A sample of 31 patients with congenital adrenal hyperplasia was matched to a control group by sex, age, height, full-scale IQ score, and urban/rural site of residence. Patients and matched controls were tested on measures of masculinity and femininity and on sex-typed tests of cognitive ability. The two groups did not differ significantly on these measures. The finding is in disagreement with earlier reports of "masculinization" of behavior in female patients with congenital adrenal hyperplasia.
A common pattern of women who were sexually molested as children and seek treatment for sexual dysfunction is described. The arousal, rather than the orgasmic, component is involved. The reasons for the evolution of this particular dysfunction are discussed. Treatment should extend the period of sensate focus and address the issues of the woman's anger, her need for control, and her guilt. Excellent results can be achieved in helping the patient to experience physical intimacy and the pleasure of sexual arousal.
Thirty-one patients diagnosed as having congenital adrenal hyperplasia were given standardized IQ tests. Patients' IQ was found not to be significantly higher than the IQ of nonaffected siblings or the expected IQ from parental values. Thus the adrenogenital syndrome appears to confer no IQ advantage independent of family IQ level.
A group method of therapy was used for the treatment of primary orgasmic dysfunction ten women below and ten women above 35 years of age to determine the appropriateness of this therapy for younger and older females. The treatment combined a Masters and Johnson style of behavioral therapy and self-stimulation therapy. At termination, 70% of the younger women were orgasmic, with 80% orgasmic at 6-month follow-up. Zero percent was coitally orgasmic. Forty percent of the older women were orgasmic at therapy termination, with 60% orgasmic at 6-month follow-up. One women was orgasmic during intercourse. There was general enhancement of the sexual relationship in all participating couples. Group therapy may be less successful for older women, who may be more successfully treated individually.
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