Prevention A healthy lifestyle can go a long way toward preventing chronic illnesses and diseases that can contribute to sexual dysfunction. Every noise is threatening in the tunnel, and I find myself constantly looking over my shoulder, ready to face something too awful to name. So she decides she will go home with her friend—to show him how it's done. The exercises also can be done with your fingers. The Merck Manual estimates hypoactive sexual desire disorder occurs in about 20 percent of women. In too high a dose, testosterone can produce masculinizing effects, such as increased facial hair and enlargement of the clitoris. Conditions are appalling inside the Freedom House. Their eyes have adapted to the constant night that cloaks them from the topside world. As she undresses, she feels powerful and sexy—and that feeling not the presence of her soon-to-be deflowered friend turns her on. The rumbling feels closer. Silence can result in repressed feelings, anger and alienation that can harm your well-being and even your long-term mental and physical health. As a result, the arousal phase of the sexual response may take longer and sensitivity of the vaginal area may decline. I hurt a lot of people. Menopause Low estrogen levels can cause vaginal dryness, thinning of vaginal tissues, reduced blood flow to the genital area and reduced vaginal sensitivity that may contribute to arousal and, in turn, orgasm problems. And there are plenty of men too, it seems, that want to know what is wrong. They are loud, obnoxious and their conversations laden with profanity and vulgarity. The gentle vacuum increases genital blood flow, thus increasing sexual arousal and enhancing orgasm.