When treating women with chronic vulvar pain, are you stymied when everything improves clinically (ie, pain, incontinence, pelvic floor muscle dysfunction), yet still find your patients resistant to engage sexually? Discussion of female sexual desire, arousal, and climax are not often included in our sex and health education. Without knowledge of the basics of sex and arousal, how can we help our patients begin to explore their own sexual needs? In order to reach full arousal, the female body, mind, and spirit must be aligned to allow the arousal process to proceed as endorphins, the precursor to sex hormones prolactin and growth hormone, flood the system to prepare the arousal network for climax. Do you have the skill set to discuss a range of strategies designed to help your patients find satisfying sex for the first time or to return to pleasurable sex? This session seeks to reframe the conversation about female sexual arousal and pleasure by discussing the basic tenants of female sexual function, including anatomy, neurology, and methods of arousal. Participants will appreciate how the female sexual system functions as it does, and gain tools needed to purposefully treat women’s sexuality from a functional perspective.