A 1999 study (Berman J, Berman L, Goldstein I. Female sexual dysfunction: incidence, pathophysiology, evaluation, and treatment options. Urology. 1999;54:385–391) found that 43 percent of women suffer from some type of sexual dysfunction. That’s nearly half of all women! There is a lot of history and research behind how we got to this 43 percent number, but simplifying it comes down to the medicalization of female sexuality.
Dr. Leonore Tiefer is an author, researcher, educator, and therapist who has spoken out against the problems she has seen in viewing female sexuality through a medical lens. Dr. Tiefer uses the metaphors of dancing and digestion.
Dancing is something we learn, a skill that is built over time. Dancing has history and culture that informs it. Our enjoyment of dance, and our participation in it can change throughout our lives. People experience differently, but it is often something we share.
Digestion on the other hand is a process that happens to us. It is something that is consistent over the course of our lives, and deviation from the standard is a problem requiring treatment of some sort. We have healthy digestion and unhealthy digestion. Unless there are problems, we don’t spend much time considering our digestion, and sometimes we feel uncomfortable talking about when things aren’t working the way they’re supposed to.
Dancing is a helpful metaphor for looking at sexuality through a behavioral lens, and digestion is more applicable to a medical model. Both approaches have their place, and certainly those experiencing sexual concerns would be wise to rule out obvious medical issues, but Dr. Tiefer suggests we spend more time considering the cultural, educational, behavioral and relational issues that impact female sexual health.
For more information on Dr. Tiefer’s approach to healthy sexuality, see her presentation at Indiana State University in 2016, here: https://iu.mediaspace.kaltura.com/media/Tiefer+Talk+IU/1_wiqs4bjz
If you are experiencing sexual concerns, schedule an appointment with Alice at 801-944-4555 today.