1. Chapter 7

2. ProblemMen (%)Women (%) Hypoactive Sexual Desire9.5-17.616-33.9 Erectile Disorder11.2-20.6N/A Premature Ejaculation15.7-24.7N/A Difficulty LubricatingN/A7-25.2 Inability to Reach Orgasm8.1-14.58-14 Pain During Sex1-9.78.1-14 Performance Anxiety17-2011.5-16 No Pleasure in Sex8.121.2

3. ✔ Duration: Primary or Secondary -How long has this been happening? ✔ Context: Global or Situational -Does this happen every time or in certain settings? ✔ Frequency: Total or Partial -Does this happen every time in that setting or only some times?

4. NeurologicalHormonesVascular Physical InjuryAlcoholSSRIs

5. Stress

6. ✔L✔L oss of Trust ✔P✔P oor Communication ✔A✔A nger and Resentment ✔C✔C onflicting Sexual Expectations ✔L✔L ack of Respect ✔L✔L oss of Love

8. 1970

9. ✔ i ncreases awareness of bodily sensations ✔ h elps partners explain what feels best ✔ s exual release while working on issues ✔ c an work on sexual difficulties alone

12. Penile Tumescence Monitor Penile Implant

13. Negative Side Effects from Testosterone ✔ Acne or oily skin. ✔ Male-pattern hair loss from the scalp. ✔ Male-pattern hair growth on the face and body. ✔ Anger and hostility problems. ✔ Shrinking breast size. ✔ Hoarseness or a deeper voice. ✔ Irregular menstrual cycles, if you have been menstruating. ✔ An increase in the size of your clitoris.

15. Squeeze Technique 8% or less of men have experienced delayed or inhibited ejaculation

16. Causes ✔S✔S TIs ✔v✔v aginal infections ✔p✔p sychological issues ✔c✔c ertain medications ✔ a llergy to latex/spermicides Causes ✔p✔p ast trauma ✔f✔f ears of pregnancy/STI ✔p✔p ainful previous intercourse ✔b✔b elief in myths about painful first intercourse