Because sexual functioning and satisfaction are important, I offer a multi-disciplinary approach to treat male and female sexual difficulties and concerns. I recommend a physical evaluation by an Urologist such as Dr. Timothy Gajewski at Urology Specialists of the Carolinas to address physical problems first.

We believe in Plato’s quote, “The part can never be well unless the whole is well”, that is why it is important the medical as well as the sexological approach to help women and men to overcome sexual problems.

Male sexual problems:
· Erectile Dysfunction
· Rapid Ejaculation
· Low desire for sex

Female sexual problems:
· Lack or low desire for sex
· Arousal difficulties
· Difficulty achieving orgasm
· Sexual pain

For information and appointments about SEXUAL Difficulties or Concerns, please call me: (803) 415-1582

Sexologist Approach:

Parallel to the medical assessment, I do an interview regarding sexuality, feelings, thoughts, concerns and the relationship. My procedure includes the encouraging of the couple to create a climate of profound intimacy, where the couple can really consider, explore and fully appreciate the benefits of sex and pleasure. Achieving this goal often involves a multidisciplinary effort.

Low or no desire for sex can be triggered by treatable medical conditions such as anemia, vitamin D deficiency, skewed thyroid levels or hormone deficiencies and imbalance. Medications can also be a culprit, including some birth control pills and antidepressants. But for women in particular, a big libido killer can be their relationship itself. Many women fail to feel good sexually for many reasons beyond hormones and treatable medical problems. Their issues may involve being tense, not having enough information, myths, restrictions, not feeling loved, not having adequate stimulation, poor physical conditions, marital discord, poor communication, low intimacy or feeling cheated.

Traditional doctors tend to talk about an individual, “she has a problem; he has a problem.” This individualistic view for understanding and treating sexual difficulties is limited since sex occurs between two people; it can never be a problem with one or the other of them only.

The relational context, which is how a couple relates and communicates, is very important to treat any sexual problem, especially low sex drive. Studies show a strong correlation between a fulfilling relationship and sexual satisfaction. Women’s feelings about their relationship and their partners have an important influence and great impact in performance, response and sexual satisfaction.

Studies have shown the importance of the other and the relationship to deeply understand and treat sexual problems, especially woman’s sexual difficulties. Therefore, it is very important to ask: Are you READY? It may be that a woman “is available” (she is physically there), but not necessarily “in disposition” (ready or prepared for sex), so she may “avoid” feeling of desires. I help women to discover and realize their sexual feelings to managing them.

It is critical that women with no desire for sex can feel heard and acknowledged without the pressure “to do something.” Instead, they should have the opportunity to reflect on their position and contemplate their thoughts. Focusing on “wanting to want,” with the possibility of building desire, instead of waiting for it to appear, is always helpful.

Sometimes the concept of low sexual desire is wrongly used. Many women say they have no desire, but in fact the problem is that they do not want to be sexual with their partners. Acknowledging this reality is an important part of moving forward.

There’s no doubt that, when women and men feel loved, appreciated and well stimulated, sexual desire arises and can reach its full potential.