Category Archives: Sexual Anxiety

For Veterans, Trauma Of War Can Persist In Struggles With Sexual Intimacy

U.S. Marines march in the annual Veterans Day Parade along Fifth Avenue in 2014 in New York City.

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Much has been said about the physical and psychological injuries of war, like traumatic brain injury or post-traumatic stress disorder. But what we talk about less is how these conditions affect the sexual relationships of service members after they return from combat.

Since 2000, service members who were deployed received at least 138,000 diagnoses of PTSD. More than 350,000 have been diagnosed with traumatic brain injury since 2000. Evidence suggests the numbers are actually higher because many don’t seek treatment.

These conditions cause their own sexual side effects, such as emotional numbness, loss of libido and erectile dysfunction. And the long list of medications used to treat PTSD, TBI and other medical conditions can worsen those side effects.

‘He would sleep for days’

Chuck and Liz Rotenberry of Baltimore struggled with their own challenges when Chuck returned from Afghanistan in 2011. He’s a former Marine gunnery sergeant who trained military working dogs. He left active duty in 2012.

For Liz and Chuck, sex had never been a problem. They’ve been married for 14 years and they’re still very much in love. Liz says she fell for Chuck in high school. He was that guy who could always make her laugh, who always had a one-liner ready and never seemed sad.

But when Chuck returned from Afghanistan, their relationship would soon face its greatest challenge. Baby No. 4 was just two weeks away; for sure, it was a chaotic time. But Liz noticed pretty quickly, something was terribly wrong with her husband.

“I wouldn’t be able to find him in the house and he wouldn’t be outside, and I’d find him in a separate bedroom just crying,” Liz says. “He would sleep for days. He would have a hoodie on and be just tucked away in the bed, and he wouldn’t be able to get out of bed. He would have migraines that were so debilitating that it kept him in the bed.”

When Chuck was in Afghanistan, an IED — improvised explosive device — exploded 3 feet behind him. Shrapnel lodged into his neck and back.

It would take three years for someone at the Department of Veterans Affairs to explicitly lay out for Liz that Chuck had developed severe post-traumatic stress and suffered a traumatic brain injury — and that she would need to be his caregiver.

The Marine self-image

During that three-year period, there were times Chuck estimates he was taking 15 to 16 different medications twice a day.

Sex was usually the furthest thing from his mind.

“I didn’t think about it. I wanted to be with Liz, I wanted to be near her,” he says. “When the desire was there, it was unique. It was rare, as opposed to the way it was before. And a lot of times, with the mountains of medication I was on, you know, in my head [it was] all systems go, but that message didn’t go anywhere else.”

Liz noticed that Chuck stopped initiating physical affection.

“The thought of him reaching out to me to give me a hug wasn’t existent. It was like I had to give him the hug. I now had to step in and show him love,” she says.

Sometimes months would go by before they would have sex.

“It started off as being pretty embarrassing, pretty emasculating,” Chuck says. “It was like, ‘Really? This too doesn’t work?’ You blame it on, ‘Oh, it’s just the medication,’ or ‘You’re tired,’ or whatever initially, and you don’t realize it’s stress or my brain just doesn’t work like it used to.”

Liz and Chuck had never really talked about sex in any serious way before. So they kept avoiding the conversation — until this year. That’s when Chuck finally asked his primary care provider for help. The doctor prescribed four doses of Viagra a month. Liz and Chuck say the medication has improved things substantially — though they joke about how few doses the VA allots them every month.

But asking for just those four doses took Chuck three or four visits to the doctor before he could work up the nerve. He says it can be especially hard for a Marine to admit he’s having problems with sex because it contradicts a self-image so many Marines have.

“You know, as a Marine, you can do anything. You believe you can do anything, you’ve been trained to do nearly anything,” he says. “You’re physically fit. You’re mentally sound. Those are just the basics about being a Marine.”

If he has any advice for a Marine going through the same thing he and his wife are facing, he says you need to talk about it. Bring it up with your spouse. Bring it up with your doctors.

“Marines always jokingly hand out straws. You got to suck it up. You got to do what you need to do to get it done,” Chuck says. “It’s just a different mission. … Don’t let your pride ruin what you worked so hard for.”

 Complete Article HERE!

Caught in the modesty bind: Why women feel shy to consult doctors for their sexual well-being

By Aditi Mallick

“I was 17, when I first got sexually intimate with my boyfriend,” says Kriya (name changed), a 23-year-old IT professional from Hyderabad, while speaking to The News Minute.

“Later we were very scared, as it was the first time for both of us,” she recalls. She missed her periods that month. The 17-year old who had never once been to hospital alone, was scared and unsure of what to do next.

Trying to glean more information online just added to her worry over getting pregnant. Finally she discussed the issue with her boyfriend, and both of them decided to consult a gynaecologist.

“I was already very scared. After I told the receptionist my age, she kept staring at me. It made me so uncomfortable. While other patients were called by name, when it was my turn, she said ‘Aey, hello.…go!’ I felt so bad.

I expected at least the doctor to act sensitive. She first asked me what happened. When I told her, she started lecturing to me about our culture, and how young I am. It was a horrible experience. After the check-up, once I reached home, I burst out crying,” she shares.

From then on, Kriya has always felt too scared to discuss any sexual health problem with a gynaecologist. She is now 23, but in her view, nothing much has changed.

“Last month, I had rashes all over my vagina right up to my thigh. I just could not walk. It was painful. In the beginning, I used anti-allergic medication and antiseptic cream. But I was finally forced to go to a doctor. But even this time, I was ill-prepared for those weird looks.

The receptionist first asked for my name, then my husband’s name. For a moment, I panicked. After a pause I said, I am unmarried.”

Kriya feels that such unnecessary queries have nothing to do with a particular health problem and should not be asked: “We are adults and should not be judged for such things. After all, it is my decision. But society does not think so.”

Dr Kalpana Sringra, a Hyderabad-based sexologist agrees:“Doctors should not interfere in a patient’s personal life. But sadly, some do. A few are open-minded. They do not care whether the patient is married or not. We do at times have to ask about how frequently they have sex to ascertain the cause.”

Kalpana believes the rigid cultural restrictions and undue secrecy about anything related to sex are what makes patients uncomfortable sharing sexual health issues with their doctors.

Prapti (name changed), a 21-year old second year engineering student says: “Ï had  quite a few relationships, and faced initial problems like bleeding and pain during sex. I sometimes lose interest while having sex, due to this immense pain in the vagina.”

But she does not want to consult a doctor: “I prefer advice from friends. At least, they will not judge me.” She remembers the time she had to consult a doctor two years ago, when after having sex, the pain persisted for a whole day.

“The doctor did not even try to explain the reason. I kept asking her whether it was anything serious. But she deliberately chose to ignore me. Later I heard her murmur ‘this generation….uff’! When I shared this with my friends, I realised they too had been in similar situations.

According to Kalpana, only ten percent women come forward to consult a doctor for sexual well-being, of which the majority are planning to get married soon and want to get themselves checked for infection and related advice.

No woman ever goes to the doctor for this, unless it is absolutely avoidable. Not just unmarried women, but even married ones are ignorant in this regard. Young unmarried women are only more hesitant to ask or seek medical help, fearing society and parents, she says.

“Both married and unmarried women are not comfortable. They mostly come with their partners. To make them feel comfortable, we talk to the women alone. After a while, they open up about their problems.”

She also claims that 20% of women who suffer from vaginal infection like UTI and rashes after marriage too feel shy to discuss it with the doctor: “Men seem more comfortable discussing their sexual problems. 90% of our patients are men. But they tend to come alone.”

That was not the case with Jayesh (name changed), a 27-year old. He used to earlier hesitate to talk about his sexual health: “It was only a year back that I consulted a doctor for premature ejaculation, something that I suffered from the age of 23. I used to think if my friends get to know, they would make fun of me.”

The common issues that men in the age group of 18-80 are premature ejaculation and erectile dysfunction. “Most men confess that they force their wives to use contraceptive pills, as they do not want to wear condoms,” Kalpana says.

Gaurav (name changed), a 29-yearold unmarried man insists that he has never forced his girlfriend to use contraceptive pills, but they do sometimes prefer pills over condoms.

Gaurav who is sexually active does not feel ashamed or uncomfortable consulting a doctor, but that is not the case with his girlfriend: “Four years back, she once started bleeding after we had sex. Honestly, I was clueless how to handle the situation and whom to contact. We did not go the doctor, fearing prejudice.

My girlfriend is not at all comfortable consulting a doctor. She usually avoids going to a gynaecologist, as they ask whether we are married or not. It makes her uncomfortable. It happened a few times with us in Hyderabad. That’s why sometimes she prefers to use emergency contraceptive pills rather than consult a doctor.”

“Sex jokes are allowed, but people are otherwise shy talking about sex. Parents do not talk freely on the topic. It is still a taboo for Indian society,” Gaurav remarks.

When Preeti (name changed) -who is now doing an event management course- was in her final BCom year, she led an active sex life:

“I went for a party and got drunk. That night my friend and I had sex. I did not then realise that we had forgotten to use a condom. After missing my periods, I freaked out. I was confused and went to see a doctor. They first asked if I was married. I lied.”

She also admits to feeling uncomfortable while buying I-pills, condoms or pregnancy test devices: “Once a medical shopkeeper asked whether it was for me, with those around giving me judgmental looks.”

Fearing societal disapproval, several unmarried women tend to take medications, after consulting the internet.

“They go to medical stores or send their partners to buy medicines without consulting a doctor. Emergency contraceptive pills have several side-effects like, dizziness, vomiting etc. Some even try to abort through pills, which is life-threatening and can affect their health in the long run,” warns Kalpana.

Complete Article HERE!

Is this gonna warp me?

Name: Jake
Gender: male
Age: 23
Location: Omaha
I’m 23, and I’ve been dating 30-year-old chick for nearly a year now. I come from a very conservative Christian upbringing and I love that she is more experienced than me. My girlfriend likes to tie me up. I’m a college gymnast so I have very defined muscles. They are a huge turn on for my girlfriend, which I guess explains why she likes to see me struggle against the rope. I get real turned on too when I’m tied up. Sometimes she teases my penis and testicles with a feather or a piece of leather, which drives me wild. I’m worried though, because I think this is gonna warp me somehow. Do you think this is perverted? Why is it so much fun?

Ahhh yeah Jake, I do think it’s perverted. I think your girlfriend is a big fat pervert and I think you’re still a little tiny pervert, but well on your way to being a big fat pervert, just like your girlfriend. So YAY for that!

bondage236And why is this bondage thing so much fun? It’s such a blast because it’s perverted, nasty and forbidden, silly! One can only guess what your fundamentalist Christian mom and dad would think about their star athlete son trussed up like a thanksgiving turkey while a considerably older dominatrix punishes his family jewels. I fear this apple has fallen a great distance from the tree, right Jake? I absolutely love it!

Bondage is fun for you because you have to relinquish all your male privileged, Christian, preppy frat boy control to this unlikely kinky lady friend of yours. And what’s even better, you let her have her way with you. I have a feeling you’re not telling us everything about what she does to you when you’re all tied up. I’d be willing to guess there is a lot more perversion here than meets the eye. Not that that’s a bad thing, necessarily. I think it can be very therapeutic as well as amazingly hot to be completely helpless and in the control of another.

For a dominatrix, like your girlfriend, there is, as you say, the visual aspect to bondage. I think she’d agree, there’s nothing sexier then young masculine, muscular male flesh wrapped in ropes while having his cock and balls available for discipline. It’s the ultimate form of objectification. And, I might add, that you guys are turning all of society’s conventions — particularly the sacred “male as top” thing — on their head. YOU GO!

This has got to turn your crank, on some base psychological level too. I would so love to know how you and your girlfriend met. How she introduced you to all this pervy stuff. And more importantly, how you came to submit so unequivocally. That’s the real story here.bondage237

Jake, you are on the cutting edge. I think you have some sense as to how radical your play really is, don’t you? And I think it’s the radical nature of your play that gives you pause, right? It’s not the actual bondage, discipline, and possible humiliation that concerns you as much as you feel like you are losing your moral moorings. Nothing about what you are currently experiencing at the hand of this woman has any connection to the life you were brought up in. That has to be a bit of a jolt, which makes it all the more enticing. And there is virtually no turning back, is there? Once you’ve tasted the sweetness of surrender, vanilla will never again be enough.

Trust me, none of this makes you a bad person. On the contrary, if you embrace and integrate all this new information about yourself and live your life with authenticity and integrity, it will make you exemplary.

I do have one fear, however. I fear that one-day you will begin to second guess your harmless submissive eroticism and cave to the dictates of the popular culture. The worst case scenario would be for you to continue to enjoy your BDSM lifestyle on Saturday nights, then rush off to church on Sunday morning to join the choir of sanctimonious hypocrites who do one thing in private, but who publicly endorse and promote a sex-negative message of repression and denial. That, my friend, would be criminal…and a real perversion.

Good luck

The Dreaded Lesbian Bed Death

Name: Karen
Gender: Female
Age: 36
Location: Portland
I have a really big problem. I can’t keep a girlfriend because once I’m in a committed relationship I lose my desire for sex. I don’t mean it slacks off; it just totally stops. I’ve always been this way. I can have casual sex with women, but when things get serious sex goes out the window. This has been the demise of every relationship I’ve ever had. I’m currently dating this really great woman, but I’m afraid my problem will drive her away too. Is there anything I can do to stop this from happening?

Whoops, looks like another case of dreaded LBD…Lesbian Bed Death.

Lesbian Bed Death

Ya know it’s pretty common for lovers in long-term relationships to gradually lose interest in sex with each other. But lesbiterians are particularly susceptible to this malady. Some couples, but lesbians in particular, end all sexual expression between them; yet stay very committed and loving toward each other. Thus the somewhat humorous term, “lesbian bed death.”

You Karen, apparently suffer from a particularly nasty case of LBD. May I ask, is this an issue for you because, and only because, it kills off all your relationships way too soon? Or are you concerned about this because you yourself are uneasy about the complete cessation of sex once you nest? The reason I ask is, if your only reason for changing is to please someone else, even someone you like a lot, the likelihood that you’ll actually change is considerably less than if you yourself desire a change.

Let’s say you really want to change for yourself, but you just don’t know how. I’d advise working with a sex positive therapist. If you and I were working together, for example, I’d want to get to the bottom of what triggers your attitude shift toward sex when you nest. Is there some disconnect for you between sex and intimacy? If there is a disconnect for you, you’re not alone. People with self-esteem issues, or body issues, people with extreme scruples about sex, the kind that translates into guilt and shame often have a similar disconnect. And gay and lesbian people who have not resolved their internalized homophobia will frequently have a sex and intimacy rift.

Lesbian Bed Death2

Sound familiar? I would guess so. Reversing this is unhappy trend is not an insurmountable task. But it will take a concerted effort to heal the rift that you may have between your sexual expression and intimacy needs.

You say you’re met this really great woman and you want this relationship to last. FANTASTIC! Is it safe to assume that she has a healthier appreciation of sex then you? If she does, I suggest you engage her in your healing process. However, you gotta be totally up front with her about your past pattern of disconnect. Marshal her sex-positive energy to help you resolve your issues. She will need a heads-up on the impending sex shut down so she can help you resist it. With her help, the two of you could move through this.

Good luck

Shaming Men Doesn’t Build Healthy Sexuality

By David J Ley Ph.D

StandingNudeMaleTorso

Male sexuality is intensely under attack, in the increasingly vitriolic social dialogue related to pornography. Though women watch and make pornography, most of the current debates focus on aspects of masculine sexual behaviors. These behaviors include masturbation, use of pornography, prostitutes or sexual entertainment like strip clubs. Promiscuity, sex without commitment, and use of sex to manage stress or tension are all things that are frequently a part of male sexuality, whether we like it or not. But, male sexuality is not a disease, not a public health crisis, it is not evil, and it does not overpower men’s lives or choices. Shaming men for these behaviors isolates men, and ignores powerful, important and healthy aspects of masculinity.

There is a common perception of male sexuality as intrinsi­cally selfish, overly focused on “scoring” and sexual conquests, on anonymous, “soulless” sex, and on the outward manifestations of virility.  But there are other, oft neglected sides of male eroticism. Straight men are far more focused upon women’s needs, and upon closeness with women, than we give them credit for. Nancy Friday wrote that “Men’s love of women is often greater than their love of self.” Men give up friends and male camaraderie and accept a life of economic support of women, even leading up to an earlier death, all in order to be with women. More than half of all men describe that their best sexual encounters came when they “gave a woman physical pleasure beyond her dreams.” Men redi­rect their selfishness away from their own satisfaction, and toward a sense of fulfillment and accomplishment, by giving sexual satisfaction. Male sexuality often involves an intense focus on the needs of their partners, and men gain great pleasure, even a strong sense of manliness, from giving their lover sexual pleasure.

In fact, men’s desire to sexually satisfy their partners comes at the price of their own satisfaction. When a man is unable to make his partner orgasm, many men report incredible frustration, disappointment, and self-doubt. Women even complain that men put so much pressure and intent upon helping the woman achieve orgasm that the act ceases to be pleasurable and starts to feel more like childbirth. In such cases, women fake orgasms, not for themselves, but to satisfy their partner’s needs. Until a woman has an orgasm, a man doesn’t think he’s done his job, and his masculinity hangs in the balance.

Franz_Von_Stuck_-_SisyphusMen are taught from a young age that they must be sexually competent and sexually powerful with exaggerated and impossible ideals. Surveys of sex in America find that, compared to women, men are far more insecure and anxious about their sexual performance. Nearly 30 percent of men fear that they ejaculate too soon, most men sometimes experience erectile dysfunction connected to anxiety, and one man in every six reports significant worries about his sexual abilities to satisfy his partner. These are huge burdens that men carry, and are just one reason why many men pursue other forms of sex such as masturbation to pornography.

Compared to women, men actually experience greater pain and psychological disruption from the ups and downs of romantic relationships. Not only do the negative aspects of a romantic relationship hurt men more than women, but the positive aspects and benefits of that relationship have greater impact upon the man than the woman. Because women are better able to access outside support from friends and family, they often fare better than men. Men are often isolated and burdened with the expectation that they shouldn’t feel pain, or if they do, they must suffer alone.

For men, physical affection and sex is one of the main ways we feel loved, accepted, and regarded. For many men, it is only through physical love that we can voice tenderness and express our desire for togetherness and physical bonding. Only in sex can we let down boundaries and drop our armor enough to be emotionally vulnerable.

Sex plays a greater role in the lives of men as a form of acceptance and mutual regard than it does for women. Women touch each other all the time, with hugs, holding hands, closer body contact, and smaller “personal space.” Men shake hands. Really good friends might, at best, punch each other in a loving way, do a careful “man hug,” or even swat each other’s buttocks, if it’s during an approved masculine sporting event. (Many homosexual men experience this differently, when they come out and are part of the LGBTQ community) So the body-to-body contact that sex offers feeds an appetite, a craving, one that is often starved near to death in men.

Male sexuality is portrayed as something that men must guard against, and describe it as though it is a demonic force, lurking within our souls, which must be constrained, feared and even rejected. Men are portrayed as powerless to control themselves, in the face of sexual arousal that is too strong. Men are painted as weak, harmed and warped by sexual experiences such as pornography. As a result, men are told to be ashamed of the sexual desires that society has called unhealthy, and told to forego those condemned sexual interests. But an essential part of man is lost when we encourage men to split them­selves from their sexuality.

Unfortunately, as we teach men to be men, to understand, accept, and express their masculinity, we rarely attend adequately to the loving, nurturing, and amo­rous side of men. The most positive way that society and media currently portray male sexuality is when it is depicted as bumbling and stupid-making, a force that turns men into fools, easily led by our penises. But more often, male sexuality is depicted as a force that hovers just on the edge of rape, rage and destruction.

What is necessary for a healthy man, for complete masculinity, is the in­tegration, consolidation, and incorporation of ALL the varied aspects of our sexuality. When we try to externalize our desires for love and sex, excising them from ourselves as something external and dangerous, we run the real risk of creat­ing men without compassion, without tenderness, and without the ability to nurture. It is easy to suggest that what we are trying to excise are the base, primitive parts of men’s eroticism, those desires to rape, dominate, and sat­isfy oneself selfishly. But in truth, those desires, as frightening as they can be, are integrally linked to male emotional desires for safety, acceptance, protection of others, and belonging.

A_ShipwreckThose things that make men admired and respected—their strength, courage, independence, and assertiveness—are the same things which contribute to the differences in male and female sexuality. By condemning these characteristics, we run the real and frightening risk of abolishing qualities that are essential to healthy masculinity.

A healthy sexual male is one who accepts and understands his erotic and sexual desires, along with his drive for success, dominance (and often submission as well) and excellence. Healthy sexual choices come from internal acceptance and awareness, not rejection and shame. Research has shown that all men have the ability to exercise control over their levels of sexual arousal and sexual behavior, but no men can fully suppress their sexual desire. Healthy men can be men who go to strip clubs, visit prostitutes and watch pornography. They are men who make conscious sexual choices, accepting the consequences of their actions.

Our culture needs a sexual ethic focused on personal relationships and social justice rather than particular sexual acts. All persons have the right and responsibility to lead sexual lives that express love, justice, mutuality, commitment, consent and pleasure. Grounded in respect for the body and for the vulnerability that intimacy brings, this ethic fosters physical, emotional and spiritual health. It accepts no double standards and applies to all persons, without regard to sex, gender, color, age, bodily condition, marital status or sexual orientation. The Religious Institute

We need to begin encouraging personal integrity, responsibility, self-awareness and respect, both for oneself and one’s sexual partner(s). This is, I think, the goal for all men – to make their sexual choices an integrated part of who they are, and the kind of man they desire to be. Unfortunately, as long as we continue to shame and condemn men in general, and specific sexual acts, we are merely isolating men. Further, we are exacerbating the problem, because removing porn or shaming men for their desires or fantasies, does not teach men how to be a sexually healthy man.

Complete Article HERE!