Real knowledge of the nature and science of women's sexuality are at this time very limited. The focus of scientific progress and cultural issues have limited progress in this area. However, as the women's rights movement grew, better understanding of fertility developed and women began to seek individual fulfillment. This has allowed the issue now to be studied. Research however is hampered because the general population of women are still uncertain about what is normal and uncomfortable in expressing their individual wants and needs. Thus, information gathered is often biased toward women who are more interested in sex or more open to discussing it.

Female sexuality is complex and changing not only monthly but also over a woman's lifespan. There are basically three elements to a women's sexual sense. First is the psychological which includes her own interest and enjoyment of the sexual experience.  However, it also is effected by anxiety, stress, depression, anger and frustration. Second is her physical-medical condition. Age, health status, specific medical problems, medications, hormonal effects or deficiencies all contribute to sexual interest and enjoyment. The third element is the partner/relationship that the woman has. Good relationships can often overcome psychological and medical problems but a poor relationship may frustrate even the most motivated women.

The Sexual Wellness Group looks at the woman patient with all three elements in mind. Physical/medical evaluation is done early to identify and correct any problems in this area. At the same time, the patient is evaluated for psychological issues which can be addressed concurrently with any medical issues. Hormone problems, anxiety and depression are common problems able to be treated. During the first consultation, all of these issues as well as relationship issues are explored. When the woman's unique situation and needs are understood, a treatment option plan is developed, sometimes on the first visit, and submitted to the patient for approval. Whether the patient's needs are medical, gynecological, urological, psychological, relationship based or a mix of one or more, the Sexual Wellness Group can address all the woman's needs in a professional, supportive, and confidential manner.

Until recently, the fact of the normal decline in hormones in males has not been widely known. Men have prided themselves on their prompt response to sexual stimulation for ages. When, as we now know, a man's hormones decrease and his interest in sex or his ability to perform decrease, men become fearful, anxious and depressed. Issues of decreased desire, poor erection quality, and ejaculation problems alone or mixed become major personal problems. Since much of the "manly" identity has been connected with sexual function, a change or threat to that is a threat to the man. Feelings of inadequacy often develop which can lead to avoiding sexual situations, developing fear of performance failure and emotionally withdrawing from their partner. This can lead to both personal and spousal unhappiness and stress.

These changes in men are normal and can be addressed medically. However, as in women as described above, problems may also exist at the personal medical, psychological and relationship level. Often the situation involves mixed issues. For the male as well as the female, the Sexual Wellness Group has the expertise, experience and knowledge to help return or optimize sexual function for both personal and relationship fulfillment.