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aging male approach attempt basic behavior biophysical Chapter clinical coital connection coital opportunity concept cotherapists demand described develop direction distress dyspareunia effective sexual function ejaculatory control ejaculatory incompetence endometriosis episode erection established etiological factors failure rate fears of performance female partner female sexual history-taking homosexual human sexual husband and wife individual influence initial intravaginal intromission lateral coital position levels of sexual male sexual marital partners marital unit marital-unit marriage masturbation mutual nonorgasmic Olfaction onset orgasmic dysfunction pain partner surrogate patients pelvic pelvic thrusting penile penis phase physical physiological premature ejaculation primary impotence professional Psychoanal psychosexual psychosocial psychotherapy rapid-treatment referred reversal role roundtable secondary impotence sensate focus sexual dysfunction sexual expression sexual inadequacy sexual performance sexual response sexual stimulation sexual tension sexual value system social specific symptoms therapeutic therapists therapy tion trauma treatment usually uterus vaginal barrel vaginal lubrication vaginismus vasocongestion wife's wives woman women York