As a clinician who frequently works with sexual problems, I talk about genitals a lot! A lot! As I embark on these conversations with my clients, I have noticed how many people either don’t use the correct words for their genitals, or don’t even say the words at all. One of the most common errors I see is that people commonly say men have a penis and women have a vagina. While this is true, they are not the equivalent of one another.
I see this error in common culture verbiage also, people
referring to the female genitalia only as her vagina. The vagina however is one
part of the female genitals. It is the canal that leads from the vaginal
opening to the cervix. This is an internal part of the female anatomy. I hear
many people use the word “vagina” to refer to a woman’s external genitalia.
This would be somewhat equivalent to calling the male external genitals a vas
deferens (male internal tube) instead of a penis.
What people mean to say is that men have a penis and women
have a vulva. Vulva is the correct term to refer to the external female
genitals. It is made up of the 2 sets of lips called the labia majora and
minora. It protects the internal components of the female reproductive system.
So, next time you say the word vagina, make sure you are
referring to the correct anatomy. If you have never even said the word vulva, I
encourage you to start using it as the appropriate term for female external
Sex therapy is one area of mental health that
doesn’t always get talked about. Many
individuals feel hesitant to bring up sexual concerns with their therapist,
waiting until later in the therapy process to introduce the topic. Others misunderstand what sex therapy is, and
continue to struggle on their own.
What is sex therapy?
Sex therapy is therapy to improve sexual
functioning and treat sexual dysfunction.
Sex therapy can be done in individual and couples therapy.
What happens in sex therapy?
Just like other areas of therapy, in sex
therapy, the therapist will complete an intake process with the client to
gather information on the nature of the problem and begin to create a treatment
plan. This plan might include goals
about visiting with a medical doctor to rule out or diagnose medical issues.
Is sex therapy safe for my value system?
Just like other areas of therapy, your
therapist is trained to be respectful of and work within their client’s values
system. If you have any concerns that
the content of sex therapy might not fit within your values, talk to the
therapist up front. Talking about our
sexuality with a therapist can be a new experience, and that might feel
uncomfortable, but therapists want to make you feel as safe and at ease as
Will the therapist take sides?
The therapist’s job is not to prove one person
right and one person wrong, but to explore the history and nature of the
concern. The therapist will help the
couple or individual explore their beliefs and values surrounding sex,
identifying and helping to shift harmful or inaccurate beliefs, and provide
resources and educational materials. The therapist will create a safe,
supportive environment as the clients create new, value congruent, healthy
patterns of behavior.
What can a sex therapist help me with?
A sex therapist can provide support, education
and hope in creating sexual wholeness.
They can work with a broad range of sexual issues. Desire discrepancy (where one partner has a
higher or lower libido than the other), problematic sexual behaviors (particularly
compulsive, or what are sometimes referred to as addictive behaviors), LGBTQ
issues (orientation concerns, transitioning, or parenting), trauma, infidelity,
“sexless” marriages, orgasm concerns, ED/premature/delayed ejaculation, painful
intercourse, polyamory, kink, pornography concerns, or resolving
If you have been struggling with an area of
your sexuality or sexual relationships, but have been hesitant to talk about
it, schedule an appointment with Alice at 801-944-4555 today. Sexual health is an important aspect of good
mental health, and you do not need to suffer alone when there is hope and help