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Real women: questions * answers. (Special Advertising Section).(sexual health of women)(Brief Article)

Cosmopolitan

| October 01, 2002 | COPYRIGHT 2002 Hearst Communications, reprinted with permission of Hearst. This material is published under license from the publisher through the Gale Group, Farmington Hills, Michigan.  All inquiries regarding rights should be directed to the Gale Group. (Hide copyright information)Copyright

Q Ever wondered how stress affects your sex life? Or how men and women differ in their urge to stray? Or why you can't get pregnant?

a To find out the answers to these questions and more watch Drs. Jennifer and Laura Berman, two of the nation's leading experts on women's sexual health, on their groundbreaking new television series "Berman and Berman: For Women Only" weeknights at 10 PM e/p on the Discovery Health Channel. In this frank, open forum, the Berman sisters tackle all issues from relationships to self esteem, and more ... read on to find just how unblushingly honest and helpful they are ...

Q & a

Q: I am a 51-year-old female and dating a great guy. I have been having a problem of not being able to have an orgasm. I fake most of the sexual feelings when we have sex, in my mind I want to make love, but when it's time I just don't have the desire. I don't want to lose him because of this.

a: It sounds like you are referring to both low desire and low sexual response. These are two areas of complaints that are separate but often interrelated. Both are complex and have a range of emotional, relationship and medical causes. At the very least it would be important to get a psychosexual evaluation to rule out the potential emotional factors. Also, you would want to have a blood test to make sure your total and free testosterone levels are where they should be. And, you may want to have farther testing in order to evaluate the blood flow in your genital area as well as the genital sensation in order to determine the potential medical causes of your difficulty achieving orgasm. Unfortunately, there are only a few centers that do the range of testing that we do at our clinic. However, any doctor should be able to measure your hormonal levels.

Q: It's often noted that women are unique and different from men when it comes to their health. What's your take on this with respect to sexual health?

a: Women are unique and different from men in that they experience sexuality in a context and there's a whole array of issues that need to be addressed in order for a woman to respond sexually--the way she feels about herself, her body, her partner, not to mention any medical problems or medications that she might be on. So, it is a complex process.

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