Sexual Health & Wellness Center

Dr. Dawn Michael is a certified clinical sexologist who treats all types of sexual issues in both men and women, from health related sexual issues to mental health related issues.  Dr. Michael has partnered with Abilio Ramos M.D. Family Practitioner providing an integrative approach to Sexual Health and Wellness.

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Common Sexual Problems

  • Delayed Orgasm – Persistent or recurrent difficulty, delay in or absence of attaining orgasm following sufficient sexual stimulation and arousal, which causes personal distress. (for males nocturnal emission may occur). Delayed orgasm can happen in both men and women. Most delayed orgasm is psychological, but some is related to medication and or health issue.
  • Lack of Sexual Arousal – Persistent or recurrent inability to attain or maintain sufficient sexual excitement, causing personal distress. It may be expressed as a lack of subjective excitement, or lack of genital lubrication or swelling in women, erection in males, or other physical responses. Lack of desire can be situational or caused by other health related issues.
  • Sexual Aversion Disorder – Aversion to and active avoidance of genital sexual contact with a sexual partner causing marked distress. The individual may experience anxiety, fear and/or disgust.
  • Pelvic Pain Disorders – syndromes with various symptoms which often include pain and dysfunction related to urination (including interstitial cystitis), defecation and sexual activity.
  • Dyspareunia – Recurrent or consistent genital pain associated with genital intercourse and sexual activity.
  • Vaginismus – Recurrent or persistent involuntary spasm of the musculature of the outer third of the vagina that interferes with vaginal penetration which causes personal distress.
  • Vulvodynia (Vulvar Vestibulitis) – a syndrome that is marked by pain at the opening of the vagina when touched often associated with pain during intercourse.
  • Erectile Dysfunction – Recurrent inability to attain and/or maintain a penile erection sufficient for sexual performance (impotence). Most men will experience some from of erectile dysfunction in their lives. Most of the time it is psychological, age related, or a small percentage is health related due to illness or loss of ability.
  • Early Ejaculation – Persistent or recurrent occurrence of ejaculation with minimal sexual stimulation before, on or shortly after penetration and before the person wishes it (premature ejaculation). This can be triggered by anxiety, performance anxiety and in a small percentage of men it can happen spontaneously.
  • Delayed Ejaculation – Delay in reaching ejaculation during sexual activity. When a man is unable to ejaculate due to psychological issues.
  • Erection Problems – Maintaining an erection, losing an erection or the inability to control erection.
  • Lack of pleasure during orgasm – Having orgasm but not feeling the same pleasure involved, decrease in sensation, or less pleasurable.
  • Retrograde Ejaculation – Occurs when semen enters the bladder instead of emerging through the penis during orgasm.
  • Loss of lubrication – Lack of self lubrication in women leading to painful intercourse, and inflammation of the bladder.
  • Obsessive sexual thoughts – Anytime a person has sexual thoughts that are creating a feeling of obsession, that may put themselves in harm or harm others, affects their personal or professional life then they should seek treatment.