Desire and arousal should be considered separate concepts in understanding sexual function, particularly for women, as treatments and research directions differ.

“and that if you didn't separate it you were missing something about what could be a problem for someone”

“and that if you don't normalize that thing where desire and Rous are kind of smoos together when everything works you're going to Mi you're going to make people think there's something wrong with them that they don't have spontaneous sexual desire”

“it's really helpful to keep these Concepts separate right yes um there's some work coming out I don't know if you want to get into this it's come out over the last decade actually in some sort of lay press books that are smooshing them together saying that they're indistinguishable for women but I feel they shouldn't be I feel they need to be separated and that's based on first of all vast clinical experience that the you need to walk people through this to understand the problem by separating them secondly that the the available treatments Target different things and the physiologic plausibility for separation is strong in terms of risk factor and response to treatment intervention and the opportunity for future Direction and improving sexual function if we keep them together we're going to lose that”