Nina B Therapy
  Relationship Counselling and Sex Therapy

              Darwin, Northern Territory, Australia based Relationship and Sex Therapist    

Female Sexual Function and Dysfunction

sex low desire vagina pain


Pelvic and Sexual Pain 

Generally woman should not feel pain during intercourse. There may be discomfort at times but never pain. 

There are a number of physical reasons why a woman may experience pain such as Endometriosis, Vulvodynia, Vesitbultis and Vaginismus.

A great source of information on these issues can be found at the 

Pelvic Pain Foundation of Australia  , EndoActive Australia & NZ and Endometriosis Australia In these cases where there is a clear medical cause the best outcomes are through pain management, relaxation strategies and readjusting the focus away from the act of penetration to other pleasurable activities.


Only recently has sexual pain experienced by woman become the topic of serious research hence the relatively new diagnoses of vaginusmus  and vulvodynia. 

Vaginismus is the involuntary contraction of the pelvic floor. This can be so severe there is no possibility of penetration. This condition has shown great progress with therapy as well as physiotherapy.

http://www.vaginismus.com

Vulvodynia and Vestibulodynia is a more complex condition which can involve the neurological messages mistaking sensation or even no touch as pain. It is described as a burning pain, sometimes itchy. There are numerous suggestions on how to manage the condition. Therapy can be helpful when the condition is affecting the couple.

http://www.vulvalpainsociety.org/vps/index.php/vulval-conditions/vulvodynia


Female Orgasmic Disorder

Orgasm is elusive for many woman. As young men learn to relax and control their ejaculation over time, woman too need to train their bodies to recieve pleasure, relax and enjoy. This is why masturbation is of great help when we are younger. Today there are a number of strategies which can be utilised including psychotherapy, practical exercises, relaxation exercises, cognitve therapy and mindfullness. 

A website which can help you explore your sexual pleasure is OMG Yes! A popular "how to" site which normalises, encourages and familiarises you with sexual pleasure and masturbation.


Desire, Arousal and Aversion disorders

A woman's (an man's) desire for sex is not a constant and predictable phenomenon

The difference between desire and arousal is often confused. It is an important starting point for people to understand where their issues lie.
Sexual  Aversion/Desire Disorder: A distinct presence of negative sexual thoughts and an absence of sexual thoughts or fantasies. There may be a number of contributing factors here such as stress, fatigue, medications and past sexual trauma. The trick is to understand what your goal is, what are the factors affecting you reaching that goal and what is good enough. Therapy can help with exploring the psychological barriers to your sexual desire. Desire can be affected by medications and hormones eg. while breast feeding estrogen levels are extremely low effectively shutting sexual desire down from a biological perspective.
Sexual arousal Disorder:  Female -Inability to attain, or to maintain until completion of sexual activity an adequate lubrication-swelling response of sexual excitement.
Male - Inability to attain or maintain until completion of sexual activity, an adequate erection. (refer to male erectile issues)

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