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Re: Postpartum sexual dysfunctionFrom: Joanne Bulley, MD (islesannie@gmail.com)Sun Nov 4 14:04:48 2007
This may not be related to anything anatomical or neurologic. This may be related to the total disconnect between when it means to her (and her family of upbringing) to be a "Mother" and the meaning of "being sexual" There are plenty of reasons for this disconnect. Helping her be BOTH a Mother AND a Lover may be what is needed. Add to the societal aspect of all products being "sold" with sexual innuendos - overt or subtle - EXCEPT for merchandise that has to to with "motherhood" - think about the commercials you see for frozen dinners / housecleaning products or diapers - the women are fully clothed - never showing cleavage etc. Add to that much upbringing that makes moms asexual. How much "free" or "personal" time does she have? Does she work 40 +/- hours per week AND keep track of all the needs of the baby / child care / grocery shopping / husband's needs? If she is the one where the "buck stops" at home - having the 36 hour a day job of mom / wife / housekeeper AND works outside the home - then her sexual needs may have just gone into hiding to give her a bit of respite. I sure see this click with a lot of women I care for. I remind them they need "self time" for that sexual being to wake up. Sexuality can't be "left" for the last thing after a full day's work and responsibilities when there is no energy left. You know - totally exhausted worrying about tomorrow - brush the teeth and the ONLY thing desired is (hopefully) 6 or 8 hours of sleep and only sleep! The couple needs to create new way of communicating to create a sexual relationship as parents as compared to the "we can do it anytime" during courtship and living together / early marriage without kids. I think the claim that there is absolutely no sensation whatsoever without any known trauma to the periclitoral area is a key to the diagnosis. May need counseling if a session of 30 or so minutes with her gyn doesn't help reach the cause and outline a path for change. Book a consultation for review separate from the regular exam. Joanne
At Sun, 4 Nov 2007, D. Ashley Hill, M.D. wrote:
>
-- Joanne Bulley, MD, FACOG Solo gyn Keene, NH USA
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