: 1841: 1839: 1836: 1835: 1833: 1831: 1827: 1821: 1820:United States 1818: 1816: 1813: 1811: 1808: 1806: 1803: 1801: 1798: 1796: 1793: 1791: 1788: 1787: 1785: 1783: 1779: 1773: 1770: 1768: 1765: 1763: 1760: 1758: 1757:Sexual ethics 1755: 1753: 1750: 1748: 1745: 1743: 1740: 1738: 1735: 1733: 1730: 1728: 1725: 1723: 1720: 1718: 1715: 1713: 1710: 1708: 1705: 1703: 1700: 1698: 1695: 1693: 1690: 1688: 1685: 1683: 1680: 1678: 1675: 1673: 1670: 1669: 1667: 1665: 1660: 1659:Relationships 1656: 1650: 1647: 1645: 1642: 1640: 1637: 1635: 1632: 1630: 1627: 1625: 1622: 1621: 1619: 1617: 1613: 1605: 1602: 1600: 1597: 1595: 1592: 1590: 1587: 1585: 1582: 1580: 1577: 1575: 1572: 1570: 1567: 1565: 1562: 1561: 1560: 1557: 1555: 1552: 1550: 1547: 1545: 1542: 1540: 1537: 1535: 1532: 1530: 1527: 1526: 1524: 1522: 1518: 1512: 1509: 1507: 1504: 1502: 1499: 1497: 1494: 1492: 1489: 1487: 1486:Gender binary 1484: 1483: 1481: 1479: 1475: 1471: 1465: 1462: 1460: 1457: 1455: 1452: 1448: 1447:Hyposexuality 1445: 1443: 1440: 1438: 1435: 1434: 1433: 1430: 1428: 1425: 1422: 1421:PLISSIT model 1418: 1415: 1413: 1412:Sex education 1410: 1408: 1405: 1401: 1398: 1396: 1393: 1391: 1388: 1387: 1386: 1383: 1381: 1378: 1376: 1373: 1371: 1368: 1366: 1363: 1361: 1360:Birth control 1358: 1357: 1355: 1353: 1348: 1344: 1338: 1335: 1333: 1330: 1328: 1325: 1323: 1320: 1318: 1315: 1313: 1312:Pre-ejaculate 1310: 1308: 1305: 1303: 1302:Pelvic thrust 1300: 1296: 1292: 1289: 1288: 1287: 1284: 1282: 1279: 1277: 1274: 1272: 1269: 1267: 1264: 1262: 1259: 1257: 1254: 1253: 1251: 1249: 1244: 1240: 1236: 1232: 1225: 1220: 1218: 1213: 1211: 1206: 1205: 1202: 1196: 1192: 1190: 1189:0-87630-083-2 1186: 1182: 1178: 1177: 1176: 1175: 1157: 1151: 1147: 1143: 1139: 1138: 1130: 1127: 1123: 1119: 1113: 1110: 1094: 1087: 1080: 1078: 1076: 1074: 1072: 1070: 1068: 1066: 1064: 1062: 1060: 1056: 1050: 1047: 1042: 1038: 1034: 1030: 1023: 1021: 1019: 1017: 1015: 1011: 1006: 1002: 998: 994: 989: 984: 981:(5): 287–91. 980: 976: 972: 965: 962: 949: 945: 938: 936: 934: 930: 918: 912: 908: 907: 898: 896: 892: 887: 883: 879: 875: 871: 867: 860: 858: 854: 841: 837: 833: 829: 825: 821: 817: 813: 809: 805: 798: 795: 790: 784: 765: 758: 756: 754: 752: 750: 746: 734: 733: 728: 721: 719: 715: 702: 695: 693: 691: 687: 682: 676: 672: 668: 664: 657: 655: 651: 640: 639: 634: 627: 624: 611: 607: 606: 601: 598:Mayo Clinic. 594: 592: 590: 588: 586: 582: 570: 564: 560: 559: 551: 549: 547: 543: 539: 533: 530: 526: 520: 517: 510: 506: 503: 501: 498: 496: 495:Sensate focus 493: 491: 488: 486: 483: 481: 478: 476: 473: 472: 468: 457: 454: 448: 443: 438: 436: 434: 430: 426: 422: 417: 415: 414:PLISSIT model 411: 407: 403: 399: 395: 391: 390:sensate focus 387: 382: 380: 379:Alfred Kinsey 376: 371: 369: 365: 357: 355: 353: 349: 345: 344:sex education 341: 337: 333: 328: 326: 322: 318: 313: 311: 307: 306:sensate focus 302: 300: 299:disinhibition 296: 292: 288: 284: 280: 276: 272: 268: 264: 263:physiological 260: 256: 252: 248: 244: 234: 227: 225: 223: 218: 214: 210: 206: 202: 198: 194: 190: 184: 176: 174: 170: 168: 164: 159: 158:psychodynamic 151: 149: 147: 142: 138: 134: 132: 128: 127:psychological 124: 120: 116: 112: 104: 102: 100: 96: 92: 88: 84: 80: 76: 72: 68: 64: 60: 56: 52: 48: 44: 40: 36: 32: 19: 2473:Love shyness 2451:Pansexuality 2417:Aromanticism 2222:Religion and 2212:Webcam model 2151:Survival sex 2141:Prostitution 2111:Sex industry 2022:Sex in space 1950:Masturbation 1790:Ancient Rome 1767:Sexual slang 1559:Sexual abuse 1416: 1266:Insemination 1180: 1174:Bibliography 1173: 1172: 1161:December 16, 1159:. Retrieved 1136: 1129: 1121: 1117: 1112: 1100:. Retrieved 1093:the original 1049: 1032: 1028: 978: 974: 964: 952:. Retrieved 948:the original 920:. Retrieved 905: 869: 865: 844:. Retrieved 840:the original 814:(1): 46–56. 811: 807: 797: 771:. Retrieved 736:. Retrieved 730: 705:. Retrieved 662: 642:. Retrieved 636: 626: 614:. Retrieved 610:the original 603: 572:. Retrieved 557: 537: 532: 524: 519: 418: 383: 372: 368:tantric yoga 364:aphrodisiacs 361: 340:spirituality 332:masturbation 329: 314: 303: 239: 228:Older adults 193:neurological 186: 171: 155: 143: 139: 135: 108: 91:sexual abuse 30: 29: 2762:Sex therapy 2716:Sexual norm 2555:Promiscuity 2446:Bisexuality 2295:LGBT people 2241:Tantric sex 2173:Sex tourism 2129:Pornography 2094:Erotic talk 2084:Virtual sex 1985:Cunnilingus 1815:South Korea 1810:Philippines 1722:Promiscuity 1417:Sex therapy 1395:Gynaecology 605:Mayo Clinic 406:psychodrama 291:Alzheimer's 259:ejaculation 197:circulatory 79:transgender 77:(and being 71:paraphilias 67:dyspareunia 59:painful sex 35:therapeutic 31:Sex therapy 2691:Sexecology 2463:Casual sex 2422:Asexuality 2207:Strip club 2190:Sex worker 2163:Sex museum 2134:Film actor 2002:Paraphilia 1928:Manual sex 1782:By country 1707:Orgasm gap 1624:Blue Movie 1243:Physiology 1122:Hypnodrama 644:2024-07-15 511:References 433:vaginismus 336:body image 255:physiology 181:See also: 123:paroxetine 115:sildenafil 63:vaginismus 2630:Hypergamy 2550:Polyamory 2505:Free love 2409:phenomena 2329:Sex magic 2307:Mormonism 2224:sexuality 2079:Urolagnia 2069:Tribadism 2017:Sexercise 1995:Irrumatio 1980:Anilingus 1938:Fingering 1918:Group sex 1913:Gang bang 1883:Fetishism 1858:Child sex 1712:Polyamory 1692:Free love 1554:Obscenity 1478:diversity 1390:Andrology 1352:education 1317:Pregnancy 1142:Amsterdam 1035:: 53–74. 886:219695201 283:Cognitive 267:menopause 247:endocrine 119:tadalafil 93:(such as 2756:Category 2669:See also 2614:Swinging 2584:Sex life 2540:Marriage 2510:Foreplay 2500:Flirting 2468:Celibacy 2397:sexology 2236:Hinduism 2232:Buddhism 2168:Sex shop 2089:Cybersex 2064:Swinging 2047:Foreplay 1990:Fellatio 1970:Oral sex 1863:Creampie 1848:Bareback 1843:Anal sex 1697:Marriage 1687:Flirting 1474:Identity 1427:Sexology 1407:Safe sex 1271:Intersex 1102:15 March 997:11357895 954:15 March 922:15 March 846:15 March 828:19090411 783:cite web 773:15 March 738:15 March 707:15 March 616:15 March 574:15 March 439:See also 352:HIV/AIDS 287:Dementia 279:clitoral 271:estrogen 251:vascular 152:Symptoms 105:Practice 2324:Thelema 2290:Judaism 2195:Sex toy 2124:Erotica 2012:Quickie 2007:Pompoir 1943:Handjob 1898:Footjob 1888:Fisting 1727:Romance 1702:Modesty 1664:society 1616:History 1400:Urology 1248:biology 1231:Outline 1005:2202973 836:3161449 358:History 243:asexual 189:hormone 2560:Female 2280:Daoism 2183:Female 2146:Sacred 2059:Sumata 1878:Facial 1868:Edging 1544:Incest 1365:Condom 1347:Health 1291:Female 1286:Orgasm 1276:Libido 1187:  1152:  1120:. 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Index

Sexuality counselors
therapeutic
sexual dysfunction
premature ejaculation
delayed ejaculation
erectile dysfunction
lack of sexual interest or arousal
painful sex
vaginismus
dyspareunia
paraphilias
gender dysphoria
transgender
libido
hypersexuality
sexual abuse
rape
sexual assault
psychotherapeutic
sildenafil
tadalafil
paroxetine
psychological
pharmacological
sex surrogates
psychodynamic
gender expression
LGBTQ
Sexuality in older age
hormone

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