Sexual Medicine
Sexual medicine embraces the physical and psychological study, diagnosis, and treatment of sexual concerns of men and women. It is a medical specialty that addresses all matters related to sexuality.
Why is Sexual Medicine Important?
In no other area of the human spectrum of wellness is there such an intricate connection between mind and body as is the case with sexual health. Sexuality plays a significant role in quality of life; sexual problems can cause both emotional and physical distress and interfere with relationships as well as enjoyment of every day living. Sexual dysfunctions are highly present in both sexes, ranging from 10%-52% of men, and 25%-63% of women, yet studies indicate that less than half of patients' sexual concerns are known by their physicians. Sexual inquiry and education are essential components of responsible and comprehensive health care.
What are the Most Common Types of Sexual Problems?
There are many categories of sexual dysfunction in men and women. The most common sexual disorders include:
- Low sexual desire in men and women.
- Ejaculation, erectile, and orgasm disorders in men.
- Orgasmic difficulties in women.
- Intercourse difficulties in women.
What Type of People See Dr. Serena for Sexual Related Issues?
Dr. Serena sees men and women of all ages and any sexual orientation for a wide variety of sexual concerns including but not limited to: adolescent sexuality, low libido in men and women, orgasm difficulty in men and women, pregnancy related and postpartum sexual changes, menopause related sexual function change, erectile concerns, premature ejaculation, delayed ejaculation in men of all ages. Dr. Serena also provides comprehensive health care services including hormone therapy for gender transition in appropriate circumstances to transgendered individuals. Dr. Serena also provides sex positive and non judgmental health care to individuals of alternative sexual lifestyles such as polyamory and BDSM, as well as sex workers and individuals in the sex entertainment industry.
How are Sexual Disorders Diagnosed?
The evaluation of a sexual disorder begins with a candid conversation regarding health history and lifestyle. Sexual satisfaction is discussed in depth as well as sexual function of the partner. Conditions that are commonly implicated in sexual dysfunction are investigated such as depression, anxiety, diabetes, cardiovascular disease, and sexually transmitted infections. A thorough physical exam is completed to determine if there is any anatomical dysfunction contributing to the problem. Depending on symptoms, blood values of sex hormone may be obtained as well as vascular and neurological testing.
What Type of Treatments are Available for Sexual Problems?
The pillar of treatment for all sexual disorders is education for both the patient and partner. Additional treatment options vary widely and include bio-identical hormones to restore normal hormone function, botanical medicines, physical therapy to correct pelvic musculoskeletal dysfunction, biofeedback, couples counseling, intimacy training, reevaluation of medications with strong sexual side effects, and even surgery.
Dr. Serena is a professional member of the International Society for Study of Women's Sexual Health (ISSWSH) and a nationally certified Sex Counselor through the American Association for Sex Educators Counselors and Therapists (AASECT).