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Antidepressants and Sexual Desire

Use of Antidepressant Drugs And Decreased Sexual Desire In Men And Women

Introduction

AntidepressantFor years, studies have indicated that the use of different types of antidepressant drugs causes high incidence of decreased sexual desire in both men and women who take them. The incidence, intensity and distribution of this condition vary from place to place and largely depend on the specific drug that is being used. In this article, a number of common antidepressant drugs that are responsible for decreased levels of sexual desire in men and women will be examined. This will be followed by a brief description of how this process actually occurs. Lastly, various solutions that are used to treat the condition will be briefly discussed.

Some common antidepressant drugs that cause decreased sexual desire

Before we look at specific antidepressant drugs that are responsible for decreased sexual desire among men and women, it is perhaps important to point out at this stage that there are many types of drugs that when used have been known to cause decline in sexual desire in individuals. Generally, drugs that are meant to be used to cure psychiatric problems may have an effect on the level, frequency and intensity of sexual desire in men and women who use them. Therefore, drugs such as triazolam and diazepam which are used to treat conditions such as insomnia and excessive anxiety have been found to reduce the level of sexual desire in men and women who use them. The same effect has been found for drugs such as sparine which are used in the treatment of general psychotic conditions.

In the case of antidepressants, many of the drugs that are used as first line of treatment for the condition have been shown to cause decreased sexual desire in both sexes. The Selective Serotonin Reuptake Inhibitors, as they are commonly called, have been found to cause a wide range of problems which generally interfere with the overall sexual desire in men and women who use them. Also, tricyclic antidepressants which are used to treat depression have been found to decrease the level of sexual desire in both sexes.

How use of antidepressant drugs causes decreased sexual desire

The manner in which different antidepressant drugs reduce the level of sexual desire in men and women who are using them is complex and varies with the specific drug that is being used. However, in simple terms, the drugs interfere with the secretion, distribution and effect of special hormones which are associated with sexual drive. The result of this is that a man experiences different sexual issues such as delayed orgasm or failure to initiate an erection. For a woman, the failure to experience orgasm is a common occurrence.

The manner in which Selective Serotonin Reuptake Inhibitors cause decreased sexual desire in men and women is fascinating. First, when used, the drugs cause a sudden rise in the level of serotonin in the body. This leads to a decrease in the level of dopamine, an important neurotransmitter, in the body. Following the decrease of dopamine, the amount of cortico-limbic 5-HT is suddenly increased. This condition is what leads to decreased sexual desire in individuals. Of course the manifestation of decreased sexual desire varies with the sexes. Whereas men may fail to erect or take long to ejaculate, women usually experience it in the form of failing to reach an orgasm

What is important is that many different antidepressant drugs cause a decrease in sexual desire by affecting specific aspects of sex. Depending on the way in which they work, the drugs may inhibit orgasm in men and women, mess up with the erection process in men, inhibit lubrication in women and reduce overall libido in men and women.

Solutions to decreased sexual desire resulting from use of antidepressants

There are several strategies that can be used to treat decreased sexual desire resulting from use of antidepressant drugs in men and women. Each of the strategies, though, presents a number of possible challenges which need to be handled. For instance, decreasing the dosage of the antidepressant drugs will definitely reduce the severity of the side effects in the form of decreased sexual desire. However, this may compromise the outcome of the treatment regime being used.

In the same vein, using alternative drugs may help one overcome the effects of the earlier one at least for a while. But since many antidepressant drugs have been known to have different effects on the sexual drive of men and women who use them, it will only be a matter of time before a different set of problems occurs.

Using drugs that directly combat sexual dysfunction may help. But then interactions have been known to occur between such drugs and active ingredients that are found in a wide range of antidepressant drugs. Further, such drugs do present their own side effects over the long term, thus complicating matters further.

AntidepressantThis leaves natural alternatives as the only viable option of handling the issue of decreased sexual desire arising from the effect of antidepressant drugs. There are a wide range of natural methods that can be used to help one regain sexual desire after suffering from the effects of antidepressant drugs. For instance, use of specific diet as well as natural products can help one regain the lost sexual drive without worrying about possible interactions with the drugs that are being used to treat depression.

Therefore, since decreased sexual desire is a highly sensitive issue, you need to see your doctor immediately the issue is detected. Dr. Dalal Akoury of AWAREmed Health and Wellness Resource Center can help you regain your libido by use of a wide range of safe and effective natural methods. Contact us today or pay us a visit in Myrtle Beach, South Carolina for effective and personalized services.

Use of Antidepressant Drugs And Decreased Sexual Desire In Men And Women

 

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Smoking and How it Effects your Sexual Health

Smoking and Sexual Health – Sexual Arousal Adversely Affected by Smoking

Sexual health

Smoking and Sexual Health are not a good combination because nicotine affects sexual life negatively.

In one of the previous articles, I mentioned that sex is one of the most human valued assets which needs to be protected by all means and I want to repeat the same here even as we get into this discussion. For a couple of weeks now we have been discussing primarily about sexual health and all that causes hindrances to sexual satisfaction. We have also pointed out that all the problems affecting both men and women sexual health has solutions when addressed in good time by the experts and in this Doctor Dalal Akoury has been very much outstanding in administering real life treatments using the new technological methods or Priapus Shot for men and the O Shot for women. However in this article we want to further the discussion but this time looking at how tobacco smoking may be contributing in the derailment of absolute sexual health.

If you have been following the link by own you must have known that sexual health requires good blood circulation in the body for proper and sustained erection during the process of sexual intercourse, yet tobacco exerts a negative effect on blood circulation by constricting blood vessels. Several studies have been done on this and most of their findings have established that smoking has a negative impact on the arousal phase, erection and lubrication. It is primarily for this reason that tobacco is harmful for sexual health in the medium term. However, we now know that numerous substances contained within smoke may also exert a more immediate effect, leading to a significant reduction in erectile capacity after just a puff of one cigarette. Besides effects on the sexual health, cigarette smoking can also negatively affect fertility, promote certain sexual diseases and lead to an early menopause.

Effects of Smoking on Sexual Health  

The connection between long-term smoking and arousal disorders (erectile dysfunction or lubrication problems) is well known and has been demonstrated. Although it is true that sexual health problems may be caused by many things, it is important to observe smoking as a risk factor in itself, especially when an arousal problem suddenly develops. Smoking effectively poses certain well-known risk to cardiovascular health and given that circulation problems are the main physical cause of erectile dysfunction, it then becomes very clear that nicotine and tobacco will have a very negative impact on the sexual health of a smoker thanks to their detrimental effects on blood supply.

The correlation between erectile problems and cardiovascular illnesses, as well as the constriction of the penal arteries, underpins the concept of the “sentinel symptom”, given that erectile dysfunction can be an early warning sign of broader cardiovascular illnesses. Erectile dysfunction can therefore appear several years before the first cardiac symptoms. The harmful effect that smoking exerts on the whole network of veins seems to depend on the dosage and on how long the person has smoked.

Physiology of Sexual Health

It is important to appreciate the fact that the penis is not formed of bones and so the blood vessels in the penis are the ones that facilitate or cause an erection as a result to a build-up of blood in the spongy tissues of the reproductive organ. Should anything obstruct the arteries then the blood supply no longer reaches an optimal level and this will definitely cause problems. The constant flow of blood is so crucial that even a reduction of say 25% in blood supply is enough to affect the quality of an erection, whereas the supply in the coronary arteries must generally fall below 50% for physical symptoms of heart disease such as angina to become present.

That is why the specialized literature now recognizes that erectile dysfunction in men of all ages can be a useful warning sign of latent cardiovascular problems. Furthermore, the most commonly used medication for treating erectile dysfunction (e.g. Viagra®, Cialis®, Levitra®) act by increasing the blood supply, which emphasizes the importance of good circulation as a major contributor to adequate sexual arousal. Circulation problems in women can also lead to an insufficient level of arousal, for example, vaginal dryness.

Smoking Just One Cigarette can affect Erection and Sexual Health

Among the innumerable active ingredients in tobacco, nicotine, carbon monoxide and certain free radicals are responsible for the constriction of blood vessels with a more immediate effect this has been well demonstrated by several studies in the recent past. An occasional cigarette can therefore lead to a significant decrease in erectile performance, for instance an increase of over 20% compared to a non-smoker!

Tobacco is a risk factor for Sexual Health

The high instance of smokers among have a decreased sexual health like erectile dysfunction, significantly higher than in the general population (40% compared to 28%), clearly points to a straightforward correlation between tobacco and erection problems. Epidemiological studies suggest that smokers may be twice as likely to develop erection problems as non-smokers. The risk is obviously higher if we take into account the risks posed by other smoking-related conditions such as diabetes.

Tobacco is harmful for sexual health

As it has been established in many studies, tobacco leads to an impaired arousal phase among men and women. However, the negative effects of tobacco are not limited to arousal and erection problems. Smoking can also affect sexual health like fertility, effectively decreasing it among both male and female smokers and it can also cause problems during pregnancy. The anti-estrogen effect of smoking tends to bring the menopause several years e.g. 10 years upfront.

Finally considering that cigarette smoking is also very addictive, it will be very important that the effects of cigarette smoking are sexual health is not only addressed at that level but also as an addiction problem. We are privilege that doctor Dalal Akoury is a professional in both conditions and had had a very good track record in her treatment undertakings for the past twenty years of practice. For those wishing to stop smoking and regain a functional and fulfilling sex life calling doctor Akoury will be the starting point.

It should also be noted that although sexual health problems do not generally affect life expectancy, they are more common than people think and considerably affect the overall health of an individual. Therefore individuals suffering from such should consider reaching out for doctor Akoury who will up on evaluating their individual situations and condition will be able to subject them to proper medical treatment. Doctor Akoury founded AWAREmed Health and Wellness Resource Center a health institution I will also call the home of solutions to all medical problems relating to sexual dysfunction, obesity and weight related problems, substance abuse and addiction and many others. Call right now and meet the experts for lasting remedies to all your sexual concerns.

Smoking and Sexual Health – Sexual Arousal Adversely Affected by Smoking

 

 

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Premature Ejaculation: Causes and Treatments

Premature Ejaculation: Causes and Treatment

Premature ejaculation or PE, as it is commonly known, is one of the most common forms of male sexual problems. Perhaps it would be right to say that every man must have encountered the problem at some point in life. This is so when one considers how common the problem is in men across different ages and cultures. In this article, we shall examine what exactly this condition is, its causes and how it can be treated. We shall examine different classes of factors that are said to be the causes of this condition. With regard to treatment, our focus shall be on different natural methods that can be used to tackle it. But before we get to that, it is important that you understand what exactly premature ejaculation is.

premature ejaculation

premature ejaculation

What is Premature Ejaculation?

It is actually difficult to develop a comprehensive definition of premature ejaculation. This is so, because of several reasons that are obvious. For example, if we base our definition to the time taken for a man to reach orgasm, this may be right but not accurate since cases of men getting sexual satisfaction during intercourse sessions that last very shortly are not rare. It all depends on the conditions that prevail at the time. What is important though, in defining this condition is the fact that a man reaches orgasm not only too soon but also when he does not wish so. What this means is that for a condition to be taken as premature ejaculation three things are important. The first one is that the man gets to orgasm too soon, depending on the conditions at the time. The second thing is that the orgasm occurs when the man does not wish it to be so. The third thing is that orgasm is prompted in the man after minimal exposure to sexual stimulation. This usually happens too soon after penetration for one to successfully enjoy sexual intercourse.

· Causes of Premature Ejaculation

Now that we have understood what exactly premature ejaculation is, it is important that we move on to its causes. There are many different factors that are behind this condition. It is important to point out at this stage that there is hardly any single thing that is a direct cause of premature ejaculation. What happens in real life is that the condition occurs as a result of a complex interaction of factors in one’s life. Whereas some create the right conditions for the situation to set in, others simply aggravate it by ensuring that you do not break from it.

For the purposes of simplicity, we shall examine the different causes of the condition in terms of groups of factors that operate in a more or less similar fashion.

  • Causes of Premature Ejaculation from Physical Factors

Premature ejaculation may be caused purely by physical factors. Although this is uncommon, the presence of particular physical factors is usually enough to cause the condition in some people. There are several of such factors. For example, general body fatigue may be a big cause of premature ejaculation. A man who is physically exhausted may find it difficult to take his time and successfully go through the stages of sexual encounter. The physical state of the body may trigger a quick response in the form of an ejaculation that comes far too early. Apart from overall body fatigue, the manner in which the sexual experience is taking place may trigger premature ejaculation. Although this is not common, a hurried sexual experience that is done under unsuitable conditions may contribute to premature ejaculation.

  • Causes of Premature Ejaculation from Psychological Factors

It is a common saying that the greatest sexual experience is born and nurtured in the mind; the body only experiences a mere sensation. Although this may not be accurate, it underscores the fact that the state of the mind determines how well one enjoys a sexual experience. Since this is so, it then follows that some states of the mind may inhibit one from enjoying a satisfying sexual experience. To men, this inhibition is usually manifested in the form of premature ejaculation. Conditions such as anxiety, depression and overall mental stress are clear causes of premature ejaculation. And such conditions can be caused by different circumstances in one’s life.

premature-ejaculation

premature ejaculation

Treatment of Premature Ejaculation

Essentially, there are different natural methods that one can use to deal with the problem of premature ejaculation. A word of caution here is in order. The methods never work when used once; they rather work well when adopted and used over a long period of time. Therefore, for you to get the best results, you have to make them part of your routine.

At the heart of natural methods of treating premature ejaculation is that early ejaculation is a result of particular sensations that are communicated within the system of a man thus triggering him to get to the point – of- no- return during sex too soon. Therefore, if the man can learn to control the sensations, the process triggering ejaculation would be delayed as long as the man needs it to be. This is best done by practice. One needs to get a partner who is willing to go through the practice sessions as a way of improving his performance. During the practice sessions, the man is sexually stimulated to the point that ejaculation is about to be triggered. The stimulation is stopped and the man is allowed to relax fully before another session. When this is done repeatedly, the man will definitely learn to relax during sexual intercourse and control the sensations that arise from the experience thus being able to control the timing of his ejaculation.

Although these methods have been known to work, they may not be effective to everyone at all time. There are certain cases that are too complex to be handled by natural methods. Such cases may require medical attention. So when such is the case, you may book an appointment with us at AWAREmed and we shall evaluate your condition and get the best remedy for you.

Premature Ejaculation: Causes and Treatment

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About Erectile Dysfunction

About Erectile Dysfunction – Relationship with Weight gain

Erectile Dysfunction

About Erectile Dysfunction. When this condition knock in your sex life you can be very discouraged to have sexual relationship with your partner. the good news is that it is treatable

We have in the recent passed been discussing Erectile dysfunction ED and we are not about to leave this discussion anytime soon. We have realized that the problems relating to erectile dysfunctions are a major cause or reason for many broken relationship and most importantly marriages. Marriage is a very important unit that needs to be safeguarded by all means and that is why we are going to continue with the discussions about ED in an attempt to try create more awareness to all men in relationships or those planning to be in any soon to be able to take timely precautions and remedies where necessary.

Therefore ED will always occur when a man is unable to maintain or achieve an erection sufficient for sexual intercourse. Erectile dysfunction has several causes, most of which are diseases that directly affect vascular function, such as hypertension, heart disease and diabetes. According to many professional findings, obese men are more likely to have these diseases and experience erectile dysfunction. Being slightly overweight, carrying around just a few extra pounds will most likely not cause erectile dysfunction, but being overweight can pave the way to obesity. Obesity or just excess body fat and a BMI over 30–can cause significant health problems and directly contributes to erectile dysfunction.

How Obesity Affects the Body

  • From a metabolic standpoint, obesity contributes to diabetes by affecting the way the body processes sugar.
  • Additionally, obese people tend to have high cholesterol and are more susceptible to hypertension and heart disease.
  • From a quality-of-life standpoint, obesity contributes to sleep disturbances, snoring and, in severe cases, sleep apnea, all of which can lead to daytime fatigue and depression.
  • Obese people may also experience excessive sweating, overheating and frequent rashes in the folds of the skin.
  • Excess weight also puts strain on the joints and may lead to knee, ankle and back pain.
  • Obesity also increases the risk of some cancers, gall bladder disease and stroke.

We will be further look into some of these causes as we progress in this discussion for all of us to be on the alert of the significant consequences of erectile dysfunction.

How Obesity Affects Erectile Dysfunction

Obesity can directly affect erectile dysfunction by lowering testosterone levels. It is important noting that Testosterone is the primary sex hormone in men which plays an important and vital role in both libido and sexual function. Indirectly, obesity contributes to other diseases, such as hypertension, that are known factors in erectile dysfunction. The penis needs a sufficient supply of blood in order to become erect. Once engorged, the vessels need to close in order to maintain the erection.

Hypertension, diabetes, high cholesterol and heart disease all contribute to erectile dysfunction by adversely damaging and constricting blood vessels and affecting the way blood flows in and out of the penis. It is possible to reverse the effects of obesity and obesity-related diseases with diet, exercise and, in some cases, drug intervention. Besides these obese men with health issues should consult with their physicians before attempting any diet, exercise or weight-loss program. This is where a visit to AWAREmed Health and Wellness Resource Center under Doctor Akoury’s care becomes necessary. Doctor Akoury is not just a weight lose expert but also vastly experienced in sexual dysfunction treatment. In both practices she has had an accumulation of experience of over two decades attending to all patients from all walks of life globally and your condition will be best taken care of with this great professional. and as for weight issues, doctor Akoury together with her able team of experienced experts, they will focus on Neuroendocrine Restoration (NER) to reinstate normality through realization of the oneness of Spirit, Mind, and Body, Unifying the threesome into ONE all you have to do is to call her now for an appointment.

The Mechanics and Causes of ED

An erection occurs when blood fills two chambers known as the corpora cavernosa. This causes the penis to expand and stiffen, much like a balloon as it is filled with air. The process is triggered by impulses from the brain and genital nerves. Anything that blocks these impulses or restricts blood flow to the penis can result in ED some of which may include:

Chronic Disease

The link between chronic disease and ED is most striking for diabetes. Men who have diabetes are two to three times more likely to have erectile dysfunction than men who do not have diabetes. Among men with erectile dysfunction, those with diabetes may experience the problem as much as 10 to 15 years earlier than men without diabetes. Yet evidence shows that good blood sugar control can minimize this risk. Other conditions that may cause ED include cardiovascular disease, atherosclerosis (hardening of the arteries), kidney disease, and multiple sclerosis. These illnesses can impair blood flow or nerve impulses throughout the body.

Lifestyle

Lifestyle choices that impair blood circulation can contribute to ED. Smoking, excessive drinking, and drug abuse may damage the blood vessels and reduce blood flow to the penis. Smoking makes men with atherosclerosis particularly vulnerable to ED. Being overweight and getting too little exercise also contributes to ED.  Studies indicate that men who exercise regularly have a lower risk of ED.

Surgery

Surgery, including treatments for prostate cancer, bladder cancer, or BPH can sometimes damage nerves and blood vessels near the penis. In some cases, the nerve damage is permanent, and the patient will require treatment to achieve an erection. In others, surgery causes temporary ED that improves on its own after 6 to 18 months.

Medication

ED may be a side effect of medication, including certain blood pressure drugs, antidepressants, and tranquilizers. Men should talk with their doctor if they suspect a prescription or over-the-counter drug may be causing erectile problems. Never stop any medicine without first consulting your doctor.

Psychological

ED usually has something physical behind it, particularly in older men. But psychological factors can be a factor in many cases of ED. Experts says that;

  • Stress
  • Depression
  • Poor self-esteem and
  • Performance anxiety

All these can short-circuit the process that leads to an erection. These factors can also make the problem worse in men whose ED stems from something physical. Finally you probably have heard of all these before and gave then no consideration, dear reader if you are following this link and you or anybody you know is suffering from either of these conditions (ED or Obesity) then you can be of help to yourself or to them by calling and introducing them to doctor Akoury for permanent solution to their problems and living a much more fulfilling life thereafter.

About Erectile Dysfunction – Relationship with Weight gain

 

 

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Complications of Female Sexual Dysfunction

Complications of Female Sexual Dysfunctions – Symptoms, Diagnosis and Treatment

Female Sexual Dysfunction

Female Sexual Dysfunction

It is one thing to have sex with your partner and it is another thing all together to satisfy your partner sexually and this bit is what will send you thinking on what is that you are not doing right. I don’t know what you are going through in your sex life but what I know is that all is not well with majority in our society today. The realization that all is not well is our motivation to creating awareness by wring useful information on this link and linking you with the experts to help you make things right. We have just posted an article discussing some of the causes of female sexual dysfunction and now we want to further on that by discussing the complications associated with sexual dysfunctions, and Female Sexual Dysfunction the diagnosis and possible solutions a discussion you don’t want to miss. We are going to be dwelling much on the female gender most of the discussion and so women who do not enjoy satisfying sexual experiences with their partners often report the following:

  • Lack of sexual desire (low libido)
  • Inability to attain an orgasm
  • Pain or other distress during penile penetration
  • An inability to fantasize about sexual situations
  • Indifference to, or repulsion by, having sex
  • Feelings of fear or anger towards their partners

These are pertinent experiences and must not be over looked in anyway. Ordinarily and quite often either or any of these responses have psychological complications. It may not therefore count whether the symptoms are associated with natural physical factors, such as menopause, or have their origins deeply rooted in the psychological triggers. The bottom line is many women are likely to have a perpetual feelings of inadequacy and dysfunctional this is a symptom of female sexual dysfunction.

These feelings necessitates the women to trade blame on themselves for not being sexually responsive, have trouble explaining to their partners about how they feel and experience low self-esteem as a result. You will agree with me that these are not very good feelings to have especially when it comes to sex and relationship. Nonetheless we have a problem before us and it is only right that we pool together to contain the problem by consulting with the experts. For instance doctor Dalal Akoury is one such professional who has been in medical practice for over two decades making her an ideal professional to reach out for, for lasting solution. I will be sharing more about this great doctor as we progress but in the meantime let us interrogate the diagnosis of this problem.

Diagnosing Female Sexual Dysfunction

Getting to know the cause of sexual dysfunction is half the battle – The stage of sexual activity at which a woman is having problems may offer some clues. Other evidence may be found through physical and psychological testing. Your family doctor can refer you to specialists who can help pinpoint what’s causing the problem and possible solution.

In sexual desire disorder – a woman experiences a decreased interest in having sex. If the lack of interest is new and extends to all partners and situations, the doctor will likely consider causes such as medications, medical conditions such as depression, hormonal changes, or imbalances in certain neurotransmitters (the brain’s chemical messengers). On the other hand, sexual desire disorder may be caused by interpersonal factors if it’s confined to one partner or one situation.

Sexual arousal disorder – this refers to a woman’s inability to become lubricated, aroused, or sexually excited, even after being sexually stimulated.

Orgasmic disorder – it means that a woman may enjoy sexual activity but has difficulty reaching orgasm or takes a very long time to reach orgasm. Physical causes are rare, except in cases of nerve damage in the spine. Psychological factors may range from;

  • Never having learned how to have an orgasm
  • Unrealistic expectations from a partner
  • Feelings of guilt at experiencing pleasure

It is important to note that orgasmic disorder is only diagnosed when a woman has no difficulty with arousal, only with climax. Having illustrated all this and you have been diagnosed the next question that follows on is, how do then get treated of this condition?

Treating and Preventing Female Sexual Dysfunction

The first step in managing a female sexual dysfunction is to see a health care provider for assessment and appropriate treatment and this is where doctor Dalal Akoury comes in. Your problem could necessitate certain corrections using the O Shot procedure, which doctor Akoury does best and therefore calling her for an appointment will be the starting point if you want to have your sex life back and get the desired fulfillment all round. As you contemplate that, it is important for you to know that physical disorders are actually treatable and so you need not to suffer in silence any longer because help is right here before you, all you need to do is call this great physician today. However as for a female sexual dysfunction associated with aging and dryness of the vagina, vaginal moisturizers or estrogen treatment (such as a vaginal cream, vaginal ring, or low-dose tablet taken by mouth) can be effective but even with these applications you will still need to be guided by the experts to avoid any form of complications from the possible side effects.

In the advent for seeking treatment however, when the psychological factors are very evident it may be necessary that you get the services of professional counseling from a psychiatrist, psychologist, or sex therapist to help you find ways and means of removing or reducing the causes. Psychotherapy may be more useful if there has been some trauma in a woman’s background, or problems that stem from stress or relationships. Therapy that includes a sexual partner is more helpful in increasing the chance of learning to experience orgasm. The good news I have for you is that all these services are very much available at AWAREmed Health and Wellness Resource Center a facility founded by Doctor Akoury and once again I want to invite you to make a point of visiting the home of female sexual dysfunction solution today for total restoration of your sex life. Remember that the focus will be on Neuroendocrine Restoration (NER) to reinstate normality through realization of the oneness of Spirit, Mind, and Body, unifying the threesome into ONE for those traumatic elements hindering your full sexual enjoyment.

Complications of Female Sexual Dysfunction – Symptoms, Diagnosis and Treatment

 

 

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