Vaginismus occasionally develops in women with clinical symptoms of severe dyspareunia (painful intercourse). When dyspareunia has firm basis in pelvic pathology, the existence of which escapes examining physicians, and over the months or years coition becomes increasing painful, vaginismus may…
Here is illustrative of an etiological factor frequently encountered in vaginismus, that of the influence of channel visioned religious orthodoxy upon the immature and adolescent girl. When the couple was first seen in consultation, couple A’s marriage had existed unconsummated…
The presence of involuntary muscular spasm in the outer third of the vaginal barrel, with the resultant severe constriction of the vaginal orifice, is obvious. The literature has remarked on an unusual physical response pattern of a woman afflicted with…
Sexual input can be blocked by any negative influence in the psychosocial system that distracts the male. If there has been a recent quarrel and his antagonistic wife plays a passive role in their next sexual encounter, evincing no pleasure…
Of course, most wives would not consider public discussion of the sexual inadequacy in their marriages. For a variety of reasons, they choose to keep their own counsel. They may feel that their husband’s dysfunction has origin in, or at…
When erections recur spontaneously, the wife is encouraged to place herself in the superior coital position, with her knees at or below his nipple line, before her sex play is directed toward penile manipulation. When the wife is comfortable in…
Once the husband and wife can mount with security, another specific male fear of performance will surface. impotent men having achieved intromission successfully still have not satisfied their performance fears. They immediately question whether the penis will retain sufficient rigidity…
Erective incompetence occasionally develops from physical causes at various stages in the life cycle. Anything from extremely low thyroid function in the third decade to a perineal prostatectomy in the sixth decade can and does result in secondary impotence. But…
A word must be said for the cooperative wives of sexually inadequate husbands. They may arrive in therapy frustrated, resentful, bitter, revengeful, or still devoted to this man of their choice. Regardless of the manner in which they approach therapy,…
impotence is not a naturally occurring phenomenon. Yet there are men who never experience intromission regardless of available coital opportunity; they have been identified as primarily impotent. There are men, having succeeded in coital opportunity on single or multiple occasions,…
