Category: Sexual Performance Issues

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How To Have Multiple Orgasms

— 9 Tips For Women

Got any evening plans?

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For many women, having one orgasm during sex can be an uphill battle, so the idea of achieving multiple orgasms might seem like the stuff of fiction.

But sex expert Tracey Cox said women are more than able to have multiples. “Because women don’t fall to the post-orgasm resolution phase as quickly as a man does, it’s easier for us to climb back up and have further orgasms in succession,” she told HuffPost UK.

Because we hate feeling left out, and don’t want to wait for National Orgasm Day (31 July), we asked experts how to improve the chances of having multiple orgasms.

1. Do your Kegel exercises.

Disappointingly, having mind-blowing orgasms isn’t all just about having sex and will require a little bit of groundwork before you get to reap the rewards, including doing regular Kegel exercises.

Cox said: “Like the rest of your body, if your pelvic floor muscle is toned and fit, it works better, pumping even more blood to the pelvis (which is great for arousal) and making stronger contractions – giving longer, more intense orgasms.

“Simply squeeze the muscle you use to hold back urine, hold it for two seconds, then release. Do this 20 times, three times per day.”

2. Do work on ‘peaking’ techniques.

They say good things come to those who wait, and no more so than those who don’t just rush straight into an orgasm. Instead, teach yourself to plateau and gradually build to the final moment, rather than rushing ahead.

Cox said: “Peaking involves taking yourself almost to the point of orgasm, waiting for your arousal to subside, then climbing back up again. This trains you to stay in a high state of excitement, following a ‘wave-like’ orgasm pattern, rather than one which starts at the bottom and steadily climbs higher.

“Not only does this optimise the release of endorphins, but it teaches your body to stay in a practically permanent orgasmic pleasure zone, able to orgasm over and over.”

3. Do develop orgasm triggers.

You might think that having sex is your orgasm trigger, but that’s not quite what we mean. Instead learn about the smaller signs that indicate you’re about to have an orgasm, such as your breathing. The more warning your brain gets, the more it will be able to summon the response when you want it.

Tracey Cox said: “Focus on what you naturally do on approach to orgasm, then exaggerate it. If you breathe heavier and faster, breathe even heavier the next time you’re about to climax. If you notice you tense your toes and throw your head back, do that.

“Get to the point where your brain thinks ‘aha deep heavy breathing combined with toe flexing means she’s about to orgasm’! Better get cracking then and make it happen!”

4. Don’t rush into it.

When you think you’re ready to start trying to have multiple orgasms with your partner (or by yourself) remember the golden rule – don’t rush it. For example, you could slowly apply lube to your partner and slowly start again, being aware if your partner is in any discomfort.

Ann Summers’ sex expert Eve Fifer said: “Your body will be much more sensitive after your first orgasm, which means carrying on with heavy stimulation straight away can be painful. And we don’t want that.”

5. Do use different stimulation.

No one likes to be bored in bed, especially your brain. And if you’re expecting yourself to orgasm again and again with the same stimuli then you’re probably going to be disappointed, so mix it up a bit.

“If you have your first via intercourse, you’ve got more chance having another through oral sex than through more penetrative sex,” said Cox.

“A third might be achievable through you masturbating yourself – it’s going to be the hardest to have, so call in the expert (you).”

6. Do take a moment to relax.

There is a big difference between taking a moment to relax between orgasms and just letting your body switch off and go to sleep. Of course it is important to give yourself a brief moment of relaxation (this isn’t meant to be a military boot camp) but stay in the moment and don’t drift away.

“This is what mindfulness is all about,” Fifer added. “Keep your head full of distinctly inappropriate thoughts.”

7. Don’t forget to breathe.

As with relaxing, don’t get so fixated on your orgasm goal that you forget to breathe properly, as this can play a massive part in your likelihood of reaching orgasm for a second or third time.

Cox said: “Some experts say holding your breath on orgasm heightens the sensation, others say if you starve your brain of oxygen, it forces oxygen-giving blood to flow toward it and away from your genitals.

“Continuing to breathe deeply through orgasm is recommended by spiritual sex devotees who claim it means you’re more likely to be able to have a second one.”

8. Don’t forget your partner.

In the midst of all this female orgasm chat, it’s important not to neglect whoever you are in bed with, especially as they may have already had their orgasm and not be feeling in the mood for round two.

“At the end of the day, a woman’s capacity to experience [multiple orgasms], depends on how relaxed and in tune with her body she is, how motivated her partner is, and how little they both have to do,” said Suzi Godson, sex and relationships columnist for The Times.

9. Do remember that practice makes perfect.

As with all things in life, if you want to get good, you’re going to have to put in some practice beforehand.

Fifer said: “Each orgasm will feel more intense than the one before it, and the more you practice the easier you’ll find it to reach the second, and third, and fourth.”

Complete Article ↪HERE↩!

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Google reveals top sex questions people asked in 2023

By Emily Brown

Google has revealed the top sex questions people asked this year – and it’s made me slightly concerned for everyone who lived before the internet.

Honestly, what the hell did people do before its creation?

You’re telling me they nipped over to the local library and scanned the shelves to find out the answers to their explicit questions?

I don’t think so.

But of course, with the creation of the internet also comes data that can be stored and analysed, allowing Google to come up with the very list we’re reporting on today.

It might be embarrassing to think about how Google probably knows exactly whether you’re among the people asking these questions, but at least you’ll know you’re not alone.

So, let’s get on with it shall we?

10 – How do fish have sex?

I bet that’s not where you thought we’d be starting, is it? But it’s a valid enough question, even if it’s never crossed your mind before.

If you’re curious now, I can tell you that fish apparently aren’t so bothered about having sex as they are with reproducing.

Spawning fish get themselves into what’s known as a ‘nuptial embrace’, where the male wraps his body around the female and releases milt into the water, while the female releases eggs which are then immediately fertilized.

Fish are more bothered about having babies than getting busy. Credit: Pixabay
Fish are more bothered about having babies than getting busy.

9 – Why do I have no sex drive female

There are a number of things that can lower your sex drive as a woman, including relationship problems, stress, anxiety or depression, sexual problems, pregnancy, medicines and hormonal contraception.

If you’re worried about low sex drive, you can get in touch with your GP for advice.

8 – What is anal sex?

Loads of you might be clued up on exactly what anal sex is, but clearly there are a lot of people still out there wondering.

To put it simply, anal sex involves penetration of the anus, rather than the vagina.

You wouldn't want to ask about anal sex in a library. Credit: Pixabay
You wouldn’t want to ask about anal sex in a library.

7 – How long after a miscarriage can you have sex?

As well as dealing with the emotional effects of miscarriage, there are also a number of physical effects which can impact sex.

People may bleed for a period of time following a miscarriage, during which time

the cervix is dilated wider than normal, making it more prone to infection.

To help ensure you can carry out healthy sex, doctors recommend waiting at least two weeks after miscarriage before inserting anything into the vagina.

6 – How many calories do you burn during sex?

Is it possible to really get a good workout from pleasure?

Research indicates that you can at least equate some fun in the bedroom to light exercise – with one study conducted by the University of Quebec at Montreal revealing that men burned an average of 101 calories in 24 minutes, while women burned 69 calories.

No, I’m not making that number up.

Sex can be considered light exercise. Credit: Pexels
Sex can be considered light exercise.

5 – How many dates should you go on before having sex?

Ah, the age-old question. What is the perfect number? Some live by the three-date rule, while others want to wait until they hit four or five.

Ultimately, it comes down to your own preferences; when you’re ready, whether you actually still like the person after a few dates, and whether you actually want to have sex with them.

4 – Why do I bleed after having sex?

The NHS states there are a number of reasons women may bleed after having sex, including an infection, vaginal dryness or damage to the vagina.

In rare instances, bleeding after sex can be a sign of cervical or vaginal cancer.

If you’re concerned, contact your GP for advice.

3 – What is sex positivity?

There are varying definitions of sex positivity, but generally it’s about openness and appreciation of sex, including sexual orientations, interests, identities and expressions.

Embrace and enjoy it!

Sex positivity is about embracing and appreciating sex. Credit: Pexels
Sex positivity is about embracing and appreciating sex.

2 – Can you have sex when pregnant?

There have been a few jokes made on TV and in films about whether the baby could be impacted by the sudden appearance of an unexpected guest in the vagina, but I can assure you that, unless you’ve been specifically advised by a doctor or midwife to avoid sex, the baby will be fine.

A penis or toy wouldn’t penetrate beyond the vagina, meaning having sex is perfectly safe.

1 – What is speed bump sex position?

Here we are, at the most Googled sex question of 2023. I’m surprised positions didn’t come up sooner, but everyone’s clearly spent this year focused on one in particular.

So, what is the speed bump?

Popularized by Love Island star Tom Clare after he mentioned it on the show, the speed bump involves one person putting a pillow under their hips before lying face down.

The pillow forms the so-called ‘speed bump’, though I’m not sure how effective it is at getting people to slow down.

So there you have it, you’ve managed to learn the answers to the year’s top sex questions without becoming a Google statistic.

You’re welcome.

Complete Article ↪HERE↩!

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6 things we learned about sexual health this year

By Kaitlin Reilly

Sexual health is health — and, boy, did we learn a lot about it this year. After spending 2023 diving into studies, surveys and even pop culture moments that focused on all things sex, I’ve concluded that there’s always more to know about the more intimate side of our lives. Sometimes the things we learned may have felt a little TMI — like, say, the role Christmas ornaments have as potential sex toys. Most of the time, however, the stuff we learned about sex was pretty groundbreaking, such as how there are two types of desire, and neither is wrong.

Here’s a wrap-up of the top six things we learned about sex this year — and here’s to many more fun, sexy facts in the new year.

1. Many women keep a ‘sexual toolbox’

You may not find it at Home Depot, but more than half of menopausal women ages 50 and over who were asked about their sex lives in a September Kindra-Harris poll said that they kept a “sexual toolbox” to make intercourse more pleasurable. These products include lubricants, as well as vibrators, both of which can make sex more fun and comfortable, especially as many menopausal women experience vaginal dryness and other pain during sex, medically known as dyspareunia.

And speaking of lubricant — you may want to be careful about what you put in your own toolbox. If you are using condoms, whether that’s with a sex toy or partner, you should never use oil-based lube, as it can “destroy the integrity of latex condoms,” women’s health expert Dr. Jennifer Wider tells Yahoo Life.

You don’t have to be menopausal to benefit from lube either. “A myth surrounding lube is that people only use lube when something is not quite working correctly,” says Dr. Laura Purdy, chief medical officer at Wisp. “This couldn’t be further from the truth. Many people use lube to make things feel more natural, and lube can be your best friend during sex.”

2. There are 2 types of desire — and neither is wrong

In movies (and, of course, porn) all it takes is someone looking at their partner for Marvin Gaye’s “Let’s Get It On” to start playing. In real life, sexual psychologist Laurie Mintz says that’s not exactly how things work — at least, not most of the time, and especially not for people in long-term relationships. That’s because there are two types of desire: “spontaneous desire,” which is when you feel aroused pretty much immediately, and “responsive desire,” which means you need some kind of stimulation in order to put yourself in a sexy mood.

“With this type of desire, one doesn’t wait to be horny to have sex, but has sex to get horny,” Mintz says, which means that “the desire follows the arousal, versus the reverse.”

Obviously, there are times when sex is completely off the table between two consenting adults — headaches and new episodes of The Golden Bachelor do exist, after all. However, these two kinds of desire may take some of the pressure off people who may feel like they have a lower libido simply because they don’t feel spontaneously sexual.

Instead of making yourself feel bad because you can’t go zero to 60, try engaging in things that make you feel in the mood before you get to your sexual main event, whether that’s masturbating, kissing your partner or even just relaxing and thinking about sex in the hours leading up to a planned encounter.

3. Young people are having less sex than their parents did at their age

Teen rates of sexual intercourse are declining, according to a 2023 published survey from the Centers for Disease Control and Prevention. The survey found that only 30% of teens in 2021 said they ever had sexual intercourse, down from 38% in 2019. While, yes, the COVID-19 pandemic did likely have something to do with the declining rates (it’s a little hard to socially distance during sex), some experts think there may be other reasons for the decline, such as more teens identifying as LGBTQ and engaging in sex acts that don’t necessarily involve intercourse.

It’s also possible that young people just aren’t growing up as fast as they once did. Jean Twenge, a San Diego State University psychology professor who reviewed the data for her book Generations, told the Los Angeles Times that more young people are living at home longer and delaying things like getting their driver’s license and going to college — which may also affect their sex life.

“In times and places where people live longer and education takes longer, the whole developmental trajectory slows down,” she said. “And so for teens and young adults, one place that you’re going to notice that is in terms of dating and romantic relationships and sexuality.”

4. People are using strange seasonal things as sex toys

TikTokers love to review the holiday items at Target each year, but Dr. Adam Gaston, an internal medicine physician since 2021, went viral on the platform for a different reason: by reminding his followers not to put said Christmas decor any place it “doesn’t belong.” Sure, that Christmas tree ornament may not be shaped all that differently from a dildo, but spending the holidays in an emergency room because glass broke inside your rectum or vagina is ho-ho-horrific.

Of course, it’s not just the holiday season that gets people hot, bothered and making bad decisions about what to use for sexual gratification: A 2013 case study revealed that things like ballpoint pens, a tea glass and even an eggplant were found in the rectum of different men, so really, why wouldn’t a Christmas ornament be on deck too?

Place those ornaments on your tree and add a silicone-based sex toy on your holiday wish list.

5. Libido gummies (probably) don’t work — at least not how you think

Popping a supplement or chewing on a gummy won’t make you instantly hot and bothered, even as more and more companies are selling libido gummies that claim to put women in the mood for love.

The jury is out on these products, says Dr. Tiffany Pham, an ob-gyn and a medical adviser for female health app Flo Health, as there is “a lack of robust research into the claims behind these supplements,” even as some individual ingredients show promise.

But that’s not the only reason they’re unlikely to be the sole solution for low libido for women: Libido involves more than just physical function and can be affected by everything from stress to past trauma to the connection one has with a partner. If you’re really struggling with a lack of desire, talking with a sex therapist will likely do way more than an over-the-counter supplement. And if you are curious about taking something to boost your libido, make sure to talk to your doctor, who can tell you if it’s safe to explore.

6. Dry orgasms are a thing for men

And Just Like That may be lacking the sex part of its predecessor’s name, but there’s still plenty of sex in the city for Carrie Bradshaw and her friends. In a 2023 episode, Charlotte and her husband, Harry, are having sex when Harry orgasms — only for no semen to come out. After consulting with a doctor, the couple learns he experienced a retrograde orgasm, or a dry orgasm, which occurs when semen enters the bladder instead of exiting through the penis, leading to little to no ejaculation. While Harry is instructed to do kegels — leading to Charlotte training him in the famed pelvic floor exercise — urologist Dr. Fenwa Milhouse told Insider that advice won’t help. Dry orgasms are typically a nerve issue and often caused by certain medications, like ones taken for diabetes, as well as pelvic injuries.

“It’s not dangerous. It’s not detrimental to the person’s body, but it can interfere with fertility because the semen isn’t getting where it needs to be, which is being deposited into the partner’s vagina,” Milhouse told Insider.

Bonus: Here’s how you find your G-spot (which may not be a ‘spot,’ after all)

Ah, the G-spot. If you’re a person with a vagina and have always found this famed alleged center of pleasure elusive, Martha Kempner’s breakdown of the G-spot includes where to find it. The G-spot is on the front wall of the vagina, nearly two inches in. Also worth noting? The G-spot may not be a spot at all but more of a zone, as, according to a 2022 article, there are actually “five separate erotogenic tissues that function in a similar way to the G-spot.”

One theory why stimulating the G-spot feels so good is that people are stimulating the clitorourethrovaginal (CUV) complex, which includes interactions between the clitoris, urethra and uterus, says Debby Herbenick, director of the Center for Sexual Health Promotion at Indiana University and author of Read My Lips. A come-hither motion with two (well-lubed!) fingers should do the trick.

Complete Article ↪HERE↩!

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Is Your Libido Normal?

— Experts Explain How It Can Change

By Karen Robock

There may be some times in your life when you feel as if you want to torch the sheets with your partner every night, and other times when the sexiest thing you can imagine is binge- watching baking shows. Or maybe you have sex every week or two and don’t miss it when you don’t. Meanwhile, you hear about friends who are at it every day, and think, What’s wrong with me?<

Meet the experts: Laurie Mintz, Ph.D., sex therapist and emeritus professor of psychology at the University of Florida; Susan S. Khalil, M.D., director of the Division of Sexual Health at Mount Sinai in New York City; Sally MacPhedran, M.D., director of the Women’s Sexual Health Center at MetroHealth Medical Center in Cleveland; Tami Rowen, M.D., an ob/gyn and an associate professor at the University of California San Francisco; Tameca Harris-Jackson, Ph.D., a sex therapist and director of Hope & Serenity Health Services in Altamonte Springs, FL

Well, we are here to tell you that the answer is, probably nothing. Libido, a.k.a. sex drive or sexual desire, “is multifaceted and multi- determined, encompassing biological, medical, familial, cultural, relational, and individual factors,” says sex therapist Laurie Mintz, Ph.D., an emeritus professor of psychology at the University of Florida and the author of Becoming Cliterate. With all those influences on whether you’re motivated to have sex, it makes sense that your drive can ebb and flow, even throughout a week or month (indeed, for premenopausal women, monthly cycles affect libido).

And certainly libido can vary through the broader phases of your life, says Susan S. Khalil, M.D., director of the Division of Sexual Health in the Raquel and Jaime Gilinski Department of Obstetrics, Gynecology, and Reproductive Science at Mount Sinai in New York City. When you’re in your 20s, for example, curiosity about sexuality and pleasure tend to drive up desire. Libido can plummet in the months and years after you have a baby, then rise again when the baby stops keeping you up all night. During perimenopause, women experience a natural dip in sex hormones and may start to have issues with lubrication, which can affect how into it you are. One recent study found that women’s desire tended to fluctuate more than men’s throughout their lifetimes, but that people all had similar ups and downs on a weekly basis.

What is libido, exactly?

Bear with us as we take you back to Sex 101: “Libido” is the term used to describe sexual desire or a desire for sexual activity, which may mean with a partner or the solo act of masturbation. It’s not a medical term—it was coined by Sigmund Freud, and there isn’t a universally accepted way to measure it.

That’s one of the reasons why, when it comes to libido, there is no such thing as normal. Whether yours is “healthy” is a matter of perspective, depending on what you need and want, says Sally MacPhedran, M.D., director of the Women’s Sexual Health Center at MetroHealth Medical Center in Cleveland. A high libido is as normal as a low one, regardless of gender or sexual orientation, and low sex drive is a problem only if it’s a problem for you. “There is a huge range when it comes to desire,” says Dr. MacPhedran, who often compares the spectrum of libido to the variation in height. “You don’t say somebody is abnormal at five-nine versus five-two—it’s just different.” While the term “libido” is often used interchangeably with “sex drive,” some experts take issue with the latter because it creates an unfair comparison with other primal drives, such as thirst and hunger, that are essential to survival. “You won’t die if you don’t have sex,” says Mintz. (The human species doesn’t necessarily depend on it, as sex isn’t always associated with reproduction, particularly when it comes to same-sex couples and those past childbearing age.) Understanding the need for sex requires a more nuanced grasp of the idea, says Mintz.

What hormones have to do with it

In biological terms, libido is regulated by the sex hormones testosterone and estrogen along with neurotransmitters such as norepinephrine and dopamine. Feelings of sexual desire typically begin to emerge between the ages of 9 and 15, when hormones start to surge, and continue through sexual maturity, dipping during menopause for women and tapering off in later adulthood.

These sex hormones will peak and wane through different phases of life: People who have periods will often notice a pattern in the rise and fall of their libido that’s tied to their menstrual cycle, says Tami Rowen, M.D., an ob/gyn and an associate professor at the University of California San Francisco. “Over the course of a month, a person’s sex drive will peak when they are ovulating, then drop significantly,” she says. Our hormones and neurotransmitters convey the message of desire for sex to the prefrontal cortex of the brain. But sometimes those messages can get a bit muffled. Even when our hormones peak and we are theoretically most primed for sex, we don’t always pick up on, or prioritize, what our bodies are telling us. We may be preoccupied with a sick child or simply too tired to notice (let alone heed) libido’s siren call. And that’s to be expected: Your brain is supposed to filter things to determine what your responsibilities are, what you can act on and what you can’t.

It’s also important to differentiate between the two types of desire: “What most people envision desire to look like is spontaneous sexual desire,” says Dr. MacPhedran. That’s what we read about in romance novels—when just locking eyes with someone across the room can make you excited. Responsive desire, on the other hand, is being open to saying yes to intimacy even if you’re not in the mood for sex. You may come home from work, desiring nothing but a warm bath, but when you see that your partner has brought you your favorite flowers, all of a sudden it’s Game on.

This distinction is important, because while both are part of a healthy sexual response, spontaneous desire is all we talk about and see onscreen, which can often leave people who don’t experience it thinking there’s something wrong with them. But the experts agree: There isn’t. Having responsive sexual desire—meaning you say yes when the environment is right—can result in exactly the same sexual satisfaction as spontaneous desire.

How do you feel about sex?

Your upbringing, beliefs, and negative experiences can affect your libido. “Religions and belief sets that bill sex as dirty and sinful can lead to sexual shame,” says Mintz, who points out that many women who are raised in a culture that emphasizes “purity” may struggle with these feelings even years after they’ve left that culture. A history of sexual abuse or unhealthy relationships can also affect your libido in the long term. On the other hand, some people might feel relief after leaving a culture in which they felt shamed and may find that freedom enhances their desire.

Working through negative feelings about sex or finding yourself in a positive life space can ramp up your libido as well. Maybe you’ve found a relationship in which you feel safe. Maybe you have a new, less stressful job and finally have the mental space to think about romance. Or maybe you’ve recently started taking better care of yourself and you feel physically good; this too can bump up your desire.

high angle view of a red rocker switch with power on and power off symbols printed in white, switched in the power off position on yellow background

Reasons your drive might dip

There are numerous health and wellness issues that could be behind your dry spell. Some of the most common:

You’re stressed

This is the number one factor that affects libido in the patients of Tameca Harris-Jackson, Ph.D., a sex therapist and director of Hope & Serenity Health Services in Altamonte Springs, FL. Not only can the daily onslaught of work, money, and relationship worries dampen desire, but that often starts a negative-feedback loop in which people end up sleeping less, drinking more alcohol (a depressant that impedes sexual function), and skipping self-care.

You’re on desire-dampening meds

An estimated one in eight Americans takes antidepressants, and many don’t realize that some types of these meds can quash desire. “The worst medications for libido are certain antidepressants,” says Dr. Rowen, adding that their effects on libido are “a major reason people stop taking them.” (If you’re taking Paxil or Prozac, for example, ask your doctor about adjusting your dosage or switching to a different antidepressant.) Meds for allergies, diabetes, and high blood pressure can have an effect on sexual desire as well.

Your diet could use a reset

If you’ve ever felt bloated and not in the mood after a dinner date that featured heavy food, you know how what you eat can immediately affect your desire. Your nutrition from day to day is important too, says Harris-Jackson. “If the efficacy of blood flow is impeded by a high- sodium or high-sugar diet, there can be difficulty feeling sensation and having full function of sexual organs,” she says.

You’re on the Pill

“The idea that you can have sex for pleasure without the risk of pregnancy, certainly in this political day and age, is really important, but people should know that the birth control pill can affect libido,” says Dr. Rowen. Talk to your doctor about other reliable forms of long-term contraception, she advises.

You’re tired

According to a study in the Journal of Sexual Medicine, for some women just one more hour of shut-eye can lead to higher levels of sexual desire and better arousal the next day.

You have health challenges

>Chronic pain from arthritis or fibromyalgia, for example, may prevent you from focusing on pleasure cues. Conditions like anxiety and incontinence can also make sex more challenging.

studio shot

How to boost your libido (if you want to!)

As all the experts say, your level of desire is a problem only if it bothers you. It can become an issue, though, when the libidos of partners in a romantic relationship aren’t quite in sync: If, for example, you crave sex once a week but your partner is happy with having it once a month, this is what is known as desire discrepancy—it is very common and is something you can work on together. “A difference in sex drive should be dealt with the same way as any other differences in a long-term relationship,” says Mintz: Communication and compromise are required to make everyone happy. “Especially as we age, our relationship ages, and spontaneous desire wanes, it’s often advisable for couples to jointly decide on their ideal frequency and schedule sexual encounters,” she says. Agreeing to weekly trysts, as Mintz calls them, keeps sex on the table so you don’t fall out of the habit altogether. But if you have trouble agreeing on how often to have sex, there’s unresolved tension, or one person is feeling rejected, you may wish to see a certified sex therapist. “Sexual problems are fixable—and the sooner the better, before resentments pile up,” says Mintz.

But don’t confuse this scenario with the idea that you need fixing. Historically, women have been shamed for having strong libidos (while men are applauded for the same thing), and also there is intense stigma surrounding low desire across the board. “There are a lot of stereotypes around cis women not having natural drive, but it’s unfair to describe women that way, because there is a broad range,” says Dr. Rowen. Whatever your level of desire, she says, “know that you are not broken.”

When to talk to a doctor

If your libido has changed or is bothering you, talk to your primary care provider or an ob/gyn. They may diagnose you with hypoactive sexual desire disorder (HSDD), a condition in which a decrease in or lack of sexual fantasies and desires causes personal distress. Your doc will ask questions about your medical and sexual history, may perform a physical exam to look for issues like thinning vaginal tissue or other pain-triggering concerns, recommend extra testing to rule out under lying medical issues, and refer you to a specialist before making a diagnosis.

  • Making adjustments to medications that have libido-lowering side effects
  • Psychotherapy such as mindfulness-based CBT
  • Hormone therapy, especially for postmenopausal women
  • A prescription for Vyleesi or Addyi—these two drugs are FDA-approved to boost desire in premenopausal women

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The Secrets of Sex Over 40

— 8 Questions Answered

New AARP survey reveals how often older adults have sex, and lots more

By Robin L. Flanigan

Most older adults believe sex is an essential part of a healthy relationship, and more than half say their sex lives are as satisfying – or even better—than a decade ago.

In a new AARP Research survey released Sept. 29, people over 40 got frank about what goes on in their lives – or doesn’t – when it comes to intimacy and sex.
The survey “Ageless Desire: Relationships and Sex in Middle Age and Beyond” polled 2,500 people 40 and older about how perceptions, behaviors, attitudes and preferences about sexual experiences have changed over time. Three-quarters of survey respondents were over 50.

Among the findings:

  • 72 percent of men and 63 percent of women have a current regular sexual partner.
  • Less than half of those surveyed —46 percent—said they were satisfied with their current sex life.
  • Four out of 5 people said their relationships were physically pleasurable and emotionally satisfying.
  • Having sex with a stranger is the most common sexual fantasy for both men and women.

The report also found that over the past 20 years, the frequency of sex in this age group declined, but other types of sexual activity – like masturbation and oral sex – increased.

“Sex doesn’t get any less important as we age,” says Patty David, AARP vice president of consumer insights. “It continues to be a vital part of a good relationship, which shows that intimacy and physical connection are important to all ages.”

1. How often do people in middle age and older have sex?

Older adults still have plenty of sex. Thirty percent told AARP researchers that they have sex weekly, 27 percent said monthly or less, and 40 percent reported having no sex in the last six months. One in 6 adults over 70 reported having sex weekly.
When it comes to oral sex, the frequency is a bit less: 18 percent said they have oral sex weekly, 25 percent said monthly, and 54 percent said none in the past six months.

But not everyone thinks they’re having enough sex: 46 percent said they were having the right amount, and 45 percent said they weren’t having enough. Men were more likely than women to say they’re not having enough sex, and women were more likely to say they were having just the right amount.

Certified sex therapist and psychologist Stephanie Buehler says there are lots of ways to be sexual as an older adult and recommends people expand ideas about what it means to show affection in the bedroom.

“It’s about acceptance and adaptation,” says Buehler, author of Enliven Your Sex Life! “Stop worrying about what you can no longer do and explore to find out how you can still experience sexual pleasure at any age.”

2. Do men and women differ in their levels of sexual desire?

Overall, 55 percent of those surveyed said they considered their sexual desire about average, 15 percent said higher than average and 29 percent said lower than average.

But men were more likely than women to rate their level of sexual desire as higher than average. Women were more likely to rate their level of sexual desire as lower than average.

3. How frequently do older adults masturbate?

The survey found that 55 percent of people reported pleasuring themselves in the past six months. Among those who did masturbate, 61 percent did so within the past week. About one in 4 pleasure themselves weekly, but that number decreases as age rises: Only 11 percent of people age 70 and older reported masturbating in the previous week, compared with 40 percent of those ages 40-49.

“Masturbation is natural and shouldn’t produce feelings of guilt or embarrassment,” says Buehler, adding that it also can be helpful if your partner doesn’t want as much sexual activity as you do.

One in 3 people reported using a vibrator for personal enjoyment, though women were more likely to say they were using one compared with men, at 42 percent versus 18 percent. People who identified as nonheterosexual were also more likely to report using a vibrator for self-stimulation (66 percent compared with 28 percent of those identifying as heterosexual).

4. How common is infidelity after midlife?

Fourteen percent of people reported being unfaithful, according to the survey. Seventeen percent of men said they’d had a sexual relationship with someone other than their partner, compared with 11 percent of women.

The reasons? For both men and women, the novelty of sex with someone other than their partner was tops. Men were more likely than women to say they were interested in sexual activities that their partner wasn’t interested in. For women, the answers trended toward feeling unappreciated by their partner and having a higher sex drive than their partner.

A quarter of those surveyed also reported reasons for sex with someone besides their primary partners as consensual monogamy or polyamory.

While many respondents reported that infidelity or suspected infidelity had a negative impact on their relationships, few people chose to end them because of it – only 4 percent did.

After an affair, most relationships are strained but survive, Buehler says.

“Repairing takes a lot of difficult conversations,” Buehler says, “as the person who had the affair spends time reflecting and the hurt partner takes time to understand the reasoning and heal.”

5. Is erectile dysfunction increasing?

The number of men who say they have difficulty with sexual function is growing. Just 4 in 10 men said they are always able to get and keep an erection for intercourse, down from half of men in 2009, according to AARP researchers.

In fact, 28 percent of those men surveyed said they’ve been diagnosed with erectile dysfunction or impotence, up from 23 percent in 2009 and 17 percent in 2004. But many men are looking for help: 6 out of 10 men who said they had general sexual functioning problems reported that they sought treatment.

Only 12 percent of women reported problems related to sexual functioning and more than half of those said they didn’t seek treatment because they didn’t feel comfortable discussing the issue.

Health concerns, like diabetes, stress and high blood pressure can impact sexual functioning: 79 percent of those surveyed said they’d been diagnosed with a medical condition.

6. Do older adults typically have a regular sex partner?

The AARP survey found that two-thirds of people reported they had a regular sex partner. Younger respondents had the highest likelihood of reporting a regular sex partner, but even over age 70, a little more than half of people said they had someone they regularly engaged in sexual activity with.

7. Are sexual fantasies among older adults common?

The answer is a resounding yes: 83 percent of those surveyed said they had sexual thoughts, fantasies or erotic dreams.

While having sex with a stranger was the most common fantasy for both genders, men’s fantasies included having sex with more than one person at a time, while women were more likely to say that they fantasized about having sex with someone of the same sex or having sex in different locations.

But people are keeping their fantasies to themselves: Roughly two-thirds said they hadn’t discussed them with others.

8. What are the best ways to keep romance alive?

The pandemic has had an impact on how people view their relationships. The survey found that 41 percent of older adults want an increased connection with their significant other, and 70 percent said they believe quality time and strong connections are more important now than before COVID-19.

However, the survey found that 31 percent of those divorced or never married are apt to say, “Romance? What’s that?”

Here’s how couples say they are keeping the romance going, according to the survey:

  • 63 percent make a point of saying ‘I love you”
  • 57 percent celebrate special days like birthdays and anniversaries
  • 35 percent take a vacation or romantic trip annually
  • 32 percent set aside time to enjoy each other’s company
  • 30 percent buy each other gifts or flower

David, of AARP, notes that in many cases the impact of COVID-19 has been to highlight the importance of relationships with friends, family, spouses or romantic partners. “It has made our connections even stronger,” she said. “Couple this with the importance of spending time with each other to keep the romance in the relationship and you have a powerful recipe for contentment and happiness.”

Complete Article ↪HERE↩!

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Scientists reveal the top sex positions most women orgasm in

— Take notes

By Ebony Leigh

With the orgasm gap between heterosexual men and women more akin to a chasm at this point, your best bet to reach climax is by sticking to the classics, a new study has found.

In a world where a hugely unrepresented number of women aren’t having orgasms through sex alone, scientists have crunched the data to find out exactly which positions are most likely to give vulva owners the big O.

Using 13 black-and-white diagrams that illustrated various intercourse manoeuvrers, researchers from the Czech National Institute of Mental Health quizzed more than 21,000 adults, including 11,225 women, on how they get off.

The results revealed four pole positions including man-on-top, woman-on-top, standing face-to-face and sitting face-to-face.

Sydney-based somatic sexologist Alice Child tells Body+Soul she’s “not at all surprised”.

“I think when it comes to sex positions, simple is best, rather than acrobatic positions, and some of those listed are classics – you know, missionary and woman on top – and they’re classics for a reason,” she says.

“They work for lots of different people’s bodies and you don’t over exhaust the muscles, which allows you to focus on what sex really is all about, which is connection, pleasure and being present with each other, rather than worrying about whether your leg muscles can survive another five minutes.”

Why are these positions so great?

What makes these four such explosive moves, according to the experts, is that they all tick three very important boxes.

The first is allowing for eye contact, which research shows increases mutual attraction and emotional closeness, which then encourages kissing, something plenty of us considers to be a crucial element of sex.

Then, with all this face-to-face action, you’ve got the fact that you can literally see your partner getting more and more aroused, which – in no surprise to anyone anywhere – can be a major turn-on.

But there’s one other thing that all of these positions have in common from a physical standpoint, added Child, and that’s easy access to the clitoris. AKA, the “gateway to female orgasm”.

“The vast majority of women need regular, consistent, pleasurable, external clitoral touch to be able to reach orgasm,” she explains.

“While studies differ, around 85 per cent of people with vulvas need some pressure or stimulation with a hand or vibrator on their clitoris to reach orgasm, and in a lot of these positions you can have pressure on the pubic bone.”

This brings us to the best move of all, the study proclaims, and that’s the woman on top.

Not only does this position allow women to control everything – such as speed, depth of insertion and rhythm – but through hip movements they can rub their pelvis against a man’s pubic bone, stimulating their clitoris.

It also leaves both partners hands-free, meaning you’re available to touch each other wherever you desire, or even bring some toys into the mix.  

For 34-year-old Leah, it’s the only position she can climax in.

“I love sex and trying out loads of positions because they do all feel really great, but I just can’t get there unless I’m on top,” she explains to Body+Soul.

“It’s like the key to orgasm for me.

“While I’m riding him, everything just feels like it’s being stimulated all at once and I’m the one in control, meaning I can move how it feels good for me. And then boom. It works nearly every single time.”

The mental mind game

Unfortunately, not everyone is in the same boat. The study reveals that one-third of women surveyed never climax during intercourse, no matter which position they’re in.

Tanya, 33, has been married for the last eight years and tells Body+Soul that she’s never been able to orgasm through sex.

“Usually we have sex, he will finish and then I will use my vibrator to make myself come,” she explains. “I can sometimes get there if I’m helping myself but I can’t remember the last time someone else made me come.”

She adds that changing positions during sex doesn’t make any difference.

“I definitely need a lot of clitoral stimulation to feel even close, but I just can’t do it through sex alone.

“It’s just such a mission for me to reach orgasm, like it’s definitely a mental thing and I have to be in the right mindset to actually get there. I have to be really focused on it and I can’t do that mid-sex.”

The pressure cycle

Miserably it’s this pressure of not being able to climax while doing it that creates even greater pressure and makes women even less likely to reach orgasm. 

“A lot of people who come to me haven’t talked openly about it before and so feel pretty isolated and pretty broken, like they’re not normal, and have a lot of shame,” Child explains. “But it’s important to know that it’s very common.”

“Women put a lot of pressure on themselves, and I have to say that one of the biggest blockers to being able to orgasm is putting more pressure on yourself. Pressure is never sexy.”

She also says that making an orgasm the goal of sex can also be your downfall.

“It robs you of being able to stay present and in the moment and enjoy the journey, not just the destination” Child says. “And that’s so much more important than choosing some magical position.”

Tanya adds that this pressure is especially unfair when “our sexual organs are completely different to a man’s”.

“It’s pretty crazy that as women we put this pressure on ourselves to be able to please a man in a certain way and be able to make him come in a certain timeframe when many guys just don’t really care about doing the same for a woman or just have no idea how to,” she says.

So how can I help myself orgasm?

Firstly, forget the study, Child says, and do what feels good for you.

“What’s more important is getting sex-positive education and resources around your own pleasure and asking yourself what’s important for orgasm and how you get out of your head and into your body.

“Certain positions may help you do that, but go for whatever position helps you personally to feel most relaxed and most connected, to feel more in your body.”

She also encourages self-pleasure and allows your body to move in a way that’s familiar to you.

“Be curious about what position you try when you’re on your own,” Child explains.

“If you find it really easy to orgasm when you’re on your belly but that’s not on the list, then ignore the list and try being on your belly during sex.

“That way you can build pleasure and arousal on your own and then it will be a lot easier during sex than trying a completely brand new position.”

Variety is also the spice of life, even when it comes to masturbation.

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“If you want to learn how to orgasm in lots of different and fun positions and you struggle to do that, then add variety to your own self-pleasure practices to teach your body what it feels like to be on your back or what it feels like to be standing up or what it feels like to be sitting,” Child says.

At the end of the day, it’s like teaching your body a new skill, and it’s best to practice without all the distractions that come during sex, like being worried about what you look like or what you smell like or how your partner’s feeling.

“Using self-care as the practice ground when there are fewer breaks can help you to reconnect to your body,” Child says, “which is really, really helpful.”

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How Lube Helped Me Unlock A New Level Of Sexual Pleasure

By Hilary Shepherd

I recently located my clitoris, which, at 33 years old, sounds way overdue. Alone, inspired by a conversation I had with a sex therapist, and apparently horny on a Saturday night, I decided to forgo my rotating collection of vibrating sex toys, which I’d always enjoyed while watching porn and wearing underwear (a “fabric barrier” has always felt less imposing to me) in favor of a foreign combination: my fingers and a bottle of lube.

Within minutes, I was able to go deeper into my body in a way I hadn’t before. I relished in the unfamiliar sensations and possibilities for pleasure hidden in various corners and crevices I’d long overlooked but was now able to easily explore, thanks to the lube’s super smooth texture. (For reference, I used SKYN‘s new Naturally Endless lube, a water-based formula with a host of naturally derived ingredients that also happens to be non-sticky and long-lasting.) As I closed my eyes, I was also surprised by how easily I was able to relax and focus on exploring myself even without the chorus of moans blaring from some X-rated website. I thought of all the vulva diagrams I’d seen in gynecologists’ offices and used them as a guide to locate key areas I knew were hotbeds of pleasure. After repeatedly making a “come hither” motion at the top, where I knew my clitoris lived, the sensation rapidly built up into several intense, full-body waves of euphoria. To be clear, I have experienced an orgasm before, but not like this. I did it again and again and again, delighting in the newfound sensation.

The way I found my clit — pearl-like and erect, nestled amid a fleshy hood, and seemingly designed to provide toe-curling spasms — reminds me of my equally clumsy journey with tampons. Desperate to follow my friends at school who had all ditched pads, I used to spend hours locked in my bathroom attempting to successfully insert a tampon. With one leg on the toilet, I’d study the step-by-step guide that came in the box, quietly suppressing a very real fear of the string disappearing into the ether, or worse, potentially dying from the “tampon disease.” I was unsure where exactly and how far up the applicator was supposed to go, but reaching for  a handheld mirror for assistance was out of the question. I grew up pretty religious (I didn’t lose my virginity until I was 21 and also experienced some trauma) and was taught that the vagina was an integral, yet ugly and confusing part of your body — something to largely ignore.

And so, for a couple of years, I simply went about life wearing tampons incorrectly — I was never able to insert them fully, so the bottom half would stick out. I chalked it up to having an “abnormal” vagina; I was different from my tampon-wearing friends, who’d swim and do cartwheels and jump on trampolines with the same carefree, “I-don’t-even-feel-it!” attitude I’d see in tampon commercials on TV.

This was an unfortunate, embarrassing, and painful fate I’d come to accept — until one day, it just clicked. All I had to do was take a moment to breathe, relax, and unclench my pelvic muscles. It was an exercise in patience, in pausing, in connecting with my body in a positive and intimate way. And it’s a lesson that would serve me well again, nearly two decades later.

I had never really masturbated with my fingers. In college, finally free and independent for the first time, I became curious about masturbating. A scene in a film I’d watched elicited an arousing sensation in me, and when the faucet method (IYKYK) didn’t do the trick, I tried the base of my electric toothbrush, blown away by the incredible sensation it provided after merely moving it around in that area atop my silk pajama pants. It was time, I realized, to get a proper vibrator.

Periwinkle, skinny, and decidedly non-threatening, my first toy was a dildo that symbolized sexual freedom. I had planned to experiment with it over the long holiday break that semester, but when my mom was driving me home from the airport, it switched on in my suitcase. The loud and incessant buzzing was impossible to ignore. “What is that?” my mom asked. I knew I could easily blame it on a rogue toothbrush, but…I told her the truth. “Ugh, Hilary,” she said, as if the word “PERVERT” had suddenly appeared across my forehead in big, black letters. “That’s disgusting.”

Though this experience didn’t stop me from using toys (my mother did not, thankfully, force me to toss my dildo), I felt ashamed for years, associating sexual pleasure with perversion, just as I did in my youth, and viewing masturbation as some filthy, primal deed done in secrecy. Sex throughout my 20s, then, was often alcohol-fueled, one-sided, and devoid of any real meaning; it was an intimate act that didn’t quite feel intimate, but more like something to dissociate from and simply endure. (Forget about an orgasm.)

These days, sex doesn’t feel so icky. My partner, who I’ve been with for more than five years, makes me feel secure and loved. It’s the first serious relationship I’ve ever been in, and while I’m still not able to orgasm during sex (I’m in therapy currently to work on some of those anxiety-ridden mental blocks, residual archaic beliefs from my childhood, and past trauma), it’s nevertheless an enjoyable and loving and important act. But I know there’s a lot more pleasure to be had.

Like many couples in long-term, monogamous relationships, our sex life has ebbed and flowed, decreasing during periods of extreme stress or confinement and increasing on, say, vacations or after spending time apart. One thing that’s remained the same, though, has been my inability to be an active participant in our sex life — meaning, instead of treating sex with the same curiosity and openness I feel when I masturbate, I’ve mostly allowed him to take the lead, cycling dutifully through positions and often beginning to feel truly aroused by the time he finishes. Lube, which we’ve never put that much thought into, has been something to hurriedly dig for in a bedside drawer half-way through sex when the friction becomes too much or he’s in the mood for a “super slippery sensation.” (Alternatively, it’s also reserved for hand jobs.) I never complain or provide input or direction, but how am I supposed to ever feel truly satisfied if I don’t speak up? Or rather, how can I speak up when I don’t even know my own body?

The logical, rational side of my brain knows that vaginal wetness fluctuates based on one’s menstrual cycle and a “zillion other factors,” according to London-based sex therapist and SKYN Sex Expert Gigi Engle, but sometimes it’s hard not to think that the problem is me — by using lube, it suggests I’m dried up, shriveled, and “not good enough” naturally. As it turns out, I’m not alone in harboring some of these false and self-sabotaging beliefs.

“One of the biggest and most pervasive myths I hear about lube is that you only need it if you can’t get ‘wet enough,’ meaning that something must be wrong with you,” says Engle, who wants to make it clear that lube is not just for preventing pain from friction. “Actually, lube is an amazing sex enhancer. It can increase your arousal and the stimulation you receive from toys, fingers, penises, whatever. It makes everything more comfortable. And honestly, everyone should be using it — solo or with others.”

Emboldened and inspired by the level of pleasure I unlocked using SKYN’s Naturally Endless lube during my recent solo session, I decided to be the one to incorporate it into the bedroom with my partner. I noticed that taking initiative this way provided me with a new sense of control, and my sexual autonomy was a welcome addition for us both. While I wasn’t able to reach orgasm (not yet, at least), I was able to feel him, literally and figuratively, on a much deeper and way more intimate level than ever before. What’s more, I also felt empowered enough to bring one of my favorite toys into the mix — another suggestion from Engle — which worked great (as a bonus, SKYN’s water-based lube is totally compatible with silicone devices).

This experience helped break up a period of stagnation and routine in our sexual relationship, and it also restored intimacy during a time when unsexy, external stressors (buying a house, getting married, planning for kids) feel especially prevalent. And more importantly, instead of sex being treated as a pre-bedtime ritual or a “task” to check off like an item on a grocery list, I’ve noticed we’re being playful again — and sex in general feels alive with delicious possibilities.

I no longer view sex (or my body) as something to fear or be disgusted by. I know I deserve pleasure, too, and that my parts are normal and beautiful. But there are tools out there that can make that easier to achieve, and also much better. Next up on my list of things to explore is anal, but I think I might start by breaking out that old handheld mirror first — it’s time to finally put a face to a name. 

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Sex For The Sake Of It Is A GOOD Thing

— The truth about ‘maintenance sex’.

By

We’ve all been there. You look at the calendar, do a quick calculation and realise shit, has it already been a week (or two) since you’ve had sex? No it can’t be…

You start to feel the pressure to have sex. Isn’t it bad if you go “too long” without getting busy? Surely, it’s better to just knock one out before the weeks turn into months and then my marriage implodes? I think that’s what someone said I should do on TikTok?

You check the clock and think, I’ve got 10 minutes…But then you wonder, as you side-eye your partner, am I only having sex with them because I think I’m supposed to or because I actually WANT to have sex now? Does it even really matter?

So here’s the thing. It does matter.

Maybe not in the short-term but definitely in the long-term. I don’t think there’s anything wrong with maintenance sex or having sex with a long-term partner just for the sake of knocking one out, not because you actually desire it.

Professionals will disagree on this. Some will say you should only ever have sex when you’re in the mood and not just do it because you feel some type of pressure.

The problem with that outlook is that a lot of women who are disconnected from their sexuality are never in the mood. And the amount of perceived work it takes for them to get into the mood isn’t viewed as worth the potential benefits their current sexual relationship is offering them. So in those instances, sex would almost never occur, which is incredibly problematic for most long-term romantic relationships.

The other school of thought here, where I find myself, is based on the view that sex isn’t always going to be spontaneous or passionate or result in toe-curling orgasms.

That doesn’t make the “less exciting sex” any less valid. Sometimes, sex is just a time when two people’s bodies come together because they need to feel connection. And sometimes, the only way to accomplish this is through maintenance sex.

The fun thing about maintenance sex encounters is that they hold the possibility of being passionate, pleasure-filled sessions. You just never know what can happen when you give yourself permission to engage sexually with your partner. But you don’t know until you actually are willing to put yourself in those sexual situations.

This is why I believe maintenance sex is an acceptable short-term solution.

Now, if you’re only ever having maintenance sex, then a larger discussion needs to take place. Because if sex is an important part of the relationship for at least one of the partners, then there needs to be an examination of why it’s not a priority to both or why there’s a disconnect between saying it’s a priority but not actually making the time for it.

Of course, you will go through seasons where sex drops on the list of important things to do. But unless both parties agree that sex isn’t that important (which is absolutely fine, despite what society may tell us), then a conversation (or several) need to take place. I cannot emphasise that enough. Relationships breakdown when expectations go unmet.

If one (or both) partners really does not enjoy sex or the kind of sex they are having in that relationship, then it’s critical to discuss that as early on as possible. Because when we ignore it and pray that those feelings go away, we are deceiving ourselves and planting the seeds for resentment to grow. No one wants to have sex with someone who is only doing it every time because they feel like they have to. Going through the motions every time actually makes your relationship worse by eroding trust and connection.

I want you to know that sex is one of the most powerful acts a person can engage in. It can be more than just a way to achieve gratification. And when we only do it to check the box, we miss out on the opportunity to heal, transform, love, and transcend. Can maintenance sex serve a purpose? Of course, but I believe it should be the exception and not the gold standard for sexual intimacy in a long-term romantic relationship.

You deserve more than just maintenance sex. And if you’re in a relationship where that’s the rut you’re in, then I encourage you to have a conversation by sharing WHY you want to have more meaningful, more connected sexual intimacy with your partner.

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What Happens During an Orgasm?

— Here’s what science says about what your body goes through during the big moment.

By Izzie Price

Orgasms form a fundamental part of the human experience. They’re a natural biological process and are likely to take up a fair amount of time in our heads—whether we love them or fret about them.

How often have you worried that the sex was terrible because you or your partner didn’t orgasm? If you’re a woman, how many times have you worried that it “didn’t count” as an orgasm because you didn’t ejaculate?

More importantly, though, do you even know what’s going on in your body when you orgasm? Do you know about the many health benefits orgasms offer? Do you even know what an orgasm is?

What follows is a look into the science behind an orgasm, including the physicality of what’s happening. In addition, experts debunk some common orgasm myths.

What happens to your body during an orgasm?

“Orgasm, or sexual climax, is the peak of sexual excitement,” said Alyssa Dweck, M.D., a gynecologist in Westchester County, New York, and a sexual health and reproductive expert for Intimina, a brand of products focused on women’s intimate health. “Orgasm results in rhythmic muscular contractions in the pelvis—that is the uterus, vagina and anus. There are also elevated pulse and blood pressure, and rapid breathing.”

Dweck emphasized the psychological implications of orgasm related to the brain, including its release of the following:

  • Dopamine, which is the pleasure hormone
  • Oxytocin, which is the cuddling and bonding hormone
  • Serotonin, which is involved with mood, cognition, reward and memory
  • Endorphins, which influence pain perception, relaxation and mood enhancement

Sounds pretty good, right? What happens in your body that results in this physical and psychological burst of pleasure and excitement?

The process of orgasm can be broken down into four separate phases—arousal, plateau, orgasm and resolution—according to Masters and Johnson’s Human Sexual Response Cycle course.

“The excitement or arousal phase can last minutes or hours,” said Rachel Wright, M.A., L.M.F.T., a New York-based psychotherapist and host of “The Wright Conversations Podcast.” “Muscles get a little tense, your vagina may get wet, your skin may get flushed, your heart rate and breathing accelerating, your nipples may become hard and the breasts are becoming fuller.

“A penis will become erect and the vaginal walls will swell. The testes swell, the scrotum tightens and often the penis will secrete a lubricating liquid.”

It’s safe to say, then, that there’s a lot going on in the body when we get aroused. Things don’t slow down when we reach the plateau phase, either. Wright described it as “the excitement intensifying right up to orgasm in which the vagina swells from blood flow.”

The vaginal walls turn dark purple during this stage, Wright added. Then there’s the main event, which is the shortest phase of all.

“Some indicators of orgasm include involuntary muscle contractions, a rash or ‘sex flush,’ muscles in your feet may spasm, and you might feel a sudden or forceful release of sexual tension,” she said. “Your blood pressure and heart rate are at their highest rate at this point.”

For men, an orgasm triggers similar rhythmic contractions at the base of the penis. They result in the semen being released.

Are orgasms good for you?

The sheer amount of physiology associated with orgasms and the number of feel-good chemicals produced in the brain as a result seem to indicate orgasms are a biological necessity. Are they?

Dweck pointed to one study that indicated orgasms are perceived to improve sleep outcomes. Other health benefits include improved mood and increased life expectancy. This is all good but it has to be said: Orgasms are not essential.

“We don’t need orgasms, but they sure do feel good to have,” said Lyndsey Murray, a licensed professional counselor and certified sex therapist in Hurst, Texas. “I don’t like to put any pressure on having an orgasm because a lot of people feel like they are doing something wrong when orgasm isn’t achieved. When we take the pressure off having one, our bodies can respond naturally and lead to orgasms all on their own without us overthinking it.”

Orgasm myths and misconceptions

The orgasm gap—the high rate of male orgasms as compared to female orgasms—is real. But there are all kinds of myths and misconceptions about why those numbers aren’t closer together. Mostly, this is because of a lack of basic understanding of the female body and, subsequently, how it can reach and experience orgasm.

“The biggest misconception I note in clinical practice is the myth that vaginal penetration/intercourse always leads to orgasm when, in fact, clitoral stimulation is typically needed, and upwards of 70 percent of women won’t achieve orgasm through intercourse alone,” Dweck said.

The misconception that vaginal penetration always results in a female orgasm takes us to another common myth: “If an orgasm isn’t happening, there must be something wrong,” Murray said.

Not so. There could also be a technique issue at play, such as there being no clitoral stimulation.

“There may be sexual dysfunction that requires professional help. But it could also be performance anxiety getting in the way or maybe you just haven’t explored enough yet to figure out your own body,” she said. “I never like to use terms like ‘wrong’ or ‘failure,’ but instead, disappointment. If you’re disappointed with your sexual activity, focus on fun, pleasure and exploration.”

The biggest orgasm myth, according to Wright, focuses on physical evidence of sex taking place: “That there is only one kind [of sex] and there’s always ejaculation,” she said.

There can be 12 different ways for women to orgasm, she explained, which includes clitoral, vaginal, cervical and nipple orgasms. For men, she noted that orgasms can take the form of a wet dream, blended (whole body) or pelvic orgasms, as well as ejaculatory orgasms.

How can we improve societal attitudes toward orgasms?

Orgasms are great, sure, but they’re not the only thing that makes sex feel good. Sex is more holistic than that, and we need to enjoy orgasms without holding them up as the essential end result.

“The societal attitude I see most of is either orgasms mean great sex or no orgasm means the sex sucked,” Murray said. “I disagree with both sentiments. Usually what happens is someone feels like they failed themselves or their partner(s) if an orgasm didn’t happen. The next time they have sex, it becomes an over-focus on orgasm and no longer about fun, pleasure and intimacy.”

We should be talking more about the entire sexual experience and not the shortest part of the whole thing, Wright explained.

“In all the sexual response cycles, the orgasm is the shortest part, and yet we put so much focus on it. Sometimes, all the focus,” she said. “Try to focus on the experience and, instead of attaching everything to an orgasmic outcome, pay attention and focus on the experience. The experience is the pleasure.”

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The future of treating sexual dysfunction in 2024

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Sexual dysfunction, a concern affecting millions worldwide, has long been shrouded in silence and stigma. However, new developments in 2024 are transforming how we approach and treat this sensitive issue. This change isn’t just about enhancing sexual pleasure; it’s deeply tied to self-esteem, mental health, and the quality of relationships.

Open Communication: The first significant trend is the shift towards open communication about sexual dysfunction. This growing openness is largely fueled by mainstream acceptance and the increasing awareness among healthcare providers of the interconnection between sexual and overall health. Online counseling and specialized sexual wellness apps are playing a crucial role in this transformation, offering accessible resources for those hesitant to discuss these issues in person.

Advancements in Technology: Sound wave technology, particularly the development of Cliovana, is a breakthrough in treating sexual dysfunction, especially in women experiencing menopause-related symptoms. This pain-free, non-invasive technology stimulates natural healing processes, leading to enhanced blood flow, sensitivity, and sexual responsiveness. The simplicity and effectiveness of treatments like Cliovana’s soundwave therapy are key drivers in changing the landscape of sexual health solutions.

Menopause Education: The destigmatization of menopause and its associated sexual dysfunctions is gaining momentum. With the global menopause market projected to reach $22.7 billion by 2028, there’s an increasing focus on educating and providing solutions for women. This includes hormone and testosterone replacement therapies, which are tailored to individual symptoms, offering rejuvenation and improved sexual experiences.

Normalization of Sex Toys and Lubricants: Once considered taboo, sex toys and lubricants are now recognized as essential elements of sexual wellness. The market for these products is expanding rapidly, reflecting a societal shift towards accepting these products as tools for enhancing sexual experiences. Retail accessibility, both online and in physical stores, underscores this trend.

Lifestyle Choices and Sexual Health: Finally, there’s a growing understanding of how lifestyle choices impact sexual health. Research linking low-grade inflammation to erectile dysfunction (ED) has encouraged a broader distribution of information from doctors and researchers. Lifestyle modifications like reducing smoking, increasing physical activity, maintaining a healthy weight, and moderating alcohol consumption are recognized as effective strategies for minimizing the risk of ED.

One promising treatment is Cliovana, a unique, patented procedure specifically designed to enhance women’s orgasm intensity and frequency. This innovation is particularly noteworthy considering the widespread issue of sexual dissatisfaction among women. Studies indicate that 60% of women are not satisfied with their sex life, highlighting a significant disparity in sexual fulfillment between genders.

What sets Cliovana apart is its use of sound wave technology. This non-invasive approach, steering clear of lasers or scalpels, significantly reduces the risk of side effects, making it a safer alternative for sexual wellness. The technology is focused on increasing arousal levels, orgasm frequency, and intensity, aiming at a core aspect of sexual satisfaction: the clitoral responsiveness.

The efficacy of Cliovana is backed by clinical trials, which consistently show heightened sensation and stronger orgasms among women who undergo the treatment. The results are not just immediate but also long-lasting. Women report a sustained enhancement in their sexual experience, which can last for over a year, with the option of annual revitalization sessions to maintain these benefits.

2024 is setting a new tone in the realm of sexual health and wellness. With advancements in technology, increased openness, and a holistic approach to treatment and education, the future looks promising for individuals struggling with sexual dysfunction. This year symbolizes a breakthrough in not only treating the physical symptoms but also in supporting the emotional and relational aspects of sexual well-being.

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Sex therapists on 20 simple, satisfying ways to revive your lost libido

— Losing your mojo is very common, but it can be overcome, whether through self-love, putting down your phone – or even a sex ban

By

Most people will experience a loss of sexual desire at some point in their life, be it due to parenthood, a health condition, hormonal changes, grief or other reasons. But how can you overcome this? Sex therapists and educators share the secrets to getting your mojo back.

1. Be aware that it is incredibly normal

“Fluctuations in desire are a natural part of the human experience, influenced by different life stages,” says Chris Sheridan, a psychotherapist and founder of The Queer Therapist in Glasgow. “We’re not robots,” says Natasha Silverman, a Relate sex and relationship therapist based in the Cotswolds. She has helped couples who haven’t had sex for decades and says this is one of the most common reasons people seek advice. “It is very normal for relationships to go through periods when couples aren’t having sex, or one person wants to and the other doesn’t.”

2. Mood is often a factor

Addressing this is the first step. “External life stresses and anxiety all put the brakes on sexual desire,” says Silverman. “If you are stressed and overwhelmed – worried about the kids or there are problems at work – it’s not going to be quite so easy to get into that headspace.” Medication such as antidepressants can also have an impact on sex drive, she adds.

3. Have a medical check-up

It is important to see a doctor about loss of libido. If people are describing anxiety, depression or other symptoms that may be connected to a health issue such as the menopause, “we do suggest that people get checked”, says Silverman. “For example, someone may have erectile difficulties that are putting them off sex. But if that is a chronic problem, it can be indicative of something like heart disease.”

4. Talk to someone outside the relationship

Find someone to confide in, says Silverman. This could be “a friend or a professional. Someone who can normalise it, help you look at why this might be happening and take the shame out of it. Think about when things changed and what might be making it more difficult.” Try to work out, “what it is that made you feel as if your mojo isn’t there any more”, says Dami “Oloni” Olonisakin, a sex positive educator and author of The Big O: An empowering guide to loving, dating and f**king.

5. Be prepared to talk to your partner

When you are ready, talk to your partner about how you are feeling. This could be in a therapy space or on your own. “Your partner will already be sensing that something has changed,” says Silverman. “And if you’re not talking about it with them, they are going to fill in the gaps, most likely with their own anxieties: ‘They don’t want to be with me any more’; ‘They don’t find me attractive’; ‘Maybe there’s someone else.’ So be upfront and honest.” Most people are too ashamed to work on stale, long-term relationships and be more creative about seeking pleasure together, says Todd Baratz, a sex therapist in New York City. It doesn’t “necessarily mean getting out the whips and chains, it just means communicating about sex, talking about what your sexual needs are”.

‘Set aside time each week to explore each other’s bodies.’

6. Single people struggle with desire, too

It is not only those in a relationship who experience a loss of libido. Silverman says she is seeing increasing numbers of single people who “want to iron out mistakes from previous relationships” and women, in particular, who have become used to “minimising their needs”. There are a lot of myths that need to be busted about the G-spot and what a healthy sex life looks like, she says. Being single is a good time to figure out what works for you “and make yourself more robust”, for your next relationship or sexual encounter.

7. Work out what desire means to you

“Society often normalises saying ‘yes’ to things we may not genuinely want to do, a behaviour that can permeate our relationship dynamics,” says Sheridan. “Expressing our true desires and practising saying ‘no’ enables us to transition into healthy communication characterised by negotiation and mutual consent.”

“What is really important,” says Miranda Christophers, a sex and relationship psychotherapist at The Therapy Yard in Beaconsfield, “is that both partners have the desire for desire. If somebody’s motivation for intimacy is because they know that their partner likes to have sex and they need to do it to keep the partner happy, that wouldn’t necessarily be a positive motivator. We try to get them to work out what they enjoy about sex, what they are getting from it.” That could be pleasure in the moment or a sense of connection afterwards.

8. In most couples, one person will want sex more than the other

“This phenomenon is not exclusive to heterosexual couples,” says Sheridan. “It presents similarly within same-sex and sexually diverse relationships”, in which there can be “an additional layer of complexity emerging due to the pervasive influence of heteronormativity”. “Desire isn’t necessarily gender specific,” says Baratz. “It is often assumed that men want sex all the time and women want to be seduced, and that’s not the case. People have a wide and diverse expression of how they desire, regardless of their gender.” That said, men tend to experience spontaneous desire, whereas women are more responsive, says Christophers, and desire may only kick in at the point of arousal.

9. A sex ban can be a good place to start

Silverman says many therapists will encourage couples to abstain from sex and masturbation while initial conversations are taking place, before introducing affection for affection’s sake that won’t lead to something else. Plus, “telling someone they can’t have sex tends to be an effective way to get them in the mood”, she says.

10. Looking back is crucial

As with any kind of therapy, considering past experiences, positive and negative, can help to process problems in the present. Sheridan explains: “Examining a client’s sexual response history across their lifespan allows us to discern whether the change is a situational occurrence or a longstanding pattern. A crucial aspect of this involves understanding the current and historical dynamics of their relationships.” Silverman adds: “We look at their first relationships, the potential obstacles that are in the way of them being able to let go sexually, any health problems, trauma or historic sexual abuse.” “Trauma has a huge impact on our sensory system,” says Baratz, “and sex is all about sensory experiences, so it’s going to potentially decrease the way we feel safe or connected to our senses. That means that we need to be with a partner we feel safe with.”

11. Rediscover non-sexual intimacy

This could be “kissing each other before you leave the house or playfully patting your partner on the bum as they walk past”, says Oloni. “Different things can help reignite that spark, so when you are back in bed you’ve done things throughout the day that remind you your partner still desires you sexually and is attracted to you.” Sensate exercises, in which couples are encouraged to “set aside time each week to explore each other’s bodies, focusing on the feeling that they have themselves when they are doing this”, are helpful too, says Christophers.

12. Scheduling

This isn’t for everyone, says Silverman, as it can make sex feel like even more of a chore. But it can be helpful for some, especially if young children are getting in the way. “Schedule a romantic date night or time to find different ways to get in touch with that side,” says Oloni. For new parents, Christophers advises: “Even if it is just for an hour, go somewhere else and create a more adult space together.” Baratz recommends “planning sex instead of relying upon spontaneity and declaring our schedules are too busy”.

13. Self-love is everything

“Emphasising self-love is integral,” says Sheridan. “As it empowers individuals to honestly articulate their needs and desires, building more authentic and fulfilling sexual and emotional intimacy in the relationship.” Take care of yourself too: shower and put on fragrance, says Baratz. “Exercise plays a big role in cultivating a relationship with your body.” He encourages “yoga, if that’s pleasurable, or massage or a spa day or a bath bomb – anything that is a sensory experience that feels good and will reinforce the connection that we can feel with our body”. “When you walk past a mirror, tell yourself how beautiful you are,” says Oloni. “How lucky anybody would be to be in your presence naked.”

14. Work on body confidence

This could be through “buying yourself new lingerie that makes you feel sexy”, says Oloni. “You need to find that confidence within yourself then present that to your partner. I used to work in Victoria’s Secret, and I remember a woman came in who had just had a child and she burst into tears because a bra looked good on her. That has stuck with me because it really does take the right type of underwear to make you feel sexy again, or to see yourself in a different way.”

15. Faking it can be counterproductive

Again, this is very common, thanks to people getting sex education from mainstream pornography, says Silverman, which often suggests women need to have penetrative sex to have an orgasm, whereas about 75% of women require clitoral stimulation to have an orgasm. But “every time someone fakes an orgasm, they are showing their partner the exact wrong way to make them climax – there is a sexual dishonesty there”, she says. “Some people do struggle to reach orgasm, which is known as anorgasmia. This can be a result of medication, trauma or trust issues that haven’t been explored. But generally speaking, people can reach orgasm on their own. We recommend that people get to know their bodies by themselves and what does it for them, before expecting a partner to know what to do.”

16. Pornography doesn’t have to be visual

“There is a difference between ethical and non-ethical pornography,” says Oloni. “And it is important to understand what has been created for the male gaze.” She points to other forms of erotica that can be accessed, such as audio pornography and literature. “There are so many different mediums you could get that sexual rush from, but I don’t think people truly explore. It’s usually the same link or bookmark of a favourite porn site or video. I think it’s important to mix it up, especially when it comes to fantasising. They say that the biggest sexual organ that we actually have is the brain. It’s so important to fantasise in different ways instead of just one.”

17. Think about ‘sexual currency’

“This is a term that a lot of sex educators are using now,” says Oloni, “which is designed to help you find that desire and spark in your relationship. It could mean cuddling more on the sofa when you’re watching a movie, or it could be remembering to kiss your partner before you leave the house.”

18. Write down things you want to try

This helps if you can’t say them out loud. Work out what they are and send over an image or link, suggests Oloni. “Write them down on bits of paper and put them in a pot,” says Christophers, so you can pull them out and potentially try something new. “Create an opportunity for playfulness,” she says. “A bit more intrigue, a bit more mystery.”

19. Variety is the spice of life

Oils, toys and other aids can be useful after body changes due to the menopause, having a baby or other health conditions, says Christophers, as is trying different positions. “Think about comfort and practical things, such as using lubricants.”

20. Put down your phone

For those who would rather go to bed with their phone than their partner, put it away. “This comes up a lot,” says Christophers. “I’m not saying don’t ever bring your phone into bed,” says Oloni. “But that could be a time where you up your sexual currency. You’re in bed with your partner. This is where you should feel your most relaxed but you can’t really unwind when you are on your phone, you’re still taking in so much information. You could use that time instead to not necessarily have sex, but just be still, hug, spoon or giggle with your partner.”

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Women have more sex as they age

— And it’s better, too. A sexologist explains why.

By Kelly Burch

  • Juliana Hauser is a licensed therapist who specializes in sex-positive counseling.
  • She says many women have better sex as they age.
  • Self pleasure can help women explore new desires, she said.

This as-told-to essay is based on a conversation with Juliana Houser, a licensed marriage and family therapist who is the resident expert and advisor at Kindra. It has been edited for length and clarity.

The success of “The Golden Bachelor” has proven something I’ve seen in my work for a long time. When it comes to love, relationships, and sex, older people don’t want to be counted out.

Many of my clients in their 50s and beyond have vibrant, exciting, and novel sex lives. They want to be seen as sexual beings. When that occurs, great things happen: I’ve met many women who are having passionate, orgasmic sex that just gets better with age. Here’s how they’re doing it and the tips that can help you have the same, no matter what your age.

Harness confidence in yourself

Society feeds us lots of messages about what it means to be a woman who is desired and who desires others. We all have an image of what it means to be sexy — and if we don’t think we fit that picture, we can become disconnected from our own eroticism.

And yet, by the time women reach middle age, they have self-confidence. When you know who you authentically are, you can shed all the layers of what you thought sexy was. That lets you unapologetically embrace what sexy means to you.

Nurture the most important sexual relationship you have

Nearly everyone has their own individual sex life, whether they’re partnered or not. Your sexual relationship with yourself is the longest and most important sexual relationship you’ll have, but too often, we ignore it.

Create different sexual experiences for yourself, just like you would with a partner. Vary what times of day you self-pleasure; have slow, intimate sessions and quickies; explore your kinky side.

Take microdoses of pleasure

Lots of people, especially women, deprive themselves. We focus so much time on our careers and families while pushing pleasure off for another time — the weekends or vacation.

Instead of doing that, I recommend finding time for microdoses of pleasure every day. Change the pacing of pleasure until it’s something that’s constantly around rather than something to be waited for.

Connect with your senses

How do you microdose pleasure? By connecting with our senses. Feeling sensual can open the door to feeling pleasure, which I define as feeling a spark or vibrancy inside you.

Pleasure and sensuality start with things that aren’t sexual at all: a sunrise that brings you joy or the smell of a bouquet of flowers. Look for anything that makes your body say “yum” or “yes.” As you respond to that part of yourself, you’ll become more confident in finding and experiencing what brings you pleasure in bed.

Understand your body is changing

The impacts of menopause are undeniable and normal. But they don’t have to mean the end of your sex life — in fact, we’ve found that 70% of women who are 50 or older still enjoy sex.

There can be hard feelings associated with changing bodies and again. But embracing change can be helpful. Learn what works for your body now. Try products and toys that might ease any difficulties you have. Broaden your definition of sex. After all, there’s a whole continuum of what sex can be, not just penetration.

Get curious

Adapt an attitude of curiosity about sex. Google “10 best sex toys of 2023” and see what catches your eye. If you hear a term you don’t know, look it up. Ask your friends where they’re finding pleasure, or what aspects of sex and aging are challenging for them. Share your struggles and your interests.

You can even create a sex bucket list. Revisit it every now and then — you might notice that you might want to try things that were once a “no,” or that acts that were once appealing no longer intrigue you.

More than anything, know what pleasure is your birthright. Sexuality isn’t a luxury reserved for the young(er). It’s a necessity that we can connect with throughout our lives.

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Some Of Us Hate Being Touched After Sex.

— Why?

Want to be left alone as soon as the deed is done? You might be experiencing “postcoital symptoms”.

By Vincenzo Ligresti

Picture the scene: You’ve just finished having sex, and the person who just seconds ago was digging their nails into your back, is now backing away. They’ve instantly and completely gone off the idea of any kind of physical contact. As they slip into the shower, you’re left clutching a sweaty pillow, wondering why they didn’t want to stay under the blanket for a cuddle and a chat.

Or maybe – no judgement! – you’re the one doing the showering in this particular scenario. Everyone reacts differently in the moments after orgasm. In fact, it’s now become a burgeoning area of academic study. Until recently, much of the research was focused on what’s known clinically as post-coital dysphoria — the term given to those unmistakable sensations of sadness, anxiety and irritability that can wash over us after a sexual encounter.

Then along came a 2020 study by Andrea Burri and Peter Hilpert, two sexologists based at the Institute for Sex Counselling and Sexual Sciences in Zurich, which concluded that we might be better off redefining it as “postcoital symptoms”. They understand it as a series of feelings, including mood swings and low energy, that arise largely due to a decline in interest after sexual climax.

The duo surveyed 223 women and 76 men, asking them to answer a base set of 21 questions related to the topic. A staggering 94.3 percent of the participants were found to have shown signs of postcoital symptoms since they became sexually active. Interestingly, 46.6 percent of them reported that these feelings were just as likely to be present after masturbation as they were after sexual activity with another person (or multiple people).

It’s worth considering that much of the scientific literature on this topic has, historically at least, been rather phallocentric. A good example of just how much weight has been placed on the penis is the significance afforded to the refectory period — that is, just how long it takes a man to get an erection again after orgasm. This is largely determined by the age of the penis-possessor in question. Eighteen-year-olds only have to factor in 28 minutes or so, while sexually active men in their 70s are looking at a 20-hour gap between sessions.

Fabrizio Quattrini, a psychotherapist, sexologist and lecturer in clinical sexual disorders at Italy’s University of L’Aquila, is adamant that both sexes are affected by stimulation. “Hypersensitivity of the genitals after orgasm isn’t just a male thing,” he says. “Some people have a hypersensitive clitoral gland, which has to be stimulated in a certain way to experience pleasure. And just like men with their penises, they might not want to even think about any additional stimulation after that.”

Beyond the outmoded stereotypes that permeate our understanding of gender and sexuality (i.e. men scarpering after sex and women clinging, barnacle-like, to their partners), there’s an attempt to understand the post-sex blues as a biological phenomena. It’s an idea put forward by Filippo Maria Nimbi, a psychologist and sexologist at the Sapienza University of Rome.

“The evolutionary branches say that, on a biological level, women try to keep their partners close to guarantee a feeling of safety in the result of pregnancy, while men want to inseminate as many women as possible to ensure the continuation of the species,” Nimbi says. “But that’s a simplistic and dated concept. We have to overcome the gender binary and all the stereotypes that come with it.”

It’s possible that those stereotypes have already played a devastating role in the collective sexual imagination. We often take on roles in the bedroom, reacting and behaving in certain ways, because this is what we feel like we should be doing, as opposed to what we actually want to do. This occurs in sexual relationships of all stripes.

This stems in part from our experience of sex education in childhood and adolescence, Quattrini argues. He says that when you’ve not been educated properly on the link between emotion and sexuality, the heady combination of physical and emotional sensations that bubble up in one’s self after sex cannot be “understood, managed, and evaluated in a constructive way.” This leads to situations where people’s ideas about sex perhaps don’t align with their lived experience of it.

So how can couples handle a situation where one partner tends towards postcoital symptoms more than the other? For Quattrini, communication is key. “You’ve got to ask each other questions like: ‘How did this start? Has it always been like this? Have we ever addressed it?’” he says. “Clearly, if that aspect was never there, it means that the partners are becoming aware of some absence. If, on the other hand, they were there in the past, but not anymore, it may be a sign of losing something in the relationship. You always need to understand how a couple is evolving.”

The experts I spoke with reiterated the need to practice what we might think of as “positive sexuality”. This has nothing to do with thinking that every sexual encounter will be amazing, but instead experiencing it all without judgement and prejudice — and that extends to any postcoital anxieties. Including, it seems, running off for a shower.

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5 Ways to Have Healthy Sex When You Have Diabetes

— Here’s how to continue enjoying intimacy

By Mauricio González

Age and the passage of time usher in many changes. But in all my years practicing medicine, one thing remains a constant: My patients want to continue having a fulfilling and pleasurable sex life, even if they’re dealing with health problems or chronic illness. One disease that can take a heavy toll on a couple’s sex life is diabetes. Fortunately, there are ways to manage it and reignite your sex drive. Don’t despair! Here’s how you can do it.

The role of glucose in your sex life

People with diabetes are more prone to sexual dysfunction than the rest of the population, according to the American Diabetes Association (ADA). Both men and women may experience little or no sex drive due to poor management of their diabetes. But only 47 percent of men and 19 percent of women with diabetes discuss this issue with their doctors, according to a study published by Diabetes Care. Controlling blood sugar levels with medication and regularly monitoring these levels is essential to maintaining a healthy sex life.

But even if blood sugar is kept under control, men and women with diabetes may feel sexual desire but have difficulty becoming physically aroused.

And a failure to control blood sugar will eventually lead to blood vessel and nerve damage, which can prevent arousal.

How does diabetes affect your sex life?

There are many reasons why people with diabetes lose their sex drive or their ability to orgasm. Obesity, high blood pressure, sleep apnea and depression are conditions that often accompany diabetes and can compromise your libido. Some of the medications used to treat these conditions can also adversely affect your sex life. Some treatments for high blood pressure, for instance, can cause erectile dysfunction.

According to a study published in the International Journal of Environmental Research and Public Health, the sexual disorders of patients with type 1 diabetes are directly linked to depression and are less severe in those who accept their diabetes. These disorders also affect men more than women, and they take a greater toll on patients with blood glucose levels above 6.5 percent.

Erectile dysfunction in men with diabetes

If a man’s blood vessels don’t function properly or he has a blocked artery, his penis will not receive enough blood flow to get an erection. Men over 50 with type 2 diabetes are 11 times more likely to experience erectile dysfunction than younger men, according to a study published in the Caspian Journal of Internal Medicine.

Men with diabetes-related erectile dysfunction are also at greater risk of developing Peyronie’s disease, where a type of scar tissue known as plaque forms under the skin of the penis. This causes a curvature that can make erections painful, difficult or impossible.

Sexual problems in women with diabetes

Nerve damage in women can cause vaginal dryness, a condition that is not unique to people with diabetes but, according to the ADA, is twice as common in this population. The neurovascular system plays a necessary role in arousal and orgasm. If the small nerves aren’t working properly due to damage from poorly controlled blood sugar, a woman can have sensation problems. The clitoris needs optimal blood flow and sensation to become engorged enough to achieve orgasm.

Women with diabetes are also at greater risk of urinary tract and vaginal infections, which can make sexual intercourse painful and unpleasurable. Middle-aged women with diabetes who take insulin are 80 percent more likely to have difficulty reaching orgasm than women without diabetes, according to a study published in Obstetrics & Gynecology.

How can you maintain a healthy sex life?

Here are some practical suggestions that anyone can follow:

1. Eat right

Eating healthy can make all the difference. Non-starchy vegetables, such as broccoli and carrots, and whole grains can help stabilize your blood sugar and give you the energy you need to have sex. These foods are also rich in fiber and nourish your gut microbiome — the bacteria and other organisms that keep your gut healthy. A snack before sex will help boost your stamina and keep your blood sugar under control.

2. Exercise

Sex, like any other form of exercise, requires energy. So how can you be prepared? Activities such as weightlifting and Zumba classes can help you build stamina and have more energy in bed. I recommend at least 150 minutes of exercise per week, which can include walking, swimming or even gardening. Exercise also makes the body more sensitive to insulin, which helps it control insulin levels more efficiently.

3. Take your medications

Strictly follow your doctor’s instructions and make sure you take your medications. If you have diabetes, controlling your blood sugar starts with taking your prescriptions. Talk with your doctor if you suspect that a medication prescribed to treat other conditions may be interfering with your sex life, so that you can work together to look for alternatives. I also recommend buying a weekly pill organizer, which has been shown to help increase compliance with medical treatment.

4. Manage stress

Learning that you have diabetes can be upsetting and can affect your mental health. Learn how to calm your mind and body in stressful moments, such as during a sexual encounter. Brush away negative thoughts. Be grateful for — and focus on — enjoyable moments. Meditation can be very helpful. Research shows that meditation may strengthen the parts of the brain that help you remain calmer in stressful situations. But my favorite tool for reducing stress and anxiety is cognitive behavioral therapy; check with your doctor to see if this is a good option for you.

5. Be consistent

Consistency is a bridge between dreams and reality. Follow these suggestions daily. Take it gradually at first. Don’t reach for gimmicky or drastic solutions; just stick to the basics and you’ll get results, especially over time. Remember that the key is consistency, not perfection.

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Virginity

Virginity is a very touchy issue in just about every culture on the globe. Curiously enough, it’s almost always exclusively about female virginity. This sad double standard gives rise to emotional conflicts for both genders. But again, it is young women and girls who bear the brunt of it.

Let’s begin with Katelyn who’s 18 years old:

My boyfriend and I have been together for over a year. We’ve just started talking about having sex even though we both took a virginity pledge through our church. We love each other very much and plan on getting married in a couple of years. If we are practically engaged do you think having sex now would be like breaking our promise?

I’m pretty sure that the creators of all those “abstinence only” and “virginity pledge” programs out there like to think they’re keeping kids like you safe from the unforeseen consequences of sex. I’d probably have less of a problem with them if they didn’t have at their base some pretty rank scare tactics.

Scaring people away from sex is a time-honored means of controlling people.

If you have sex, you well surely get a disease!

If you have sex, you will surely get pregnant!

If you have sex, you will be breaking the commandments and you’ll go to hell!

If you have sex, you will be a slut and no one will want to marry you!

And my all-time favorite: If he gets the milk for free, why would he buy the cow?

Full-On Fucking

These sex-negative messages only frighten, intimidate and instill guilt. They certainly don’t teach people how to behave knowledgably and responsibly. And they do absolutely nothing to prepare even those who wind up honoring their pledge of abstinence for the inevitable sex life they’ll have later in life. And that to me is criminal. Young people have a natural, healthy curiosity about their bodies and the bodies of others. Stifling this natural curiosity with veiled threats and fear-mongering does very little good—and a whole lot of harm.

But before I respond to your question, I have a question for you. I hope you’re not actually thinking I might help you rationalize away your impending behavior—Oh sure honey, if you’re gonna marry the lug anyway, why not give it up now?—because I won’t go there. Have the courage to make up your own mind. If you’re old enough to be considering sex, you’re old enough to take responsibility for your actions.

If you abstain from sex out of fear or religious duress, then where’s the virtue in that? It’s just as bad as having sex because you fear losing your boyfriend. Neither option suggests to me that you are behaving knowledgeably and responsibly.

Of course, it’s always easier to decide on a course of action when one has all the information. And that’s where I can be of some assistance. I’m not gonna tell you what you oughta do, but I can offer you some timely information about human sexuality that you apparently aren’t getting from your family, church or your community.

There are many sexual alternatives to full-on fucking. And if you want to remain a virgin, at least technically speaking, you might want to explore these options.

Are you both masturbating? If not, then that’s a good place to begin. You should both be familiar with your own pleasure zones and sexual response cycle before you launch into partnered sex of any kind. I believe that the best sex is mutual sex, where the partners knowingly and without reservation gift themselves to one another. And I don’t see how that’s possible unless you are well-acquainted with the gift…your own body.

I can guarantee that your boyfriend won’t know how to pleasure you, especially if he’s still discovering the pleasures of his own body. And you’d be a very remarkable young woman if you understood the mysteries of male sexuality. So if you’re both unversed in the joys of human sexuality, why not discover them together? Mutual masturbation—as well as oral sex—will help you appreciate the particulars and uniqueness of each of your sexual response cycles. And just think how far ahead you’ll be when you guys actually decide it’s time for full-on fucking. You’ll already know how your bodies work.

Even so, the two of you should be familiar with several different means of birth control—and practicing at least two methods. This is a precaution because, in the heat of the moment, you may decide to escalate things to include vaginal penetration. And if you do, you’ll be prepared. Always have water-based lubricants on hand, even for masturbation. These lubricants work very well with latex condoms. Oil lubricants, like petroleum jelly, baby oil or cooking oil, can cause latex condoms to break. So stay away from them.

I realize that procuring all this stuff is gonna be a challenge for young folks like you. But don’t just blow them off just because they’re not readily available to you. This is a big part of being knowledgeable and responsible about your sexuality. If you’re not prepared to go the distance in terms of preparation, you’re not ready to have sex.

Young men and boys have their share of trepidation about impending partnered sex. Here’s 18-year-old Tabor.

I feel kinda silly asking a complete stranger this, but here goes. I’m a pretty normal 18 year old. I’ve had a few girlfriends over the years, nothing really serious, though. Lately I’ve been seeing a lot of this one girl; she’s 20, a junior at my school. I really like her and we’re discussing taking our friendship to the next level, but there’s a problem. I’m a virgin. My girlfriend is way more experienced than me and that makes me a little nervous too. She wants me to decide when the time is right. My question is how will I know when I’m ready for sex?

I have a question for you, Tabor, and I hope it doesn’t sound flippant. When do you know it’s time to eat, or sleep? I know many of us eat even when we’re not hungry and sometimes we don’t sleep even when we’re tired. That aside, I suggest that the same bodily signals that alert you to hunger and exhaustion will let you know when it’s time for sex. You’ll want to have sex when you feel the desire to be sexual. I’m not trying to be evasive; I’m trying to get you to listen to your body, because that’s how you’ll know. To be perfectly frank, that’s how all of us know it’s time for sex. We get a hankerin’ for some pleasure and we pursue that till we’re satisfied. Sometimes that’s solo sex and sometimes it’s partnered sex.

If I were to advise you further I’d want to know how much sex you’ve already had with your GF. Has there been any sex play at all? Probably some, right? Otherwise how would you know you like her well enough to consider taking things to the next level?

Penis/vagina intercourse, or as I like to call it, “fucking,” can bring more intimacy and more pleasure than other forms of sex, but it’s not the be-all end-all either. Fucking also carries far more responsibility, particularly for fertile young puppies like you and your honey.

Is it safe to assume that you are well-versed in the complexities of the human reproductive system? I hope so. Not everyone is, of course, even some otherwise smart people. If you’re not clear on the whole concept, there’s no time like the present to do a little boning up, so to speak. Being responsible about sex is as important as being sexual. And being informed about health risks and contraception is the beginning of taking responsibility for your sexual activity.

Remember what I said earlier—that you’ll want to have sex when your body says so? Well, if you take the time to prepare now, you’ll not need to interrupt the moment when your body tells you I’m ready! You should discuss birth control with your girlfriend in advance of any foolin’ around. You should have condoms and lube available. Don’t expect that you’ll have your wits about you when your dick is hard. Remember, you’re not the one who’ll get pregnant if ya’ll screw up. I’ll bet your sweetheart will be impressed with your forethought, too.

Remember, even if your girlfriend is on the pill or has a diaphragm; condoms are a must. One in every ten sexually active teens carries one or more STDs or as we call them nowadays, STIs (sexually transmitted infections). You can consider dropping the condoms only when you’re in an exclusive relationship.

Good luck!