Dr. Goldstein explains how a woman can tell if she has a sexual dysfunction.
The question asked is, “How do you know when you have sexual dysfunction?” and it’s a funny story. I love anecdotes, and this is my wife; I am a doctor of sexual medicine. My nametag says right here “Sexual Medicine,” and I do sexual medicine. That’s what I do. My wife and I have sex regularly. We love this activity, and I could not pick up that my wife was having difficulty with orgasm and wasn’t lubricating.
I couldn’t even pick it up. And what I did was I was just checking out the validation of a questionnaire, and I said to my wife, “Would you please take this? I just want to make sure you can understand the questions.” She started filling it out, and I said, “Oh my God, you have sexual dysfunction,” and she said, “Duh, I have been trying to somehow tell you it’s not the same. It takes longer to have an orgasm. There is discomfort when we are having sex. I am not all that interested. In fact, if you go to sleep I don’t wake you up anymore.”
And I have to tell you, when I can’t even pick it up in my own wife, there’s no way someone who doesn’t even think about it will pick it up. So it’s really tough. I think at some point you have to go into some secluded corner of the earth and say, “What was I like when I was a teenager? I used to have thoughts and fantasies. I used to think about this a lot. I used to have great orgasm, three or four at a time. Where am I today in this process? Does it hurt? Am I doing this as a chore like washing the dishes? Is this like not that much fun anymore? Am I losing my partner because of this? Am I a different woman and I don’t want to be like this.” That person should get a hold of some of these questionnaires.
We have a website–sandiegosexualmedicine. On the website are all these questionnaires. Download them and complete them. The scoring is, the way to score it is there, too. So you can see if you meet some of the criteria. I have to tell you it’s very difficult.
About Dr. Goldstein, M.D.:
Dr. Irwin Goldstein is Director of San Diego Sexual Medicine at Alvarado Hospital, the Secretary of the International Society for the Study of Women’s Sexual Health, a former President of the Sexual Medicine Society of North America and a Clinical Professor of Surgery at University of California at San Diego.
Dr. Goldstein has been involved with sexual dysfunction research since the late 1970s. His specialties include penile microvascular bypass surgery, surgery for dyspareunia, physiologic investigation of sexual function in men and women, and diagnosis and treatment of sexual dysfunction in men and women.