The problems of sex therapy

Dr. Vicente Bataller Perelló graduated in Medicine and Surgery from the Faculty of Medicine of the University of Valencia in 1985. Later he continued his training and received his Doctorate in Medicine and Surgery from the Faculty of Medicine and Dentistry of the University of Valencia, with outstanding Cum Laude in 1995. He practices his profession as a Clinical Sexologist and Psychoanalytically Oriented Psychotherapist.

Sex therapy is a psychotherapeutic procedure applied to the so-called “sexual dysfunctions” or “sexual symptoms” that clinical sexologists have been dealing with for decades.

Different types of symptoms

– Hypoactive desire (IDS): “Doctor, I don’t feel like it”, “it’s hard for me to get it on”, “I don’t feel the desire to make love”. It occurs more frequently in women, but more and more men are also consulting for this symptom.

– Sexual dysfunctions in males: the most frequent is lack of erection, impotence or erectile dysfunction. “Repeated or continuous inability (for a period of at least three months) to achieve and maintain an erection sufficient to complete satisfactory sexual intercourse.” Highly prevalent disease: ED affects more than 100 million men worldwide, negatively affecting the quality of life and well-being of the sufferer. Prevalence 4 times higher between 60 and 69 years of age than between 40 and 49 years of age.

– Premature Ejaculation: A very frequent symptom in young and experienced people. Their discomfort is: “Doctor, I come right away”, “once I penetrate…I come very quickly”, “I would like to be able to enjoy intercourse”. Premature ejaculation is nowadays treated in clinical sexology with pelvic floor muscle exercises, with Dapoxitine on demand and with systematic desensitization. Shame and fear often prevent the resolution of these symptoms.

– Anaejaculation (absence of ejaculation) and / or delayed ejaculation (“it takes me a long time doctor”, “it hurts my partner at the end… and I can not ejaculate”, are other symptoms that we solve in sex therapy.

Sexual dysfunctions in women:

– Sexual problems due to pain in women, we have Vaginismus which would be the impossibility of having had vaginal intercourse by penetration ever, therefore we would speak of Primary Vaginismus and Secondary Vaginismus, which would be the difficulty, pain or impossibility at the present time of being penetrated vaginally. These are women who have had sexual intercourse with intercourse, but at this moment they cannot, and feel discomfort, pain and avoidance of sexual contact.

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– Dyspaureunia is another symptom that consists of having pain when having vaginal intercourse and/or being penetrated. Women over 50 years old are usually the ones who consult us for this symptom that we also address in sex therapy.

– Primary Anorgasmia, “I have never had an orgasm doctor”, “I do not know if I have orgasms or have had” or Secondary Anorgasmia “since I had my daughter, it is very difficult for me to have an orgasm”, “I do not know what is wrong with me but now it is very difficult for me to reach orgasm”, we also address in Sex Therapy.

In consultation with a clinical sexologist and psychotherapist, we deal with couple conflicts, sexuality and chronic diseases, medication and its impact on sexual life, sexuality in gender violence, and/or rape. Child sexual abuse, sex addiction, sexual aversion, sexuality and chronic diseases, … etc..

More information through the Internet

It is still not a taboo to go to a sexologist, what happens is that the information is much greater now. You can consult on websites, on social networks www.sxlgsf.org , and dare more. Just a fact, erectile dysfunction, a very common pathology in men, is hardly consulted in practice.

Overcoming a sexual crisis depends on the couple.

It depends on each particular case, that is what sex therapy has, that although it is a similar or similar symptom from one person to another, from one couple to another, the experience of the symptom, the time elapsed, the sexual biography of each member of the couple, the education received, the biological family, must be contextualized in the specific case that is being addressed. Sometimes they come for sexual problems, and are the iceberg of other previous conflicts that have to be resolved previously, if we want sex therapy to develop favorably to the interests of the consulting couple. Other times, they arrive too late “Doctor, we have not practiced vaginal intercourse for 18 years”, “I am tired of the same thing, I have had premature ejaculation for 10 years”, and therefore the process sometimes fails, others do not continue but if you want change and effort everything is possible to be happy in the sexual sphere and to be able to enjoy the pleasure of love.