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Imagine running a race with no finish line in sight. Frustrated adults unable to reach orgasm can attest to the difficulties of starting a race they can’t finish. Alvarado Hospital’s Sexual Medicine Program has pulled together with a collection of experts to form “The Orgasm Team.”

The team consists of a physician, physical therapist, psychologist, coach, and sex therapists to teach women and men how to reach orgasm. The multi-specialty group formed last summer when Dr. Irwin Goldstein, director of sexual medicine at Alvarado Hospital, and editor-in-chief of The Journal of Sexual Medicine, observed that many patients were expressing an inability to reach orgasm.

Patients seen with anorgasmia tend to be between 40 and 60 years old and, and the majority are women The team customizes each patient’s treatment, tailoring it to his or her needs exploring potential clinical, emotional and/or psychological barriers to achieving the big “O.”

The process begins with psychological and biologic assessments, as with all sexual medicine patients. Dr. Goldstein discusses clinical problems with patients and may refer patients to any and all members of the team. Physical therapist Kerri Krebbs, Alvarado Hospital’s pelvic floor specialist, gets involved when the pelvic floor muscles need to be strengthened or taught to relax, as either condition can impede orgasm.

Emotional intelligence is assessed and addressed by a life coach, while sex therapy can help a patient get past former abusive relationships or cultural issues, and introduce new freedom of self-expression including sex toys.

“When it comes to treating sexual dysfunctions there are so many pieces of the puzzle that we need a multidisciplinary practice to help treat a patient physically and emotionally,” said Dr. Goldstein. “Working with other specialists in the area creates a trustworthy network for our patients and provides them with customized treatment.”