Erectile Dysfunction in Women’s Perspective

It is not always easy to see the connection between a sexual behavioral pattern and a disease process. Often this is because we notice the behaviors as a syndrome and correlate them with a psychiatric disorder that is not yet proven to have a pathological process in the body (brain). The case of Sally is helpful here.

Sally was a 43-year-old married woman whose husband was employed as a utility repairman. It was the second marriage for him and the third marriage for her. Together they had no children, but she had two daughters (ages 20 and 18) and he had a son (age 14) by previous marriages. She worked as a clerical staff person in a construction company.

They sought marriage counseling in crisis because Sally had had a sexual relationship with a neighbor, the father of one of her stepson’s friends. In the initial history, Sally reported that she had always felt she had a higher sexual drive than other women she knew. She judged herself to be slightly better than average in appearance, and she thought she often “gave off vibes” to men that she was sexually interested in them, even though they had met only casually. She said that men usually responded to her, and it was not difficult to conclude a casual meeting with a sexual encounter. Sally judged that she had had approximately thirty to thirty-five sexual partners in her life, all of them men, except once when she engaged in a ménage à trios with a man and a woman.

Sally described most of the sex as involving little knowledge of the other person but very intense in terms of sexual drive and pleasure. She felt that the men were interested in sex also and that neither they nor she sought any lasting or committed relationship. She said she loved her husband and did not want the recent sexual wandering to ruin the marriage as it had in the two previous marriages. She wanted this time to be different and was convinced that it would be.

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