<?xml version="1.0" encoding="UTF-8"?>
<urlset xmlns="http://www.sitemaps.org/schemas/sitemap/0.9" xmlns:image="http://www.google.com/schemas/sitemap-image/1.1" xmlns:xhtml="http://www.w3.org/1999/xhtml">
  <url>
    <loc>https://www.sexualhealthconsultants.com/welcome</loc>
    <changefreq>daily</changefreq>
    <priority>1.0</priority>
    <lastmod>2019-07-19</lastmod>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5c520ab3da02bcd63ed8b8df/1555268374979-UWJ998P0I3Z1KLASQPDX/life-transitions-shc</image:loc>
      <image:title>Home | Sexual Health Consultants - Life Transitions</image:title>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5c520ab3da02bcd63ed8b8df/1555268242045-9ESD5A25WCVAM0IBZ3B1/medical-challenges</image:loc>
      <image:title>Home | Sexual Health Consultants - Medical Challenges</image:title>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5c520ab3da02bcd63ed8b8df/1555268298299-V9V7FZ8XPZ3CAULXLEJO/white%2Bbox.jpg</image:loc>
      <image:title>Home | Sexual Health Consultants - Stressful Sex</image:title>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5c520ab3da02bcd63ed8b8df/1555190991403-8JTX9UU4S5L9EQWJL0QE/MM+2019+headshot+44+crop.jpg</image:loc>
      <image:title>Home | Sexual Health Consultants - MEET DR. MODJOROS</image:title>
      <image:caption>Dr. Modjoros is a women’s health physician who specialized in pelvic pain before pivoting her career toward sex therapy. She brings her medical knowledge to the counseling space, as she helps her clients optimize their mind-body connections to reach their goals. Dr. Modjoros is a frequent presenter at local, regional, and national meetings where she promotes sexual health and sex positivity for all individuals regardless of age, illness, disability, or identity.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5c520ab3da02bcd63ed8b8df/1555724799195-DF25D1WE3BTZK7KB0G9S/Logo+Icon+in+White+Circle.png</image:loc>
      <image:title>Home | Sexual Health Consultants</image:title>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5c520ab3da02bcd63ed8b8df/1554523750357-XVPWHVNT8Y1TY5LP9GYW/image-asset.jpeg</image:loc>
      <image:title>Home | Sexual Health Consultants</image:title>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5c520ab3da02bcd63ed8b8df/1558976282045-FYK2JQSIGRO80K15ISRR/tony-lee-1491262-unsplash.jpg</image:loc>
      <image:title>Home | Sexual Health Consultants - Welcome To Sexual Health Consultants!</image:title>
      <image:caption>With Dr. MeLanie Modjoros CONDITIONS TREATED</image:caption>
    </image:image>
  </url>
  <url>
    <loc>https://www.sexualhealthconsultants.com/logos</loc>
    <changefreq>daily</changefreq>
    <priority>0.75</priority>
    <lastmod>2019-04-19</lastmod>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5c520ab3da02bcd63ed8b8df/1552936935741-GNYA9PI9I4UXPC0VK325/aasect_logo.png</image:loc>
      <image:title>Logos</image:title>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5c520ab3da02bcd63ed8b8df/1552936935741-GNYA9PI9I4UXPC0VK325/aasect_logo.png</image:loc>
      <image:title>Logos</image:title>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5c520ab3da02bcd63ed8b8df/1555636661524-V7K78IL2HL7KA398TMQP/namsfullcolor.png</image:loc>
      <image:title>Logos</image:title>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5c520ab3da02bcd63ed8b8df/1555642574951-OYK5T7L4SWADXSVVFP3A/ISSWSH-color.png</image:loc>
      <image:title>Logos</image:title>
    </image:image>
  </url>
  <url>
    <loc>https://www.sexualhealthconsultants.com/blog-main</loc>
    <changefreq>daily</changefreq>
    <priority>0.75</priority>
    <lastmod>2019-05-25</lastmod>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5c520ab3da02bcd63ed8b8df/1556158656212-AKQM0HWXYOTGL76OB9KY/joanna-kosinska-395407-unsplash.jpg</image:loc>
      <image:title>Ask Dr. M | Media &amp; Blog</image:title>
    </image:image>
  </url>
  <url>
    <loc>https://www.sexualhealthconsultants.com/blog-main/2019/5/25/empowered-sexuality</loc>
    <changefreq>monthly</changefreq>
    <priority>0.5</priority>
    <lastmod>2019-08-06</lastmod>
  </url>
  <url>
    <loc>https://www.sexualhealthconsultants.com/blog-main/2019/5/25/libido</loc>
    <changefreq>monthly</changefreq>
    <priority>0.5</priority>
    <lastmod>2019-08-06</lastmod>
  </url>
  <url>
    <loc>https://www.sexualhealthconsultants.com/blog-main/2019/5/25/perimenopause</loc>
    <changefreq>monthly</changefreq>
    <priority>0.5</priority>
    <lastmod>2019-08-06</lastmod>
  </url>
  <url>
    <loc>https://www.sexualhealthconsultants.com/blog-main/2019/5/25/sex-therapy-vs-sex-machine</loc>
    <changefreq>monthly</changefreq>
    <priority>0.5</priority>
    <lastmod>2019-08-06</lastmod>
  </url>
  <url>
    <loc>https://www.sexualhealthconsultants.com/blog-main/2019/5/25/part-2-painful-sex-after-chil</loc>
    <changefreq>monthly</changefreq>
    <priority>0.5</priority>
    <lastmod>2019-08-06</lastmod>
  </url>
  <url>
    <loc>https://www.sexualhealthconsultants.com/blog-main/2019/3/31/menopause-management-with-dr-melanie-modjores</loc>
    <changefreq>monthly</changefreq>
    <priority>0.5</priority>
    <lastmod>2019-08-06</lastmod>
  </url>
  <url>
    <loc>https://www.sexualhealthconsultants.com/blog-main/2019/3/31/getting-personal-painful-sex-post-childbirth</loc>
    <changefreq>monthly</changefreq>
    <priority>0.5</priority>
    <lastmod>2019-08-06</lastmod>
  </url>
  <url>
    <loc>https://www.sexualhealthconsultants.com/blog-main/category/Video</loc>
    <changefreq>monthly</changefreq>
    <priority>0.5</priority>
  </url>
  <url>
    <loc>https://www.sexualhealthconsultants.com/blog-main/category/Ask+Dr.+M</loc>
    <changefreq>monthly</changefreq>
    <priority>0.5</priority>
  </url>
  <url>
    <loc>https://www.sexualhealthconsultants.com/blog-main/category/Audio</loc>
    <changefreq>monthly</changefreq>
    <priority>0.5</priority>
  </url>
  <url>
    <loc>https://www.sexualhealthconsultants.com/about</loc>
    <changefreq>daily</changefreq>
    <priority>0.75</priority>
    <lastmod>2019-07-19</lastmod>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5c520ab3da02bcd63ed8b8df/1558808376816-11E4NCQWB2H79JKGDVQK/rawpixel-1057231-unsplash.jpg</image:loc>
      <image:title>About Sexual Health Consultants - PRESENTATIONS &amp; LECTURES</image:title>
      <image:caption>“Deconstructing Sexual Dysfunction — A medical sex therapist perspective” - Hypnothoughts Live 2019 “Sex Therapy -- What it is, Who it's for, and How it Works” - Conference on Medicine of Human Sexuality 2019 “The Intersection of Sex, Medicine, and Sex Therapy” - Conference on Medicine of Human Sexuality 2019 “Sexuality and Aging: No Expiration Date” - AASECT 2018 “Integrating Sexual Medicine, Therapy, Counseling and Education – What Can We Learn from Each Other?” - AASECT 2016 Roundtable discussion</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5c520ab3da02bcd63ed8b8df/1555213766718-DLNG8UL6DHNBTPUR2B3D/MM%2B2019%2Bheadshot%2B37%2Bcrop.jpg</image:loc>
      <image:title>About Sexual Health Consultants - “Sex is a gift from your body to you.” - Dr. Modjoros</image:title>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5c520ab3da02bcd63ed8b8df/1555212753358-4TL6S3VDROFWJM19UW8B/Logo+Icon+in+White+Circle.png</image:loc>
      <image:title>About Sexual Health Consultants</image:title>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5c520ab3da02bcd63ed8b8df/1559436583688-6W1T3SO8H4QJ6WGSLWIW/light%2Bblue%2Bbox.jpg</image:loc>
      <image:title>About Sexual Health Consultants</image:title>
    </image:image>
  </url>
  <url>
    <loc>https://www.sexualhealthconsultants.com/resources-1</loc>
    <changefreq>daily</changefreq>
    <priority>0.75</priority>
    <lastmod>2019-04-19</lastmod>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5c520ab3da02bcd63ed8b8df/1555634777203-ALKD5XIW21FIYPHYI21H/getting-the-love-you-want.jpg</image:loc>
      <image:title>Resources - Getting the Love You Want: A Guide for Couples</image:title>
      <image:caption />
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5c520ab3da02bcd63ed8b8df/1555634777203-ALKD5XIW21FIYPHYI21H/getting-the-love-you-want.jpg</image:loc>
      <image:title>Resources - Getting the Love You Want: A Guide for Couples</image:title>
      <image:caption />
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5c520ab3da02bcd63ed8b8df/1555634777277-JCK6MYHNK3FI1K6CR620/gifts+of+imperfection.jpg</image:loc>
      <image:title>Resources - The Gifts of Imperfection: Let Go of Who You Think You're Supposed to Be and Embrace Who You Are</image:title>
      <image:caption />
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5c520ab3da02bcd63ed8b8df/1555634777082-GSLLSAH8FS2CI0QP5NIP/five+love+languages.jpg</image:loc>
      <image:title>Resources - The 5 Love Languages: The Secret to Love that Lasts</image:title>
      <image:caption />
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5c520ab3da02bcd63ed8b8df/1555634777049-9VNCMCKT4HK9XIQ33H9K/come+as+you+are.jpg</image:loc>
      <image:title>Resources - Come as You Are: The Surprising New Science that Will Transform Your Sex Life</image:title>
      <image:caption />
    </image:image>
  </url>
  <url>
    <loc>https://www.sexualhealthconsultants.com/testimonials-1</loc>
    <changefreq>daily</changefreq>
    <priority>0.75</priority>
    <lastmod>2019-07-19</lastmod>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5c520ab3da02bcd63ed8b8df/1558808198367-HUZXNMIY7G8PB5W085OA/image-asset.jpeg</image:loc>
      <image:title>Testimonials</image:title>
    </image:image>
  </url>
  <url>
    <loc>https://www.sexualhealthconsultants.com/testimonials-1/2019/5/25/dvj19qbe33c92r7mlqugtvrya78wge</loc>
    <changefreq>monthly</changefreq>
    <priority>0.5</priority>
    <lastmod>2019-08-06</lastmod>
  </url>
  <url>
    <loc>https://www.sexualhealthconsultants.com/testimonials-1/2019/4/19/sex-w-illnessdisabiltiy</loc>
    <changefreq>monthly</changefreq>
    <priority>0.5</priority>
    <lastmod>2019-08-06</lastmod>
  </url>
  <url>
    <loc>https://www.sexualhealthconsultants.com/testimonials-1/2019/4/19/low-libido-obligation-sex-vs-enjoying</loc>
    <changefreq>monthly</changefreq>
    <priority>0.5</priority>
    <lastmod>2019-08-06</lastmod>
  </url>
  <url>
    <loc>https://www.sexualhealthconsultants.com/testimonials-1/2019/4/19/libido-mismatch</loc>
    <changefreq>monthly</changefreq>
    <priority>0.5</priority>
    <lastmod>2019-08-06</lastmod>
  </url>
  <url>
    <loc>https://www.sexualhealthconsultants.com/testimonials-1/2019/4/19/vulvodynia-testimonial</loc>
    <changefreq>monthly</changefreq>
    <priority>0.5</priority>
    <lastmod>2019-08-06</lastmod>
  </url>
  <url>
    <loc>https://www.sexualhealthconsultants.com/testimonials-1/2019/4/19/general</loc>
    <changefreq>monthly</changefreq>
    <priority>0.5</priority>
    <lastmod>2019-08-06</lastmod>
  </url>
  <url>
    <loc>https://www.sexualhealthconsultants.com/testimonials-1/2019/4/19/smix7q5t1a76vsd9e1p8h0kdvllmte</loc>
    <changefreq>monthly</changefreq>
    <priority>0.5</priority>
    <lastmod>2019-08-06</lastmod>
  </url>
  <url>
    <loc>https://www.sexualhealthconsultants.com/testimonials-1/2019/4/19/post-surgery</loc>
    <changefreq>monthly</changefreq>
    <priority>0.5</priority>
    <lastmod>2019-06-02</lastmod>
  </url>
  <url>
    <loc>https://www.sexualhealthconsultants.com/testimonials-1/2019/4/19/anorgasmia-testimonial</loc>
    <changefreq>monthly</changefreq>
    <priority>0.5</priority>
    <lastmod>2019-08-06</lastmod>
  </url>
  <url>
    <loc>https://www.sexualhealthconsultants.com/contact</loc>
    <changefreq>daily</changefreq>
    <priority>0.75</priority>
    <lastmod>2020-11-10</lastmod>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5c520ab3da02bcd63ed8b8df/1556235486757-EPOGM9FXSGNOKFM127PE/HassanMalikPhotography-10.jpg</image:loc>
      <image:title>Contact - Get Support Now - Contact Us</image:title>
      <image:caption>Office hours by appointment, evenings and weekends available. Please fill out the form below or email us at info@sexhealthconsult.com.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5c520ab3da02bcd63ed8b8df/1555859725453-43DKR27U993NCUH5CV7N/HassanMalikPhotography-10.jpg</image:loc>
      <image:title>Contact</image:title>
    </image:image>
  </url>
  <url>
    <loc>https://www.sexualhealthconsultants.com/medical-challenges</loc>
    <changefreq>daily</changefreq>
    <priority>0.75</priority>
    <lastmod>2021-09-28</lastmod>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5c520ab3da02bcd63ed8b8df/1558982676425-LSHWZ9A10Z06MZMIJZKS/medical%2525252Bchallenges%2525252B-%2525252B500_F_220102837_E8D0pNVXXHjreCP4fVNSCh5XBER6IzJN.jpg</image:loc>
      <image:title>Medical Challenges - “My mission in life is not merely to survive, but to thrive; and to do so with some passion, some compassion, some humor, and some style.”</image:title>
      <image:caption>- Maya Angelou</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5c520ab3da02bcd63ed8b8df/1558980523141-HHJEDX6AFNHDD4KBB78E/dmitry-schemelev-734013-unsplash.jpg</image:loc>
      <image:title>Medical Challenges - Chronic Pain</image:title>
      <image:caption>Some illnesses will directly affect an individual’s sexual function. Conditions like arthritis, chronic pain, ulcerative colitis, and Multiple Sclerosis, (and many others) will change sex dramatically. When sex changes, individuals may noticed increased stress, worry, and/or guilt about sex. Many couples don’t know how to talk about the feelings that these health challenges bring up. Sex therapy teaches patients and partners what to expect and how to talk about these really sensitive topics, and how to move toward a new normal that is pleasurable and satisfying to both partners. Sex can still be great, even as it changes over time.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5c520ab3da02bcd63ed8b8df/1558815236497-QVAF0N2X06MLBFHGBEQL/almos-bechtold-436811-unsplash.jpg</image:loc>
      <image:title>Medical Challenges - Cancer</image:title>
      <image:caption>Every individual deserves a satisfying sex life. A cancer diagnosis usually translates to many medical office visits, lots of imaging and/or biopsies, and often surgery or hospitalizations. Body changes, feeling ill, and grappling with mortality will affect an individual’s sex life initially. However, with modern medicine cancer is often a chronic disease….with symptoms that affect sex. Prostate cancer survivors may have urinary incontinence or erectile dysfunction postoperatively. Breast cancer patients may receive medication to block all estrogen, which has a profound effect on the vulva and vagina. Cancer diagnosis and treatment may affect how a man or woman sees themselves as a sexual being -- or how their partner views them. There can be grief and anger in this process, but there can also be healing through pleasure and connection with their partner. People with cancer can enjoy sex, and they should! When health challenges seem insurmountable and incompatible with sex, Dr. Modjoros can work with you to bring new dimension and fulfillment to your sex life. **A cancer diagnosis changes things – instantly.** Every individual’s journey is unique, but figuring out sex and intimacy while treating or recovering from cancer is confusing for most. For example, cancer treatments may interfere in frequency or quality of sexual pleasure for an individual or for a couple. Or, the partner with cancer may avoid sex due to body image, energy, or mortality concerns, etc. Sex therapy can help redefine sex to maintain intimacy when cancer has changed the body and the way it looks, feels, and/or works.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5c520ab3da02bcd63ed8b8df/1558980648113-ATWDJ5VK3069TJVG8BL7/rawpixel-1145276-unsplash.jpg</image:loc>
      <image:title>Medical Challenges - Aging</image:title>
      <image:caption>As people age, sex changes. But it doesn’t have to stop! For many individuals and couples, sex remains a prominent part of their life well into 80s and beyond. Sex and pleasure are for everyone. Aging bodies may introduce some challenges into sex, but positions can be modified and sex can be shifted to include more of one type of touch and less of another challenged type of touch. Sex therapy can hep to revitalize sex within a long term relationship, or develop ways to enjoy sex when faced with physical or medical challenges. Retirement is more fun with more sex!</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5c520ab3da02bcd63ed8b8df/1558980672851-Y0LWVSI0E461M0EAOUJC/j-s-romeo-630399-unsplash.jpg</image:loc>
      <image:title>Medical Challenges - Post Surgical Changes</image:title>
      <image:caption>Most people will experience surgery at some point in their lives. Appendectomies, spine surgeries, Caesarian sections, knee replacements — every surgery changes an individual's body -- how it looks and how it moves. Sometimes postoperative changes, including scar tissue, affect the patient's sexual experience. Following surgery, the details around sex may need to change. Dr. Modjoros helps individuals and couples work through redefining their sexual script to develop a new norm that is pleasurable and satisfying for both.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5c520ab3da02bcd63ed8b8df/1558980698466-MS716PQ8N3K8NVHELD4U/sharon-mccutcheon-738532-unsplash.jpg</image:loc>
      <image:title>Medical Challenges - Arousal and Orgasmic Issues</image:title>
      <image:caption>Arousal and orgasmic dysfunctions are relatively common. Delayed ejaculation, anorgasmia (not able to reach orgasm), and painful orgasms are just a few examples. For any new symptom or pain related to orgasm, a sexual medicine provider should be your first evaluation. He or she can figure out if the nerves and blood vessels are working properly. Dr. Modjoros works closely with the local community sexual medicine physicians to provide comprehensive management for patients with these issues. In sex therapy, individuals and couples learn how to relax into pleasure and stay focused on their body sensations to optimize their sexual connection.</image:caption>
    </image:image>
  </url>
  <url>
    <loc>https://www.sexualhealthconsultants.com/stressful-sex</loc>
    <changefreq>daily</changefreq>
    <priority>0.75</priority>
    <lastmod>2019-07-19</lastmod>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5c520ab3da02bcd63ed8b8df/1558986877386-MAVSNNKSZ1UBVY9KO43M/andrik-langfield-1242378-unsplash.jpg</image:loc>
      <image:title>Stressful Sex | Sexual Health Consultants - Chronic Pain</image:title>
      <image:caption>Some illnesses will directly affect an individual’s sexual function. Conditions like arthritis, chronic pain, ulcerative colitis, and Multiple Sclerosis, (and many others) will change sex dramatically. When sex changes, individuals may noticed increased stress, worry, and/or guilt about sex. Many couples don’t know how to talk about the feelings that these health challenges bring up. Sex therapy teaches patients and partners what to expect and how to talk about these really sensitive topics, and how to move toward a new normal that is pleasurable and satisfying to both partners. Sex can still be great, even as it changes over time.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5c520ab3da02bcd63ed8b8df/1559419907391-1MQ0GRIRMYZ4856UZOM1/natalia-figueredo-373415-unsplash.jpg</image:loc>
      <image:title>Stressful Sex | Sexual Health Consultants - “When sex isn’t fun, it’s work. When sex is work, nobody has fun”.</image:title>
      <image:caption>- Dr. Modjoros</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5c520ab3da02bcd63ed8b8df/1558987152448-VHDLXF1J5JH9I0M1LM40/sharon-mccutcheon-525234-unsplash.jpg</image:loc>
      <image:title>Stressful Sex | Sexual Health Consultants - Pelvic Pain</image:title>
      <image:caption>Pelvic pain is complex, often multifactorial, and medical treatment is rarely straightforward. Regardless of where in the pelvis the pain originates (bladder, uterus, prostate, etc), most pelvic pain patients feel a sense of confusion and “brokenness” about their reproductive lives. Pain during intercourse is an unwelcome intrusion that reinforces feelings of inadequacy and guilt for many patients. When pain becomes chronic, a couple may struggle to maintain intimacy as the cycle of sexual fear, guilt, and avoidance becomes their new normal. To complicate things, chronic pelvic pain often leads to hypertonic pelvic floor muscles, which then worsens the pelvic pain and dysfunction. In these cases, sex therapy works best in combination with pelvic floor physical therapy -- the PT works on the muscles and the sex therapy works on managing the stress/anxiety/worry of the pain. If desired, Dr. Modjoros will collaborate with your medical providers to develop a comprehensive care plan. Regardless of which partner has pain, both partners are affected, so whenever possible, couples are encouraged to participate in the counseling process together. In therapy, Dr. Modjoros will guide you through your recovery process, helping you and your partner better understand the original health issue, the sexual stress associated with it, and the pathway to full recovery with the mind and body in harmony.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5c520ab3da02bcd63ed8b8df/1558987305664-BV6JHST35Z5MN97SXXN2/image-asset.jpeg</image:loc>
      <image:title>Stressful Sex | Sexual Health Consultants - Cancer</image:title>
      <image:caption>Every individual deserves a satisfying sex life. A cancer diagnosis usually translates to many medical office visits, lots of imaging and/or biopsies, and often surgery or hospitalizations. Body changes, feeling ill, and grappling with mortality will affect an individual’s sex life initially. However, with modern medicine cancer is often a chronic disease….with symptoms that affect sex. Prostate cancer survivors may have urinary incontinence or erectile dysfunction postoperatively. Breast cancer patients may receive medication to block all estrogen, which has a profound effect on the vulva and vagina. Cancer diagnosis and treatment may affect how a man or woman sees themselves as a sexual being -- or how their partner views them. There can be grief and anger in this process, but there can also be healing through pleasure and connection with their partner. People with cancer can enjoy sex, and they should! When health challenges seem insurmountable and incompatible with sex, Dr. Modjoros can work with you to bring new dimension and fulfillment to your sex life. **A cancer diagnosis changes things – instantly.** Every individual’s journey is unique, but figuring out sex and intimacy while treating or recovering from cancer is confusing for most. For example, cancer treatments may interfere in frequency or quality of sexual pleasure for an individual or for a couple. Or, the partner with cancer may avoid sex due to body image, energy, or mortality concerns, etc. Sex therapy can help redefine sex to maintain intimacy when cancer has changed the body and the way it looks, feels, and/or works.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5c520ab3da02bcd63ed8b8df/1558987367159-7444KQCEHAK2KAK9Q8JA/kristopher-roller-188180-unsplash.jpg</image:loc>
      <image:title>Stressful Sex | Sexual Health Consultants - Aging</image:title>
      <image:caption>As people age, sex changes. But it doesn’t have to stop! For many individuals and couples, sex remains a prominent part of their life well into 80s and beyond. Sex and pleasure are for everyone. Aging bodies may introduce some challenges into sex, but positions can be modified and sex can be shifted to include more of one type of touch and less of another challenged type of touch. Sex therapy can hep to revitalize sex within a long term relationship, or develop ways to enjoy sex when faced with physical or medical challenges. Retirement is more fun with more sex!</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5c520ab3da02bcd63ed8b8df/1558987620332-HX7SHMRBRQQDDA04Z84I/jordan-mcdonald-766295-unsplash.jpg</image:loc>
      <image:title>Stressful Sex | Sexual Health Consultants - Post Surgical Changes</image:title>
      <image:caption>Most people will experience surgery at some point in their lives. Appendectomies, spine surgeries, Caesarian sections, knee replacements — every surgery changes an individual's body -- how it looks and how it moves. Sometimes postoperative changes, including scar tissue, affect the patient's sexual experience. Following surgery, the details around sex may need to change. Dr. Modjoros helps individuals and couples work through redefining their sexual script to develop a new norm that is pleasurable and satisfying for both.</image:caption>
    </image:image>
  </url>
  <url>
    <loc>https://www.sexualhealthconsultants.com/life-transitions</loc>
    <changefreq>daily</changefreq>
    <priority>0.75</priority>
    <lastmod>2021-09-29</lastmod>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5c520ab3da02bcd63ed8b8df/1558988875194-3BJO4QMTHX0VVPO4YFMU/andre-adjahoe-465277-unsplash.jpg</image:loc>
      <image:title>Life Transitions - Chronic Pain</image:title>
      <image:caption>Some illnesses will directly affect an individual’s sexual function. Conditions like arthritis, chronic pain, ulcerative colitis, and Multiple Sclerosis, (and many others) will change sex dramatically. When sex changes, individuals may noticed increased stress, worry, and/or guilt about sex. Many couples don’t know how to talk about the feelings that these health challenges bring up. Sex therapy teaches patients and partners what to expect and how to talk about these really sensitive topics, and how to move toward a new normal that is pleasurable and satisfying to both partners. Sex can still be great, even as it changes over time.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5c520ab3da02bcd63ed8b8df/1559421364635-1QUSKVLD2I45SM0SG10E/anthony-tran-383490-unsplash.jpg</image:loc>
      <image:title>Life Transitions - “Nothing remains constant except change itself.”</image:title>
      <image:caption>- Author Unknown</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5c520ab3da02bcd63ed8b8df/1558988832970-9AMJSSTROS3WGFUGDKWA/rod-long-578990-unsplash.jpg</image:loc>
      <image:title>Life Transitions - Pelvic Pain</image:title>
      <image:caption>Pelvic pain is complex, often multifactorial, and medical treatment is rarely straightforward. Regardless of where in the pelvis the pain originates (bladder, uterus, prostate, etc), most pelvic pain patients feel a sense of confusion and “brokenness” about their reproductive lives. Pain during intercourse is an unwelcome intrusion that reinforces feelings of inadequacy and guilt for many patients. When pain becomes chronic, a couple may struggle to maintain intimacy as the cycle of sexual fear, guilt, and avoidance becomes their new normal. To complicate things, chronic pelvic pain often leads to hypertonic pelvic floor muscles, which then worsens the pelvic pain and dysfunction. In these cases, sex therapy works best in combination with pelvic floor physical therapy -- the PT works on the muscles and the sex therapy works on managing the stress/anxiety/worry of the pain. If desired, Dr. Modjoros will collaborate with your medical providers to develop a comprehensive care plan. Regardless of which partner has pain, both partners are affected, so whenever possible, couples are encouraged to participate in the counseling process together. In therapy, Dr. Modjoros will guide you through your recovery process, helping you and your partner better understand the original health issue, the sexual stress associated with it, and the pathway to full recovery with the mind and body in harmony.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5c520ab3da02bcd63ed8b8df/1558988802135-BXG7ELHP26P74MWLZK33/photo-1533444273691-ebf51af8fd9c.jpeg</image:loc>
      <image:title>Life Transitions - Cancer</image:title>
      <image:caption>Every individual deserves a satisfying sex life. A cancer diagnosis usually translates to many medical office visits, lots of imaging and/or biopsies, and often surgery or hospitalizations. Body changes, feeling ill, and grappling with mortality will affect an individual’s sex life initially. However, with modern medicine cancer is often a chronic disease….with symptoms that affect sex. Prostate cancer survivors may have urinary incontinence or erectile dysfunction postoperatively. Breast cancer patients may receive medication to block all estrogen, which has a profound effect on the vulva and vagina. Cancer diagnosis and treatment may affect how a man or woman sees themselves as a sexual being -- or how their partner views them. There can be grief and anger in this process, but there can also be healing through pleasure and connection with their partner. People with cancer can enjoy sex, and they should! When health challenges seem insurmountable and incompatible with sex, Dr. Modjoros can work with you to bring new dimension and fulfillment to your sex life. **A cancer diagnosis changes things – instantly.** Every individual’s journey is unique, but figuring out sex and intimacy while treating or recovering from cancer is confusing for most. For example, cancer treatments may interfere in frequency or quality of sexual pleasure for an individual or for a couple. Or, the partner with cancer may avoid sex due to body image, energy, or mortality concerns, etc. Sex therapy can help redefine sex to maintain intimacy when cancer has changed the body and the way it looks, feels, and/or works.</image:caption>
    </image:image>
  </url>
  <url>
    <loc>https://www.sexualhealthconsultants.com/faqs</loc>
    <changefreq>daily</changefreq>
    <priority>0.75</priority>
    <lastmod>2019-06-02</lastmod>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5c520ab3da02bcd63ed8b8df/1554167888075-DW3J5COBBLJMAPS5MXJI/matheus-lira-1172439-unsplash.jpg</image:loc>
      <image:title>FAQ's - A Few Commonly Asked Questions</image:title>
    </image:image>
  </url>
  <url>
    <loc>https://www.sexualhealthconsultants.com/testimonials-2</loc>
    <changefreq>daily</changefreq>
    <priority>0.75</priority>
    <lastmod>2019-07-20</lastmod>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5c520ab3da02bcd63ed8b8df/1563580784020-12GSQE54SZYF8TS08IVO/Screen%252BShot%252B2019-07-19%252Bat%252B6.56.16%252BPM.jpg</image:loc>
      <image:title>Testimonials</image:title>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5c520ab3da02bcd63ed8b8df/1563580525851-RZJ8VOPESW3WNYPW8PZX/image-asset.jpeg</image:loc>
      <image:title>Testimonials</image:title>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5c520ab3da02bcd63ed8b8df/1563580369518-8CMRR1GBN8HTYVOVGMRY/Screen+Shot+2019-07-19+at+6.51.22+PM.png</image:loc>
      <image:title>Testimonials</image:title>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5c520ab3da02bcd63ed8b8df/1563579869626-M7Q5BGQIPQPMZ5KOK29D/Screen+Shot+2019-07-19+at+6.42.54+PM.png</image:loc>
      <image:title>Testimonials - Opening up and discussing such private matters as sexual health is not necessarily an easy task. Yet, my wife and I have found in Dr. Modjoros a trustworthy, caring, and truly helpful professional who has allowed us to face uncomfortable truths and grow stronger as a couple. Dr. Modjoros' approach to sexual health draws from several schools and theories, which makes sessions both therapeutic and informative. Dr, Modjoros investigates not only problems but also seeks out root-causes, and explores a variety of solutions and treatments. I wish we did not need help with our sexual life. But since we do, I am glad that we consult with Dr. Modjoros and would recommend her to anyone.</image:title>
      <image:caption>Marc B.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5c520ab3da02bcd63ed8b8df/1558992071281-275ZOEUVWIWL6J0C7BEP/roman-kraft-266787-unsplash.jpg</image:loc>
      <image:title>Testimonials</image:title>
    </image:image>
  </url>
  <url>
    <loc>https://www.sexualhealthconsultants.com/sexy-after-breast-cancer</loc>
    <changefreq>daily</changefreq>
    <priority>0.75</priority>
    <lastmod>2025-06-26</lastmod>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5c520ab3da02bcd63ed8b8df/1632759192381-W6GNAM1OQKWO7K6LI6LS/13936730_1603287221295MM_headshot-7_crop.jpg</image:loc>
      <image:title>Sexy After Breast Cancer - Melanie Modjoros, MD Physician and Sex Therapist</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5c520ab3da02bcd63ed8b8df/1632761043857-L1YGXS680V1WO2JZ5XKB/13925623_1603247323951sad_woman_in_bed.jpg</image:loc>
      <image:title>Sexy After Breast Cancer - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5c520ab3da02bcd63ed8b8df/1632761046446-OM23AK1AIBSMW76UXQDT/13925619_1603247308161happy_couple_eyegazing_in_bed.jpg</image:loc>
      <image:title>Sexy After Breast Cancer - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5c520ab3da02bcd63ed8b8df/1632761413990-XMWJ2MB92GEZN1F8PQM9/streamline-icon-task-checklist%40500x500.png</image:loc>
      <image:title>Sexy After Breast Cancer - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5c520ab3da02bcd63ed8b8df/1632761408010-26NVNMIADWZ1ZRGL805V/streamline-icon-headphones-2%40500x500+%282%29.png</image:loc>
      <image:title>Sexy After Breast Cancer - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5c520ab3da02bcd63ed8b8df/1632761403153-6ITPEHY7WECHV9FWN0GU/streamline-icon-video-player-movie%40500x500.png</image:loc>
      <image:title>Sexy After Breast Cancer - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5c520ab3da02bcd63ed8b8df/1632762386919-QO2RXLE5W7HSO1HNYT93/kp_call_to_action_img_3_1.png</image:loc>
      <image:title>Sexy After Breast Cancer - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5c520ab3da02bcd63ed8b8df/1555638396371-JYQ1CH8X4G94WYYDJ4B7/Logo+Icon+in+White+Circle.png</image:loc>
      <image:title>Sexy After Breast Cancer - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5c520ab3da02bcd63ed8b8df/1632759504206-OYV8S8YV8LTCCWKBM0GC/Gradient+Background+2.png</image:loc>
      <image:title>Sexy After Breast Cancer</image:title>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5c520ab3da02bcd63ed8b8df/1559436583688-6W1T3SO8H4QJ6WGSLWIW/light%2Bblue%2Bbox.jpg</image:loc>
      <image:title>Sexy After Breast Cancer</image:title>
    </image:image>
  </url>
  <url>
    <loc>https://www.sexualhealthconsultants.com/offerings</loc>
    <changefreq>daily</changefreq>
    <priority>0.75</priority>
    <lastmod>2021-10-20</lastmod>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5c520ab3da02bcd63ed8b8df/1634744501844-GP9LCLRT83GBUQ62W3DQ/Picture2.jpg</image:loc>
      <image:title>Offerings - “Change will lead to insight more often than insight will lead to change.”</image:title>
      <image:caption>- Milton Erickson</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5c520ab3da02bcd63ed8b8df/1634744639969-5M56IE1WP5AAO9E0HBPZ/Picture1.jpg</image:loc>
      <image:title>Offerings - Pelvic Pain</image:title>
      <image:caption>Pelvic pain is complex, often multifactorial, and medical treatment is rarely straightforward. Regardless of where in the pelvis the pain originates (bladder, uterus, prostate, etc), most pelvic pain patients feel a sense of confusion and “brokenness” about their reproductive lives. Pain during intercourse is an unwelcome intrusion that reinforces feelings of inadequacy and guilt for many patients. When pain becomes chronic, a couple may struggle to maintain intimacy as the cycle of sexual fear, guilt, and avoidance becomes their new normal. To complicate things, chronic pelvic pain often leads to hypertonic pelvic floor muscles, which then worsens the pelvic pain and dysfunction. In these cases, sex therapy works best in combination with pelvic floor physical therapy -- the PT works on the muscles and the sex therapy works on managing the stress/anxiety/worry of the pain. If desired, Dr. Modjoros will collaborate with your medical providers to develop a comprehensive care plan. Regardless of which partner has pain, both partners are affected, so whenever possible, couples are encouraged to participate in the counseling process together. In therapy, Dr. Modjoros will guide you through your recovery process, helping you and your partner better understand the original health issue, the sexual stress associated with it, and the pathway to full recovery with the mind and body in harmony.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5c520ab3da02bcd63ed8b8df/1634744617403-1KI3NC57C5KFW060FSUN/Picture3.jpg</image:loc>
      <image:title>Offerings - Pelvic Pain</image:title>
      <image:caption>Pelvic pain is complex, often multifactorial, and medical treatment is rarely straightforward. Regardless of where in the pelvis the pain originates (bladder, uterus, prostate, etc), most pelvic pain patients feel a sense of confusion and “brokenness” about their reproductive lives. Pain during intercourse is an unwelcome intrusion that reinforces feelings of inadequacy and guilt for many patients. When pain becomes chronic, a couple may struggle to maintain intimacy as the cycle of sexual fear, guilt, and avoidance becomes their new normal. To complicate things, chronic pelvic pain often leads to hypertonic pelvic floor muscles, which then worsens the pelvic pain and dysfunction. In these cases, sex therapy works best in combination with pelvic floor physical therapy -- the PT works on the muscles and the sex therapy works on managing the stress/anxiety/worry of the pain. If desired, Dr. Modjoros will collaborate with your medical providers to develop a comprehensive care plan. Regardless of which partner has pain, both partners are affected, so whenever possible, couples are encouraged to participate in the counseling process together. In therapy, Dr. Modjoros will guide you through your recovery process, helping you and your partner better understand the original health issue, the sexual stress associated with it, and the pathway to full recovery with the mind and body in harmony.</image:caption>
    </image:image>
  </url>
  <url>
    <loc>https://www.sexualhealthconsultants.com/home-map</loc>
    <changefreq>daily</changefreq>
    <priority>0.75</priority>
    <lastmod>2019-04-02</lastmod>
  </url>
  <url>
    <loc>https://www.sexualhealthconsultants.com/images</loc>
    <changefreq>daily</changefreq>
    <priority>0.75</priority>
    <lastmod>2019-04-14</lastmod>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5c520ab3da02bcd63ed8b8df/1555210768927-ZILNVP57VEKJRF32KP26/sex-after-baby</image:loc>
      <image:title>Background Images</image:title>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5c520ab3da02bcd63ed8b8df/1555210864292-1KZ141Q1A8ND8CSNC5GS/empty-nest</image:loc>
      <image:title>Background Images</image:title>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5c520ab3da02bcd63ed8b8df/1549681546040-YBMB329AEJSR3MZOGMSX/Gradient+Background.png</image:loc>
      <image:title>Background Images</image:title>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5c520ab3da02bcd63ed8b8df/1555211039533-CXAWJ6W2JQKI5FQOJAWR/body-image-issues</image:loc>
      <image:title>Background Images</image:title>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5c520ab3da02bcd63ed8b8df/1549681852373-C3VK71NKOTC8DTNDAENQ/Gradient+Background+2.png</image:loc>
      <image:title>Background Images</image:title>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5c520ab3da02bcd63ed8b8df/1555210656713-IWX7XIQWEFCZ3KVZLNW5/libido-mismatch</image:loc>
      <image:title>Background Images</image:title>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5c520ab3da02bcd63ed8b8df/1555210576596-6Z9ADQV8O6QK7N35ZORR/post-surgical-changes</image:loc>
      <image:title>Background Images</image:title>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5c520ab3da02bcd63ed8b8df/1555210912972-OZ0Y53J6FKEC8TTP95FB/sexual-expression</image:loc>
      <image:title>Background Images</image:title>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5c520ab3da02bcd63ed8b8df/1555210333308-6QHU5AIQ6FKO3RX3FQMT/martha-dominguez-de-gouveia-572638-unsplash.jpg</image:loc>
      <image:title>Background Images</image:title>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5c520ab3da02bcd63ed8b8df/1555210428481-SA8H1J36E1O7GVA1HA8P/aging</image:loc>
      <image:title>Background Images</image:title>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5c520ab3da02bcd63ed8b8df/1555210280961-LA5I8JYZG31Y2SPP0KU3/pelvic-pain</image:loc>
      <image:title>Background Images</image:title>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5c520ab3da02bcd63ed8b8df/1555210985564-OHIZ42216X4UGJ209IU1/sexual-identity</image:loc>
      <image:title>Background Images</image:title>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5c520ab3da02bcd63ed8b8df/1555210698258-KJ3T9QDX2CZLSX4FRQPC/esther-town-492626-unsplash.jpg</image:loc>
      <image:title>Background Images</image:title>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5c520ab3da02bcd63ed8b8df/1555211252623-G8BR2KARTOHPT4PLS87Q/Chronic+pain-chronic+illness</image:loc>
      <image:title>Background Images</image:title>
    </image:image>
  </url>
  <url>
    <loc>https://www.sexualhealthconsultants.com/medical-challengesold</loc>
    <changefreq>daily</changefreq>
    <priority>0.75</priority>
    <lastmod>2019-05-25</lastmod>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5c520ab3da02bcd63ed8b8df/1555201854214-Q3PT3W2ELL5V2EBNCYMS/white%252Bbox.jpg</image:loc>
      <image:title>Medical Challenges | Sexual Health Consultants - LIFE TRANSITIONS</image:title>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5c520ab3da02bcd63ed8b8df/1555201782652-JV87M98GYAFA9CMUEXFH/white%252Bbox.jpg</image:loc>
      <image:title>Medical Challenges | Sexual Health Consultants - Medical Challenges</image:title>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5c520ab3da02bcd63ed8b8df/1555805550124-BZRX9088LLOBVFOPJC2Y/medical%25252Bchallenges%25252B-%25252B500_F_220102837_E8D0pNVXXHjreCP4fVNSCh5XBER6IzJN.jpg</image:loc>
      <image:title>Medical Challenges | Sexual Health Consultants - MEDICAL CHALLENGES</image:title>
      <image:caption>“My mission in life is not merely to survive, but to thrive; and to do so with some passion, some compassion, some humor, and some style.” --Maya Angelou</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5c520ab3da02bcd63ed8b8df/1555201813318-0EQVEWZ8ROPMHV3RC1VK/white%2Bbox.jpg</image:loc>
      <image:title>Medical Challenges | Sexual Health Consultants - STRESSFUL SEX</image:title>
    </image:image>
  </url>
  <url>
    <loc>https://www.sexualhealthconsultants.com/welcome-test</loc>
    <changefreq>daily</changefreq>
    <priority>0.75</priority>
    <lastmod>2019-04-13</lastmod>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5c520ab3da02bcd63ed8b8df/1558976282045-FYK2JQSIGRO80K15ISRR/tony-lee-1491262-unsplash.jpg</image:loc>
      <image:title>Welcome - Welcome To Sexual Health Consultants!</image:title>
      <image:caption>With Dr. MeLanie Modjoros CONDITIONS TREATED</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5c520ab3da02bcd63ed8b8df/1558967666635-SM27MV0V6MNBMHOXGXS2/saneej-kallingal-696189-unsplash.jpg</image:loc>
      <image:title>Welcome - Is Sex a Problem in Your Relationship?</image:title>
      <image:caption>LEARN MORE</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5c520ab3da02bcd63ed8b8df/1558810512911-9V5WWH9UYDU59UO62H03/joshua-reddekopp-412359-unsplash.jpg</image:loc>
      <image:title>Welcome - Has Sex Life Changed since the Baby?</image:title>
      <image:caption>LEARN MORE</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5c520ab3da02bcd63ed8b8df/1555187781252-58GYL97EKKT17NKBW9M2/mitchell-hollander-204791-unsplash.jpg</image:loc>
      <image:title>Welcome - Are you frustrated by DESIRE mismatch?</image:title>
      <image:caption>LEARN MORE</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5c520ab3da02bcd63ed8b8df/1555805578798-CLD37DMKOJ43Z8FCDZ4D/image-asset.jpeg</image:loc>
      <image:title>Welcome - Have Health Issues Affected Your Sex Life?</image:title>
      <image:caption>GET HELP NOW</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5c520ab3da02bcd63ed8b8df/1559008286208-LB8FIXLNWSXGA3223K7G/steven-spassov-100276-unsplash.jpg</image:loc>
      <image:title>Welcome - Do you worry about sex more than you enjoy it?</image:title>
      <image:caption>LEARN MORE</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5c520ab3da02bcd63ed8b8df/1554665957871-ME28DOB6F8193HVVQUGT/rawpixel-760112-unsplash.jpg</image:loc>
      <image:title>Welcome</image:title>
    </image:image>
  </url>
  <url>
    <loc>https://www.sexualhealthconsultants.com/resources</loc>
    <changefreq>daily</changefreq>
    <priority>0.75</priority>
    <lastmod>2019-07-19</lastmod>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5c520ab3da02bcd63ed8b8df/1558808230576-21V799GBI1I3VKT74GWX/hush-naidoo-498053-unsplash.jpg</image:loc>
      <image:title>Resources</image:title>
    </image:image>
  </url>
  <url>
    <loc>https://www.sexualhealthconsultants.com/old-home-page</loc>
    <changefreq>daily</changefreq>
    <priority>0.75</priority>
    <lastmod>2019-04-20</lastmod>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5c520ab3da02bcd63ed8b8df/1554665957871-ME28DOB6F8193HVVQUGT/rawpixel-760112-unsplash.jpg</image:loc>
      <image:title>Welcome</image:title>
    </image:image>
  </url>
  <url>
    <loc>https://www.sexualhealthconsultants.com/stressful-sexold</loc>
    <changefreq>daily</changefreq>
    <priority>0.75</priority>
    <lastmod>2019-04-25</lastmod>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5c520ab3da02bcd63ed8b8df/1555202980478-TJ3GHY9UZK07I9A6HCK5/medical-challenges</image:loc>
      <image:title>Stressful Sex - Medical Challenges</image:title>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5c520ab3da02bcd63ed8b8df/1555202961416-A447NZLZ75YJO8LHIVLX/stressful-sex</image:loc>
      <image:title>Stressful Sex - STRESSFUL SEX</image:title>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5c520ab3da02bcd63ed8b8df/1555203000326-XIQYX5BSXK9R14DDJOHV/dark%252Bblue%252Bbox.jpg</image:loc>
      <image:title>Stressful Sex - LIFE TRANSITIONS</image:title>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5c520ab3da02bcd63ed8b8df/1555811524094-PB3650QNSDYOIJVAL2PD/asdrubal-luna-485688-unsplash.jpg</image:loc>
      <image:title>Stressful Sex - Stressful sex</image:title>
      <image:caption>What role does sex currently play in your life and what role would you like it to play in your life?</image:caption>
    </image:image>
  </url>
  <url>
    <loc>https://www.sexualhealthconsultants.com/life-transitionsold</loc>
    <changefreq>daily</changefreq>
    <priority>0.75</priority>
    <lastmod>2019-05-27</lastmod>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5c520ab3da02bcd63ed8b8df/1555811757687-61H36QGNKKIJQH439X1V/anthony-tran-383490-unsplash.jpg</image:loc>
      <image:title>Life Transitions - Nothing Remains Constant except Change Itself -author unknown</image:title>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5c520ab3da02bcd63ed8b8df/1555203031891-WUNF0FLFIX4IDVCLQX6F/medical-challenges</image:loc>
      <image:title>Life Transitions - Medical Challenges</image:title>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5c520ab3da02bcd63ed8b8df/1555203046793-7JEVYPKYI6YWVOX6RESB/dark%2Bblue%2Bbox.jpg</image:loc>
      <image:title>Life Transitions - STRESSFUL SEX</image:title>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5c520ab3da02bcd63ed8b8df/1555203061453-3PXOH7AA62N31H61TN0N/aqua%252Bblue%252Bbox.jpg</image:loc>
      <image:title>Life Transitions - LIFE TRANSITIONS</image:title>
    </image:image>
  </url>
  <url>
    <loc>https://www.sexualhealthconsultants.com/blog</loc>
    <changefreq>daily</changefreq>
    <priority>0.75</priority>
    <lastmod>2020-06-01</lastmod>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5c520ab3da02bcd63ed8b8df/1555726978880-7OBKVNX8V9R0IEYA560D/MM+2019+headshot+27+crop.jpg</image:loc>
      <image:title>Ask Dr. M</image:title>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5c520ab3da02bcd63ed8b8df/1555864290634-GSLGZFC37YDGBV2A3SIC/joanna-kosinska-395407-unsplash.jpg</image:loc>
      <image:title>Ask Dr. M</image:title>
    </image:image>
  </url>
  <url>
    <loc>https://www.sexualhealthconsultants.com/legal-disclaimer</loc>
    <changefreq>daily</changefreq>
    <priority>0.75</priority>
    <lastmod>2019-07-19</lastmod>
  </url>
  <url>
    <loc>https://www.sexualhealthconsultants.com/medical-challenges-2</loc>
    <changefreq>daily</changefreq>
    <priority>0.75</priority>
    <lastmod>2019-05-25</lastmod>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5c520ab3da02bcd63ed8b8df/1554169419865-V3WRI7W7XM1LEXLF4FSZ/aaron-blanco-tejedor-373250-unsplash.jpg</image:loc>
      <image:title>Medical Challenges</image:title>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5c520ab3da02bcd63ed8b8df/1554168999616-JEC86YS63NOMPQS4EMI8/david-lezcano-1316686-unsplash.jpg</image:loc>
      <image:title>Medical Challenges</image:title>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5c520ab3da02bcd63ed8b8df/1558813697763-XCPKEGUVDCS2T1EKAXJN/ken-treloar-385255-unsplash.jpg</image:loc>
      <image:title>Medical Challenges - Medical Challenges</image:title>
      <image:caption>Health issues affect a person’s sexuality and sexual expression, as well as their partner’s. Sometimes, the impact is minimal and insignificant... other times health issues will profoundly disrupt one’s sex life. (cut this from chronic pain subcategory). Every individual deserves a satisfying sex life.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5c520ab3da02bcd63ed8b8df/1558813868975-RADM7EG7TLBK6K599MCN/aqua%2Bblue%2Bbox.jpg</image:loc>
      <image:title>Medical Challenges - medical challenges</image:title>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5c520ab3da02bcd63ed8b8df/1552927972315-KRD8XD5747KR8YK1Y5VM/davids-kokainis-1210480-unsplash.jpg</image:loc>
      <image:title>Medical Challenges</image:title>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5c520ab3da02bcd63ed8b8df/1558813635310-2JIG2GH4ACGSE73H4I00/dmitry-schemelev-734013-unsplash.jpg</image:loc>
      <image:title>Medical Challenges</image:title>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5c520ab3da02bcd63ed8b8df/1554169467814-I7R3JV5B8EN38CQDVW7G/joshua-reddekopp-412359-unsplash.jpg</image:loc>
      <image:title>Medical Challenges</image:title>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5c520ab3da02bcd63ed8b8df/1554169016110-TB0SXJK0OL2PU24395VK/justin-groep-662995-unsplash.jpg</image:loc>
      <image:title>Medical Challenges</image:title>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5c520ab3da02bcd63ed8b8df/1554169444780-TM2MXAENXY4V99277NZG/rawpixel-550991-unsplash.jpg</image:loc>
      <image:title>Medical Challenges</image:title>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5c520ab3da02bcd63ed8b8df/1552927575993-TDGV27V4QX9OK92XR0G2/rawpixel-1145276-unsplash.jpg</image:loc>
      <image:title>Medical Challenges</image:title>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5c520ab3da02bcd63ed8b8df/1552927832902-H7F6NRKTYU1VXWLQF72U/autumn-studio-487950-unsplash.jpg</image:loc>
      <image:title>Medical Challenges</image:title>
    </image:image>
  </url>
  <url>
    <loc>https://www.sexualhealthconsultants.com/medical-challenges-old</loc>
    <changefreq>daily</changefreq>
    <priority>0.75</priority>
    <lastmod>2019-05-28</lastmod>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5c520ab3da02bcd63ed8b8df/1558980523141-HHJEDX6AFNHDD4KBB78E/dmitry-schemelev-734013-unsplash.jpg</image:loc>
      <image:title>Medical Challenges | Sexual Health Consultants - Chronic Pain</image:title>
      <image:caption>Some illnesses will directly affect an individual’s sexual function. Conditions like arthritis, chronic pain, ulcerative colitis, and Multiple Sclerosis, (and many others) will change sex dramatically. When sex changes, individuals may noticed increased stress, worry, and/or guilt about sex. Many couples don’t know how to talk about the feelings that these health challenges bring up. Sex therapy teaches patients and partners what to expect and how to talk about these really sensitive topics, and how to move toward a new normal that is pleasurable and satisfying to both partners. Sex can still be great, even as it changes over time.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5c520ab3da02bcd63ed8b8df/1558980672851-Y0LWVSI0E461M0EAOUJC/j-s-romeo-630399-unsplash.jpg</image:loc>
      <image:title>Medical Challenges | Sexual Health Consultants - Post Surgical Changes</image:title>
      <image:caption>Most people will experience surgery at some point in their lives. Appendectomies, spine surgeries, Caesarian sections, knee replacements — every surgery changes an individual's body -- how it looks and how it moves. Sometimes postoperative changes, including scar tissue, affect the patient's sexual experience. Following surgery, the details around sex may need to change. Dr. Modjoros helps individuals and couples work through redefining their sexual script to develop a new norm that is pleasurable and satisfying for both.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5c520ab3da02bcd63ed8b8df/1558982676425-LSHWZ9A10Z06MZMIJZKS/medical%2525252Bchallenges%2525252B-%2525252B500_F_220102837_E8D0pNVXXHjreCP4fVNSCh5XBER6IzJN.jpg</image:loc>
      <image:title>Medical Challenges | Sexual Health Consultants - MEDICAL CHALLENGES</image:title>
      <image:caption>Every individual deserves a satisfying sex life. Health issues affect a person’s sexuality and sexual expression, as well as their partner’s. Sometimes, the impact is minimal and insignificant... other times health issues will profoundly disrupt one’s sex life.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5c520ab3da02bcd63ed8b8df/1558980581259-SGWUKGA1SX9PCEPSVZCG/asdrubal-luna-485688-unsplash.jpg</image:loc>
      <image:title>Medical Challenges | Sexual Health Consultants - Pelvic Pain</image:title>
      <image:caption>Pelvic pain is complex, often multifactorial, and medical treatment is rarely straightforward. Regardless of where in the pelvis the pain originates (bladder, uterus, prostate, etc), most pelvic pain patients feel a sense of confusion and “brokenness” about their reproductive lives. Pain during intercourse is an unwelcome intrusion that reinforces feelings of inadequacy and guilt for many patients. When pain becomes chronic, a couple may struggle to maintain intimacy as the cycle of sexual fear, guilt, and avoidance becomes their new normal. To complicate things, chronic pelvic pain often leads to hypertonic pelvic floor muscles, which then worsens the pelvic pain and dysfunction. In these cases, sex therapy works best in combination with pelvic floor physical therapy -- the PT works on the muscles and the sex therapy works on managing the stress/anxiety/worry of the pain. If desired, Dr. Modjoros will collaborate with your medical providers to develop a comprehensive care plan. Regardless of which partner has pain, both partners are affected, so whenever possible, couples are encouraged to participate in the counseling process together. In therapy, Dr. Modjoros will guide you through your recovery process, helping you and your partner better understand the original health issue, the sexual stress associated with it, and the pathway to full recovery with the mind and body in harmony.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5c520ab3da02bcd63ed8b8df/1558815236497-QVAF0N2X06MLBFHGBEQL/almos-bechtold-436811-unsplash.jpg</image:loc>
      <image:title>Medical Challenges | Sexual Health Consultants - Cancer</image:title>
      <image:caption>Every individual deserves a satisfying sex life. A cancer diagnosis usually translates to many medical office visits, lots of imaging and/or biopsies, and often surgery or hospitalizations. Body changes, feeling ill, and grappling with mortality will affect an individual’s sex life initially. However, with modern medicine cancer is often a chronic disease….with symptoms that affect sex. Prostate cancer survivors may have urinary incontinence or erectile dysfunction postoperatively. Breast cancer patients may receive medication to block all estrogen, which has a profound effect on the vulva and vagina. Cancer diagnosis and treatment may affect how a man or woman sees themselves as a sexual being -- or how their partner views them. There can be grief and anger in this process, but there can also be healing through pleasure and connection with their partner. People with cancer can enjoy sex, and they should! When health challenges seem insurmountable and incompatible with sex, Dr. Modjoros can work with you to bring new dimension and fulfillment to your sex life. **A cancer diagnosis changes things – instantly.** Every individual’s journey is unique, but figuring out sex and intimacy while treating or recovering from cancer is confusing for most. For example, cancer treatments may interfere in frequency or quality of sexual pleasure for an individual or for a couple. Or, the partner with cancer may avoid sex due to body image, energy, or mortality concerns, etc. Sex therapy can help redefine sex to maintain intimacy when cancer has changed the body and the way it looks, feels, and/or works.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5c520ab3da02bcd63ed8b8df/1558980648113-ATWDJ5VK3069TJVG8BL7/rawpixel-1145276-unsplash.jpg</image:loc>
      <image:title>Medical Challenges | Sexual Health Consultants - Aging</image:title>
      <image:caption>As people age, sex changes. But it doesn’t have to stop! For many individuals and couples, sex remains a prominent part of their life well into 80s and beyond. Sex and pleasure are for everyone. Aging bodies may introduce some challenges into sex, but positions can be modified and sex can be shifted to include more of one type of touch and less of another challenged type of touch. Sex therapy can hep to revitalize sex within a long term relationship, or develop ways to enjoy sex when faced with physical or medical challenges. Retirement is more fun with more sex!</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5c520ab3da02bcd63ed8b8df/1558980698466-MS716PQ8N3K8NVHELD4U/sharon-mccutcheon-738532-unsplash.jpg</image:loc>
      <image:title>Medical Challenges | Sexual Health Consultants - Arousal and Orgasmic Issues</image:title>
      <image:caption>Arousal and orgasmic dysfunctions are relatively common. Delayed ejaculation, anorgasmia (not able to reach orgasm), and painful orgasms are just a few examples. For any new symptom or pain related to orgasm, a sexual medicine provider should be your first evaluation. He or she can figure out if the nerves and blood vessels are working properly. Dr. Modjoros works closely with the local community sexual medicine physicians to provide comprehensive management for patients with these issues. In sex therapy, individuals and couples learn how to relax into pleasure and stay focused on their body sensations to optimize their sexual connection.</image:caption>
    </image:image>
  </url>
  <url>
    <loc>https://www.sexualhealthconsultants.com/life-transitions-1</loc>
    <changefreq>daily</changefreq>
    <priority>0.75</priority>
    <lastmod>2019-05-25</lastmod>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5c520ab3da02bcd63ed8b8df/1555811757687-61H36QGNKKIJQH439X1V/anthony-tran-383490-unsplash.jpg</image:loc>
      <image:title>Copy of Life Transitions - Nothing Remains Constant except Change Itself -author unknown</image:title>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5c520ab3da02bcd63ed8b8df/1555203031891-WUNF0FLFIX4IDVCLQX6F/medical-challenges</image:loc>
      <image:title>Copy of Life Transitions - Medical Challenges</image:title>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5c520ab3da02bcd63ed8b8df/1555203046793-7JEVYPKYI6YWVOX6RESB/dark%2Bblue%2Bbox.jpg</image:loc>
      <image:title>Copy of Life Transitions - STRESSFUL SEX</image:title>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5c520ab3da02bcd63ed8b8df/1555203061453-3PXOH7AA62N31H61TN0N/aqua%252Bblue%252Bbox.jpg</image:loc>
      <image:title>Copy of Life Transitions - LIFE TRANSITIONS</image:title>
    </image:image>
  </url>
  <url>
    <loc>https://www.sexualhealthconsultants.com/stressful-sex-old</loc>
    <changefreq>daily</changefreq>
    <priority>0.75</priority>
    <lastmod>2019-05-28</lastmod>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5c520ab3da02bcd63ed8b8df/1558987367159-7444KQCEHAK2KAK9Q8JA/kristopher-roller-188180-unsplash.jpg</image:loc>
      <image:title>Stressful Sex | Sexual Health Consultants - Aging</image:title>
      <image:caption>As people age, sex changes. But it doesn’t have to stop! For many individuals and couples, sex remains a prominent part of their life well into 80s and beyond. Sex and pleasure are for everyone. Aging bodies may introduce some challenges into sex, but positions can be modified and sex can be shifted to include more of one type of touch and less of another challenged type of touch. Sex therapy can hep to revitalize sex within a long term relationship, or develop ways to enjoy sex when faced with physical or medical challenges. Retirement is more fun with more sex!</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5c520ab3da02bcd63ed8b8df/1558987152448-VHDLXF1J5JH9I0M1LM40/sharon-mccutcheon-525234-unsplash.jpg</image:loc>
      <image:title>Stressful Sex | Sexual Health Consultants - Pelvic Pain</image:title>
      <image:caption>Pelvic pain is complex, often multifactorial, and medical treatment is rarely straightforward. Regardless of where in the pelvis the pain originates (bladder, uterus, prostate, etc), most pelvic pain patients feel a sense of confusion and “brokenness” about their reproductive lives. Pain during intercourse is an unwelcome intrusion that reinforces feelings of inadequacy and guilt for many patients. When pain becomes chronic, a couple may struggle to maintain intimacy as the cycle of sexual fear, guilt, and avoidance becomes their new normal. To complicate things, chronic pelvic pain often leads to hypertonic pelvic floor muscles, which then worsens the pelvic pain and dysfunction. In these cases, sex therapy works best in combination with pelvic floor physical therapy -- the PT works on the muscles and the sex therapy works on managing the stress/anxiety/worry of the pain. If desired, Dr. Modjoros will collaborate with your medical providers to develop a comprehensive care plan. Regardless of which partner has pain, both partners are affected, so whenever possible, couples are encouraged to participate in the counseling process together. In therapy, Dr. Modjoros will guide you through your recovery process, helping you and your partner better understand the original health issue, the sexual stress associated with it, and the pathway to full recovery with the mind and body in harmony.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5c520ab3da02bcd63ed8b8df/1558997325076-Y9P8ORORGQ9X97TR9ZJS/medical%252525252Bchallenges%252525252B-%252525252B500_F_220102837_E8D0pNVXXHjreCP4fVNSCh5XBER6IzJN.jpg</image:loc>
      <image:title>Stressful Sex | Sexual Health Consultants - Stressful Sex</image:title>
      <image:caption>Sex usually means different things to each partner. Through carefully designed home exercises and talk therapy, Dr. Modjoros identifies all the components that make sex unpleasant. She then helps her client address these issues to resolve their stress and allow sex to be fun. Sex therapy gives each partner the space to feel all their emotions, to be authentic to themselves, and to communicate more effectively with their partner.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5c520ab3da02bcd63ed8b8df/1558986877386-MAVSNNKSZ1UBVY9KO43M/andrik-langfield-1242378-unsplash.jpg</image:loc>
      <image:title>Stressful Sex | Sexual Health Consultants - Chronic Pain</image:title>
      <image:caption>Some illnesses will directly affect an individual’s sexual function. Conditions like arthritis, chronic pain, ulcerative colitis, and Multiple Sclerosis, (and many others) will change sex dramatically. When sex changes, individuals may noticed increased stress, worry, and/or guilt about sex. Many couples don’t know how to talk about the feelings that these health challenges bring up. Sex therapy teaches patients and partners what to expect and how to talk about these really sensitive topics, and how to move toward a new normal that is pleasurable and satisfying to both partners. Sex can still be great, even as it changes over time.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5c520ab3da02bcd63ed8b8df/1558987620332-HX7SHMRBRQQDDA04Z84I/jordan-mcdonald-766295-unsplash.jpg</image:loc>
      <image:title>Stressful Sex | Sexual Health Consultants - Post Surgical Changes</image:title>
      <image:caption>Most people will experience surgery at some point in their lives. Appendectomies, spine surgeries, Caesarian sections, knee replacements — every surgery changes an individual's body -- how it looks and how it moves. Sometimes postoperative changes, including scar tissue, affect the patient's sexual experience. Following surgery, the details around sex may need to change. Dr. Modjoros helps individuals and couples work through redefining their sexual script to develop a new norm that is pleasurable and satisfying for both.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5c520ab3da02bcd63ed8b8df/1558987305664-BV6JHST35Z5MN97SXXN2/image-asset.jpeg</image:loc>
      <image:title>Stressful Sex | Sexual Health Consultants - Cancer</image:title>
      <image:caption>Every individual deserves a satisfying sex life. A cancer diagnosis usually translates to many medical office visits, lots of imaging and/or biopsies, and often surgery or hospitalizations. Body changes, feeling ill, and grappling with mortality will affect an individual’s sex life initially. However, with modern medicine cancer is often a chronic disease….with symptoms that affect sex. Prostate cancer survivors may have urinary incontinence or erectile dysfunction postoperatively. Breast cancer patients may receive medication to block all estrogen, which has a profound effect on the vulva and vagina. Cancer diagnosis and treatment may affect how a man or woman sees themselves as a sexual being -- or how their partner views them. There can be grief and anger in this process, but there can also be healing through pleasure and connection with their partner. People with cancer can enjoy sex, and they should! When health challenges seem insurmountable and incompatible with sex, Dr. Modjoros can work with you to bring new dimension and fulfillment to your sex life. **A cancer diagnosis changes things – instantly.** Every individual’s journey is unique, but figuring out sex and intimacy while treating or recovering from cancer is confusing for most. For example, cancer treatments may interfere in frequency or quality of sexual pleasure for an individual or for a couple. Or, the partner with cancer may avoid sex due to body image, energy, or mortality concerns, etc. Sex therapy can help redefine sex to maintain intimacy when cancer has changed the body and the way it looks, feels, and/or works.</image:caption>
    </image:image>
  </url>
  <url>
    <loc>https://www.sexualhealthconsultants.com/life-transitions-old</loc>
    <changefreq>daily</changefreq>
    <priority>0.75</priority>
    <lastmod>2019-05-28</lastmod>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5c520ab3da02bcd63ed8b8df/1558988875194-3BJO4QMTHX0VVPO4YFMU/andre-adjahoe-465277-unsplash.jpg</image:loc>
      <image:title>Life Transitions | Sexual Health Consultants - Chronic Pain</image:title>
      <image:caption>Some illnesses will directly affect an individual’s sexual function. Conditions like arthritis, chronic pain, ulcerative colitis, and Multiple Sclerosis, (and many others) will change sex dramatically. When sex changes, individuals may noticed increased stress, worry, and/or guilt about sex. Many couples don’t know how to talk about the feelings that these health challenges bring up. Sex therapy teaches patients and partners what to expect and how to talk about these really sensitive topics, and how to move toward a new normal that is pleasurable and satisfying to both partners. Sex can still be great, even as it changes over time.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5c520ab3da02bcd63ed8b8df/1558988832970-9AMJSSTROS3WGFUGDKWA/rod-long-578990-unsplash.jpg</image:loc>
      <image:title>Life Transitions | Sexual Health Consultants - Pelvic Pain</image:title>
      <image:caption>Pelvic pain is complex, often multifactorial, and medical treatment is rarely straightforward. Regardless of where in the pelvis the pain originates (bladder, uterus, prostate, etc), most pelvic pain patients feel a sense of confusion and “brokenness” about their reproductive lives. Pain during intercourse is an unwelcome intrusion that reinforces feelings of inadequacy and guilt for many patients. When pain becomes chronic, a couple may struggle to maintain intimacy as the cycle of sexual fear, guilt, and avoidance becomes their new normal. To complicate things, chronic pelvic pain often leads to hypertonic pelvic floor muscles, which then worsens the pelvic pain and dysfunction. In these cases, sex therapy works best in combination with pelvic floor physical therapy -- the PT works on the muscles and the sex therapy works on managing the stress/anxiety/worry of the pain. If desired, Dr. Modjoros will collaborate with your medical providers to develop a comprehensive care plan. Regardless of which partner has pain, both partners are affected, so whenever possible, couples are encouraged to participate in the counseling process together. In therapy, Dr. Modjoros will guide you through your recovery process, helping you and your partner better understand the original health issue, the sexual stress associated with it, and the pathway to full recovery with the mind and body in harmony.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5c520ab3da02bcd63ed8b8df/1558988802135-BXG7ELHP26P74MWLZK33/photo-1533444273691-ebf51af8fd9c.jpeg</image:loc>
      <image:title>Life Transitions | Sexual Health Consultants - Cancer</image:title>
      <image:caption>Every individual deserves a satisfying sex life. A cancer diagnosis usually translates to many medical office visits, lots of imaging and/or biopsies, and often surgery or hospitalizations. Body changes, feeling ill, and grappling with mortality will affect an individual’s sex life initially. However, with modern medicine cancer is often a chronic disease….with symptoms that affect sex. Prostate cancer survivors may have urinary incontinence or erectile dysfunction postoperatively. Breast cancer patients may receive medication to block all estrogen, which has a profound effect on the vulva and vagina. Cancer diagnosis and treatment may affect how a man or woman sees themselves as a sexual being -- or how their partner views them. There can be grief and anger in this process, but there can also be healing through pleasure and connection with their partner. People with cancer can enjoy sex, and they should! When health challenges seem insurmountable and incompatible with sex, Dr. Modjoros can work with you to bring new dimension and fulfillment to your sex life. **A cancer diagnosis changes things – instantly.** Every individual’s journey is unique, but figuring out sex and intimacy while treating or recovering from cancer is confusing for most. For example, cancer treatments may interfere in frequency or quality of sexual pleasure for an individual or for a couple. Or, the partner with cancer may avoid sex due to body image, energy, or mortality concerns, etc. Sex therapy can help redefine sex to maintain intimacy when cancer has changed the body and the way it looks, feels, and/or works.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5c520ab3da02bcd63ed8b8df/1558988414062-ILNLRA3LC9V97F761SU6/anthony-tran-383490-unsplash.jpg</image:loc>
      <image:title>Life Transitions | Sexual Health Consultants - Life Transitions</image:title>
      <image:caption>Even with the best planning, life transitions are stressful. Frequently, sexual interest and frequency declines as change disrupts a couple’s ‘normal sex life’. However, change also provides the opportunity for sexual growth and deeper intimacy in the relationship. For each major life event, a couple’s sex life must progress from disrupted to reconstructed.</image:caption>
    </image:image>
  </url>
  <url>
    <loc>https://www.sexualhealthconsultants.com/testimonials-old</loc>
    <changefreq>daily</changefreq>
    <priority>0.75</priority>
    <lastmod>2019-07-19</lastmod>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5c520ab3da02bcd63ed8b8df/1558992071281-275ZOEUVWIWL6J0C7BEP/roman-kraft-266787-unsplash.jpg</image:loc>
      <image:title>Testimonials</image:title>
    </image:image>
  </url>
  <url>
    <loc>https://www.sexualhealthconsultants.com/medical-challenges-older</loc>
    <changefreq>daily</changefreq>
    <priority>0.75</priority>
    <lastmod>2019-06-01</lastmod>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5c520ab3da02bcd63ed8b8df/1558980648113-ATWDJ5VK3069TJVG8BL7/rawpixel-1145276-unsplash.jpg</image:loc>
      <image:title>Old Medical Challenges - Aging</image:title>
      <image:caption>As people age, sex changes. But it doesn’t have to stop! For many individuals and couples, sex remains a prominent part of their life well into 80s and beyond. Sex and pleasure are for everyone. Aging bodies may introduce some challenges into sex, but positions can be modified and sex can be shifted to include more of one type of touch and less of another challenged type of touch. Sex therapy can hep to revitalize sex within a long term relationship, or develop ways to enjoy sex when faced with physical or medical challenges. Retirement is more fun with more sex!</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5c520ab3da02bcd63ed8b8df/1558815236497-QVAF0N2X06MLBFHGBEQL/almos-bechtold-436811-unsplash.jpg</image:loc>
      <image:title>Old Medical Challenges - Cancer</image:title>
      <image:caption>Every individual deserves a satisfying sex life. A cancer diagnosis usually translates to many medical office visits, lots of imaging and/or biopsies, and often surgery or hospitalizations. Body changes, feeling ill, and grappling with mortality will affect an individual’s sex life initially. However, with modern medicine cancer is often a chronic disease….with symptoms that affect sex. Prostate cancer survivors may have urinary incontinence or erectile dysfunction postoperatively. Breast cancer patients may receive medication to block all estrogen, which has a profound effect on the vulva and vagina. Cancer diagnosis and treatment may affect how a man or woman sees themselves as a sexual being -- or how their partner views them. There can be grief and anger in this process, but there can also be healing through pleasure and connection with their partner. People with cancer can enjoy sex, and they should! When health challenges seem insurmountable and incompatible with sex, Dr. Modjoros can work with you to bring new dimension and fulfillment to your sex life. **A cancer diagnosis changes things – instantly.** Every individual’s journey is unique, but figuring out sex and intimacy while treating or recovering from cancer is confusing for most. For example, cancer treatments may interfere in frequency or quality of sexual pleasure for an individual or for a couple. Or, the partner with cancer may avoid sex due to body image, energy, or mortality concerns, etc. Sex therapy can help redefine sex to maintain intimacy when cancer has changed the body and the way it looks, feels, and/or works.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5c520ab3da02bcd63ed8b8df/1558980672851-Y0LWVSI0E461M0EAOUJC/j-s-romeo-630399-unsplash.jpg</image:loc>
      <image:title>Old Medical Challenges - Post Surgical Changes</image:title>
      <image:caption>Most people will experience surgery at some point in their lives. Appendectomies, spine surgeries, Caesarian sections, knee replacements — every surgery changes an individual's body -- how it looks and how it moves. Sometimes postoperative changes, including scar tissue, affect the patient's sexual experience. Following surgery, the details around sex may need to change. Dr. Modjoros helps individuals and couples work through redefining their sexual script to develop a new norm that is pleasurable and satisfying for both.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5c520ab3da02bcd63ed8b8df/1558980698466-MS716PQ8N3K8NVHELD4U/sharon-mccutcheon-738532-unsplash.jpg</image:loc>
      <image:title>Old Medical Challenges - Arousal and Orgasmic Issues</image:title>
      <image:caption>Arousal and orgasmic dysfunctions are relatively common. Delayed ejaculation, anorgasmia (not able to reach orgasm), and painful orgasms are just a few examples. For any new symptom or pain related to orgasm, a sexual medicine provider should be your first evaluation. He or she can figure out if the nerves and blood vessels are working properly. Dr. Modjoros works closely with the local community sexual medicine physicians to provide comprehensive management for patients with these issues. In sex therapy, individuals and couples learn how to relax into pleasure and stay focused on their body sensations to optimize their sexual connection.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5c520ab3da02bcd63ed8b8df/1558980523141-HHJEDX6AFNHDD4KBB78E/dmitry-schemelev-734013-unsplash.jpg</image:loc>
      <image:title>Old Medical Challenges - Chronic Pain</image:title>
      <image:caption>Some illnesses will directly affect an individual’s sexual function. Conditions like arthritis, chronic pain, ulcerative colitis, and Multiple Sclerosis, (and many others) will change sex dramatically. When sex changes, individuals may noticed increased stress, worry, and/or guilt about sex. Many couples don’t know how to talk about the feelings that these health challenges bring up. Sex therapy teaches patients and partners what to expect and how to talk about these really sensitive topics, and how to move toward a new normal that is pleasurable and satisfying to both partners. Sex can still be great, even as it changes over time.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5c520ab3da02bcd63ed8b8df/1558980581259-SGWUKGA1SX9PCEPSVZCG/asdrubal-luna-485688-unsplash.jpg</image:loc>
      <image:title>Old Medical Challenges - Pelvic Pain</image:title>
      <image:caption>Pelvic pain is complex, often multifactorial, and medical treatment is rarely straightforward. Regardless of where in the pelvis the pain originates (bladder, uterus, prostate, etc), most pelvic pain patients feel a sense of confusion and “brokenness” about their reproductive lives. Pain during intercourse is an unwelcome intrusion that reinforces feelings of inadequacy and guilt for many patients. When pain becomes chronic, a couple may struggle to maintain intimacy as the cycle of sexual fear, guilt, and avoidance becomes their new normal. To complicate things, chronic pelvic pain often leads to hypertonic pelvic floor muscles, which then worsens the pelvic pain and dysfunction. In these cases, sex therapy works best in combination with pelvic floor physical therapy -- the PT works on the muscles and the sex therapy works on managing the stress/anxiety/worry of the pain. If desired, Dr. Modjoros will collaborate with your medical providers to develop a comprehensive care plan. Regardless of which partner has pain, both partners are affected, so whenever possible, couples are encouraged to participate in the counseling process together. In therapy, Dr. Modjoros will guide you through your recovery process, helping you and your partner better understand the original health issue, the sexual stress associated with it, and the pathway to full recovery with the mind and body in harmony.</image:caption>
    </image:image>
  </url>
  <url>
    <loc>https://www.sexualhealthconsultants.com/breastcancer-2</loc>
    <changefreq>daily</changefreq>
    <priority>0.75</priority>
    <lastmod>2020-10-22</lastmod>
  </url>
  <url>
    <loc>https://www.sexualhealthconsultants.com/breast-cancer</loc>
    <changefreq>daily</changefreq>
    <priority>0.75</priority>
    <lastmod>2020-10-21</lastmod>
  </url>
</urlset>

