Female Sexual Arousal Disorder – Diagnosing FSAD

FSAD refers to inhibition of the “vasocongestionlubrication response” to sexual stimulation. In the most recent edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV-TR), FSAD is defined as the pervasive or recurrent inability to attain, or to maintain until completion of the sexual activity, an adequate lubricationswelling response of sexual excitement, coupled with marked distress or interpersonal difficulty. The DSM classification of sexual disorders has been derived from phases of the sexual response cycle, on the basis of the work of Masters and Johnson and Kaplan. This model depicts a sexual desire phase and a subsequent sexual arousal phase, characterized by genital vasocongestion, followed by a plateau phase of higher arousal, resulting in orgasm and subsequent resolution. It is assumed in this model that womens sexual response is similar to mens, such that womens sexual dysfunction in DSM-IV mirrors categories of mens sexual dysfunction. In contrast to the third edition of the DSM manual, subjective sexual experience is no longer part of the definition, possibly in a further attempt to match norms and criteria for mens and womens sexual dysfunctions.

There are a number of serious problems with the current DSM-IV classification criteria. Firstly, although the DSM-IV explicitly requires the clinician to assess the adequacy of sexual stimulation only when considering the diagnosis of FOD, adequacy of sexual stimulation is a critical variable in evaluating each of the female sexual dysfunctions, and FSAD in particular. Exactly what is adequate sexual stimulation? Some sort of physical (genital) stimulation is a necessary, but not necessarily sufficient, prerequisite for arousal. For many women, adequate sexual arousal involves physical as well as “psychological” and “situational” stimulation, such as intimacy with a partner, the exchange of confidences, the sharing of hopes and dreams and fears, and not only directly prior to the sexual event. What if certain types of sexual stimulation have been adequate in the past, but not anymore? Is it evidence of FSAD, or could it be explained in terms of habituation or an adaptation to changing life circumstances? And what is meant by “completion of the sexual activity?” Is it masturbation to orgasm, sexual contact with a partner, sexual contact including coitus? These are very different activities that are known to differ in their sexually arousing qualities.

Secondly, the description of the first problem demonstrates that clinical judgements are required about sexual stimulation and the severity of the problem, the validity of which is questionable. The clinician has to evaluate what is normal, based on age, life circumstances, and sexual experience. Research on the basis of which clear criteria can be formulated, is lacking. There is a great variety in the ease with which women can become sexually aroused and which types of stimulation are required.

Thirdly, due to the lack of clear diagnostic criteria, it is often unclear in which cases an FSAD diagnosis or one of the other three main DSM-IV diagnoses is appropriate. The four primary DSM-IV diagnoses pertaining to lack of desire, arousal, orgasm problems or sexual pain, are not independent. Only very infrequently do women present with sexual arousal problems when seeking help for their sexual difficulties, but that does not mean that insufficient sexual arousal is an unimportant factor in the etiology of these difficulties. In actual clinical practice, classification is often done on the basis of the way in which complaints are presented. If the woman is complaining of lack of sexual desire, the diagnosis of hypoactive sexual desire disorder is easily given. If she reports trouble reaching orgasm or cannot climax at all, FOD is the most likely diagnosis. If she reports pain during intercourse, or if penetration is difficult or impossible, the clinician may conclude that dyspareunia or vaginismus is the most accurate diagnostic label. In general, women have difficulty perceiving genital changes associated with sexual arousal. However, women who report little or no desire for sexual activity, lack of orgasm, or sexual pain, may in fact be insufficiently sexually aroused during sexual activity. It is particularly difficult to differentiate between FSAD and FOD. FOD is defined as the persistent or recurrent delay in, or absence of, orgasm following a normal sexual excitement phase. In cases where the clinician does not have access to a psychophysiological test in which a woman is presented with (visual and/or tactile) sexual stimuli, while genital responses are being measured, it cannot be established that her deficient orgasmic response occurs despite a normal sexual excitement phase, unless she reports feelings of sexual arousal. Ironically, this subjective criterion has been removed in the DSM-IV.

Studies investigating the efficacy of psychological treatments for sexual dysfunction have demonstrated that directed masturbation training combined with sensate focus techniques is very effective for women with primary anorgasmia to become orgasmic. In fact, this is the only psychological treatment of sexual dysfunctions that deserves the label “well established,” and is probably efficacious in secondary orgasmic disorder. The success of this treatment suggests that lack of adequate sexual stimulation is an important etiological factor underlying primary, and probably also secundary, anorgasmia. Consequently, if the clinician would strictly adhere to the DSM-IV criteria, the diagnosis of neither FSAD nor FOD would be appropriate, because the problem can be reversed by adequate sexual stimulation. In any case, primary orgasmic problems may not justify a separate diagnostic category. Perhaps the diagnosis of FOD should be restricted to those women who are strongly sexually aroused but have difficulty surrendering to orgasm. There are no clinical or epidemiological studies that differentiate between women with primary or secondary anorgasmia and other orgasm problems, so we do not know how prevalent this is. Segraves argued that FSAD hardly exists as a distinct entity, whereas we, in contrast, argue that in a classification system based on the etiology of sexual complaints, FSAD should be considered to be the most important female sexual dysfunction, with complaints of lack of desire and orgasm, and pain, frequently being consequences of FSAD.

Finally, there is a good deal of evidence that, especially for women, physiological response does not coincide with subjective experience. Womens subjective experience of sexual arousal appears to be based more on their appraisal of the situation than on their bodily responses. We will address this issue extensively later in this chapter. Thus, in the DSM-IV definition of FSAD, probably the most important aspect of womens experience of sexual arousal is neglected, given that absent or impaired genital responsiveness to sexual stimuli is the sole diagnostic criterion for an FSAD diagnosis.

How To Make Your Own Termite Killer At Home

For those people who are ecologically conscious, finding a way to make a homemade termite killer might become a priority if termites are around your house or you think you might be susceptible to termite infestation. The most effective way to get rid of termites is with chemicals, but some people just aren’t comfortable with using chemicals which has prompted them to try and find a homemade termite killer that will be effective and easy to use. Unfortunately, there is no easy homemade termite killer that has proven to be as effective as chemicals.

But that doesn’t mean there isn’t a way to get rid of termites without the use of chemicals. Termites are resilient creatures who simply look for a food source and “go to work”. The best homemade termite killer you can employ is to remove their food source. That means getting wet wood dry, cleaning up damp leaves around the base of your home, and making sure that there are no miniscule entryways for termites to enter your home and begin their damage.

Unlike other pests, you can’t sprinkle some hot pepper sauce on them or spray them with a vinegar and water mixture to kill them. They’ll live through it and continue to breed despite your best efforts. Don’t try these methods as they will only cause you frustration and make you angry that you can’t use a homemade termite killer to get rid of these unwelcome guests.

One web page that we found suggests that you take a cardboard box and wet it down. Then you place it around your home and monitor it. Termites like soft food and the weakened cardboard – that is made of wood – makes it a great buffet for invading termites. Once you find termites in the damp cardboard, take it somewhere and burn it and then continue the process. It takes diligence, but eventually, you’ll gain control – at least somewhat.

Another poster on this web page went to a local home improvement store and bought some termite bait for $18.88. She placed it around the foundation of her home and changed it as the box said. Since she monitored it faithfully and changed the bait according to directions, she found that she didn’t get a termite problem at all. What is funny about her story is that a pest control company came out to assess her home and give her an estimate on how she could control termites. Their estimate was over $1,300! In her quest for a homemade termite killer, she found a commercial product that worked just as well as a pest control company’s but for much, much, much less the cost.

Use common sense when trying to come up with a homemade termite killer and be diligent about your efforts. If you take the time to pay attention to your home, you will eventually be able to come up with a homemade termite killer that will meet all of your needs and keep your home safe.

The History of STD Treatment

Alarmed by the thought of taking an STD test? Just be thankful you aren’t going to experience the mercury treatment! Learn more with this brief history of STD treatment.

For as long as human beings have existed, they’ve had to deal with Sexually Transmitted Diseases, or STDs. Nowadays, we are fortunate that many of the most common STDs are easily treatable, contraception is reliable, and that diagnosis has become very accurate. But back in the day, when there was no reliable STD test for most diseases and even less chance of getting an effective preventative or a cure, catching an STD could be a very serious business indeed…

Old Remedies

Like many diseases, STDs were not well understood in the era before modern medicine, and were subject to a huge amount of superstition and misunderstanding. You could forget getting a definitive STD test from a doctor with many diseases sharing similar symptoms, accurate diagnosis was almost impossible before blood tests were perfected. One disease was likely to be mistaken for another, and if you were carrying an STD but were not displaying any symptoms, you had absolutely no way of finding out.

Even worse than the lack of a reliable method of diagnosis were the dubious ‘cures’ that were on offer most of the old remedies were truly eyewatering. Mercury was the common treatment for syphilis, though whether it did anything other than make the sufferer chronically ill is open to debate! Silver nitrate and arsenic have also been used in the past to treat various STDs, and if your infection resulted in sores, lesions, or blisters, then it got even worse you were liable to have them cut or burnt away by the doctor who treated you.

Modern Treatment

Thankfully, things have come a long way since the old days of STD treatment. The arrival of antibiotics changed the face of medicine, and offered a simple and effective treatment for many of the most common STDs, such as syphilis, gonorrhoea, and chlamydia. Even the diseases that remain incurable, such as Hepatitis C and genital herpes, can be carefully managed so that those who are infected with them can continue to live normal lives.

Matching advances in treatment have been improvements in diagnosis. Anyone can now undergo an accurate STD test to determine whether or not they have been infected. A simple blood or urine sample can be tested for a wide range of STDs, and the tests are extremely accurate. Gone are the days when one STD would be mistaken for another, or when a symptomless STD would go undetected by a doctor. Nowadays, if you go for a test, you’ll get an accurate result.

Of course, modern times have led to vast improvements in treatment, but they have also brought with them a host of new challenges. The recent appearance of HIV and AIDS, and the rise of drug resistant strains of STDs are a great danger to sexual health around the world. In the developing world, where medical standards are not so high, STDs continue to pose a significant danger to the majority of the population. But whatever the problems modern healthcare workers face, when it comes to STDs, we’ve come a long way since mercury treatment!

Gene-Eden for Safer Sex (Formula SX-101) Helps Guard Against Viral STDs

Sexually Transmitted Diseases can be uncomfortable, painful, disfiguringand even life threatening if not identified and treated properly. The modern world with its high-tech means of effective communications and social networking easily brings people together.

People meet, interactpassion ignites! Straight or Gay, sex often results.

There are more than 25 diseases that are transmitted through sexual activity and they occur most commonly in sexually active teenagers and young adults, especially those with multiple sex partners. An estimated 200 to 400 million people worldwide are infected – representing men and women of all economic classes and personal backgrounds.

Regular contraceptive methods (such as condoms) provide only limited protection and can do nothing against viral infections such as the Human papillomavirus (HPV) since it is transmitted through any sexual, skin-to-skin contact. Many STDs (such as HPV) can lead to related conditions such as pelvic inflammatory disease, cervical cancer, and complications in pregnancy. Therefore, education about these diseases and prevention is important.

We believe STDs like HPV necessitate the use of a broader spectrum of preventative methods.

Gene-Eden for Safer Sex is an herbal supplement with an advanced combination of herbs which have been shown through a vast number of scientific studies to be effective against a broad range of STDs including: the Human Papilloma Virus (HPV), Genital Herpes – Herpes Simplex Virus (HSV), the Hepatitis B Virus, and HIV/AIDS.

While almost all supplements claim to improve your health, they show no scientific research to back up their claims. In contrast, we at polyDNA are scientists who develop science-based nutritional supplements. As a proof to our scientific approach, just enter Gene-Eden into PUBMED, the database of scientific papers maintained by the U.S. National Library of Medicine.

As an additional proof that our scientific approach works, users of Gene-Eden for Safer Sex report great results, reduction in the concentration of latent viruses as observed in blood tests, and less fatigue, less joint pain, better sleep at night, better hearing, a more acute sense of smell, and less gum disease.

“Use of Gene-Eden clearly has scientific merit based on published material. Anyone interested in longevity and long term quality of life should take this product on a routine basis or add it to their existing regimen of vitamins and nutritional supplements.” Dr. Norman Cohen M.D.

Gene-Eden for Safer Sex helps boost the bodys own natural immune system and each ingredient is chosen only after scanning the scientific literature, analyzing thousands of papers with our proprietary bio-informatics computer program, and then identifying natural ingredients which are safe and effective.

Gene-Eden for Safer Sex consists of Cinnamon, Licorice, Phyllanthus amarus, Curcumin, Quercetin and Selenium. Combined, there are more than fifteen thousand research papers submitted on these ingredients and their antiviral properties.

Practicing a safe sex with someone you know is sexually responsible and helps lower the risk of sexually transmitted infections.

Gene-Eden for Safer Sex, because of its antiviral properties, helps lower the viral load within the body. It thus becomes an extra layer of protection.

It pays to remember that safer, is sexier!

Top 3 Natural Remedies of Vaginal Discharge

Vaginal discharge is a very common sexual disease and women suffer from this type of irregular discharge during their fertile period. The bad odor comes from the vagina during this period. Women feel frustrated if the problem lasts for indefinite period. There are different types of natural remedies vaginal discharge options for curing infected vagina.

As a part of the preemptive measure, you can opt for durable and good quality panty liner which will suck the white liquid and stinking smell. This type of natural remedy will certainly put you in comfortable condition. It will give you relaxation and comfort. There is another natural way of curing the irregular discharge from vagina.

To control the bad odor of the infected female pussy, you can also use the cotton panties. If you suffer from the vaginal infection, you need to take a number of preventive measures for keeping your health in safe. It will be better for you to rinse your pussy with water two or three times per day. This type of washing method will certainly remove the bad odor of the pussy. If your pussy emits the stinking fishy smell, you should not use any perfume or aromatic oil for the removal of the odor from the vagina. It will bring higher risk of infecting vagina.

All these are home based methods to get relief from the bacterial Vaginosis. In this connection, you should go to the doctors for consultation before opting for natural remedies vaginal discharge. They will certainly give you vital feedbacks and medical assistance. To be frank, during the menstrual cycle, female pussy suffers from the frequent discharges of white fluid.

There are a number of causes of the occurrence of the bacterial vaginal infection and you need to search for good natural remedies vaginal discharge process. Vaginal discharge can happen due to the attack of gonorrhea and menopause in female vagina. There are a number of sexually transmitted diseases which can cause a lot of problems and these sexually related diseases brighten the possibility of the occurrence of Vaginosis. Cervicitis and Atrophic Vaginitis also cause the vaginal infection.

As a natural treatment process, you can collect few mango seeds for the elimination of the bad odor of the infected pussy. Smash the seeds of mango into pulp like mixture and place it into the vagina. It will cure the vaginal infection. In addition, you can also use yellow dock herbs which are very much effective to reduce the severity of the vaginal infection. Guava leaves will certainly bring some relief to you if you apply the mixture of guava leaves to the affected part of the pussy. You can also browse the internet to collect data about natural remedies vaginal discharge.