611 W. Union Street
Benson, AZ 85602
(520) 586-0800

Health Choice Integrated Care crisis Line

NurseWise 24-Hour Crisis Line


611 W. Union Street
Benson, AZ 85602
(520) 586-0800

NurseWise 24-Hr Crisis Line


powered by centersite dot net

Getting Started
Here are some forms to get started. These can be printed and brought with you so that you can pre-fill out some known info ahead of time. More...

Sexuality & Sexual Problems
Basic Information

Sexuality & Sexual Problems

Across time, shame and taboo have been associated with sexuality, perhaps contributing its mystery. Whatever the reasons, sexuality remains a topic that is under-discussed. The purpose of this paper is to provide general information about what constitutes healthy sexuality vs. what constitutes disordered sexuality.

In 1785 William Cowper wrote a poem entitled "The Task." From this poem emerged a commonly-used saying: Variety is the Spice of Life. Sexuality is no stranger to variety and when we speak of "normal" sexuality, it may be useful to keep this saying in mind. People often wonder what constitutes normal, healthy sexuality. When it comes to sexuality, defining what is normal, and what is not, is quite complicated because there is such tremendous variety in sexuality.

Defining "normal" sexuality is further complicated because we often use the words, "normal" and "healthy" to mean the same thing. While "normal" and "healthy" may often refer to the same thing, the...

Fast Facts: Learn! Fast!

What is healthy sexuality?

  • In an ongoing sexual relationship, both partners should be aware of the important role that sex plays in their lives.
  • While it is important not to make sex an exaggerated area of focus, it is certainly important to recognize sexuality as a natural part of being human.
  • Healthy and natural sexuality should also include an acceptance of our animal nature and a positive attitude toward our bodies, our nudity, and our sexual urges.
  • One formal definition includes having an appreciation for one's own body, seeking out knowledge regarding reproduction, understanding that human development includes sexual development, interacting with both genders respectfully and appropriately, understanding and respecting sexual orientation, appropriately expressing love and intimacy, and developing and maintaining meaningful relationships while avoiding exploitative or manipulative ones.
  • Healthy sexuality has also been suggested to include components of communication and acceptance of love, expressing emotion and giving and receiving pleasure, having the ability to enjoy and control sexual and reproductive behavior without feelings of guilt, fear, or shame.
  • It is important to be aware that there are differences in sexuality based on gender and also that sexuality changes throughout the lifespan and these changes must be understood.

For more information

What are the risk factors for sexual dysfunction?

  • There are general biological and psychological risk factors associated with all sexual disorders.
  • Wincze, Bach, and Barlow (2008) have categorized risk factors into the following categories: direct biological risk factors, indirect biological risk factors, psychosocial risk factors, and relationship factors.
  • There are several direct, biological risk factors (vascular disease, diabetes, hormone levels, alcohol, and medications) that may contribute to sexual dysfunction.
  • In terms of indirect biological risk factors, the natural aging process and certain lifestyle choices create indirect risk factors for sexual dysfunction. For example, smoking indirectly increases risk because it increases the risk of developing heart disease, high blood pressure, etc. which are direct biologic risk factors.
  • Psychosocial risk factors include psychological disorders (i.e., depression, anxiety, substance use disorders, eating disorders), emotions (i.e., anxiety), maladaptive thoughts (i.e., being distracted during sex), and negative attitudes towards sex (i.e., masturbation is dirty, premarital sex is wrong, sex within marriage is solely for the purpose of procreation).
  • Additionally, racial, ethnic, and religious background, impact what we believe and expect with regard to sex.

For more information

What types of sexual disorders are there?

  • Masters and Johnson established the three-phase Sexual Response Cycle consisting of Desire, Arousal, and Orgasm.
  • Sexual Disorders are grouped or classified according to these three phases of the Sexual Response Cycle.
  • Sexual dysfunction includes three important components: 1) a disruption in one or more of the three phases described above, 2) distress regarding the disruption, and 3) a disturbance in interpersonal relationships.
  • Hypoactive Sexual Desire simply translated is, low sexual desire.
  • Sexual Aversion Disorder includes fear, anxiety, or disgust at the mere prospect of a sexual encounter. For more information
  • There are two very different types of Female Arousal Disorders for women: subjective and physiological.
  • Erectile dysfunction, or "ED" as it is commonly know, is defined as an inability to achieve and/or maintain a satisfactory erection necessary for the completion of sexual activity.
  • Both female and male orgasmic disorder are defined as a persistent delay or absence of orgasm after a normal excitation phase.
  • The American Urological Association has defined premature ejaculation as ejaculation that occurs sooner than desired, either before or after penetration, and causes distress in one or both partners.
  • There are two sexual pain disorders: dyspareunia and vaginismus.
  • For a paraphilia to be diagnosed, the behavior must cause distress, or impairment of social, occupational, or other functioning, in order to be considered a disorder. Paraphilias include exhibitionism, fetishism, transvestic fetishism, frotterism, pedophilia, sexual masochism & sexual sadism, and voyeurism.
  • Gender identity disorder includes strong and persistent cross-gender identification.

For more information

What self-help strategies can be used for sexual health?

  • Sexual health should not be taken for granted, and many sexual disorders are not easily prevented.
  • There are many self-help steps that can be taken and that are beneficial because they may: 1) maintain or improve one's sexual health, 2) reduce the risk of developing a sexual disorder, or 3) limit the negative impact of having a sexual disorder.
  • Get Regular Medical Screening & Evaluation - it is important that you establish a comfort level with your health care provider(s) so that you can ask questions and receive appropriate screenings.
  • Make Healthy Lifestyle Choices - Choosing not to smoke and limiting alcohol consumption can both help improve sexual health and function. Eating a healthy diet and exercising regularly can do wonders for circulation which in turn can help to improve sexual health. Being aware of medical conditions and medications and their side-effects that can foster sexual dysfunction is also important.
  • Maintain a Healthy Body Image - body-image dissatisfaction is related to sexual dissatisfaction, avoidance of sexual activities, sexual distress, and feeling sexually unskilled.
  • Increase Physical Comfort - Some surprisingly simple things can make sexual activity more comfortable.
  • Increase Intimacy & Passion In Your Relationships - Anyone who has been in a long term relationship knows that with the passage of time, passion can dwindle. Therefore, it is important keep in mind the idea of relationship maintenance.
  • Educate Yourself: Become A "S-Expert" - Education can solve many problems that occur when people have false or misleading expectations of themselves, or their partner.

For more information

Latest News
Questions and Answers
Ask a Question...
Anxiety and Sex
Sexual Obsession? OCD?
Is The Word 'Not' Missing?
Help me Fight With my Sex Drive
Anxiety Over Sexual Fantasy
When I Talk to Women My Eyes Fall on Their Boobs Automatically
Differences in Bed
My Boyfriend Cannot Have SEX
Ex-Girl Friends Pictures on Boyfriend's Computer
How Can We Stop Our relationship From Falling Apart?
Husband Never Wants Sex, Prefers to Masturbate. I'm Lonely...
How to Prevent Any Relapse Into Pornography?
Should I be Discouraging my Girlfriend's Masochistic Fantasies?
Lack of Sex Drive at a Young age?
Strange Sexual Fantasies
Sex Feels Wrong Now That I'm Pregnant
Friends with Benefits
Is My Boyfriend Suffering From Some Kind of Sexual Problem or Is He Lazy in Sex?
Intercourse Doesn't Work
Sexual Genetic Programming Difficult to Control
Can a Marriage Survive Without Sex?
Can We Make This Work
Can Attraction Come Back?
Fear of Sex in Hubby Due to ED and Constriction in Chest
Why Won't He Have Sex With Me?
Alcohol, No Sex, No Intimacy...Why Am I Here?
Is He Gay?
I'm Really Lost
Too Different?
No Sex Drive - Ever
He Doesn't Feel the Same Way About Me But...
HELP, With My Sexuality?
My Boyfriend Has NO Sex Drive
Same-Sex (Gay Boyfriend) Doesn't Desire Sex... Why?
I'm 21, Female, With No Sex Dive, and it is Ruining my Marriage
How do I Reconnect With my Partner?
Growing Apart In A Marriage
Is It Him Who Is Too Hard To Trust Or Is It Me?
What Is Happening To Me?
No Sex
Single Mom in Relationship, Withholding Affection, Stand-Off?
My Boyfriend Wants to Experiment With Men
My Fiancee, The Wall Is Up
I Think My Husband has Sex and Intimacy Issues
How Can I Talk About My Greatest Fear?
Husband and Daughter
Overdriven and Uncontrolled Sex Drive Needs Daily Masturbation
How Can I Recover My Sexual Drive that has Diminshed Severely Post-Surgery?
Is it Transference or A Real Crush?
Bipolar and sexual dysfunction?
It Just Keeps Getting Worse, Sarah
Mask and Encasement Fetish, Mete
No Sex Drive
Fiancee is bi-sexual
I feel ugly and smell and smell down below. Is this normal?
Holding Throat
Sadistic Sexual Fantasies - Erotica.
My wife and her sexuality
I can't stop jerking off! How can I stop masturbating?
My girlfriend and I have been having intercourse for over 2 1/2 years and she has yet to orgasm
How Can I Aviod Sexual Anxiety?
My depressed husband won't sleep with me. What should I do?
Religious wife is conflicted over husband's desire for anal play
A wife writes: "Somehow, we have not yet had sexual intercourse"
Rough Sex
Why is he ruining our relationship?
Religious wife regrets premarital sex; won't sleep with husband
Sexual Anxiety
Sex is great, but I dont like to do it.
I beg you to give me your suggestions - Saman - Aug 4th 2008
"A Man's Perspective," Nick H. July 9, Men, Women, Marriage and Sex
I am a beautiful girl.....so why is my boyfriend selfish in bed?
Alarming childhood issue
Rough Sex
Chronic User-NEED ADVICE - Bryan - Mar 12th 2008
Low Sex Drive
Smoking fetish- looking for help
Is My Husband Gay ?
Husband has low sex drive
gender hatred
Bored husband
Looking at other women's breasts
My fiancée left me because of my past porn use
Same Sex Curiosity
Never been kissed but wanting sex ... (please help advise)
Can I become a virgin again?
Nude women an issue?
I have to imagine I'm a sex victim
We don't get much enjoyment from sex
Is something wrong with me? (sexual question)
Sexually Frustrated in Kansas
Terrified I'll Do something Sexually Inappropriate
How can I stop using Porn?
Boyfriend Talks Dirty
Online Games
Frustrated Lesbian
Gay Porn
Bondage and Discipline
Compulsive Sex
Decreased Interest
Compulsive Internet Porn Use
Proper Sex Not Happening
Troubled Marriage
I Rarely Want To Have Sex
My Husband Won't Touch Me
A Sexual Problem
Lacking In Intimacy
Ambivalent Exhibitionist
I'm 40 But Still Feel Like A Teenager When Sexual
Pornography #1
Is Male Interest In Pornography Normal?
I Think He May Be Gay
Husband Hates Sex
Wants To Cross Dress
Antidepressants and Sexual Desire
Low Sexual Desire
It's Not The Pills
Aftermath of the Threesome
Sexual Disorder?
Sleep Talker
Am I A Prude?
Lack of Interest
Cross-Dressing Boyfriend
No Desire For Sex 2
Was I Sexually Abused?
Can A Marriage Withstand Group Sex?
Sex and Intimacy
Uncomfortably Numb
Not There for Me
I've Lost Interest in Sex
Losing My Sex Appeal?
Orgasm Without Sex?!
My Sex Drive is Out of Control!
Sexual Fantasies
Tumultuous Relationship
My Husband is a Cross-Dresser
Arousal Disorder?
Recovery Time
Should I Swing?
jb writes:
Book Reviews
America Unzipped
American Girls
Anatomy of a Boyfriend
Anatomy of Love
Best Sex Writing 2005
Better Sex Through Yoga
Better Than Ever
Boys Don't Cry
Children with Sexual Behavior Problems
Cold Hit
Dare... to Try Bisexuality
Dilemmas of Desire
Doing It
Doing It
Early Embraces III
Erotic Innocence
Erotic Passions
Final Jeopardy
Finding H. F.
For The Bible Tells Me So
From Disgust to Humanity
Gay, Straight, and the Reason Why
Getting the Love You Want
Going Down
Good Girls
Great Answers to Difficult Questions About Sex
Hard to Get
Hit & Miss
Hooking Up
How Sex Works
How to Create Chemistry with Anyone
How to Give Her Absolute Pleasure
How to Have Magnificent Sex
How to Make Great Love to a Man
How to Make Great Love to a Woman
I'd Rather Eat Chocolate
In a Queer Voice
In the Mood, Again
It's Perfectly Normal
It's Perfectly Normal
Jane Sexes It Up
Kids Gone Wild
Let's Get This Straight
Likely to Die
Love and Desire
Love and Sex
Love Junkie
Making Peace with Porn
Male Sexuality
Master Breasts
Not Gay
Oedipus Wrecked
On Being Raped
One Hot Second
One Hour in Paris
Orgasm Inc.
Please Don't Kill the Freshman
Premarital Sex in America
Private Practices DVD
Rainbow Party
Sex (Ed)
Sex and Spirit
Sex and the American Teenager
Sex and the Soul
Sex and the Soul, Updated Edition
Sex Fiends, Perverts, and Pedophiles
Sex in Crisis
Sex Object
Sex Positions
Sex Q & A
Sex, Therapy, and Kids
Sexting and Young People
Sexual Boundary Violations
Sexual Deviance
Sexual Ecstasy
Sexual Fluidity
Sexual Intelligence
Sexual Orientation and Psychodynamic Psychotherapy
Sexual Teens, Sexual Media
Surviving Sexual Violence
Talk to Me First
The Better Sex Guide to the Kama Sutra
The Birth of the Pill
The Blue Moon Erotic Reader III
The Chemistry Between Us
The Clitoral Truth
The Emergence of Sexuality
The End Of Alice
The End of Sex
The Essential Kamasutra
The Fate of Gender
The First Time
The Happy Hook-Up
The Miseducation of Cameron Post
The Only Girl in the Car
The Pornographer's Grief
The Purity Myth
The Real Truth About Teens and Sex
The Right to Be Parents
The Science of Intimate Relationships
The Sex Addiction Workbook
The Sex Lives of Teenagers
The Sex Myth
The Sleep of Reason
The Ten Minute Sexual Solution
The Vagina Monologues
Things Tom Likes
Ultimate Sex
Untangling the Web
Virgin Nation
Virgin Sex for Girls
Virgin Sex for Guys
Virginity Lost
What Women Want
What's Happening to My Body? Book for Boys
What's Happening to My Body? Book for Girls
What's Happening to Tom?
When Sex Goes to School
When the Piano Stops
Where Do We Fall When We Fall in Love?
Wilhelm Reich
Women and Child Sexual Abuse
Written in the Flesh
Zen Sex
Basic InformationLatest NewsQuestions and AnswersLinksBook Reviews
Related Topics

Family & Relationship Issues
Homosexuality & Bisexuality
Medical Disorders