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SEX: Facts and Myths

SEX: Facts and Myths. Dr Elna Rudolph, Medical Doctor and Sexologist Fellow of the European Committee of Sexual Medicine (FECSM) MBChB; MHSc (Sexual Health) HDip Sexual Health & HIV Medicine. Disclosure. Involved in educational talks for the following companies:

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SEX: Facts and Myths

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  1. SEX: Facts and Myths Dr Elna Rudolph, Medical Doctor and Sexologist Fellow of the European Committee of Sexual Medicine (FECSM) MBChB; MHSc (Sexual Health) HDip Sexual Health & HIV Medicine

  2. Disclosure • Involved in educational talks for the following companies: • MSD; Merck; Bayer; Lilly; Pfizer; Aspen; GSK • Brand ambassador for FEMAGENE • Sex and Relationships Expert for Women’s and Men’s Health Magazine

  3. Masters & Johnson Linear Model Masters, WH, Johnson, VE. Human sexual response. Little Brown: Boston 1966.

  4. Kaplan’s model of sexual responseThree-Stage Model Desire Excitement Orgasm This model gives the same importance to the physiological and the psychological aspects of sexual response. Kaplan, HS. The New Sex Therapy. Bruner Mazel: New York 1974

  5. Basson’s Female Sexual Response Model: Basson R. Obstet Gynecol. 2001;98(2):350-353.

  6. Myth 1: Vaginal sex is the ultimate

  7. BRAIN: Strongest Sex Organ SKIN: Biggest Sex Organ CLITORIS: Most Sensitive Sex Organ VAGINA: a place to hook onto ;-)

  8. Longterm Sexual Satisfaction Indicators for Women: • Frequent Sex • The amount of ORAL sex a woman receives • Variety • Reliability of ORGASM • Effective Sexual Communication • Journal of Sex Research, 2016

  9. Myth 2: Most People Have Sex Three Times a Week

  10. 75% of women have premarital sex In conservative countries it is only 25% Since 1990: People have more life time sexual partners More paid sex More same sex experiences (1/5 girls and 1/10 to 1/20 young men) Less sex per month – Decreased from 5 times to only 3 times (in France it is still 9 times per month :-) 30% of single people had sex in the last month and only 80% of married people had sex in the last month. Sex Research Kay Willings, VK

  11. Myth 3: A Woman’s Low Libido is in her head

  12. Depression Thyroid Problems Recurrent Vaginal or Bladder Infections Incontinence Diabetes Heart Disease Diseases of the Central Nervous System Surgery Cancer Hormones: Testosterone, Estrogen, Prolactin Medical Reasons for Low Libido

  13. Depression and Anxiety Epilepsy Bloodpressure Cholesterol Diabeters Bladder Medication Anti-histamines Pain Medication Heart Burn Medciation Anti-androgens for skin The PILL!!!!! Medication causing Low Libido

  14. Estradiol

  15. Progesterone

  16. Testosterone

  17. TESTOSTEROON If it has been tested and is low Never as an injection Have to have regular blood tests Look out for side-effects like extra hair and pimples Fix estrogen too if necessary Change Anti-depressant Natural Meds: Medical Treatment for Low Libido

  18. JAPAN (Jumping And Pumping All Night):Keiko Okumur

  19. Myth 4: PAINFUL SEX is in a woman’s head

  20. Disclosures:

  21. Myth 5: A NORMAL PAP SMEAR means you have no infection

  22. Am I Normal? • Up to a tablespoon full of vaginal discharge is normal per day • Three or more bladder infections per year need further investigation • Thrush up to 5 times a year can be normal and can be treated with over the counter medication • Investigate effectively if symptoms remain: UMCS (catheter sample?) Vaginal MCS • Not all leucocytes are from the bladder • Not all painful bladders are due to infections • Not all vaginal symptoms are due to infections

  23. Myth 6: The more my children know about sex, the more sex they will want to have it

  24. Determinants of Sexual Functioning: Social: • Nurture • Sexual Arousal Templates • Sexual Self (esteem) • Sexual orientation • Sexual identity • Depression/Anxiety/Stress • Motivation (emotional and interpersonal) • Sexual Response

  25. Myth 7: It is a blessing when my partner starts to lose his LIBIDO of ERECTIONS

  26. Why ED before Heart Disease Coronary artery 3-4mm Carotis interna 5-7mm Femoralartery 6-8mm Penile artery 1-2mm Clinical sequelae of significant obstruction Erectile dysfunction A. pectoris, myocardial infarction TIA Apoplex Claudicatiointermittens Hypothesis: Arterial diameter Modified after Montorsi et al. Am J Cardiol 2005; 96: 19M-23M

  27. Testosterone and Life Expectancy 858 Men (Age ≥ 40 Years; ø 60 Y.) 1,0 0,9 Total testosterone at2 assessments 0,8 Cumulative Survival ≥ 8,7 nmol/l (n=452) < 8,7 nmol/l(n=160) 0,7 0,6 0,5 Years 0 2 4 6 8 10 Shores et al. Arch Int Med 2006; 166: 1660

  28. Elna.Rudolph@MySexualHealth.co.za 086 7272 950 Twitter: DrElnaRudolph Facebook: My Sexual Health www.MySexualHealth.co.za

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