History-taking in sex counseling.

A formula for obtaining a sexual history that has both diagnostic and therapeutic significance has been presented. By utilizing the relationship between effective stimulation of a sufficient quantity in a nuturing environment, the physician will be able to clarify what has either caused or is maintaining the sexual difficulty. It will be most beneficial if the physician explains the history-taking approach to the woman. In this way she can see how her answers relate to the problem and to the direction of treatment. A history-taking approach structured in this manner is most helpful to the physician and the woman.

Dyspareunia.

Dyspareunia--painful intercourse--is a common cause of sexual difficulty. The following paper discusses, for both males and females, the common causes of dyspareunia and in many instances the appropriate treatment. Painful intercourse for the male is related either to the prepuce, glans penis, penile shaft, testicles, or urethra and prostate gland, whereas painful intercourse for the female is related to the vaginal opening, clitoris, vagina, or uterus, tubes, and/or ovaries. Each of the above is discussed.

PIP: Dyspareunia, a common cause of sexual difficulties, is discussed and a logical approach to diagnosis of the causes is presented. Male dyspar eunia is related to the following anatomical structures: 1) prepuce, 2) glans penis, 3) penile shaft, 4) testicles, and 5) urethra and prostate gland. Female dyspareunia is related anatomically to: 1) vaginal opening; 2) clitoris; 3) vagina; and 4) uterus, tubes, and/or ovaries.