UT Health Austin will be closed on Tuesday, December 24, and Wednesday, December 25, in observance of the winter holidays as well as on Tuesday, December 31, and Wednesday, January 1, for New Year’s. On behalf of our clinicians and staff, we wish you and your loved ones a joyful, safe, and healthy holiday season. For non-urgent matters, you can always message your care team through your MyUTHA Patient Portal.


Women's Health Feb 12, 2019

Great Sex Doesn’t Have to Stop

A male/female couple in their thirties lie on their stomachs next to one another in a bed. They look at each other and smile.

What defines perfect sex? Well, we can say you won’t necessarily find it in an erotic fiction novel or a Hollywood sex scene because there is no right or wrong way to enjoy sex. Your sex life and how you find pleasure are unique to you, and that might not fit into the facade society paints for us. And hey, that’s OK! But what if you consistently can’t reach orgasm or you experience pain during intercourse or you know something just isn’t right when you’re trying to get in the mood? Don’t ignore what your mind and body are telling you when it comes to sex, as something bigger may actually be going on.

From a biological framework, the stages of sex can be broadly thought of as the arousal phase, plateau phase, orgasm phase and resolution phase. The inability of a woman to fully experience some or all of the various physical stages the body normally experiences during sex in a healthy and pleasurable way can be defined as sexual dysfunction. Female sexual dysfunction is quite common, affecting about one in every five women. It can take many forms and can have numerous causes.

Pelvic floor physical therapist Uchenna Ossai and nurse practitioner Kita Laird in Women’s Health, a clinical partnership between Ascension Seton and UT Health Austin, explain that defining the causes of sexual dysfunction aren’t as clear-cut as we may think they are. “Many patients assume their inability to engage in or enjoy sex is exclusively related to their hormones. Yes, that may be a cause, but usually it’s not just one thing,” Ossai says. “There may be other factors involved, including anatomical issues such as pelvic-floor dysfunction, as well as psychological, sociocultural, and interpersonal.”

As unique as your sex life is to you, your treatment plan for sexual dysfunction should also be just as individualized. Laird and Ossai explain looking at a patient as a whole person allows them to develop a care plan that meets each patient’s specific needs. “For some women, it’s about managing the underlying conditions, such as pelvic pain or prolapse, and for others, it’s managing the daily mental and emotional stresses of life and understanding their own sexual needs and pleasures,” explains Ossai.

So, if you’re reading this and thinking, “Dang, this is me. I’m having similar issues and don’t know what to do,” well, first things first: Don’t beat yourself up about it! “Many women come into the office feeling very defeated about their inability to please their partners and enjoy sex, and our job is to normalize it for them,” says Ossai. “We tell our patients that this problem is common because it is. It happens to people of all genders, and we can help you fix it.” Second, go see your doctor. Whether it’s your primary care doctor or your women’s health specialist, your healthcare providers can help you understand the causes of your sexual dysfunction and the best ways to address them.

For more information about Women’s Health or to schedule an appointment, visit here.

About UT Health Austin

UT Health Austin is the clinical practice of the Dell Medical School at The University of Texas at Austin. We collaborate with our colleagues at the Dell Medical School and The University of Texas at Austin to utilize the latest research, diagnostic, and treatment techniques, allowing us to provide patients with an unparalleled quality of care. Our experienced healthcare professionals deliver personalized, whole-person care of uncompromising quality and treat each patient as an individual with unique circumstances, priorities, and beliefs. Working directly with you, your care team creates an individualized care plan to help you reach the goals that matter most to you — in the care room and beyond. For more information, call us at 1-833-UT-CARES or request an appointment here.