Category: Sexual Anxiety

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What Is Sexual Performance Anxiety?

BY Carley Millhone

Sexual performance anxiety is a form of performance anxiety that causes intense fear or worry before or during sex. Many people feel nervous before having sex. However, if you feel so anxious about sexual expectations or body image that you can’t perform sexually, you may have sexual performance anxiety.1

Sexual performance anxiety can affect anyone, but it is more common in people in males. Eventually, sex-related anxiety can make it impossible to have sex with your partner and may eventually strain your relationship. Sexual performance anxiety can also lead to other sexual disorders, like erectile dysfunction.1

Fortunately, there are a few ways to address and get past sexual performance anxiety.

Like other forms of performance anxiety, sexual performance anxiety can affect you mentally and physically. People with sexual performance anxiety are so overwhelmed by sex-related worries, negative thoughts, or fears that they have trouble engaging in sexual activity. These negative thoughts or fears may happen before or during sex.1

As a result, you may be unable to maintain an erection, climax, or ejaculate. You can completely lose your desire to have sex. You may also experience physical symptoms of anxiety, like increased heart rate, upset stomach, and shaking.2

Sexual performance anxiety symptoms commonly found in males include:2

Symptoms of sexual performance anxiety in females may include:2

People can have different fears, experiences, and worries that can affect sexual performance. Potential causes of sexual performance anxiety include:13

  • Feeling worried about your partner’s sexual expectations or satisfaction
  • Feeling concerned about how masculine or feminine you come across during sex
  • Lacking self-esteem or having a negative body image
  • Being physically or emotionally unattracted to your partner
  • Feeling anxious about past negative sexual experiences
  • Feeling fear or anxiety related to sexual trauma

How exactly do stressful and anxious thoughts affect sexual performance? When you become stressed or anxious, your body kicks off its stress response by producing more of the stress hormone cortisol. When cortisol levels rise, levels of the sex hormone testosterone drop—decreasing your sex drive, or libido. In males, low testosterone is also linked to erectile dysfunction.4

People with substance use disorders, anxiety, and depression may also experience sexual dysfunction and disinterest that can lead to sexual performance anxiety. Medications used to treat anxiety and depression can also negatively affect libido and sexual performance.5

Lack of sex due to sexual performance anxiety can harm romantic relationships. Studies show couples who engage in higher rates of sexual activity build greater intimacy and have a lower divorce rate.6< Being unable to have sex or enjoy sex can make partners feel less connected and intimate. As a result, your partner may feel like you are avoiding intimacy because you do not desire or care for them. People with sexual performance anxiety may also start to feel cautious of their partners, which disrupts trust and intimacy.3< Identifying your triggers and finding ways to destress can often help you learn how to manage the negative thoughts and feelings affecting your sex life. Coping strategies include:2

  • Mindfulness meditation to better understand your thoughts and desires related to sex7
  • Yoga to help manage stress and improve the mind-body relationship as it relates to sex, which can also help manage premature ejaculation8
  • Masturbating to learn more about what you enjoy and feel during sex
  • Seeing a sex therapist to identify thoughts or feelings that lead to sexual performance anxiety.

Talking with your partner can also help you cope with sexual performance anxiety. Open communication can help partners better understand your feelings and struggles related to sex. Your partner may also offer valuable insight into the false, preconceived thoughts that prevent you from performing sexually—like your body image or performance concerns.2< Accepting sex isn’t perfect or spending more time focusing on foreplay can also help improve intimacy. Other ways you can help build intimacy without sex include:9

  • Cuddling
  • Kissing
  • Hugging
  • Holding hands
  • Spending quality time together

Reach out to a healthcare provider if your anxieties around sexual performance and dysfunction are affecting your relationships and quality of life. They can refer you to a licensed sex therapist, psychologist, or psychiatrist for therapy services. You may also be able to contact these mental health professionals directly.

Some symptoms of sexual performance anxiety may also point to an underlying sexual dysfunction disorder.1 If you’re unable to perform sexually for a few months, see a healthcare provider to make sure you don’t have an underlying condition.

Sexual dysfunction symptoms that warrant a visit to your primary care provider, urologist, gynecologist, or OB-GYN include:1011

  • Premature ejaculation
  • Delayed ejaculation
  • Erectile dysfunction
  • Reduced or no interest in sex
  • Vaginal dryness
  • Pain during sex
  • Inability to orgasm

Sexual performance anxiety treatment often depends on the cause, and research on the overall success of these treatments is limited. However, treatment typically involves a combination of therapy and medication.2

Cognitive Behavioral Therapy (CBT)

Talking out your feelings with a therapist is a common approach to treating sexual performance anxiety. Cognitive behavioral therapy (CBT) is a common talk therapy used to treat performance anxiety.12

CBT helps people learn to reframe negative thoughts around sex that make it difficult or impossible to perform. This helps build awareness of triggers while learning to actively dismantle and redirect them.2

Mindfulness sex therapy can also help people with sexual performance anxiety learn to understand their bodily sensations and become aware of how they react to sex. This type of therapy often incorporates CBT practices.2

Couples Therapy

Couples therapy helps people with sexual performance anxiety communicate their feelings with their partner and explore feelings that may affect sexual performance. This therapy focuses on the couple as a whole, not just the partner with sexual performance anxiety.2

This approach can help remove shame, fear, and miscommunication between couples. Couples therapy helps create an open dialogue related to sources of emotional distress or negativity while creating active solutions to solve them.2

Medication

Erective dysfunction medications like Viagra (sildenafil) and Cialis (tadalafil) may help males with sexual performance anxiety who are unable to maintain an erection. These medications increase blood flow to the penis to help keep an erection.13

Limited research shows anxiety medications like BuSpar (buspirone) and antidepressants like Wellbutrin (bupropion) and Desyrel (trazodone) can help reduce sexual performance anxiety. Unlike some anxiety drugs that decrease sexual function, these medications can affect brain chemistry in a way that may improve sexual arousal and sex drive.7

Sexual performance anxiety affects sexual performance before or during sex. If you have this type of performance anxiety, you may be unable to have sex, become aroused, or climax. Males with sexual performance anxiety often have issues with erectile dysfunction.

If you or your partner is experiencing sexual performance anxiety, having open communication and seeing a healthcare provider, like a licensed sex therapist, can help. Cognitive behavioral therapy, couples therapy, or medication may also help.

Complete Article ↪HERE↩!

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6 Tips To Overcome Orgasm Anxiety For Better Sex

— Feeling anxious about orgasms can affect sexual pleasure, here’s how to cope.

By Habeeb Akande

Orgasm anxiety is a topic that doesn’t get enough attention, but it’s a real issue that affects a lot of women.

What is orgasm anxiety?

Orgasm anxiety is a sense of nervousness and stress surrounding the ability to orgasm, typically during partnered sexual activity. Orgasm anxiety can manifest itself by hyperfocusing on achieving orgasm or excessively worrying about a lack of orgasm.

What causes orgasm anxiety?

A lack of sex-positive, pleasure-focused sex education is a significant cause of orgasm anxiety.

In our sexually liberated society, many women feel pressured to have great sex with mind-blowing orgasms. While great strides have been made to help women orgasm by self-stimulation, millions of women struggle to orgasm when a man is involved.

The ability to orgasm is of primary concern among women, with approximately 25% of women having never experienced an orgasm or having difficulty experiencing one. Even more women do not orgasm during partnered sex, with a study reporting that only 18.4% of women orgasm during intercourse alone.

Some men know how to bring a woman to orgasm. Many women are not informed or confident enough to tell men what they need to orgasm. It’s a taboo topic that must be addressed if we want to close the orgasm gap.

Six tips for overcoming orgasm anxiety and enjoying sex more

For women who want to overcome orgasm anxiety and experience sexual fulfillment, here are six tips:

1. Stop overthinking and practice mindfulness

Overthinking is when you repeat your negative thoughts and feelings, examine them, and question them. Some women overthink more than men due to brain activity, as shown in a study by the Amen Clinics.

Overthinking causes stress and anxiety, the most common reasons why 58% of women don’t orgasm. Feeling anxious can cause orgasm difficulties as it creates a barrier to sexual fulfillment.

According to experts, overthinking is the most significant barrier to women’s orgasms. It’s similar to ‘spectatoring’. For example, focusing on oneself from a third-person perspective during sexual activity rather than focusing on one’s sensations or sexual partner.

In the bedroom, a lot of women overthink and find it challenging to climax due to the negative thoughts. “Overthinking gives you tunnel vision that can only focus on what’s wrong in your life,” writes renowned psychologist Dr. Susan Nolen-Hoeksema, who helps women who ruminate too much. To stop overthinking, shift your perspective from “what’s wrong?” to “what’s not wrong?” Adopt a pleasure-positive perspective to become orgasmic.

For many women, the practice of mindfulness is vital to overcoming orgasm anxiety. Learn how to be present during intimacy to enjoy sexual pleasure.

2. Focus on pleasure, not climax

While most women can easily stimulate themselves to orgasm, up to 65% of women do not orgasm during sexual intercourse, even with clitoral stimulation.

If orgasm anxiety is preventing you from having an orgasm with a partner, it might be worth focusing on sexual pleasure instead. Goal-orientated sex can create a lot of internalized pressure and may leave you feeling frustrated when you don’t orgasm.

Pressure can create anxiety and make it even more difficult to orgasm. The expectation to climax is known as the orgasm imperative.

Prioritizing sexual pleasure can help relieve orgasm worries.

Take the focus off the orgasmic goal and follow the pleasure journey. You are more likely to reach orgasm when you are on the road to pleasure.

3. You’re not broken, you’re normal

It’s common for women to experience orgasm anxiety at some stage in their life. Many women find it challenging to climax or have never experienced an orgasm, and that’s okay. Remember, when it comes to orgasm, there is no such thing as “normal.”

Every woman is different, and every woman has different orgasmic experiences. What works for one woman may not work for another, and that’s okay. Some women do not orgasm until their forties or even later, and that’s okay.

It’s important to understand that you are not abnormal, damaged, or broken because you do not orgasm as often as you would like or expect.

Learn what works for you and set realistic expectations without comparing yourself to others.

4. Communicate your feelings

Effective communication is vital to overcoming orgasm anxiety. Open communication in a safe and non-judgmental way can help eradicate bedroom stress.

If you are in a relationship, speak to your partner about your desires, preferences, and boundaries. It can help him understand your needs and learn how to support you.

Often, women will speak to their female friends about bedroom issues and assume that men are not concerned about their needs. It’s important to remember that men are not mind readers. We think differently to women, and that’s okay. This is why it’s critical to communicate your needs and desires effectively.

You can show your partner how you like to be touched or guide him with your hands to help you discover new sensations.

5. Try new techniques

The route to climax varies among women. If you’re someone who struggles to orgasm during sex, try different techniques to help you achieve the elusive big O.

Researchers at the sexual pleasure platform OMGYES identified four techniques to help women increase sexual pleasure. According to the OMGYES Pleasure Report, adult women in America reported that the “shallowing,” “pairing,” “rocking,” and “angling” techniques made vaginal intercourse more pleasurable.

Intercourse is only one technique for lovemaking; women can reach orgasm through non-penetrative techniques such as kunyaza. It’s a myth that orgasm should occur through intercourse alone.

Find the technique that works for you!

6. Learn what gives you pleasure

Many women have convinced themselves that they are unable to orgasm because they’ve experienced years of unsatisfactory sex. It can also be challenging to open up to a partner or friends about orgasmic dysfunction. A lack of sexual knowledge can lead to bedroom anxiety.

Misinformation about women’s sexuality is rampant, as there are many misconceptions about female sexual arousal and women’s orgasm. Such misinformation has contributed to many women feeling inadequate.

Hollywood actress and author Kim Cattrall believed she was unable to orgasm until she experienced her first orgasm in her forties. Despite playing a sexually confident character on screen, Cattrall struggled to orgasm until she met her third husband and learned what turns her on.

Educating yourself about women’s experiences can help normalize your path to sexual satisfaction.

Complete Article ↪HERE↩!

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How Learning Your Desire Style Could Help Spice Up Your Sex Life

By Shaeden Berry

When you hear the word “desire” do you think of burning hot passions?

A low urgent feeling in your belly?

Do you think of Hollywood movies and two lovers tearing each other’s clothes off, tucked behind the locked bathroom door of a party, because they couldn’t keep their hands off one another any longer?

And then, do you think, “can’t relate”? Not because you aren’t attracted to your partner, but because that urgent, spontaneous desire very rarely grips you. For some, that thought process can lead to feelings of shame or beginning to question whether there’s something wrong with them.

At the end of the day, no two people are the same, but it is easy to get bogged down in what you feel like you should want or should feel, rather than tapping into what you actually do crave in the bedroom. Learning whether you have a spontaneous or responsive desire style, or where you sit along the spectrum of desire may help you to understand how you approach our bedroom activities and ensure you’re getting what you really want from your sex life.

What Are Spontaneous & Responsive Desire?

We all exist on a desire spectrum, according to Georgia Grace, sexologist and co-founder of NORMAL, a queer- and women-owner wellness brand. She explains that it’s doubtful any of us will be wholly and entirely spontaneous or responsive, adding that it’s important to know these terms so we can understand there’s no one way of experiencing desire.

“Within spontaneous desire, the desire comes out of nowhere,” she tells Refinery29 Australia. “Like how it might be in the early stages of a relationship,” people who tend to experience spontaneous desire often don’t need an external influence to get them in the mood.

With responsive desire, things are different. “Your body needs a stimulus to bring sex to the front of the mind — whether it be porn, your partner kissing your neck, or even beginning the act of sex itself,” says Grace.

She explains that responsive desire is actually the most common way for people to experience desire, but between bodice-ripping romance novels and the way sex is often spoken about in popular culture, it “doesn’t get the airtime it deserves”.

If you exist on the Internet, you’re probably being fed a lot of content that references spontaneous jumping of bones, and not a lot of slow-building desire, foreplay or being introduced to the idea that many people need extra help or motivation to get in the mood for sex.

In fact, the stereotype that often plays out across our screens is a scenario featuring a long-term relationship, where amorous advances are being knocked back by one partner who’s “not in the mood”. When this is so often displayed as the tell-tale sign of a relationship being dead in the water, it’s unsurprising that many of us might feel the pressure to be spontaneously crackling with desire at all times and find ourselves wondering why we can’t just flick a switch and be instantly in the mood.

It’s also worth considering how these different desire styles are often presented as gendered. Whilst there’s not yet a scientific measurement for desire, Emily Nagoski, author of Come as You Are: The Surprising New Science That Will Transform Your Sex Life, cites research that indicates responsive desire is the primary desire style for about 30% of women. In an article about the concepts of desire, Nagoski also highlights how spontaneous desire is so actively pushed as the “norm” in society, when, in reality, many people will only feel desire after first experiencing pleasure (i.e. responsive desire). That means, you are not broken or wrong for not experiencing spontaneous desire, and your level of desire is not an indication of sexual wellbeing.

How Can You Navigate Differing Desire Styles In A Relationship?

Let’s return to the Hollywood movie scene we mentioned above. What if, after one party says they’re not in the mood, there was an open conversation between both parties about what could be done to help them get into the mood — perhaps not in that moment, but moving forward? What if not being in the mood wasn’t treated as an issue, but rather, something that’s actually extremely normal?

Having “desire discrepancies”, as Grace puts it, is not an uncommon phenomenon within a relationship. Grace often sees couples in sessions who have differing desire styles, i.e. where one person leans more towards spontaneous desire and the other is more responsive.

If this is something you might be experiencing, Grace suggests that rather than framing it as one person having a higher or lower libido than their partner or partners, she works to help them understand that they are just experiencing desire differently.

Perhaps the responsive partner isn’t getting enough stimulus to become aroused enough for sex, and in these cases, Grace works with them to examine what she refers to as their “brakes” and “accelerators”.

Some people can be extremely sensitive to “brakes”, which are those triggers that make us feel as if sex isn’t a good idea right now and have us finding reasons to not be aroused. They can be anything from feeling touch-fatigued, stressed, worried or even wider issues of social and cultural stresses and anxieties. Meanwhile, “accelerators” are the triggers that turn you on and can be a specific scent, setting, or a sexual act.

Grace says the key is working on becoming more aware of your brakes and accelerators and managing them, trying as best you can to remove brakes and amplify accelerators.

But the important thing is recognising that there is no right or wrong way to feel desire. We don’t need to be always raring to go. But if we are always in the mood? That’s fine too.&

The first step is figuring out how you personally experience desire, and then doing what works for you and your relationship.

Complete Article ↪HERE↩!

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Can Kink Help You Let Go of Shame and Anxiety in the Bedroom?

— Folding in kink and BDSM play can help soothe anxious feelings and release shame.

By Jackie Lam

Key Points

  • Kink and BDSM may help alleviate anxiety, release shame and boost creativity.
  • Go slow. Learn the ropes of kink before you dive in.
  • It doesn’t have to look like “Fifty Shades of Grey.” There are other options, including safer ones that may be easier for beginners.

Common depictions of kink and BDSM, or bondage, discipline and sado-masochism, include latex, whips and flogging devices. These popularized notions of kink and BDSM culture are mainstream thanks to cultural phenomena such as “Fifty Shades of Grey.”

But kink has a much broader range of options—and it doesn’t have to involve a ball gag. Many women struggling with feelings of shame and anxiety experience challenges letting go in the bedroom. Here’s how kink could help.

How can kink help reduce anxiety?

In Norway, roughly 38 percent of people have experimented with a kinky activity during sex, suggested a 2021 study. Kink is more common than we may think, and it could have some unexpected potential health benefits.

Grounding techniques, meditation and spending time in nature can help you gain control of anxiety. There’s one avenue, though, that not everyone knows can help reduce anxiety—and it starts in the bedroom.

BDSM sex may help, as kink can potentially generate flow and transient hypofrontality, or the need for the brain to think, suggested a 2022 study.

What are the different types of sexual shame?

Sexual shame is a particular form of shame characterized by feelings of humiliation or disgust around one’s own identity and sexuality, according to a 2017 study.

Feelings of shame are made up of three main parts:

  1. Relationship sexual shame. This has to do with interpersonal relationships and feelings involving others.
  2. Internalized shame. Feelings of humiliation, disgust or abnormality are sometimes expressed as bodily shame.
  3. Sexual inferiority. Feeling as if you’re not meeting your sexual expectations, often due to societal norms and cultural expectations, can result in shame.

What are the origins of sexual shame?

Where do shameful feelings about sex come from? The answer is complex and varies between people, but there are common sources.

Sexual shame can stem from several places and may be due to the following factors, said Maria “Two-Straps” Hintog, an EDSE sex educator based in Los Angeles:

  • Culture
  • Gender norms
  • Gender roles
  • Gender expectations
  • Social settings
  • Religion and the church

“A lot of the shame comes from our upbringing and our past experiences because, especially as kids, we’re absorbing gender norms and the cultural norms and what you’re not supposed to do,” Hintog said.

Those childhood experiences shape our future selves. These feelings can lead to anxiety for some people.

“So we’re told not to do something, but we don’t know why. We just absorb that information. And then, as we grew older, we’re like, ‘Why is this bad? Nobody told me why it’s bad. They just told me it is,'” Hintog said.

What is the difference in sexual shame between men and women?

Men scored far higher than women on suppressing their sexual desire, suggested a 2023 study. However, there wasn’t much difference between the two genders when it came to sexual desire or sexual shame.

There wasn’t a dramatic difference in cognitive reappraisal, which has to do with changing how a person thinks about a particular situation in the bedroom. Many of us grow up in homes that discourage talking about sex, power and consent, said Mistress Amanda Wildefyre, a professional dominatrix based in Minneapolis.

“Some of us have been taught that it’s wrong to want experiences that don’t match up with our gender or that only certain types of people can enjoy sex,” Wildefrye said.

How can kink help women express desires and set boundaries?

“Engaging in kink/BDSM is a multi-edged sword—in a good way,” Wildefyre said. “These alternative practices ask us to learn to communicate our desires, negotiate expectations and express enthusiastic consent with our partners. BDSM play also encourages us to recognize and reflect on our physical and emotional reactions during and after intimacy.” By following a safe and consensual framework, kink and BDSM can offer the built-in reward of satisfaction and affirmation of our unique desires, which may lead to a reduction of shame and anxiety over time, Wildefyre said.

“When you’re doing those things in that controlled environment, sometimes that’s enough to remind the person that it’s okay,” Hintog said. “‘I’m safe. I don’t have any further repercussions from this.'”

How can kink help you feel safe with the right partner?

A controlled environment, boundaries and aftercare can play into creating a safe space. These feelings of safety can help release bouts of anxiety and shame. “Kink/BDSM play offers a template for clear communication about likes and dislikes, compatibility and expectations,” Wildfyre said. “Safewords give us an explicit language to indicate when we need a pause or would like the action to stop.” Healing can occur during aftercare—the emotional, mental, spiritual and physical caretaking aspects after a sexual experience.

“When you’re with a partner you trust, that aftercare builds connection and intimacy,” Two-Straps said. “And it tells your brain, ‘We did this scary thing in a controlled environment, and now we’re safe.'”

How can kink help you relax and transform shame?

At its best, kink/BDSM offers a narrative-changing context for pleasure and approval for the parts of ourselves we have been made to feel ashamed of, Wildfyre said.

As a teenager, Wildfyre was teased relentlessly for being “too tall.” When she started playing with female dominance, her height became an asset. An athletic, cis-gendered masculine-expressing male, for example, might feel more comfortable indulging in being submissive, something for which they may have previously been ashamed.

BDSM activities indicated reductions in psychological stress and an increase in a mental state linked to heightened creativity, indicated a 2016 study.

Where can you go to learn more about kink and BDSM?

If you’re keen on exploring kink, Hintog suggested relying on reputable sources. Immerse yourself in BDSM 101. Find local meetup groups or sign up for workshops to build community with like-minded people.

See if there are reputable dungeons, or safe areas for BDSM, near you. When exploring kink with a partner, it’s important to negotiate boundaries and consent, explained Hintog. Kinky scenes can involve physical, psychological and emotional risk. “Education, making friends and building community are a great way to start,” Hintog said. “That way, you’re learning as much as you can.”

Let your kinky side emerge at a pace you’re comfortable with.

“If in a relationship, you can introduce a few new things at a time and explore together, which is very bonding and playful when done with a loving partner,” said Charlynn Ruan, Ph.D., a California-based clinical psychologist and founder of Thrive Psychology Group. “If single, there are workshops and events where you can go and observe before getting involved.”

The bottom line

If you’re new to kink and the BDSM world, have realistic expectations, Wildfyre said. Kink and BDSM play may have a unique array of potential benefits, from alleviating shame and anxiety to boosting creativity, but don’t rush the learning process.

“Even though you may have had kinky fantasies all your life, it will take some time and a bit of compromise to bring your explorations to the real world,” Wildfyre said.

Complete Article ↪HERE↩!

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Here’s How Anxiety Affects Your Ability To Orgasm

By Claire Fox, GiGi Engle

If you’re someone who deals with stress and anxiety, the unwanted mental and physical effects can creep up during the most inopportune times. Perhaps you’re just hanging out, catching up on the latest episode of your favourite TV show and suddenly you begin to worry about everything in your life. Maybe you’re worrying about nothing in particular, but feel panicky nonetheless. Symptoms of anxiety include ruminating in your own thoughts, focusing on past regrets, a racing heart, sweaty palms, and a general feeling of impending doom. It’s a sneaky not-so-little feeling that can happen at any moment. And one of the worst moments it can strike is when you’re having sex and trying to orgasm.

“Anxiety and stress can have a huge impact on someone’s physical and mental health all around the body and, unfortunately, it’s not uncommon for sex, arousal and pleasure to be affected, too,” AASECT-certified sex therapist Melissa Cook tells Refinery29. During sex you’ll want to be present and enjoy the moment, but if you’re feeling anxiety during the act — whether it’s related or unrelated to sex — that can be a problem for your pleasure and your partner’s. This inability to be in the moment can affect your ability to climax.

Of course, orgasming isn’t the only goal of sex, but for many, it’s an important part of the sexual experience. And if you’re feeling anxious during foreplay, intercourse, oral play, or other sexual activities, reaching climax becomes harder, making it feel almost unreachable. Here’s exactly how feelings of anxiousness and stress can mess with your orgasms, and what you can do about it.

Anxiety Kills The Mood In Your Brain

For many people, focus is a critical element in experiencing an orgasm. And this is especially the case for those with vulvas. Many of us are conditioned to cater to our partner’s pleasure (especially if that partner is a cis man), putting it above our own, as society has long given precedent to the male orgasm. For those who aren’t men, orgasm can often feel secondary: great if it occurs, but certainly not necessary for a complete sexual experience.

Focusing on our bodies, without shame, can prove very difficult given this context. Though it varies from person to person, it takes the average woman about twenty minutes to become aroused enough to have intercourse. Allowing yourself the time to relax and get to that place can be an anxious person’s personal hell.

When you’re anxious, you typically can’t focus or be “in the mood” to orgasm. According to Avril Louise Clarke, a clinical sexologist and intimacy coordinator at ERIKALUST, anxiety has the ability to disrupt sexual energy and pull you entirely out of a positive headspace. “These negative emotions can interfere with the body’s ability to relax and fully engage in sexual activities,” she says. “The ‘fight or flight’ response triggered by stress can lead to heightened tension, making it difficult to reach orgasm.” In other words, when your mind is elsewhere, it creates a barrier to sexual pleasure.

“What’s more, when someone is anxious, they may be more likely to be self-critical of themselves, including about their body or sexual performance,” Cook adds. “This can affect someone’s self-worth and their overall sexual body image which can prevent someone from reaching orgasm or fully enjoying the experience.”

And it’s not just orgasms that are impacted by anxiety and stress. “In fact, sex as a whole can be affected by these feelings,” Cook explains. “To begin with, any type of stress, but especially chronic stress, can decrease someone’s desire to have sex. An anxious or stressed mind can result in someone not being fully present in the moment, meaning they lack libido or struggle to focus during sex.”

Anxiety Messes With Arousal

Stress and anxiety have long been linked to physical sexual concerns, as well. “This is because anxiety and stress can alter the body’s blood vessels and constrict them which makes it harder for someone to experience arousal and pleasure as during an orgasm the blood vessels rush to the genitalia.”

When you are aroused and when you orgasm, the body is flooded with dopamine, the brain’s motivation hormone, and oxytocin, the “love hormone,” which promotes feelings of tranquillity, closeness, and pair bonding. It’s a cocktail of all things that feel good.

When you’re stressed, your body releases cortisol, the body’s stress hormone. It is basically the arch-nemesis of orgasms. “Studies have found that an increase in the hormone cortisol can reduce overall sensitivity, again making it harder for that person to feel aroused and achieve orgasm,” Cook says. Plus, apart from stress’ impact on sex, studies have also linked cortisol to poor sleep, weight gain, and overall feelings of personal distress.

Because of these hormonal changes, stress and anxiety can also lead to vaginal discomfort. “In women, anxiety can result in the vagina muscles contracting frequently which can make penetration very challenging and sometimes painful,” Cook says. This can lead to pain, spotting, or tearing during sex. In short, anxiety impedes your ability to create the hormones needed to become properly sexually aroused.

How To Stop Anxiety From Hindering Your Orgasms

So how exactly can you have more orgasms and try to quiet the anxious thoughts inside your brain? “The most important thing to remember is you’re not alone and there are plenty of steps you can take that will help you to hopefully feel more relaxed in the bedroom and get closer to achieving orgasm,” Cook says.

Forget About Orgasms

For one, when you put pressure on yourself to orgasm, you become more stressed about not orgasming, which only makes experiencing orgasm that much harder. It’s a treacherous sexual catch-22. So, you might want to consider taking orgasm off the table for a bit and stop making climax the goal of sex. Learning to give weight to sexual pleasure in and of itself, rather than holding orgasm as the pinnacle of sexual fulfilment is a beneficial practice, in general. If you take away the pressure, sometimes things just flow better and make the whole experience enjoyable.

Communicate With Your Partner/s

Communication between sexual partners also goes a long way to help with stress in the bedroom. “I always advise couples to communicate first, in a safe and non-judgmental way,” says Cook. “Perhaps there is something that you feel you need in order to be able to orgasm or maybe you’d like to do things differently. Either way, you should both listen to each other and create an open environment where you can talk about your desires, preferences and boundaries.”

Build A Relaxing Environment

In the bedroom itself, it can also be helpful to build the right, comfortable atmosphere. “Consider lighting, candles and music to help you to relax and get into the moment,” Cook says. “You may also want to try foreplay in various settings including in the bath to help you to switch off.”

Try Breathwork Exercises

Another way to combat anxiety when it comes creeping in during sex is to simply breathe, which we often forget to do during sex. “Techniques to help you stay calm and focused on the sensations can help too, such as breathwork,” says Cook. Consciously pulling your breath into your body, letting it fill you, and releasing it slowly can help calm your mind and body. For more techniques, check out more breathing exercises here.

Avoid Drugs & Alcohol

Though it may sound counterintuitive, you should also avoid things like alcohol and drugs if you’re having trouble orgasming due to stress and anxiety. “While many see them as a relaxant, it’s also common for them to impact sexual ability and function,” Cook says.

Perhaps most importantly, though, try your best not to panic if you’re feeling anxious during sex. Be open about your feelings with your partner. Accept this challenge as a part of your life and commit to alleviating anxiety, when possible. Remember, it’s OK to ask for help.

Don’t Suffer In Silence

Anxiety — whether it’s a disorder you struggle with daily or something that happens sporadically — is a huge pain, but if we take time to recognise it for what it is and develop skills to cope, we can keep it from messing with our orgasms.

Orgasms aside, it’s also important to recognize the kind of anxiety you experience, whether it is sporadic or a more far-reaching mental health issue. If you experience debilitating anxiety on a regular basis, seeking professional help is a great first step. Society stigmatizes mental health almost as much as it does sex. Depending on the person, anxiety may or may not need the help of outside sources. Regardless, taking control of yours is a sign of strength.

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9 Benefits of Sex Therapy

—The benefits of sex therapy are multiple and go beyond those related to sexual dysfunctions. Take note of all the information.

By Valeria Sabater

Currently, a significant part of the population is unaware of all the benefits of sex therapy. There’s still a certain stigma and the classic belief that only those who present some dysfunction, such as anorgasmia or premature ejaculation, go to these professionals. However, this methodology addresses multiple dynamics and needs.

It’s important to know that its most relevant purpose is to make you feel good. Such an objective implies achieving everything from having satisfactory intimate relationships to building happier bonds with your partner.

Addressing concerns and possible traumas or even giving you guidelines to guide your adolescent children on issues related to sex are also some of the benefits of sex therapy. In this article, we’ll explain everything this form of therapy does for you.

What are the benefits of sex therapy?

Sex therapy was developed in the 1960s, thanks to the marriage of William Masters and Virginia Johnson. Their book, Human Sexual Response (1966), was quite revolutionary because it broke down many prejudices and taboos. Since then, this approach has been strengthened, and it integrates the medical model with the psychological one.

The technique is feasible both for individuals and for couples and is based on conversation that creates a framework of trust from which to provide solutions and tools for having a more harmonious life on both emotional and sexual levels. In addition, it has great scientific endorsement and, every day, contributes to recovering the well-being of thousands of people. Below, we’ll describe the main benefits of sex therapy.

1. It contributes to having a more satisfying sex life

Sex life with your partner may no longer be as exciting or satisfying as it used to be. Sometimes, without any physiological problem, there’s something wrong and it’s difficult to restore that special harmony you used to share. A work published in the journal Archives of Sexual Behavior indicates that one of the most common causes for which therapy is sought is a discrepancy in sexual desire.

The fact that one partner in the relationship wants to have sex more often, while the other avoids it, is common. Therefore, something a sex therapist will guide and help you with is having a full intimate life. This implies resolving any difficulties, disagreements, or inconveniences in this area.

2. The treatment of sexual problems

Throughout our lives, people can go through different sexual problems. Sometimes it’s a difficulty in achieving an orgasm, while, in other cases, conditioning factors such as menopause, times of stress, or suffering from a disease play a part when it comes to enjoying intimate relationships.

Mayo Clinic Proceedings reports something important in a study. A significant portion of sexual dysfunctions in women go unrecognized and untreated. Men are also often reticent on this issue. For this reason, it’s important for society to become aware of the benefits of sexual therapy. Next, we’ll go into detail about the conditions that the methodology usually addresses:

  • Phobias
  • Paraphilias and sexual fixations
  • Vaginismus
  • Premature ejaculation
  • Male impotence
  • Hypoactive sexual disorder
  • Female Orgasmic Disorder
  • Male Orgasmic Disorder
  • Possible sexual addictions
  • Sexual problems in menopause
  • Dyspareunia (painful intercourse)
  • Sexual difficulties associated with aging
  • Sexual problems associated with other diseases
  • Improving the sex life of couples during and after pregnancy
  • Improving the sex life of people with physical or psychological disabilities

3. Discovery of the most powerful sexual organ

The most decisive sexual organ is your brain, and the best way to have a satisfying sex life is to stimulate your imagination. In this way, some aspects that you’ll work on in therapy are your fantasies and desires.

These dimensions are extraordinary channels for awakening eroticism and enlivening your relationship as a couple, deactivating prejudices, and dismissing shame.

4. Reducing fears and anxiety

Have you heard of sexual performance anxiety? There are many people who doubt their ability to offer pleasure to their partners. The fear of not being up to the task, failing, or appearing clumsy or inexperienced is a frequent reality in clinical practice.

For this reason, one of the benefits of sex therapy is to address fears related to sex. There are multiple strategies that make it easier to effectively resolve insecurities in order to have a rewarding sex life.

Likewise, therapists always create a space of empathy, security, and trust from which to clarify your doubts and receive effective advice in any area. Psychoeducation on sexual matters also falls within their tasks.

The pharmaceutical industry seeks to provide a solution to sexual dysfunctions that can be addressed through sex therapy. Many of the problems in this area have more to do with mental factors than with physiological conditions.

5. Overcoming sexual trauma

An article in the scientific journal Frontiers in Psychology highlights that patients with sexual trauma need a special type of care that provides adequate security and respect for their personal history. Sex therapy has always addressed such delicate realities as abuse, rape, or mistreatment in couple relationships.

6. Enhanced intimacy and emotional connection

Authentic pleasure in sex doesn’t occur in the body but originates in the brain, as we’ve already suggested. If you’re in crisis with your partner and there are unaddressed grudges or disagreements, it’ll be difficult to enjoy intimacy. Given this, a sex therapist guides you to promote coexistence and connection with your loved one through the following strategies:

  • Teaching resources to solve problems
  • Offering techniques that improve communication
  • Providing strategies to revive desire in the relationship
  • Facilitating spaces in which partners can get to know each other in a more intimate and profound way
  • Collaborating in better regulating emotions in order to connect in a meaningful way

7. Sex therapy allows you to get to know yourself much better

One of the most notable benefits of sex therapy is its impact on your mental health. Sex goes beyond the biological field: It’s also a psychological dimension and, above all, a cultural one. Sometimes, the way you’re educated or even the prejudices you have on this subject condition your ability to enjoy a full life in this regard.

The specialist in this area will allow you to explore and get to know yourself better as a person. You’ll be able to understand your sexuality, fantasies, and desires. No matter your age or the personal moment in which you find yourself, you always have time to look within yourself, drop your defenses, reformulate misconceptions about sex, and enjoy it.

8. It’s an inclusive therapy

Today’s sex therapy is also inclusive. What does this mean? You can find therapists trained in sexual diversity. McGill University in Montreal alludes to the advances that exist right now. This clinical field moves with our times and works to challenge stereotypes and promote a more inclusive and equitable vision of sexuality.

In this way, members of the LGBTIQ+ community benefit from more sensitive, trained, and effective attention to their particular needs and realities.

9. The prevention of future problems

Sex therapy not only addresses problems and educates us in the field of sexuality, but it also has a decisive role in prevention. Even if right now you feel good in your life as a couple and have good intimate health, it never hurts to learn new tools to avoid or address possible future problems.

Knowing, for example, how daily stress affects sexuality or how to respond to monotony in your emotional bond through new approaches are strategies that therapists educate you.

How to find a sex therapist who can help me?

Remember, you don’t have to wait for serious problems in order to start sex therapy. It’s best to go as soon as you have a concern or doubts or don’t feel satisfaction with your intimate life. If you want to look for a therapist in this area, look at the fields in which they specialize. There are some professionals who exclusively address organic or medical aspects.

However, most are prepared to treat both possible dysfunctions and relational problems and advise you on any aspect related to sexuality. Always contact specialists who follow techniques backed by science and don’t forget the most decisive thing: Being honest. Don’t be afraid to express your needs and concerns. Only then will you receive the best care possible.

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5 Facts All Men Should Know About Sexual Problems and Dysfunction

Male sexual dysfunction can include a wide variety of problems, ranging from low libido, erectile dysfunction (ED), premature ejaculation, and other issues. While many men know that these issues are common, they can be difficult to talk about. In fact, many men wait several months, or even years, before raising the issue with their primary care physician.

Thankfully, both normal and abnormal male sexual function are now better understood medically than ever before. Dr. Sharon Parish, Professor of Medicine in Clinical Psychiatry at Weill Cornell Medicine, maintains an active faculty practice specializing in sexual medicine. “I use an integrated, holistic approach, looking at the whole man,” explained Dr. Parish. “Often, men will first see a urologist and then are referred to me for a more detailed evaluation and discussion of their overall health.”

Here, Dr. Parish shares her insight as to the connection between male sexual, physical, and mental health.

Sexual problems may signal a cardiovascular or other medical issues

“Any man that experiences a change in libido, erection, or ejaculation should bring this up to their primary care physician,” said Dr. Parish. Any issue that lasts for several months may indicate a more serious medical issue that should be addressed:

  • Early ejaculation can develop because of medication, nerve damage, or other direct urinary conditions
  • A change in libido or erection may be the first sign of diabetes
  • Problems with libido or erection may be related to a hormonal imbalance
  • Problems with erection may be a sign of a cardiovascular issue or prostate cancer

There is a strong link between sexual function and mental health

Mental health issues — including depression, anxiety, and other psychiatric illnesses — can lead to many different types of sexual disorders. “It’s clear that there is a strong connection between ED and depression,” asserted Dr. Parish. “Women, on the other hand, who experience depression are more likely to see a decrease in libido. It’s very important to diagnose the psychiatric illness first to improve sexual function.”

Sexual function is often improved by addressing, managing, and alleviating anxiety and depression. “There are many helpful therapies,” Dr. Parish explained, “including mindfulness, cognitive behavioral therapy, and relaxation techniques to help one be more present in the experience and enjoy it more fully.”

Medications for mental illness may cause sexual function changes, to varying degrees

“There is a wide misconception that the medications for mental illness cause sexual problems, but the data is clear that sexual function is more likely to improve when the mental illness is treated,” said Dr. Parish. “It’s not a good idea to avoid the medication because of the potential side effects.”

Fifty to 70 percent of men do not experience any sexual side effects from medications, and men taking medications for serious psychiatric disorders are more likely to experience a sexual side effect.

“If you do experience sexual problems as a result of a medication,” Dr. Parish explained, “work with your doctor to manage the side effects. Several drugs are known to produce lesser side effects.”

Again, Dr. Parish emphasized the importance of mental health for sexual health. “The key,” she stated, “is to treat the mental disorder and then the sexual disorder. It’s best to get the condition treated and work with the doctor to manage the side effects.”

With age, some changes in sexual function are normal

Some changes in sexual drive, performance, and function are normal parts of aging. “As men get older,” said Dr. Parish, “they may need more time for foreplay or direct stimulation. If this isn’t enough to improve normal age-related changes in sexual function, sex therapy can be very beneficial.”

However, if the changes are dramatic or difficult to work through, Dr. Parish suggested talking to a primary care physician. “Your doctor can help you differentiate normal changes from more problematic issues, including medical issues,” she said. “Don’t assume it’s a normal change that comes from getting older.”

Improving overall health can improve sexual performance

Dr. Parish ascribes to the “biopsychosocial model” for overall and sexual health. “There is so much interconnectivity when it comes to our health,” she explained. “It’s important to take a holistic view.”

Indeed, cardiovascular, neurological, hormonal, and psychological systems all interact together for sexual performance. A healthy lifestyle can significantly help improve sexual function — improving diet, achieving and maintaining a healthy weight, and exercising regularly all help promote greater overall health and, therefore, greater sexual health.

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Anxiety and Erectile Dysfunction

— Is there a connection?

 

By Jana Abelovska

It may surprise you that your genitals are not your primary sex organ; your brain is! The brain plays a significant role in your ability to feel aroused. If you find it difficult to relax, it will be challenging to get aroused or reach orgasm.

Having trouble maintaining an erection isn’t always linked with age. Men often experience ED at some point. The good news is that you can now identify the cause of ED, which will usually go away with treatment.

Anxiety refers to feelings of nervousness, worry, or unease about something with an uncertain outcome. Anxiety means continuous stress or fear after the source of this stress or concern has passed. Anxiety is the most prevalent mental health condition in the Uk, and 20% of men will likely experience anxiety at some stage. You may get Viagra pills online from a trusted pharmacy if you have ED.

The causes of ED may be both psychological and physical. The success of treatment for physical reasons depends on your condition. Studies reveal that psychological factors are the most significant cause of ED. Psychological factors, like emotional and environmental factors, are usually curable. It includes stress and anxiety.

Anxiety plays a significant role in erectile dysfunction (ED) development. Psychological and behavioral responses to erectile dysfunction may lead to a heinous cycle of increased uneasiness, distance and conflicts. It, in turn, leads to fewer sexual encounters, less time spent together and a lack of communication between partners.

You might wonder how something you experience in your mind may cause erectile dysfunction. A number of key factors play a role when it comes to achieving an erection. Your nervous system, muscles, blood vessels, hormones, and emotions play a role in erection.

  • Stress and anxiety may trigger an increase in the production of stress hormones and a decrease in testosterone levels, which plays a role in the sex drive.
  • Stress and anxiety may trigger how the brain sends signals to your penis to allow for better blood flow.
  • Stress and anxiety may affect your self-esteem and feelings of desire.

Increased stress and anxiety may also increase your risk for other health conditions that may cause ED, like:

  • High blood pressure
  • High cholesterol levels
  • Heart disease
  • Obesity
  • Excessive alcohol consumption

How does anxiety cause erectile dysfunction?

Men experience three types of erections:

  • Reflexive erection due to physical stimulation
  • Psychogenic erection due to visual or mental associations
  • Nocturnal erection during sleep

These types of erections involve vital bodily systems and processes. A disruption in any of these processes may cause ED. These include:

  • Nervous system
  • Blood vessels
  • Muscles
  • Hormones
  • Emotions

Mental health conditions like stress and anxiety may also affect how the brain signals the body’s physical response. Stress and anxiety may affect how the brain sends messages to your penis to allow extra blood flow.

Stress and anxiety about erectile dysfunction may also contribute to a cycle of ongoing ED. Experiencing ED may lead to behavioral changes that contribute to anxiety and incidences of ED.

Reasons for erectile dysfunction

Men of all ages may experience ED in some shape or form caused by stress.

  • Psychological erectile dysfunction (mainly nervousness and anxiety) affects about 90% of teenagers and young men. This form of psychological erectile dysfunction is normally short-lived.
  • Men over 30 are more likely to deal with personal and professional stress, leading to erectile dysfunction. Personal and professional stress, such as relationship trouble, is the primary reason for ED in middle-aged men.
  • Impotence is the most prevalent cause for older men. Life circumstances, such as losing a partner or adjusting to retirement, may cause stress and anxiety, which can, in turn, cause erectile dysfunction.

How do you know if erectile dysfunction is psychological?

Whether you have discussed it with your healthcare professional, a few signs may suggest that erectile dysfunction is psychological. Ask yourself these questions:

  • Are you interested in sex and love your partner but have difficulty performing?
  • Do you experience morning erections?
  • Are you under much stress or have immense anxiety?
  • Do you get anxious about satisfying your partner?

An affirmative answer to any of the above questions doesn’t necessarily indicate that ED is psychological. Still, it may tell that one or several psychological factors affect your symptoms. It’s imperative to talk to your healthcare provider if you think ED may have something to do with your mental health issues, such as anxiety or major depression.

How to beat psychological erectile dysfunction?

Erectile dysfunction may occur for various reasons, from physical issues like high blood pressure and heart diseases to psychological ones like anxiety and depression. To treat psychological erectile dysfunction in the best way is to focus on the root of the problem, whether it is some mental illness or simply feelings of guilt about sex.

Cognitive-behavioural therapy (CBT) is a standard treatment for psychological issues, including depression and anxiety. The therapy helps to identify and change unhealthy thought patterns and behaviour that may contribute to erectile dysfunction and sexual health issues.

This kind of treatment relies on the idea that the situation (your inability to get or maintain an erection) isn’t the core problem; instead, your reaction to it is. If you learn to understand your thought patterns better, you may positively change them to resolve the issues.

The next option is psychosexual therapy or sex therapy. It is a specialized form of counseling that helps you (and your partner) to overcome sexual issues like erectile dysfunction. However, it is essential to realize that discussing erectile dysfunction with your healthcare provider and partner is integral to the healing process.

What should you do if you are having issues?

Whether in a relationship or single, changes in the sex drive and your ability to get an erection may be confronting issues. If you are in a relationship, speak with your partner about how you feel. A problem shared is a problem halved. Understanding between you and your partner will help you work through the sexual issues you are having.

If you are single, consider talking to someone you trust, like your friend or a doctor, about changes in your sex drive. Talking through this may help you better understand the next best steps.

Remember that it is normal to feel stressed during this time. It is normal not to feel like having sex. If your sex drive remains low and you have issues with ED for a couple of weeks or more, you should visit your doctor. The doctor may do a physical examination to help understand the causes of your ED and set up a treatment plan.

Conclusion

Stress is an underlying factor in erectile dysfunction. But over time, stress may cause anxiety, which triggers more stress, creating a heinous cycle that’s bad for your mental health and sex life.

Accepting the issue and being honest with your partner takes some weight off your shoulders. If you’re experiencing ED and think it may be psychological, it’s always best to talk to your healthcare provider. He will try to identify the cause of the erectile dysfunction and recommend an appropriate treatment, like medication or therapy.

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How to last longer in bed

— 20 ways for men to delay ejaculation

if you nearly always ejaculate after less than a minute of sex, you may be diagnosed with premature ejaculation.

By Madeline Kennedy

  • It’s common to feel like you want to last longer in bed, especially if you ejaculate prematurely.
  • To last longer in bed naturally, slow down movement and use condoms or the pause-squeeze method.
  • You can ask your doctor about pelvic exercises, numbing medications, Viagra, and SSRIs.

If you are worried that you finish too quickly in bed, you’re not alone — around one in three men in the US report having issues with premature ejaculation. It’s unclear why this happens, but scientists think it’s a combination of psychological and biological factors.

If you aren’t able to have sex for as long as you would like, there are several strategies that can help.

How to last longer during sex

If you are struggling with finishing too early, here are 20 things you can do that may help.

1. Get support from your partner

Getting support from your partner can be an important part of the process. “To begin with, tell your partner that you want to try lasting longer, and ask your partner if they’re interested in that,” says Vanessa Marin, MFT, a licensed sex therapist in private practice.

This may help your partner understand what’s going on and help you talk openly about any feelings of frustration. Once communication is open with your partner, you can discuss exactly what triggers your orgasm and try practicing the following methods.

2. Use condoms

Since premature ejaculation may be a result of hypersensitivity, using a condom is a simple solution that may make sex last longer. The condom forms a barrier around the penis that dulls sensation and may lead to delayed ejaculation.

3. Try desensitizing condoms

Desensitizing condoms come with numbing agents such as Benzocaine or Lidocaine that reduce sensitivity in the genitals and are designed to numb the penis during sexual activity

Although these numbing agents are safe and effective in countering premature ejaculation, side effects can include allergic dermatitis and penile gangrene.

4. Learn the pause-squeeze method

The pause-squeeze method can be done while having sex or masturbating and involves:

  1. Having sex until you feel that you are about to ejaculate.
  2. Then, pulling out and squeezing the tip of your penis for several seconds, or until the need to ejaculate passes.
  3. And finally, continuing to have sex and repeating the technique as needed.

“The theory is you stop the flow, let the penis rest, and then go back at it to increase your time,” Brahmbatt says.

Brahmbatt says that this can be one of the more difficult treatments for premature ejaculation because it takes a lot of self-control. Practicing repeatedly and communicating clearly with your partner may help ease the process.

5. Do pelvic floor exercises

Your pelvic floor muscles lie just below your prostate and your rectum, and just like other muscles, they can be strengthened through exercise. Experts believe that if pelvic floor muscles are too weak, it may be harder for you to delay your ejaculation.

To flex your pelvic floor muscles, act as if you are trying to stop yourself from peeing or passing gas and feel which muscles move. To tone these muscles, follow these steps:

  1. Tighten the pelvic floor muscles – you can lie down or sit if this makes it easier.
  2. Hold the muscles taut for three seconds.
  3. Relax the muscles for three seconds.
  4. Repeat the exercise as many times as needed.

To get good results, you should try to do three sets of 10 repetitions each day.

6. Slow down

Thrusting quickly creates intense stimulation and may make you more likely to orgasm after a short time. Thrusting quickly can also make it harder to recognize more subtle sensations in your body, and you may not realize that you’re getting close to orgasm, Marin says.

“Try to move at a slower pace and regularly take little breaks to move extra-slow,” says Marin. You may be surprised that some partners might like slower movement, especially at the start of sex.

Positions that limit your movement, like having your partner on top, can also be helpful because you aren’t able to lose control and start thrusting too quickly.

7. Change up positions

When you change positions, it requires you to take a bit of a break and slow your movements.

“You’re not getting as much stimulation during the transition, so it allows your body to cool off and get further from orgasm,” says Marin.

Positions where you can’t penetrate as deeply may also help, such as a spooning position where you are the “big spoon.”

8. Spend more time on foreplay

Spending more time on foreplay can help you last longer in bed. In a confidential survey conducted in the U.S about peoples’ experiences with orgasm, sexual pleasure and genital touching, more than a third responded that stimulation was necessary for orgasm.

9. Try edging

Edging is the process of getting right up to the edge of an orgasm, then stopping yourself to cool down before starting up again.

To last longer during sex, repeat the edging process as many times as possible, says Marin. Since you’re not allowing yourself to orgasm and taking periodic breaks, you’ll naturally last longer.

10. Masturbate before sex

Masturbating before sex can help you last longer since your body won’t be as sensitive to sexual stimulation, Marin says.

It may take some trial and error to find out how long before sex you should masturbate. Because if you masturbate right before sex, it might be difficult to get an erection again so soon. But if you orgasm too many hours beforehand, you might be completely reset by the time you have sex and ejaculate too quickly.

Basically, you want to find that sweet spot where you lower your stimulation but don’t kill your sex drive, Marin says.

11. Try sex toys

There are several ways sex toys can help you with premature ejaculation. You can use these toys to practice managing your orgasm by masturbating with them and stopping right before reaching orgasm.

On the other hand, sex toys could also be used to satisfy your partner if you cannot sustain an erection long enough for your partner to reach orgasm.

12. Distract yourself

Another option is to distract yourself with other thoughts, including something mundane like what you’ll eat for dinner or a movie you saw last week. This can help bring your mind away from the pleasurable sensations you’re having and may briefly delay ejaculation.

However, it may also take away from your enjoyment of sex and your intimacy with your partner. You can try and see if this method helps you last longer at certain times, but overall, remember to stay present and connected to your partner during sex.

13. Ask your doctor about numbing medications

Prescription numbing medications use ingredients like lidocaine and prilocaine, which generally come as creams or sprays that will decrease sensitivity and can be a helpful way to treat premature ejaculation.

Numbing creams or sprays should be carefully applied to the penis 20 to 30 minutes before sex to be most effective. You should also wash the cream away before having sex, so it doesn’t affect your partner.

“Make sure your partner knows you are using it — as a heads up and also to make sure they don’t have a history of allergic reaction or problem with its use,” Brahmbatt says.

14. Talk to a professional about your diet and weight

Although a poor diet is not directly linked to premature ejaculation, having the right diet can help prevent metabolic syndrome (MetS), which could be involved with premature ejaculation (PE).

MetS is a health condition which raises the risk of several diseases such as diabetes, coronary heart disease, stroke and other serious health issues. This is associated with health problems such as obesity, high blood pressure and blood sugar levels, high blood triglycerides and low HDL cholesterol.

In a study on the relationship between MetS and PE, the analysis revealed that MetS components can significantly affect sexual performance due to premature ejaculation. Studies are not conclusive on why MetS affects PE exactly, but it may involve hormones, depression, and vitamin deficiencies.

15. Take Viagra

Though sildenafil (Viagra) is usually prescribed to treat people who have trouble keeping an erection, research shows that it can help with premature ejaculation as well.

A 2007 study found that Viagra helped men with premature ejaculation last longer and was more effective than the stop-squeeze technique. At the end of the study, 87% of subjects using Viagra said they wanted to continue this treatment, compared with 45% of subjects using stop and squeeze.

16. Talk to your healthcare provider or a sex therapist

Talking to your healthcare provider can help review your health history and determine which of the above options are best for you.

A sex therapist can also be a valuable resource, especially if you think your premature ejaculation is linked to an issue like anxiety or lack of experience.

For example, sex therapists can help you identify your emotions before or during sex that may be affecting how quickly you orgasm or help teach you how to do kegel exercises to strengthen your pelvic floor.

17. Take the focus off of penetration

Focusing more on foreplay and less on penetration can help you last longer for several reasons.

For one, you’re likely to be taking breaks to change positions or to attend to your partner.

It also gives you opportunities to employ techniques like the pause-squeeze method.

Plus, by delaying penetrative sex, you’re prolonging the build up to orgasm, similar to edging, which can make climaxing feel more intense.

18. Take a deep breath

Taking a moment during sex to breathe deeply can actually stop your body’s reflex to ejaculate.

Deep breathing also forces you to slow the rapid breathing and heart rate associated with reaching climax.

19. Do yoga regularly

Adopting a regular yoga practice may help people struggling with premature ejaculation.

A review of yoga’s potential effects on sexual dysfunction points out that it’s been found to improve overall sexual health by regulating hormones, which influence performance in bed.

The review also claims that yoga’s emphasis on mindfulness and bodily discipline can help people struggling with premature ejaculation gain more control and self-awareness around how they experience pleasure and their ejaculatory functions.

In one study, men who were taught how to integrate yoga and breath regulation into their lifestyles for one month were better able to prolong ejaculation compared to men who tried a stop-start technique.

20. Ask your doctor about taking an SSRI

The presence of more serotonin in the brain has been shown to slow down ejaculation.

If you continue to struggle with premature ejaculation after trying other methods, your doctor may prescribe a selective serotonin reuptake inhibitor (SSRI) like dapoxetine (brand name Priligy).

However, it’s important to note that research around SSRIs and premature ejaculation is ongoing, and you may actually benefit more by combining an SSRI with other methods or medications:

  • In a 2019 analysis, Paroxetine (Paxil) was also shown to improve premature ejaculation, and it was found to be even more effective when combined with behavior therapy or tadalafil (Cialis), a drug used for erectile dysfunction.
  • In one 2021 clinical trial, tadalafil combined with either paroxetine or dapoxetine was found to be more effective at treating premature ejaculation than either SSRI taken alone.

How long does the average person last during sex?

According to a 2005 study conducted across five countries, vaginal sex generally lasts for around 5 to 6 minutes.

That’s a lot shorter than what the adult film industry often depicts: sex going on for hours, which can give a false idea of how long sex should last, says Jamin Brahmbhatt, MD, a urologist at the Orlando Health Medical Group Urology PUR clinic.

However, it’s important to note that there’s no correct amount of time for sex to last, and it’s up to you and your partner to decide the optimal time for you both.

What causes premature ejaculation?

It’s common for men to finish too quickly once in a while, but if you nearly always ejaculate after less than a minute of sex, you may be diagnosed with premature ejaculation.

It may be difficult to pinpoint exactly why this happens to you, but here are some common culprits:

  • Psychology: Studies show that anxiety, particularly anxiety about your sexual performance, is linked to premature ejaculation. Feeling depressed, stressed out, or guilty can also make you more likely to finish quickly. Men may also experience premature ejaculation at higher rates if they have poor body image or are victims of sexual abuse.
  • Experience: Your level of sexual experience can also affect how long you last in bed. “Men may also climax faster if they are not having sex often or this is their first time engaging in any sexual activity,” Brahmbhatt says.
  • High amounts of free testosterone: Studies show that men with premature ejaculation tend to have higher levels of free testosterone, which can lead to symptoms like loss of energy and low sex drive. However, scientists say that more research is needed to determine why this is the case.
  • Hyperthyroidism: Premature ejaculation can also be caused by hyperthyroidism, a condition in which the thyroid gland in your neck produces too much of a hormone called thyroxine. Researchers aren’t sure why thyroid issues affect your sex stamina, but after being treated for hypothyroidism, men are much less likely to experience premature ejaculation.

Insider’s takeaway

Premature ejaculation is common, and it can cause difficulties in your sex life or relationships. Luckily, however, there are many methods to last longer in bed, including medications, physical exercises, and sexual techniques.

You may also want to talk to your partner about the issue so that you can work on it together. And if all else fails, consider seeing a doctor or sex therapist who can help you navigate the process.

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I watched the first episode of reality series ‘Good Sex,’ and seeing men ask for sex help was really hot

On the television series “Good Sex,” couples agree to put cameras in their bedrooms during sex and talk about the footage with a coach after.

By Julia Naftulin

  • The new discovery+ series “Good Sex” has couples put cameras in their bedrooms. A sex coach uses the footage to help improve their intimacy.
  • In the first episode, men reveal their sexual issues, like erectile dysfunction and overall inexperience.
  • The show is a reminder that sex should be a safe space to explore desire and pleasure.

On the new television series “Good Sex,” couples willingly plant video cameras in their bedrooms while they have sex, then fork the tapes over to a sex coach for help.

Caitlin V. Neal, the show’s resident sex coach, has spent more than 10 years helping men with erectile dysfunction, premature ejaculation, and pleasuring women.

Minutes into the first episode, a 48-year-old man named Ben admits he has trouble getting out of his head during sex with his partner Annie, which has led to erectile dysfunction. When Neal later examines video footage of their lovemaking, she finds out Annie’s dog is in the room while they’re getting it on, which interferes with Ben’s ability to focus. In the same episode, a man in his 20s reveals he’s never had sex, and wants to learn how to please a woman before he does, so Neal walks him through different pleasure points by caressing an anatomical model of female genitals.

As Insider’s sex and relationships reporter and advice columnist, I constantly read questions from women who want to save their sex and love lives. So it was refreshing to watch men get candid about their sexual concerns, like when Ben said a disconnect between his brain and body was likely the reason for his “limp dick.”

To me, “Good Sex” is a reminder that sex can be awkward and fulfilling all at once. Like the willingness to ask for help, good sex requires self-awareness, self-love, and feeling safe enough to show you’re still figuring it out.

“Good Sex” takes a raw approach by showing couples in the midst of their sexual mistakes, not just how they resolve them.

A 48-year-old named Ben opened up about difficulty achieving orgasm during sex

Ben said he’s only been with three women in his life, including his current partner of two years, Annie. They said they were both previously married to their college sweethearts.

“As great as our sex is, I’m not able stay hard, or even get hard, sometimes,” Ben told the camera during the first episode. He said current erectile dysfunction issues have made sex feel disheartening and distressing, especially coming from a previous marriage where he wasn’t having a lot of sex.

During their first session with Neal, Ben said erectile dysfunction medication hasn’t helped, and he wants to orgasm during sex with Annie.

According to Neal, the pursuit of good sex challenges people, especially men, to be more emotionally open.

“Sex is an inherently vulnerable act. And so if you’re looking to improve your sex life and you’re serious in your commitment to improving your intimacy, vulnerability is a requirement to getting the results that they want,” Neal said.

According to Neal, the showrunners’ idea to use cameras along with sex coaching made for “exponentially faster transformations, growth, and impact” because she could see what was actually happening, not just hear it from the couple’s blurry recollections.

“Imagine trying to explain, step by step, what happened the last time you had sex with your partner. Especially if you don’t have something to compare it to, it’s really difficult for someone to articulate what actually happened,” Neal, who also has a YouTube channel dedicated to sex advice, told Insider.

Healthy sex and relationships require work

The show offers snippets of each couples’ sex-coaching sessions and the bedroom homework Neal assigns them, but there’s a lot more work going on between scenes, she told Insider.

Each coaching session is between 90 minutes and two hours. It also takes time for a couple to unlearn the sex routines they’ve grown accustomed to over the past five to 30 years, Neal said.

When viewers watch “Good Sex,” Neal hopes they walk away with the realization that a fulfilling sex life requires commitment and help.

“We have no problem hiring career coaches, mechanics, people to install things in our homes. But for some reason, we have the story that sex is something we have to deal with privately, without any help. By putting cameras inside of those closed bedroom doors, we’re able to see this isn’t something you have to deal with in isolation. It’s not something that should be a source of shame,” Neal said.

A dedication to honesty and emotional openness in the name of self-improvement? Now that’s hot.

Complete Article ↪HERE↩!

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A Guide to Sexual Dysfunction

Sexual dysfunction is when you have difficulty at any stage of sexual activity that prevents you, your partner, or both of you from enjoying or performing the act.

This article will define sexual dysfunction. It will also discuss the different types of sexual dysfunction, the causes, and treatments.

By Mandy Baker

What is sexual dysfunction?

Sexual dysfunction is when you have difficulty having or enjoying sexual activity, and it concerns you. It is the result of an issue within your response cycle. The sexual response cycle has various stages:

  • excitement, which includes arousal and desire
  • plateau
  • orgasm
  • resolution

Sexual dysfunction affects people of both sexes assigned at birth. It is also fairly common, affecting over 40% of females and 30% of males. While it can occur at any age, sexual dysfunction is more common among those ages 40–65 years.

Many people avoid talking with their doctor about sexual dysfunction out of embarrassment and discomfort. However, treatments are available to help the issue. If you are experiencing sexual dysfunction, contact your doctor and be open with them so they can suggest the most effective treatment for you.

What are the types of sexual dysfunction?

There are four main categories of sexual dysfunction. These categories include:

  • Desire disorders: These involve your desire and interest in sex. They are also known as low libido or libido disorders.
  • Arousal disorders: This type of disorder means it is difficult or impossible for you to become sexually aroused.
  • Orgasm disorders: These disorders involve delayed or absent orgasms.
  • Pain disorders: These disorders involve pain during intercourse.

There are various types of sexual dysfunction disorders within each category. Some are more common than others.

Hypoactive sexual desire disorder

Hypoactive sexual desire disorder (HSDD) is one of the most common sexual dysfunction disorders. HSDD is sometimes a lifelong condition. It can affect anyone.

If you are experiencing HSDD, it means you have little to no sex drive and do not have much interest in sex in general. Someone with HSDD typically shows the following signs:

  • having little to no thoughts or sexual fantasies
  • having no response to sexual suggestions or signals
  • experiencing a loss of desire for sex in the middle of it
  • avoiding sex completely

Erectile dysfunction

Erectile dysfunction (ED) is when you have difficulty getting or maintaining an erection. It is the most common sexual dysfunction males visit their doctor for, affecting more than 30 million people.

It is not uncommon for most males to experience ED from time to time, especially after age 40. However, it becomes an issue when it is progressive or begins to happen more routinely.

ED can be a warning sign of cardiovascular disease. It can also cause:

  • low self-esteem
  • depression
  • distress within the individual and their partner

ED is treatable. Contact your doctor if you are experiencing ED and it is affecting your life or relationships.

Orgasm disorder

It is not uncommon for people, especially females, to have difficulty orgasming from time to time. However, it is more of an issue when:

  • you do not have orgasms
  • it takes a long time for you to orgasm
  • you do not orgasm as often as you would like
  • your orgasms are not as strong as you would like or expect
  • you feel sad, anxious, or concerned

Genital arousal disorder

Genital arousal disorder is when you have difficulty becoming or staying aroused. In females, this often means that the desire to become aroused may be there. However, your body, mind, or both do not react as expected.

These issues with arousal may come from emotional issues, behavioral issues, or an underlying medical condition. Speak with your doctor to help discover the underlying issues and get treatment.

Vulvodynia

Vulvodynia is persistent pain in the vulva that is not due to an infection or other medical condition. The pain typically lasts for at least 3 months. However, it can become a long-term issue as well.

Pain in the vulva area is the main symptom of vulvodynia. This pain may be:

  • burning, stinging, or throbbing
  • sore
  • triggered by touch
  • worse when sitting
  • constantly present in the background
  • widespread

If you are experiencing unexplained pain, contact your doctor.

Premature ejaculation

Premature ejaculation is when you ejaculate sooner than you would like or expect during sexual activity. In the United States, 1 in 3 males between the ages 18–59 experience premature ejaculation.

Premature ejaculation is not always a cause for worry. However, if it is happening routinely, is causing issues in your relationship, or concerns you, contact your doctor.

What are the symptoms of sexual dysfunction?

The symptoms of sexual dysfunction vary depending on the person and the cause of the dysfunction. Some common symptoms do occur, however.

Signs in both males and females

Both males and females may experience:

  • difficulty becoming aroused
  • a lack of sexual desire
  • pain during intercourse

Signs in males

Males with sexual dysfunction may experience:

  • inability to achieve or maintain an erection
  • delayed or absent ejaculation
  • premature ejaculation

Signs in females

Females may experience:

  • vaginal dryness
  • inability to achieve orgasm
  • pain that may be due to vaginal spasm or inflammation of the vulva

  • What causes sexual dysfunction?

    Many possible issues can contribute to the development of sexual dysfunction. These include:

    How do you treat sexual dysfunction?

    Treatment for sexual dysfunction mostly depends on its type and cause. Speak with your doctor to diagnose the underlying cause and find the most effective treatment for you.

    Treatments for sexual dysfunction include:

    • Medication: Medications to treat underlying medical conditions can help sexual dysfunction as well. Certain medications, such as viagra or hormone replacements, may also help. The effectiveness of certain medications depends on the cause.
    • Mechanical aids: Vacuum devices, penis pumps, and penile implants are all possible options if you have trouble achieving or maintaining an erection. For females who experience muscle tightening or spasms, special dilators may help.
    • Therapy: Both psychotherapy and sex therapy can help treat the psychological causes of sexual dysfunction.

    Self-help tips for sexual dysfunction

    Ways you can help yourself with sexual dysfunction include:

    • being open with your partner
    • masturbating
    • limiting your use of alcohol or drugs
    • stopping smoking
    • using lubricants
    • exploring using sex toys
    • limiting your stress
    • exercising regularly
    • practicing kegel exercises

    Summary

    Sexual dysfunction is not uncommon. Both males and females experience it. Many find it embarrassing and uncomfortable to talk about.

    However, many issues that cause sexual dysfunction are treatable. Therefore, speaking with your doctor can help. Being open with your partner about the issues can help your sexual dysfunction and your relationship.

    Sexual dysfunction may be a sign of an underlying medical condition. Contact your doctor if you are experiencing signs of sexual dysfunction and it is causing you concern or affecting your relationships.

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Do You Have Relationship Separation Anxiety?

Yes, it’s possible to have separation anxiety in relationships, too — here’s why it happens and how to deal.

By Rachel Wright, M.A., L.M.F.T.

When you hear the term “separation anxiety,” it’s likely that your brain’s first reference is thinking of the relationship between a parent (or another caretaker) and a young child — or, if you’re a pandemic pet parent, the situation with your puppy when you ever leave the house. But get this: It’s just as common for people in romantic relationships to experience separation anxiety with their partner. Surprised? I didn’t think so. It all stems from a place of attachment — how you relate to and feel in your caretaker relationship(s) as a child translates into how you attach to your romantic partner(s) later in life.

But where is the line between simply missing your partner and having full-on separation anxiety in a relationship? And is it always a sign that things aren’t healthy? Here’s the breakdown.

What Is Relationship Separation Anxiety?

Separation anxiety in a relationship is the feeling of genuine fear, anxiousness, and/or panic when being away from their partner. It’s an unusually strong fear of or anxiety that results from separating from your partner or someone to whom you feel a strong attachment.

In some cases, the separation anxiety may be severe enough to diagnose someone with separation anxiety disorder, which is “developmentally inappropriate and excessive fear or anxiety concerning separation from those to whom the individual is attached,” as outlined in the Diagnostic and Statistical Manual of Mental Disorders (DSM–5), a manual for assessment and diagnosis of mental disorders. However, not everyone who experiences separation anxiety in relationships will meet these criteria for diagnosis. Like with anything else, separation anxiety in a relationship can look different from couple to couple and person to person — it isn’t linear and can be super extreme or relatively mild.

If you think you might have relationship separation anxiety, it doesn’t mean there is anything wrong with you or your relationship. Most people’s responses in relationships come from their childhood experiences, traumas, or unmet needs. Being aware and learning how to communicate about it is one of the most important first steps.

Separation Anxiety vs. Missing Your Partner

It’s important to note that relationship separation anxiety is very different from just missing your partner. Missing your partner isn’t generally coming from a place of fear or anxiousness about being apart from them in the way that separation anxiety is. Missing your partner is more of a feeling of longing adoration, while separation anxiety often feels overwhelming and all-consuming.

So, how can you tell the difference? Really try to notice and distinguish what exactly you are feeling and where those emotions are stemming from. (Try using a wheel of emotions to do exactly that.) Meaning, if you feel afraid, why do you feel afraid? Are you afraid for your partner’s safety? Your safety? Being alone? Being able to name and distinguish the feelings and why you feel these things is so helpful for breaking them down, which ultimately helps you take steps to get what you need or want.

Complete Article ↪HERE↩!

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When Anxiety Joins You in Bed

Performance anxiety during sex can be a dreadful experience. But there are ways to manage it.

by Stephanie A. Wright, RN, BSN and Sandra Silva Casabianca

Sex can be more than just the physical aspect. Emotions, hopes, and fears may also be involved.

Sometimes, personal challenges and insecurities can make you apprehensive about your sexual performance.

Though sexual performance anxiety isn’t a formal diagnosis, it can still be a valid reality for you. But there are a few ways you can learn to manage sexual performance anxiety.

What is performance anxiety?

Performance anxiety refers to significant worry and fear about your ability to execute a specific task. It may also involve concern about how others perceive you.

Performance anxiety is what some people call “stage fright.”

Performance anxiety isn’t a formal mental health diagnosis, but it’s part of social anxiety disorder. This disorder is characterized by fear of social situations in which an individual feels they’ll be exposed to possible scrutiny from others.

You can experience social anxiety:

  • being around strangers
  • having conversations
  • during public speaking

Performance anxiety can manifest in many ways. Not everyone will feel and behave the same when having anxiety about performance situations, so you may not relate to every symptom listed here.

Some common symptoms may include:

  • negative thoughts about oneself
  • blushing and rapid heart rate
  • nausea and vomiting
  • excessive sweating
  • difficulty speaking
  • dizziness
  • intense worry
  • situation avoidance

Feeling anxiety from time to time is expected. But if you live with any anxiety disorder, you might have persistent symptoms that occur during different situations.

If you live with social anxiety, you might constantly worry about how others perceive you and how you navigate social situations.

Sexual performance and anxiety

Sexual performance anxiety refers to the fear of not being able to perform adequately during a sexual encounter. “Adequately” can mean different things to different people. What matters, though, is what you think that involves.

You may feel you won’t be able to meet your partner’s sexual preferences or experiences, which may cause you to have anxiety, for example.

On many occasions, particularly for men, sexual performance anxiety could impact becoming aroused and physically responding to sexual stimulation. This could confirm in your mind that you might not be able to perform well.

Sexual performance anxiety could manifest in many ways, including:

Men and women can experience sexual performance anxiety, and some may experience orgasm anxiety as well.

Literature reviews from 2000 to 2018 found that 9% to 25% of men experience anxiety associated with their sexual performance. In many cases, this anxiety was linked to symptoms of erectile dysfunction and premature ejaculation.

The same reviews found that women with sexual performance anxiety account for an estimated 6% to 16% of the female population, and anxiety often manifests as a low sex drive. Anxiety can also prevent females from experiencing orgasm.

Causes of sexual performance anxiety

You may experience sexual performance anxiety for many reasons, including:

  • past experiences
  • biology
  • your upbringing
  • traumatic events

Living with anxiety disorders may also make it more likely that you experience symptoms related to performance.

Personal concerns and expectations may also cause you to have anxiety. But what causes you to experience anxiety may not cause others to have anxiety.

You may feel anxiety about your sexual performance during the first few times you have sex or when you’re just beginning a new partnership.

You could have questions like:

  • Can I trust my partner?
  • Will we become pregnant?
  • Should we wear protection?
  • What will my partner think if I cannot perform?
  • Will they like my body?
  • Do they love me?

Other contributing factors to sexual performance anxiety may include:

  • low self-esteem
  • orgasm anxiety or difficulty in achieving orgasm
  • pain with intercourse
  • decreased sexual drive
  • depression
  • pain chronic conditions
  • changes in physical appearance
  • anxiety disorders
  • trauma

PSYCH CENTRAL RESOURCES

Setting better boundaries starts here

Learn more about defining boundaries in your relationships, practicing consistency, and living with intention with our limited series.

How to manage sexual performance anxiety

A mental health professional can help you explore the whys behind your symptoms of sexual performance anxiety and structure a treatment plan that works for you.

If your symptoms are linked to a specific situation, such as a new partnership, you may find that performance anxiety subsides as you become more comfortable with them.

Complete Article ↪HERE↩!

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How to deal with post-lockdown intimacy anxiety and low libido

Post-pandemic Sex: Many of us are unsure how to navigate relationships in what feels like a new world

The basic tips still hold true including practicing safe sex by using condoms and birth control.

By Geraldine Walsh

Along with indoor dining and international travel, sex is due to make a comeback as the summer of love apparently, belatedly, unfolds around us. The forward-moving vaccination programme brings hope for a normal life.

Post-pandemic sex and relationships, however, appear to have undergone a significant shift, depending on the age group, but how our post-pandemic sexual behaviour will pan out is not all that easy to predict.

There is a disparity in how we have experienced intimate relationships over the past 18 months. There were those of us in committed relationships who witnessed a rising stress culminating in a low sex drive brought on by the upside-down world. Many entered the pandemic as singletons and are now exiting while still single having missed out on a couple of years of flirtations with the potential of cementing long term relationships.

We’re not expecting a sexual revolution as such, but the effect the opening of society will have on relationships means adjusting not only our expectations but our practices

The crisis cut short liaisons which were never given a chance and, after living in limbo for too long, dating is back on the cards filled with an added anxiety. And there are the teenagers who are now in their twenties and, well, are raring to go with the potential for casual sex to make a 1920s roaring return.

We’re not expecting a sexual revolution as such, but the effect the opening of society will have on relationships means adjusting not only our expectations but our practices. With both the physical and emotional effects of post-pandemic sex likely to come to the fore as we eventually drop statistics on intimacy, it’s safe to say the pandemic has not been conducive to a healthy fulfilling sex life for many of us, single or not. The issue for many now is how to navigate not only new relationships but those sticky sexual exploits in what feels like a new world.

What about physical first dates?

“People are emotionally fatigued with online dating, the chatting, texting, being ghosted and the emotional whirlwind that comes with romantic first encounters online with potential love interests,” says Orlagh Gahan, couples and relationship psychotherapist. “Not having the opportunity to physically date all through lockdown has left many singletons isolated. We are going to see a huge boom in traditional real live dating again with more and more people moving towards professional matchmaking services.”

Gahan is conscious of the overwhelming emotional burden caused by dating websites, particularly for those committed to finding real love. She suggests we be ourselves as much as possible on dates.

“Arrange morning and daytime dates around hobbies and interests you both enjoy,” says Gahan, “or new experiences which will bring out your natural persona rather than dates focused on alcohol and the pub culture. Keep first dates short, but long enough that you give each other time to come out of your shell and loosen up. Romance and chemistry can take time to develop, and first dates are pressurised situations so go with your gut and intuition.”

What about intimacy anxiety?

“The intensity of emotions, fatigue, anticipatory grief can obviously affect our sex drive and all types of romantic intimacy,” says Gahan. “Many of us are in a state of recuperation meaning it will take time to readjust. A sex positive approach promotes proactively addressing blocks associated with body image, sex, intimacy and sexual health, fears and anxieties around sex while also learning more about the subject. When we feel good and positive about ourselves we are naturally more open to connection and in turn romantic intimacy.”

A pandemic addition to our intimate connections and potential intimacy anxiety is disease anxiety. There are those of us who are innately concentrated on how Covid-19 can find its way into the bedroom with lab tests showing SARS-COV-2 has been found in saliva, faecal matter, and semen. The anxiety can be so overwhelming that some are holding off until the pandemic is over to get frisky, which at this stage is a guess at best. Instead of waiting, ground rules can help alleviate the anxiety.

The awkward conversation in an early relationship doesn’t always make for great foreplay but the longer we keep our opinions silent, the harder it may be approach them. Gahan suggests we don’t be afraid to have real in-depth conversations about sex at the beginning of a relationship as “couples can benefit from talking about sexual intimacy, consent, values, sexual health and attitudes about sex and relationships.”

What about low libido?

Low libido is a common occurrence with the overreaching anxiety brought about by the pandemic. But the truth is there are many different factors which affect libido and the desire for intimacy including relationship health.

“We need to move beyond the overly simple and disempowering concept that libido is either high or low,” says Gahan, “and cultivate a mindset more focused around sexual health and healthy sexual attitudes, understanding and practicing what it means and feels like to be a sexually healthy human being with the understanding that libido fluctuates.

“I would encourage people, particularly women, to educate themselves about the different aspects of sexual intimacy, sexual health, and also the very curious and intriguing arousal process. Get to know your own body and build on body confidence, learn about romantic intimacy, and find safe empowering ways to talk openly and honestly about how you feel about sexual intimacy.

To improve your libido, get sex positive, talk about feelings, fears, and needs around sex, understand intimacy at a deeper level, feel good about your body again, get out and exercise and feel fun and joy in simple things, love and look after your body and you will feel more comfortable bonding with your partner.”

What about practising safe sex?

The rules of safe sex have not changed because of a pandemic. They may have shifted however as we are more conscious of who we hook up with considering the risk of Covid-19 transmission in unvaccinated people remains relatively high. It is as vital as ever to take precautions when starting a sexual relationship to protect yourself from STIs, HIV and unplanned pregnancy. See sexualwellbeing.ie for more info.

Talk:
Have the conversation. Talk to your partner about whether or not they have tested positive for STI’s. Discuss safe sex practices and sexual history. Have a chat about consent, and help each other understand your comfort-levels, boundaries, and your likes in the bedroom.

Test:
Get tested if you have any symptoms of sexually transmitted infections. Contact your local STI clinic or GP. In today’s world, add in a Covid-19 test if you have any coronavirus symptoms such as cough, shortness of breath, fever, or changes to your sense of smell or taste. and self-isolate from your partner if possible.

Act:
Practice safe sex by using condoms and birth control. Avoid alcohol or drugs which can inhibit our awareness and result in high-risk sex. Keep an eye on your body and that of your partners for any changes such as a rash, sore, blister, or discharge which may indicate an infection.

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The Limits of Sex Positivity

American culture still treats disinterest in sex as something that needs to be fixed. What if any amount of desire—including none—was okay?

By Angela Chen

For more than half a century, the modern industry of sex therapists, educators, and experts has been eager to tell us whether we’re having enough sex, or the right kind of sex. But this industry is, like any other, shaped by the broader culture—it took for granted that the goal was to “get everybody to the point where they have a type of desire and quality of desire that fits within the cultural norms and values,” the sex therapist and researcher Michael Berry says. Decades ago that meant: straight, monogamous, within marriage, private, nothing too kinky.

As American culture has become more expansive in its understanding of sexuality, so has sex therapy. But this kind of sex positivity often doesn’t leave room for those who don’t want sex at all. The prevailing idea remains that, as Berry puts it, “if people are coming to see a sex therapist, the intent would be to get them to have sex.”

Even in the midst of a “sex recession,” the idea that healthy adults naturally are and should be sexual remains embedded in everything from dating “rules” to medical dramas. Disinterest in having sex is considered a problem that needs to be solved—and this idea can harm everyone who is told they don’t want enough.

When some of sex educator Ev’Yan Whitney’s clients told her during their first sessions that they might be asexual, Whitney was skeptical. She knew the definition of asexual—a person who does not experience sexual attraction—but didn’t think that it fit most clients. She would never dispute anyone’s identity, but she thought other factors were likely to be at play.

Whitney grew up in a religious environment, where the only discussion of sex was an explanation of anatomy and she was expected to remain a virgin until marriage. Then, as a sex educator, she often heard from her peers that “liberated” people wanted a lot of sex—which made her ashamed because, well, she didn’t want a lot. For years, Whitney tried to “fix” her low desire by reading sex-advice books, which told her to be confident, wear lingerie, and keep saying yes to sex she didn’t want in order to activate the lusty goddess within. Her own experience with cultural hang-ups made Whitney sensitive to how they might affect clients, and led her to believe that if a client had, like her, absorbed a rigid view of sexuality, they might mistakenly think they were asexual, or “ace.”

Today, this attitude “is something I feel some guilt over,” Whitney says. “Looking back, many clients seemed pretty damn ace.” Whitney can recognize that now because she has realized something else: that she herself is on the ace spectrum.

Whitney reached out to me after reading my book and recognizing her experience in my descriptions of my own asexuality. That personal reckoning was accompanied by a professional one. It made her question whether being asexual was compatible with being a sex educator.

The American Association of Sexuality Educators, Counselors and Therapists (AASECT), a certifying body, includes asexuality in its curriculum as part of a broad “core knowledge area” covering sexual orientation and gender identity, but trainees are not required to study asexuality aside from that overview. Several sex therapists and therapists-in-training interviewed for this article (both AASECT-certified and not) said they did not receive detailed information about asexuality in their training. “One of the reasons we don’t get super specific about exactly what people need to know is that the minute we pin that down, more research will enter the field and our definition will be outdated,” said Joli Hamilton, who helps AASECT determine its educational curriculum. “And, as you know, the wheels of systems grind slowly.”

Whitney, who educated herself in part by finding resources online, told me that most of the information she found about asexuality was clinical and confusing. It did not explain that asexuality exists on a spectrum, that some ace people want and enjoy sex for reasons unrelated to sexual attraction to any given person, and that asexuality and low desire overlap but are not the same.

Plus, plenty of people have low desire, and not all of them are asexual. In many relationships with a libido mismatch, the lower-desire partner believes that they are solely to blame. And feelings of being broken and “wrong” can be present even for those who don’t have a partner. When notions of health and normality require the desire to have sex, it can be hard to untangle cultural pressure from what is right for you.

Ruth, a civil servant in Ireland, was 28 when she decided to see a sex therapist. As she approached 30, she felt strong pressure from her family to marry and have children, but had never had a serious boyfriend. (Ruth requested that I use her first name only so she could speak candidly about sex therapy.)

Ruth had, in fact, fallen in love with a woman but felt no sexual attraction toward her, so she continued forcing herself to date men. “The reason I had pushed myself into situations with men, including one that was really unsafe, was because I was trying so desperately to flick the switch of straightness,” Ruth told me.

Her experience didn’t make sense, to others or to herself. Her sister joked that she had “Prince Charming syndrome” and was waiting for somebody perfect. Everyone around her knew what she should want, and Ruth tried to want that too. “I hoped that I could be fixed,” Ruth said. “I hoped that I’d somehow be able to feel the way you’re ‘supposed’ to feel. I was waiting for those feelings to come, for this magical experience when suddenly everything would fit into place.”

Her sex therapist asked Ruth whether she was attracted to, say, Brad Pitt, and Ruth said yes because she thought he was handsome. This kind of aesthetic attraction is different from sexual attraction, but Ruth hadn’t yet figured that out (and her therapist may not have known the difference). Ruth remembers that the therapist seemed very sure what she needed: to keep going on dates, putting herself out there, and to not be so shy. So Ruth took the advice and signed up for dating apps.

A few sessions later, Ruth ended the counseling relationship. Afterward, she kept to herself for about a year, both obsessing over the experience and trying to avoid thinking about it—until she happened to see an article about an asexual couple. The way they spoke about themselves resonated with her, and she wondered if she might be asexual as well. To test her theory, Ruth went on a date to observe what she felt. The date confirmed what she suspected. A couple of weeks later, she told a friend she was ace.

Discovering asexuality and the ace community came with feelings of relief and permission, and also sadness that the option had not been presented before. Ruth had only ever been told that she should find a way to want the “right thing.” What she was never told was this: Having sex is not inherently better than not having sex if someone doesn’t want it.

A question hangs in the background of these stories. It’s one that Martha Kauppi, a sex therapist and the founder of the Institute for Relational Intimacy, is frequently asked: How can I tell whether a client is asexual or whether something else—something that can be solved—is causing the disinterest?

Aces ask ourselves this, too, because of course a wide variety of factors can affect how sexual attraction and sexual desire are experienced. It can take a long time and a lot of self-knowledge to realize that the answer is often not cut-and-dried—that you can be anxious and also be asexual, that you can have OCD and also be asexual. That, as in Whitney’s case, you can have sexual shame from a conservative upbringing, work through that, and still be asexual. That experimenting and trying to raise your desire level are okay if you want to, but that you don’t have to keep trying just because others say you must. That experts can be wrong and you can be right.

It seems that many well-meaning therapists who learn about asexuality adopt a two-part framework: If someone is ace, leave them alone; if someone is not, encourage them to have more sex. In the end, this framework misses the forest for the trees. Whether disinterest in sex is because of asexuality or not actually doesn’t matter, because it’s not wrong. You can have a good life without sex. More important than categorizing clients is starting from a place where everyone is okay.

Kauppi’s approach is not to focus on cause, or to diagnose or label, or to tease out the asexuality/low-desire distinction. She instead works with the client to envision the many possibilities of a happy life, including a happy life without sexual desire or sexual attraction or sex at all. “I’m not going to just assume that you’d be a happier person if you wanted sex. That’s ridiculous,” Kauppi told me. The key is to figure out what clients truly want versus what they think they should want, and then keep digging. “Sometimes, people will say, ‘I wish sex were on my list but it’s not,’” Kauppi said, “and I would say, ‘Well, it’s interesting that you wish it were. I’m curious to know what that’s about.’”

Some people decide that they’re fine the way they are. Others decide that they do want to cultivate desire—the difference is that it no longer feels like something they must do in order to be “normal.” And accepting all levels of desire doesn’t mean ignoring the stresses that a desire discrepancy can cause in relationships. For couples, the purpose of sex therapy that doesn’t pathologize low desire isn’t to hide the conflict or to blame the higher-desire partner instead. It’s to acknowledge that two people will always have different wants but no one is at fault, and to see what compromise is possible from there.

Such an approach has made a big difference for Lisa, a library associate in Washington, D.C., (who uses she/they pronouns and requested that I use their first name only). Lisa says their sex therapist never tries to dispute their asexuality but does help them work on the challenges that can come with being ace: how to bring up asexuality with people they’re dating, how to become more comfortable with different kinds of touch that they do want, how to talk about consent in a helpful and intuitive way.

Although awareness has increased around asexuality as an orientation, discussions often lack depth or nuance. Furthermore, sexuality experts are still only beginning to challenge the broader idea that not wanting sex is a problem. “If I’m completely honest,” Ev’Yan Whitney told me, “in my work, I’ve never explicitly said or felt safe to claim that, actually, I experience sex in a different way. I do have low desire.” Playing into others’ perceptions felt necessary in order to be respected as a sex educator, even though Whitney felt frustrated by the tone of many sexuality events, which she describes as: “To masturbate, do this; to have a better orgasm, use this yoni egg, try this warming lube.”

Over time, Whitney developed a framework that prioritizes sensuality for its own sake (and not as a means to penetrative sex) and that focuses on the desire someone actually has, not what they are supposed to have. Though she feels guilty about not presenting asexuality as an option to past clients, she hopes she still helped them by moving them away from sex tips that were goal-oriented without questioning the value of the goal.

Now that Whitney knows herself better, she wants to be an example of a sex educator who advocates for a more expansive understanding of desire and connection. She’s excited to talk with other educators and with clients about being an ace person who does have sex, about having low desire and still feeling good in her body, and about not caring what “caused” her to be this way. “I kind of want to make people confused a little bit,” she says.

Sexuality is complicated, multifaceted, and often shifting. Activists and educators have shaped culture so that options beyond straight, monogamous, vanilla sex feel more acceptable. But true sexual freedom must both celebrate consensual sex for those who want it and avoid pathologizing those who are not interested. This means allowing people to experiment without making sexual attraction or desire a requirement for health or happiness or a good life. For sexuality experts, understanding and accepting lack of desire should be as worthwhile a project as cultivating desire. Nobody is frigid; nobody is broken.

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