Advice from the Experts

Maintaining Erectile Quality

Posted by Madeleine Castellanos, M.D.

So here are a few factors to consider when wanting to preserve or improve your erection: 1. Watch what you put into your body. Everything you eat, drink, or otherwise expose your body to, will affect your overall physical health and therefore, your erection. Diets that are high in fat,...

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Sex and the Empty Nest

Posted by Gail Saltz, M.D.

When Kate's youngest child left for college, she had mixed emotions. She was excited for her son but sad about the loss of her daily kid-focused routine. Those feelings didn't surprise her  -- she'd heard all about empty-nest syndrome from her friends  -- though she was shocked to learn that her...

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Understanding Endometriosis

Posted by Madeleine Castellanos, M.D.

Endometriosis is a condition found in women in which pieces of tissue that are similar to the endometrium (inside lining of the uterus) are found in and around the abdominal cavity. These pieces of endometrial tissue respond to the monthly hormones that are secreted so that, when a woman has...

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The Pill and the Female Sex Drive

Posted by Madeleine Castellanos, M.D.

Ask many women and they will tell you that after going on the pill, they noticed a drop in sexual desire, a decrease in their ability to lubricate, and an overall decrease in sexual pleasure.  The pill can also decrease a woman's frequency of sexual fantasies and curtail their sexual...

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Defining Sex Addiction

Posted by Madeleine Castellanos, M.D.

In the strictest sense, addiction occurs in response to a substance, with a pattern of tolerance and withdrawal.  Although some form of  desensitization and withdrawal have been observed in relation to excess sexual behaviors, many people consider this more of a compulsion than an addiction.  Many refer to an adherence...

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Orgasm Inc.

Posted by Anna Potter

Last week I was fortunate enough to attend a screening of a documentary called Orgasm, Inc. The film, by Liz Canner, chronicles the race for pharmaceutical companies to get FDA approval on "pink Viagra" -- that is, a pill for female sexual dysfunction. What is female sexual dysfunction (FSD), you...

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Does sex get better with age?

Posted by Ian Kerner, Ph.D., LMFT

 According to a study in the November 2008 issue of Psychological Science, marital satisfaction may improve once the kids have left the nest. In fact, many of my colleagues in the world of sex therapy attest that empty nesters tend to have more disposable income and more opportunity to enjoy...

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Future Sex: On the horizon

Posted by Ian Kerner, Ph.D., LMFT

Sooner or later every guy deals with some type of mechanical "male-function," such as premature ejaculation (PE) or erectile dysfunction (ED). Being quick on the trigger might work great in Westerns, but it's not such a benefit in between the sheets. Likewise, the laws of physics are a little skewed...

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Is it true that some women just smell fishier? How do I know if I do?

Posted by Roshini Raj, M.D.

A word about vaginal odor: All women have it. It's completely natural and not something to stress about. In fact, most men consider that scent arousing. That said, if you notice that you smell unusually fishy or your odor is particularly strong post-sex or after washing your vagina with...

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Question: Lately I'm sore and itchy after sex--could I be allergic to condoms?

Posted by Roshini Raj, M.D.

It's possible but not all that likely. Latex is in tons of things besides condoms (Band-Aids, dishwashing gloves, balloons, sanitary pads) so if you were allergic to latex, you'd probably know already. What is more likely is you're allergic to another part of the condom--the spermicide or the lubricant....

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When Your Daughter Becomes a Mother: Do's and Don'ts for First-Time Grandmas

Posted by Hilda Hutcherson, M.D.

As an ob-gyn, I'm often asked how mothers and daughters can celebrate the birth of a baby without clashing over details. A grandchild's arrival is a wonderful opportunity to strengthen your relationship with your daughter as she learns the ins and outs of parenting. But there's a fine line...

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All About Condoms

Posted by Madeleine Castellanos, M.D.

Although condoms are the gold standard for STI prevention, there are several things that cause people to shy away from using condoms. Some of these complaints are decreased sensitivity, difficulty in keeping an erection while using a condom, discomfort in wearing a condom, and irritation during or after using a...

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Maximizing Female Pleasure

Posted by Ian Kerner, Ph.D., LMFT

When guys banter about sex among themselves, rare is the man who says, "I made love to her as subtly and lightly as a feather." But that language would be more appropriate, as the inner two-thirds of the vagina are substantially less sensitive than the outer third. The famous sex...

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How Do I Ask My Boyfriend to Make Me Ejaculate?

Posted by Emily Nagoski, Ph.D.

I want my boyfriend to try to make me ejaculate. How do I ask him to do that? "Hey there, lustbucket of my heart, would you be interested in making me ejaculate?" is a good start. I'm going to assume -- maybe inaccurately -- that you have never ejaculated before....

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Help! I Can't Orgasm the 'Regular' Way

Posted by Debby Herbenick, Ph.D., MPH

Your Sex Question: How Does a Clit Girl Orgasm During Intercourse? Believe it or not, the clitoris is involved in pretty much all types of women's orgasms -- even if it's not directly being stimulated at the time. That's because science has made it very clear that the clitoris is...

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If I Say 'Screw Condoms,' Will I Get Pregnant?

Posted by Debby Herbenick, Ph.D., MPH

Some women get pregnant the very first time that they have sex without a condom or other birth control method. It's like an after-school special. Other women, of course, find that they or their partner have fertility problems and they end up taking a very long time to become pregnant...

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Do Men Like Giving Oral Sex?

Posted by Ian Kerner, Ph.D., LMFT

Your Sex Question: I'm afraid to let a guy to go down on me because I've heard men don't like performing oral sex. Is it true? This couldn't be further from the truth. As the author of "She Comes First" (an entire book that's basically one long ode to the...

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My Boyfriend Climaxes Too Fast -- How Can We Make Sex Last Longer?

Posted by Ian Kerner, Ph.D., LMFT

Your Sex Question: My boyfriend always comes so fast. How can I make sex last longer? P.E. (premature ejaculation) is a topic I'm passionate about. No only is it the most common type of sexual problem a man can have, (with many experts estimating that up to 30 percent of...

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Sex on Antidepressants -- What to Do When Drugs Mess With Your Mojo

Posted by Ian Kerner, Ph.D., LMFT

Your Sex Question: I've had an on-again, off-again relationship with a really great guy, and a lot of our problems have come from the fact that he's been depressed. So he started taking anti-depressants, but now he has barely any sex drive. I don't want to break up with him...

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Do You Need to Tell a Guy You're Sleeping With That You Have HPV?

Posted by Anna Potter

First things first: HPV stands for human papillomavirus, which is the virus family that causes warts (anywhere on your body -- your hand, your foot and, yes, your genitals); it also can cause cervical cancer. You know when you go to the gynecologist and get a pap smear? "Pap" as...

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