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Heightened Awareness: Anxiety Can Lead to Pain During Sex

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Clearly anxiety can be an obstacle to a healthy sex life and needs to be talked about.

By Carrie Weisman

clenched-fists

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The Heartbreak of Male Performance Anxiety

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I get a dozen or so messages a month on this topic. I’ve written about it in numerous postings and spoken about it in several podcasts, but still the email comes.

One of the real bugaboos for anyone, regardless of gender, is living up to our own expectations of sexual performance. So many things can get in the way, literally and figuratively, of fully enjoying ourselves and/or pleasuring our partners.

The arousal stage of our sexual response cycle is particularly vulnerable to a disruption. And when there’s trouble there, there’s no hiding it. A limp dick or a dry pussy can put the kibosh on all festivities that we may have hoped would follow.

However, performance anxiety can strike any of us, regardless of age, and at just about any point in our sexual response cycle. This is a particularly galling when it seems to come out of the blue. And regaining our composure can be more far more difficult than we imagine.

Today we will be focusing on male performance anxiety.  I’ll address female performance anxiety at a later date.

Here’s Bob, he’s 26:
Doc, this has never happened before. But I couldn’t get it up tonight, and this chick was H.O.T. Now I’m not gay at all, but I haven’t had sex in about 3 years because I was locked up…so I masturbated pretty regularly, about 3 or 4 times a week. But I can’t figure out why I was soft… the only thing I can think of is I ate clams tonight and I’ve never had them before. Could it be that or should I get checked out?

It weren’t the clams, darlin’! And I don’t think you need to get “checked out” either…at least not right away. If you could back away from the situation a bit and stop freaking out, I think you’d discover the source of your problem all on your own.

Here’s the thing—while you were out of commission there in the slammer, you relied, as you say, on jerking off. Okay, cool. We all do what we gotta do. Now the first time you try to score after your release…you go soft. This tells me you have a mild case of performance anxiety. We all get that from time to time.

There’s probably nothing wrong with you or your johnson. You just got the jitters first time you tried to get you some after being away, that’s all.

The anticipation of boning this H.O.T. chick—fueled by some predictable self-consciousness; what with just getting out of the big house and all—pulled the plug on your wood. No surprise there, right?

What I don’t want to see happen is for you to replay the incident over and over in your mind’s eye til that’s all you can think about. If you do, this proverbial molehill will become a mountain. You’ll then bring all this anxiety to your next encounter, setting yourself up for even more disappointment. You can see how this shit can snowball? If you interpret every less than satisfying encounter as a failure, your fears will become self-fulfilling. You’ll begin to avoid partnered sex and you’ll develop a full-blown sexual dysfunction. And your self-esteem will take a nosedive, too.

If you’re preoccupied with your performance, it’s less likely that you’ll be fully present during sex with a partner. This pretty much fucks up your sexual responsiveness and any hope for spontaneity. Why not just relax into the whole sex thing and not try to prove your manhood with your pecker?

Then there’s Steve with a slightly different take on this meddlesome problem:

My partner and I have been together for just over 3 years now in a monogamous relationship. I am the top and he the bottom. Our problem is not premature ejaculation on his part, but his inability to have an orgasm at all. No matter what I try and even if he masturbates, sometimes it is impossible to get him to cum. Is this a medical issue? Have you ever heard of this?

Delayed ejaculation is the difficulty one has ejaculating even with a firm erection and sufficient sexual arousal and stimulation. This problem is not uncommon. For most men, delayed ejaculation occurs during partnered sex more frequently than while masturbating. In fact, 85% of men with delayed ejaculation can usually cum by jacking off. However, in partnered sex, the guy may be unable to ejaculate at all, or only after prolonged partnered stimulation. This problem can be very frustrating and cause distress for both partners involved, as you already know.

What causes delayed ejaculation? Well, it could be a number of things. It could be something as simple as performance anxiety, or inadequate stimulation, or there could be neurological damage.

I don’t want to be too reductionist here, but most of us experts believe that the majority of instances of delayed ejaculation aren’t physical in nature, but rather are the product of psychological concerns. Simply put, there’s a difference between the psychosexual response we have when we are alone and the one we experience with a partner. There’s probably nothing wrong with your partner’s unit. It’s all in his head…or his mind, to be more exact. If I had to guess, I’d say he’s got a real bad case of performance anxiety.

When I see this sort of thing in my private practice, I always begin the therapeutic intervention by calling a moratorium on fucking of any kind. This immediately takes the pressure off the couple. From there we begin to rebuild the partnered psychosexual response one step at a time. We begin with sensate focus training (Sensate Focus is a series of specific exercises for couples that encourage each partner to take turns paying increased attention to their own sensations. More about these helpful exercises in the weeks to come.), stress reduction and relaxation exercises. These applications are designed to reduce performance pressure and instead focus on pleasure. The idea is to get them to stay in the moment; absorb the pleasure present without worrying about what is “supposed” to happen.

Finally we address as frankly and openly as possible any fears or anxieties that they may have—as individuals or as a couple. I have the greatest confidence in this method; it succeeds over 90% of the time.

Ok, let’s recap shall we?

Overcoming sexual performance anxiety is dependent on five simple things.

  • First, a guy needs to be attuned to his sexual response cycle — arousal, plateau, orgasmic and resolution phases. He should know what kind of stimulation he needs at each phase to fully enjoy himself and satisfy his partner.
  • Second, the more worried a guy is about a performance issue, the more likely that problem will present itself. A bad experience in the past can often set the stage for its recurrence.
  • Third, don’t be afraid to talk this over with your partner. Withdrawing from your partner or shying away from sex altogether will only increase the likelihood that the problem will persist.
  • Forth, be proactive! Fearing the loss of your sexual prowess or feeling sorry for yourself is counterproductive. Confront the challenge head on. Employ sensate focus training stress reduction techniques and relaxation exercises to help you push past this temporarily impasse and regain your self-confidence.
  • Fifth, free yourself from the mindset that your dick is the center of the universe. Your manhood or your capacity to be a great lover does not reside in your genitals. Expand your sexual repertoire. Remember, pleasure centers abound in your body as well as your partner’s.

Good luck!

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The Reason Most Couples Stop Enjoying Sex

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(And How To Heighten Your Capacity For Pleasure)

Everywhere I go, I hear stories about the challenges professional women are having sexually with their partners. It happens to women between 20 and 70, with kids and without. It’s described in one of a few ways:

  • “I used to like sex, but then we had kids, our careers picked up, and something changed.”
  • “When we do have sex, half the time I’m thinking about my to-do list. I feel relieved when it’s over, because then I can do what I really want to do—like finish my book.”
  • “We feel more like roommates or business partners than lovers.”
  • “I’m worried my libido is broken and there’s something wrong with me.”

The high stakes of intimacy in long-term relationships mixed with the inaccurate beliefs about female sexuality we face from all sides make for a volatile combination. But I’ve seen these issues get resolved. It’s absolutely possible. No matter where it’s coming from, sexual dissatisfaction can be remedied when both people commit to learning a new way to relate intimately. These are the keys to creating mutually fulfilling intimacy that lasts a lifetime.

I see that these patterns can change when couples commit to learning a new way of relating sexually that women enjoy. Here are the keys to successfully moving toward intimacy that’s mutually fulfilling:

1. Normalize your experience.

When intimacy is the issue, it can be very difficult to discuss openly. Often, we feel alone and don’t realize that sexual struggles in long-term relationships are not just normal, but they happen to the majority of couples at one time or another. Having discussed these issues with countless female clients who believe that they are to blame for their unhappiness, I realized that we just tend to place blame on ourselves. The truth is that there’s nothing wrong with you. Your libido is not broken. You’re not alone and this IS fixable.

2. Clearly articulate your need for change.

One of the biggest mistakes I see otherwise straightforward women make is downplaying their sexual distress to their partner. Many of us believe our male partners don’t care about our sexual fulfillment, or that enjoying sex isn’t worth the tension it would place on your relationship to bring up what isn’t working. Don’t let this stop you from getting what you need.

I have almost as many male clients as female ones, and they all want the same thing when it comes to sex: a partner who is turned on, happy, and enjoying themselves. Regardless of gender or relationship style, if sex only works for one partner in the relationship, then the sex isn’t working.

Have you clearly articulated to your partner that you aren’t sexually satisfied and that you need something to change? If not, your chances of fulfillment are slim. Blaming yourself doesn’t make anything better; taking responsibility for dealing with it as a team does. Get in the habit of talking with your partner regularly about what’s working for you and what isn’t.

3. Stop following a script.

We seem to all have been given the same misinformation about how sex should go: It starts with kissing and ends with intercourse. We’ve also been taught that happy couples have sex once per [day, week, month, insert stereotype here]. We’ve learned that sex is over when the man reaches orgasm. But I’m here to tell you that every single one of these statements is not only false but harmful.

The truth is that when couples drop expectations about sex and adopt a new approach—one that makes both parties’ genuine fulfillment a prerequisite rather than a bonus—women’s genuine fulfillment (which includes much more than having orgasms)—it supports deeper intimacy and can make a woman’s libido more active than it ever was before. Learn more about how to enter a new, infinitely satisfying paradigm here.

4. Recognize that orgasms are not sex’s raison d’être.

Orgasms are wonderful, but in truth, our fixation on them keeps our sex lives from becoming extraordinary. Let’s get real: If orgasms were all it took for radical fulfillment, far more of us would feel fulfilled. We wouldn’t even need relationships to make that happen. But we know it’s not the same. Self-pleasure is healthy, and may temporarily alleviate feelings of exhaustion or anxiety, but it doesn’t provide us with the connection or intimacy that partnered sex can.

5. Seriously, get rid of the script—before you even start the first act.

You’ll see a night-and-day difference in your sexual encounters if you let go of expectations before either of you starts getting hot and bothered. Nothing hinders women’s enjoyment of sex more than feeling pressured in bed. It’s almost impossible for us to enjoy ourselves if we’re worried about expectations about how or how much we are. Instead of feeling the pleasure, we get stuck wondering whether we’re doing it right or whether our partner is satisfied. Tossing expectation out the window is the most reliable way to start having fantastic sex immediately.

6. Touch each other for the sake of touching—with no apprehension or expectation about where it might lead.

Physical contact is essential for sexual fulfillment. But when sex isn’t working, we often avoid touching each other. I encourage couples to touch each other frequently and in a wide variety of ways—foot massages, hand-holding, and everything in between. But, by the same token, I encourage couples to stop tolerating touch they don’t like or want.

Tolerating touch leads to sexual shutdown—the person being touched isn’t enjoying themselves but won’t say it; the person doing the touching knows something is wrong but isn’t being told how to fix it. It creates distance rather than fostering intimacy. The solution is to have physical contact with zero expectations. When pressure and expectations are lifted, touch becomes an exploration of sensation and connection rather than a race to orgasm or “those same three moves.”

7. Don’t look at sex as a means to achieve any goal other than giving and receiving pleasure for pleasure’s sake.

Goals are great for business plans and exercise regimens, but they have the opposite effect on sex. Few of us have ever touched our partner without trying to achieve a goal. We use our touch to prove we’re a good lover, to make peace in the relationship, or to bring our partner to climax. How would we touch each other if we weren’t trying to achieve anything except to connect and explore each other’s bodies? Given an open-ended approach to sex that is full of touch and free of pressure, both desire for and enjoyment of sex will grow exponentially.

8. Learn what you like, and allow yourself to receive it.

Desire is vital to fulfillment. When we lose touch with that inner spark, our sex lives fall flat. Ask yourself the question, “What do I want?” 10 times a day. Seriously. And get very good at answering it. Desire is the first step. Only then can we receive it. It may sound simple, but I see women struggle sexually for years because they don’t know how to receive the help, love, and touch their partner wants to give. It takes as much work to receive as to give—sometimes more.

Practice receiving by focusing on the enjoyment of what you’re experiencing. Sink into the warm embrace of a hug. Delight in the smell of your favorite baked good. Relax as your partner touches you. Think less; feel more.

9. Practice, practice, practice.

Yes, even great sex requires practice. Create habits that can be easily incorporated into your daily routine. I encourage all couples I work with to develop a habit of sexual research—open-ended sessions where couples explore new ways to connect without pressure. Like any new habit, allowing yourself to feel more pleasure and connection takes practice.

10. If it seems helpful, get professional coaching.

If you don’t feel like you can do it alone, don’t. There’s nothing to be ashamed of except not using every tool at your disposal to create the relationship you want. Get the support of a coach whose philosophy inspires you.

11. Be patient with yourself and with your partner.

Sexual connection is deeply personal and one of the most vulnerable elements of our identities. Don’t be discouraged if you, your partner, or your sex life doesn’t change as quickly as you’d hoped. People transform in different ways, through different means, over different periods of time. In seeking long-lasting change, favor paradigm shifts over quick fixes. Stick with it and be patient with each other.

Complete Article HERE!

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Writing Graphic Sex Scenes Can Be a Feminist Act

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‘We don’t put enough value on female pleasure in our culture’

By Stef Penney

Why is there explicit sex in my new book? Because I’m a feminist.

Under A Pole Star, my third book, is a novel about late 19th century arctic explorers that features, alongside ice, ambition and rivalry, more than one sexual relationship. And there’s a lot of detail. My central characters fall in love, and yes, they have a lot of sex. I was nervous about how the passages would be received. One Amazon reviewer has already complained about “copious quantities of copulation.” The specter of the Literary Review’s Bad Sex Award, given annually to authors of “poorly written, perfunctory or redundant passages of sexual description in modern fiction,” hovers over us all, tittering. Some judge writing explicitly about sex to be less than literary — or worse, discrediting of female characters. But why should achieving romantic and sexual satisfaction — one of the most difficult challenges we face as humans — be redacted or blurred?

There’s a problem with leaving “it” up to the reader’s imagination: Every reader will fill your tasteful ellipsis with something different — possibly with unachievable fantasy, with prejudices, with bad experience, with pornography. I wasn’t going to do that to my characters. I felt I owed it to readers to treat the characters’ intimacy with the same precision and seriousness I would any other intense human experience.

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I’ve read too much bad sex in otherwise good books: bizarre, metaphorical sex; coy, breathless sex; baffling, what-just-happened-there sex; most of all, phallocentric, male-experience-dominated sex. Too often, in sex scenes between a man and a woman, the woman’s sensations are barely mentioned, as if her experience is incomprehensible or irrelevant. It’s important to ask why this is — and the fact that a lot of those writers are male is not a satisfactory answer. We don’t put enough value on female pleasure in our culture. The way we write about sex only exacerbates that problem.

In my quest for knowledge and precedent, I sought out scientific research, erotic poetry and literature. I trawled the Internet as much as I could bear. I wanted to dissect the composition of sex scenes — and waded through many, many passages that didn’t come close to answering essential questions: Did she climax? Has this man heard of a clitoris? What were they using for contraception? Some uncovered even more questions about our culture’s perception of female sexuality: Did men in D.H. Lawrence’s time really accuse women of “withholding” their orgasms, as happens to Lady Chatterley? Because that’s absurd.

There’s so much ignorance, confusion and frustration out there. Delving into sex forums online, I was shocked by the prevalence of questions from women like, “How do I know if I’m having an orgasm?” The fact that so much confusion prevails is no surprise: studies have found that more men orgasm more frequently than women and 40% of women have sexual dysfunction, which can make it difficult to achieve climax. One study found that 80% of women fake orgasms.

The more I read, the more I realized how important it would be for me to write my scenes in steamy, awkward, mutual and real graphic detail. I wanted to write about a sexual relationship in a way that convinced me and reflected what I know to be true about female sexuality — that it’s complicated, beautiful and worth equal attention. So I included accounts of great sex, horrible sex, indifferent sex, sex that just doesn’t work despite both partners’ best intentions — and I showed how and why they were different.

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I wanted to create a story that honored the sexual biographies of both partners from both points of view, that showed how they reach the point where they come together and why their relationship is the way it is. And while we’re on the subject of coming together, simultaneous orgasm was one myth I encountered over and over again in my research that was never going to get an outing here.

When my friends began to read my book and wanted to talk about it, I learned things I’d never known about them, and I became more forthright in turn. We tumbled through a flood of questions. Why had we never talked about our sexual pleasure in explicit detail before? Why did we not achieve good, orgasmic sex until our mid-twenties, or later? Why were we too ignorant, too embarrassed to ask? Why did we expect so little in bed?

One reason, we all agreed, was that we’d had to learn about good sex through trial and error, because that behavior wasn’t modeled for us in a healthy, explicit way.

We need to be able to talk, teach, learn, write and read about sex, honestly and seriously, without — or in spite of — derision and censure. Unless we share specifics, we’ll never understand one another’s experiences. You can’t support women’s empowerment without frank and open discussion of their sexuality.

Complete Article HERE!

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9 Reasons You Might Not Be Orgasming

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By Sophie Saint Thomas

While orgasms don’t define good sex, they are pretty damn nice. However, our bodies, minds, and relationships are complicated, meaning orgasms aren’t always easy to come by (pun intended). From dating anxiety to medication to too little masturbation, here are nine possible culprits if you’re having a hard time orgasming — plus advice on how to deal.

1. You expect vaginal sex alone to do it for you.

One more time, for the cheap seats in the back: Only about 25 percent of people with vaginas come from penetration alone. If you’re not one of them, that doesn’t mean anything is wrong with you or your body. As licensed psychotherapist Amanda Luterman has told Allure, ability to come from vaginal sex has to do with the distance between the vaginal opening and the clitoris: The closer your clit is to this opening, the more vaginal sex will stimulate your clit.

The sensation of a penis or a dildo sliding into your vagina can be undeniably delightful. But most need people need that sensation paired with more direct clitoral stimulation in order to come. Try holding a vibrator against your clit as your partner penetrates you, or put your or your partner’s hands to good use.

2. Your partner is pressuring you.

Interest in your partner’s pleasure should be non-optional. But when you’re having sex with someone and they keep asking if you’ve come yet or if you’re close, it can throw your orgasm off track. As somatic psychologist and certified sex therapist Holly Richmond points out, “Being asked to perform is not sexy.” If your partner is a little too invested in your orgasm, it’s time to talk. Tell them you appreciate how much they care, but that you’re feeling pressure and it’s killing the mood for you.

It’s possible that they’re judging themselves as a partner based on whether or not you climax, and they may be seeking a little reassurance that they’re making you feel good. If they are, say so; if you’re looking to switch it up, this is your opportunity to tell them it would be so hot if they tried this or that thing next time you hop in bed.

3. Your antidepressants are messing with your sex drive.

As someone who continues to struggle with depression, I can’t emphasize enough how important it is to seek treatment and take medication if you and your care provider decide that’s what’s right for you. Antidepressants can be lifesavers, and I mean that literally.

However, certain medications do indeed affect your ability to come. SSRIs such as Zoloft, Lexapro, and Prozac can raise the threshold of how much stimulation you need to orgasm. According to New York City sex therapist Stephen Snyder, author of Love Worth Making: How to Have Ridiculously Great Sex in a Long Lasting Relationship. “For some women, that just means you’re going to need a good vibrator,” says New York City sex therapist Stephen Snyder, author of Love Worth Making: How to Have Ridiculously Great Sex in a Long Lasting Relationship. “For others, it might mean your threshold is so high that no matter what you do, you’re just not going to be able to get there.”

If your current medication is putting a dramatic damper on your sex life, you have options, so talk to your doctor. Non-SSRI antidepressants such as Wellbutrin are available, while newer medications like Viibryd or Trintellix may come with fewer sexual side effects than other drugs, Snyder says. I’m currently having excellent luck with Fetzima. I don’t feel complete and utter hopelessness yet can also come my face off (a wonderful way to live).

4. Your birth control is curbing your libido.

Hormonal birth control can also do a number on your ability to climax, according to Los Angeles-based OB/GYN Yvonne Bohn. That’s because it can decrease testosterone levels, which in turn can mean a lower libido and fewer orgasms. If you’re on the pill and the sexual side effect are giving you grief, ask your OB/GYN about switching to a pill with a lower dose of estrogen or changing methods altogether.

5. You’re living with anxiety or depression.

“Depression and anxiety are based on imbalances between neurotransmitters,” OB/GYN Jessica Shepherd tells Allure. “When your dopamine is too high or too low, that can interfere with the sexual response, and also your levels of libido and ability to have sexual intimacy.” If you feel you may have depression or an anxiety disorder, please go see a doctor. Your life is allowed to be fun.

6. You’re not having sex for long enough.

A good quickie can be exciting (and sometimes necessary: If you’re getting it on in public, for example, it’s not exactly the time for prolonged foreplay.) That said, a few thrusts of a penis inside of a vagina is not a reliable recipe for mutual orgasm. Shepherd stresses the importance of foreplay, which can include oral, deep kissing, genital stimulation, sex toys, and more. Foreplay provides both stimulation and anticipation, making the main event, however you define that, even more explosive.

7. You’re recovering from sexual trauma.

Someone non-consensually went down on me as part of a sexual assault four years ago, and I’ve only been able to come from oral sex one time since then. Post-traumatic stress disorder is common among survivors of sexual trauma; so are anxiety and orgasm-killing flashbacks, whether or not the survivor in question develops clinical PTSD. Shepherd says sexual trauma can also cause hypertonicity, or increased and uncomfortable muscle tension that can interfere with orgasm. If you’re recovering from sexual trauma, I encourage you to find a therapist to work with, because life — including your sex life — can get better.

8. You’re experiencing body insecurity.

Here’s the thing about humans: They want to have sex with people they’re attracted to. Richmond says it’s important to remember your partner chooses to have sex with you because they’re turned on by your body. (I feel confident your partner loves your personality, as well.) One way to tackle insecurity is to focus on what your body can do — for example, the enormous pleasure it can give and receive — rather than what it looks like.

9. You’re shying away from masturbation.

Our partners don’t always know what sort of stimulation gets us off, and it’s especially hard for them to know when we don’t know ourselves. If you’re not sure what type of touch you enjoy most, set aside some time and use your hands, a sex toy, or even your bathtub faucet to explore your body at a leisurely pace. Once you start to discover how to make yourself feel good, you can demonstrate your techniques to your partner.

Complete Article HERE!

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