Archive for April, 2008

The Porn Trap – trap

Tuesday, April 29th, 2008 by Bat Sheva Marcus LMSW MPH PhD

Okay, now I finished the book so I feel qualified to give it bona fide “thumbs down.” Maybe if the title of the book had been “A book about why we hate porn, why all porn in all situations is bad and why we think it is the root of anything bad in a relationship,” I could give it a thumbs up. Then at least the book would be what it claimed to be rather than what I thought it would be: a treatment plan or even just a helpful outline for those who are addicted to porn.

The book goes to ridiculous lengths to vilify porn. The marriage that fell apart because the wife found her husband looking at porn. Now she doesn’t “trust” him, even though there was no indication that he was hiding it or in anyway addicted to it. Please. Maybe rather than suggest he never look at porn again, they could discuss it, he could limit it, she could learn to live with it, they could use it together… hmmm. Any of these options occur to the writers???

And I was especially incensed at their implicit (or maybe explicit- you can be the judge) generality that if you like porn, you therefore are at a high risk of addiction.

It’s making me so angry, because I am a clinician who tends not to see porn addicts — that just is not my patient base. (I thought reading the book might be useful because once in a while I will get someone who is partnered to a porn addict and the more that I know generally the better.) In my patient base, we look at porn (or erotica — the name we use when we want to be PC) as quite useful in many situations. Patients, (especially in long term relationships) often find it enjoyable to watch together, get knew ideas from it and learn more about likes and dislikes. People just find it fun. For my single patients, for whom masturbation is their primary  outlet, often erotica is just plain practical, whether written or visual.

So if you are one of those people who enjoy erotica in reasonable doses — don’t worry about getting stuck in the porn trap!

Initiating Sex

Monday, April 28th, 2008 by Shoshana Bulow LCSW

People often ask about how to be better at initiating sex — they aren’t sure how to do it and they want concrete ideas.  They may feel shy, anxious or inhibited, sometimes because of past rejection, sometimes because they don’t think they’re good at it.  So here are a just a few ideas that have come up in my work – some from me, some from my clients.  I’m sure there will be more in the future…

 

-         Initiating sex does not have to happen at 10pm when you’re both already in bed.  Send your partner a text message or email during the day saying, “I’m thinking about you… can’t wait to see you when I get home.”  That way, your partner has the option of saying tonight’s not a good night if it isn’t, and no one is left out on a limb.  Or, hopefully, their sexual thoughts can start flowing early on in the day. 

         

-         Bring home a bottle of scented massage oil… patchouli, anyone?

          

-         Initiate sex by doing something for yourself!  If you know you tend to initiate less often, why not do something for yourself that will get you into the mood?  Read something sexy, give yourself a few minutes to fantasize about something that turns you on, wear underwear that makes you feel sexy. 

 

The possibilities are endless….

Telling other people what to do…

Wednesday, April 23rd, 2008 by Bat Sheva Marcus LMSW MPH PhD

I just started a new book The Porn Trap. It’s making me really pissed off.

Basically it starts out by saying that porn is addictive and harmful, just like drugs and alchohol. Keep away from it. It’s bad for you. I haven’t read the whole book yet and I don’t like passing judgement on things I haven’t read in their entirety, but frankly the premise bothers me. Last I saw, alchohol was not illegal, and taken in moderation it was making alot of people’s lives more enjoyable. I don’t think alchohol should be banned because it can be abused. Nor do I think porn should be banned! Used in moderation, porn makes alot of people’s sex lives (whether solo or partnered) more fun, creative, interesting.

Strikingly to make their point in the first chapter, the authors describe someone who gets so turned on from porn she can orgasm from looking at it, without any physical contact. This scared her they say. She felt “out of control.” Yo. If I could find something to give my patients that could produce orgasms so easily, I’d think they hit pay dirt.  To ban it, because it has the potential to become addictive is to use that old and so tired slippery slope argument. (You know, you go down that road and next thing you know you’ll be skating for your life down a slippery slope that you can never climb out of.)

I am not making light of porn addiction. I know it’s a serious and  growing problem and it needs to be addressed. But much like alchoholism, I don’t think the answer is removing all alchohol from society. So here’s to a glass of wine at dinner and maybe some well-used erotica.

 

Am I normal?!

Tuesday, April 22nd, 2008 by Bat Sheva Marcus LMSW MPH PhD

This question gets asked to me more than any other. Am I normal?

I hate oral sex. Am I normal? I LOVE oral sex more than anything. Am I normal? I don’t have orgasms from intercourse. Am I normal? I can only have orgasms from intercourse. Am I normal?

I fantasize about women even though I’m heterosexual. Am I normal? I fantasize about men who are not my husband. Am I normal? I fantasize about 200 men. Am I normal? I don’t fantasize at all. Am I normal?

I only really want sex 2 times a month. Am I normal? I want sex every day. (You guessed it, everyone together now…) AM I NORMAL?”

Okay guys, let me let you into a little secret… YOU ARE NORMAL!!!!!!!

The reality is that sexual likes, dislikes, fantasies, experiences, desires are very varied… and there is a huge range of what is normal. The better questions you should be asking yourselves are: Do I truly know what I like and dislike? Does what I like or desire work for me?  Does it work for my partner? If the answer to THESE questions are “no”… then you should address them.  Not because you are not “normal” but because your sex life isn’t working for you. And what should you do about that? That, my dear normal friends (sigh) will have to wait for other blog entries.

 

Monogamy

Tuesday, April 15th, 2008 by Bat Sheva Marcus LMSW MPH PhD

So we’re back to monogamy again… someone said to me recently that they are afraid of committing to one person for the rest of their life and I got to thinking about all the studies that say that people with one steady partner overall rate their sexual satisfaction higher than those who don’t have one. So I’m thinking… it’s true, nothing’s perfect but monogamy at least gives you someone to start with! When you are in a long term committed relationship there are ups and downs sexually, (no pun intended, although that’s true too,) and there is often the concern about monotony. The couples who seem to be most successful are the ones who give the issue some thought and challenge each other to try new things out or have sex with variations. Clearly, they don’t think about this all the time, but once a year, or once every few years, someone in the couple take the initiative to “shake it up a little.” Often that can give their sex life a new direction or just a new laugh, which can make a difference for a looonnnggg time.

 

So those of you who are in monogamous relationships… go for it.

Dr. Ed

Sunday, April 13th, 2008 by Michael A. Werner MD

I have been called many things, some of which are unprintable even here.  But this was a new one.  A patient came in with his fiancee (soon to be wife.)  I had just started him on injections for erectile dysfunction, and they were both thrilled.  I had not yet met her, but she wanted to meet me.  They said that they had started calling me Dr. Ed, and it was on the calender.

I of course had visions of being considered a talking horse with an expertise on sex.  However, the simple explanation was simply it was short for ED (erectile dysfunction.)

What was the most enjoyable for me was how much her open approach to the injections and their ability to laugh about it and really enjoy their new found sex lives affected so positively the whole process.  They concentrated on how great things were, and didn’t worry about the fact that spontanaeity was not 100%.  (Though, interestingly the injections act much more quickly than oral medications, and thus give the partner more opportunity to initiate.) 

This contrasted to a patient I have seen for seven years, who every time he come in asks me why he needs the injections and talks about how frustrated his wife is.  This is despite the fact that he gets fantastic erections and overall is fine with it himself!

I have asked her to come in over the years to talk to me but she has never done so.

Anyway, the contrast just drove home to me again how important the attitude of the partner is in the success of the whole endeavor.

I like being Dr. Ed.

I love teenagers!

Friday, April 11th, 2008 by Bat Sheva Marcus LMSW MPH PhD

I just went into a high school to give their 1.5 hours of sex ed. Truthfully, I think we covered the basics and I try to remember that there are only so many take-away messages that anyone can handle at any given moment. But what I love about talking to teens is that once they get over their initial shyness and once there is some sense of trust established in the room, they ask the best questions. Here’s one. She “So what happens if you don’t have simultaneous orgasms.” Me (clearly out of touch with popular culture on this one.) “hun?” (See post below where I admit to not having a tv set.) She: “you know, what happens if two people don’t have orgasms at the same time. Me (recovering from my surprise… quite impressively I may add.) “Oh, most people don’t have simultaneous orgasms. That’s something the movies made up to be more efficient on the time.  It happens sometimes, but usually, it happens because the two partners know each other very well, have made love before, and are specifically timing it that way. Most often one person  has an orgasm ahead of the other person, and honey, if it’s one of us girls we might even go for a second!” A number of them looked surprised. I (once again) felt stupid…. but the conversation continued from there in all kinds of fascinating directions. I love teenagers.

Newsletter on Orgasm

Thursday, April 10th, 2008 by Ilene Rosenthal, Marketing

The Medical Center for Female Sexuality has posted its April newsletter on it Web site.  This month’s topic is orgasms!  Hopefully, you will learn something new about orgasms that will help your sex life.  We would love to hear your thoughts on the newsletter.  Let us know what you think.

Bonk

Tuesday, April 8th, 2008 by Bat Sheva Marcus LMSW MPH PhD

I just started reading (what looks like it’s going to be) a fabulous book. Bonk. The curious coupling of science and sex.  Mary Roach, the author is fascinated by the study of sex and covers it all here from the prosaic to the truly bizarre. And the chick has a great sense of humor! Likely, you  my readers, will get quite a few entries on this book. (Or you can just skip them and read it yourselves.)

Early on, in her introduction, she write about men and women who work in the field of sex research. How people assume they are aberant, obsessed with sex and just down right scary.  I could relate. Then she writes “This book is a tribute to the men and women who dared. Who, to this day, endure ignorance, closed minds, righteousness, and prudery. Their lives are not easy but their cocktail parties are the best…” Thank you, Mary Roach. Thank you. From the bottom of my martini glass!

 

Yelling at the TV set!

Sunday, April 6th, 2008 by Bat Sheva Marcus LMSW MPH PhD

I don’t have television. That is, I have the unit so I can watch DVDs but I don’t have any TV hook-up. This allows me to avoid watching hours and hours of TV which I am not interested in but probably would do if I had all of the channels and could avoid doing everything else in my life.  Anyhow…. I have purchased and am working my way through all of the Sex and The City episodes. This is because invariably patients make reference to the show and I want to know what they are talking about and also because I happen to think the show is not only relavent to what I do professionally, but pretty damn clever.  I also have to give it alot of credit for opening up discussions on things that used to be considered not open for discussion… like vibrator use.

That having been said, it’s precisely because I am in the field that I find myself getting so aggravated and yelling at the TV set things like “That is so NOT TRUE.” Or how can you possibly be giving out that erroneous piece of information???.” I keep hoping that Sara Jessica Parker (or for that matter MIranda or Samantha) will turn her head to me and say… “OH really? Is that true? I’m so sorry.” Unfortunately it hasn’t happened yet, so I’ve decided the next best thing to yelling at the TV set is to vent my frustrations in this blog. You may see quite a few Sex in the City episodes  responses in the future. (Which are obviously 3 years late — but hey better late then never). I hope that’s okay. Please do realize that I am not an idiot and I KNOW the TV show is more concerned with being clever and witty than giving accurate information so I’m not really blaming them but…

Yesterday Charlotte  and Tre’s 3 months marriage fell apart because he could not get this penis up and into her vagina for more than a minute. They hadn’t had intercourse since their marriage (3 months) and she was soooooo sexually frustrated. And she kept saying “We can’t have sex.”  And I’m yelling at the TV set. “Hey!!! What happened to his hands, his mouth, his toes?? For G-d’s sake, maybe they can’t have intercourse, but they could still have sex. She doesn’t have to be so frustrated. Can’t they figure out other fabulous things to do while they are working out this problem.” No one answered me. Not Charlotte, not Tres, not even Samantha, my usual ally. Sigh. So there it goes again.  That equation of sex and intercourse. If fabulous Charlotte and Tres can’t get more creative in their sex life. Is there any hope for us mortals? I certainly hope so.

Listen, please don’t think I’m minimizing intercourse. In most sex lives it’s the central component and give a great deal of pleasure to both (or at least one) party. But hey, that’s like suggesting that the meat and fish is all a meal has to offer. And that’s just sad.

Sigh. I wish Charlotte and Tres had come to see me before they broke up. Then maybe their lavish wedding would not  have been for nought.