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Facing Premature Ovarian Insufficiency

1h 11m

Sheryl Kingsberg

Clinical Psychologist & Sexual medicine expert
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Content: Amara, a 38-years-old woman, has been engaged with Morgan, 48 years old, for two years. She is dissatisfied with their sex life, above all because he loses his erection most of the time, and she cannot get him to do something. She wants to make a family, but sex is important to her. Just before meeting Morgan, a lab test showed decreased circulating levels of estrogens and serum follicle-stimulating hormone levels. The gynaecologist suggested egg freezing, but he was not concerned about her current fertility, even if the doctor told her she might be prematurely menopausal. She feels that arousal is not the same as before. Subjective arousal fluctuates, depending on the situation, but genital arousal is less evident. They sometimes use lubricants, and she believes that Morgan’s ED influences their sexual activity. The therapist suggests another gynaecological consultation, where a Premature Ovarian Insufficiency (POI) is confirmed.

Dr Sheryl Kingsberg discusses this complex case presented by Francesca Tripodi, where the clinician has to manage several issues:

    1. Shall the therapist invite the partner to the sessions, and how it can be handled?
    2. How can Amara’s wish for pregnancy be managed in the context of a dissatisfying sexual life?
    3. How to cope with the psychological distress of the POI syndrome with no clear cause? Which are the treatment priorities?

Produced in 2022

Sheryl Kingsberg

Clinical Psychologist & Sexual medicine expert
Distinguished Guest

Sheryl A. Kingsberg is a clinical psychologist and Professor in the Departments of Reproductive Biology, Psychiatry and Urology at Case Western Reserve University School of Medicine, and is the chief of the division of behavioral medicine in the department of OB/GYN at Cleveland Medical Center, University Hospitals of Cleveland.

Dr. Kingsberg is past President of the International Society for the Study of Women’s Sexual Health (ISSWSH) and the North American Menopause Society and is an active member in numerous other national and international organizations including the American Psychological Association (APA), the American Society for Reproductive Medicine (ASRM), and the Society for Sex Therapy and Research (SSTAR).
Dr. Kingsberg has authored numerous peer-reviewed manuscripts as well as several book chapters on topics including menopause and sexuality, sexual aversion disorder, the treatment of psychogenic erectile dysfunction, oocyte donation and infertility.
Dr. Kingsberg is an associate editor of Sexual Medicine Reviews, and sits on the editorial boards for the journals Menopause and Climacteric. Dr. Kingsberg’s main research interests are in sexual medicine and the psychological aspects of infertility and menopause.

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