Dr. Tanginika Cuascud

Dr. Tanginika Cuascud I focus on sexual function and the neurobiology of sexual behavior. The pillars of my work are self-responsibility, communication and education.

I offer comprehensive treatments tailored to each specific case with the approach of making sex a success!

01/26/2026

No one owes you s*x. You don’t owe s*x to anybody. You don’t have to have the s*x that you don't want. You don’t have to perform. You don’t have to pretend or fake pleasure. But in a committed relationship, if s*x is at the cornerstone of it, unilaterally stopping the s*x and forcing Celibacy onto the other person is unethical, cruel, and a contract breach. You don’t owe s*x but you owe honesty and having the conversations, even if they're hard. You owe yourself health, pleasure, and compassion and you owe ot to your partner as well. S*xlessness erodes intimacy, connection, and love.

*xlessness *xandrelationships *xlessmarriage

01/26/2026

No one owes you s*x. You don’t owe s*x to anybody. You don’t have to have the s*x that you don't want. You don’t have to perform. You don’t have to pretend or fake pleasure. But in a committed relationship, if s*x is at the cornerstone of it, unilaterally stopping the s*x and forcing Celibacy onto the other person is unethical, cruel, and a contract breach. You don’t owe s*x but you owe honesty and having the conversations, even if they're hard. You owe yourself health, pleasure, and compassion and you owe ot to your partner as well. S*xlessness erodes intimacy, connection, and love.

*xlessness *xandrelationships *xlessmarriage

01/26/2026

No one owes you s*x—consent is essential. But honesty is vital, especially in committed relationships. Quietly dropping s*x unilaterally breaches the unspoken contract of marriage. The ethical move? Open, honest communication. *xAndMarriage

01/25/2026

Self-partnered vs. Auto-s*xual — they’re not the same thing.

Self-partnered is an identity and lifestyle choice:
“I’m not currently in a relationship, and I’m choosing myself as my primary partner.”

It can be temporary or long-term. It’s about commitment to your own life, not a rejection of love or intimacy.

Auto-s*xual is about where your arousal is oriented:
You feel turned on by yourself, your own body, your own fantasies, your own erotic energy.

Some auto-s*xual people still date and have partnered s*x — it’s not the same as being celibate.

Here’s the overlap:
You can be self-partnered and not auto-s*xual (you want partnered s*x, you’re just not partnered). You can be auto-s*xual and partnered (you enjoy s*x, but your strongest arousal is self-directed). You can be both — and there’s nothing “wrong” with that. The real question isn’t “Is this normal?”
It’s: Is it working for you?
Do you feel fulfilled, connected, confident, and alive?

*xdoctor *xdoctor

01/25/2026

What does it mean to be self-partnered? Recently, actress Emma Watson said that self-partnered was her relationship status. What's special about that? It is about not defining success or self-worth by being attached to a partner. It is living and thriving while focusing on one's own growth, goals, and life. And it can be for a season, for a reason or for a lifetime. Think about it: if you love yourself and value yourself like you are more than enough, when or if you decide to have a partner, you'll be bringing the best version of yourself into the relationship. Focus on your growth and cultivate your own happiness. Because if you cannot be happy with yourself, how do you expect others to be happy with you?

*xandrelationships *xuality

01/24/2026

PT-141 (bremelanotide) is an arousal medication, not a “blood-flow pill.” Unlike PDE5 inhibitors (Viagra/Cialis, etc ) that work mainly by increasing ge***al blood flow, PT-141 works through the brain’s desire/arousal pathways, so it can help boost s*xual interest and responsiveness, especially when arousal is the missing piece. It’s not a magic switch, and it’s not for everyone (nausea and flushing can happen), but for the right person it can be a game-changer in the “mind-body” side of intimacy.

*xdoctor *xdoctor *xualhealth libido arousal womenshealth menshealth ED intimacy s*xeducation

01/24/2026

PT-141 (bremelanotide) is an arousal medication, not a “blood-flow pill.” Unlike PDE5 inhibitors (Viagra/Cialis) that work mainly by increasing ge***al blood flow, PT-141 works through the brain’s desire/arousal pathways, so it can help boost s*xual interest and responsiveness, especially when arousal is the missing piece. It’s not a magic switch, and it’s not for everyone (nausea and flushing can happen), but for the right person it can be a game-changer in the “mind-body” side of intimacy.

*xdoctor *xdoctor *xualhealth libido arousal womenshealth menshealth ED intimacy s*xeducation

01/23/2026

Twenty years is a long time to live next to someone you love… and feel completely untouched.

A man left a comment that he is has been in a s*xless marriage of 20 years. His wife decided two decades ago that s*x was “over,” and she won’t discuss it or consider help. At this point, the only s*xuality he has left is ma********on, and even that feels less like pleasure and more like survival.

Here’s what I’ll tell anyone in this situation:
1) Communicate clearly and kindly. Not hints. Not resentment. A real conversation: “I’m lonely. I miss closeness. I miss you. I miss us. This is hurting me. I need us to address it.”
2) Ask for relationship help.
S*xlessness isn’t just a bedroom issue; it’s a connection issue. Couples therapy, s*x therapy, medical evaluation… something!
3) If your partner refuses to participate, get help for yourself. You can’t do couples work alone, but you can get support, build clarity, and stop bleeding in silence.
4) Then weigh your options with honesty. Not as a threat, but as a reality check. You get one life. How much longer can you live with this pain? What are you willing to accept? What are you no longer willing to sacrifice?

A s*xless marriage can feel like invisible grief because the person is still there, but the intimacy is gone. You are not “shallow” for needing touch, desire, and closeness. Those needs are human.

If this is you: you don’t have to suffer quietly.

*xdoctor *xdoctor *xlessmarriage intimacy marriage relationships s*xualhealth couplestherapy s*xtherapy emotionalneglect loneliness communication

01/22/2026

Feeling "backed up" after ej*******ng? These could be some reasons why. *xualHealthforMen *******on **sm *xualhealth ********on

01/22/2026

This man still feels "backed up" after ej*******on. Here are some explanations as to why that may be the case. *xualhealthformen *xed *******on *******on **sm maleor**sm

01/21/2026

Reaction to a comment: This man wrote that a**l s*x leads to bacteria going into the urethra and up the spine into the brain, like a direct pipeline. Here's some truth and a little anatomy lesson.

*xualHealthforMen *xeducation *xualhealthmatters *xed

Address

2300 Valley View Lane Ste. 911
Irving, TX
75062

Opening Hours

Monday 9am - 4pm
Tuesday 9am - 4pm
Wednesday 9am - 4pm
Thursday 9am - 4pm
Friday 9am - 4pm

Telephone

+18179089410

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