Archive for April, 2010

Stephen Snyder, M.D. joins MCFS Blogroll

Friday, April 30th, 2010 by Stephen Snyder, MD

 Thanks to the Medical Center for Female Sexuality for inviting me to join in as a guest blogger.   I’m excited to be sharing this page with the talented group at the Center for Female Sexuality.  

      By way of introduction — I’m an Associate Clinical Professor of Psychiatry at Mount Sinai School of Medicine and practice psychotherapy and sex therapy here in NYC.   My blog at www.sexualityresource.com is my attempt to reconcile my medical, psychiatric, psychological, and sexological selves – sort of a one-man group therapy, as it were.    I’m also a guest expert on www.sexualhealth.com and have lectured locally and nationally on issues in human sexuality.    I’m particularly interested in the problems of sexuality in marriage and other romantic partnerships; current controversies regarding the “medicalization of sexuality;” sexual psychology in popular culture; and  the diversity of individuals’ sexual selves, particularly between men’s and women’s sexual perspectives.

      Bat Sheva felt it might be interesting for Better Sex Blog to be leavened occasionally by the perspective of a male local sex therapist.   I didn’t have to be asked twice.   

      This week, as chance would have it, Bat Sheva and I both had occasion to blog about the same subject:  pornography.   But our approaches were so radically different that I had to mention it.  My post www.sexualityresource.com/men-and-their-computers-alone-together was prompted by some recent news that high-ranking SEC officials had been surfing lots of porn in the office during the months leading up to the recent banking crisis.   I discussed the mischief that online porn can cause for susceptible men.    I sent it to Bat Sheva to read, and her response was “I am worried when people are told no porn –ever – because it can get out of control.    Looking at porn once in a while might be fun, normal, even a good tool for some men or couples.”   Coincidentally, her post from the same day, What’s the Deal with Porn,? cites research showing that porn might be good for society:  that increased pornography use correlates with decreased incidence of sex crimes.

OK, so why would two sex therapists notice such different things in the news, and come at the subject from such opposite perspectives?   My guess:   She’s worried about women receiving messages that what they may do or want sexually is bad or wrong.    Her daily work is to encourage women to free themselves from such negative judgments, in order to become more sexually alive.     With men, such negative messages don’t seem to be as much of a problem.    But it’s extremely common in my office for a man’s compulsive use of internet pornography to have caused big problems — such as stunting his emotional development, dulling his sexual feelings, and leading to problems in his work and marriage.   

Different corners of the world – very different points of reference.    At any rate, I’m happy to be here, and I hope we all learn much from each other.

© Stephen Snyder, MD 2010    

Twitter.com/SexualityToday

PsychologyToday.com/blog/SexualityToday/

www.SexualityResource.com

What’s the deal with Porn?

Monday, April 26th, 2010 by Bat Sheva Marcus LMSW MPH PhD

 Here’s a review of studies which suggests that the data show that the more porn is used, the fewer sex crimes are committed. It’s an interesting argument and worth looking at!

http://www.hawaii.edu/PCSS/biblio/articles/2010to2014/2010-porn.html

Preach what they’ll practice!

Thursday, April 22nd, 2010 by Shannon Bertha, ACS, DHS

In Wisconsin, the DA warns sexual educators about what to teach

Talking to the youth of today about sexuality is extremely important.  Sex sells everything on TV yet we are afraid to have an intelligent, informative conversation about it? In Wisconsin, this debate has hit home threatening to arrest teachers who don’t teach abstinence, or who don’t tell kids to wait until they get married to have sex.  The problem with this policy is that it mandates ONLY teaching abstinence  and teaching nothing else.  Abstinence is a great option, but it isn’t the only one, in fact 95% of the population chooses to have intercourse before marriage.  It is important to give our kids the proper tools and education they need to live in the world today. 
http://news.yahoo.com/s/ap/us_sex_ed_wisconsin

Does your OB/GYN sell sex toys?

Monday, April 19th, 2010 by Bat Sheva Marcus LMSW MPH PhD

Here’s an article about an ob/gyn who sells sex toy in his office. OB/GYN Andrew Scheinfeld Sells Sex Toys – AOL News

   He believes he’s the first OB/GYN to do so. Maybe he is. Maybe he isn’t. He certainly is not the first PHYSICIAN to sell sex toys. We’ve been carrying them for  years – for many of the same reasons he has. Patients are embarrassed to go to a sex toy store and often they need advice and encouragement that only a professional can give. Anyhow, good for him! We’ve been trying to convince OBs for years that there are specific sex aids they should carry in the office. Maybe it’ll catch on.

Oh What a Difference Some Testosterone Makes!

Thursday, April 15th, 2010 by Bat Sheva Marcus LMSW MPH PhD

A female patient just told me the following story. She thought her husband of 15 years was having an affair. He hadn’t been acting suspiciously or working late. He just was less demonstrative, less loving and seemed way less interested in sex. They  had always enjoyed a fun sex life. He usually initiated sex but sometimes she did as well and they would have sex about twice a week. Now he never initiated and when she did, he acted pressured or distracted. If she didn’t initiate two weeks could go by without having sex. She was confused and hurt and so, so sad.

 She finally approached him and asked if he was having an affair. He was stunned and assured her that he loved her as much as always – but when she pointed out to him that their sex life had dwindled to nothing he seemed even more stunned. She was right and he somehow hadn’t noticed. He was pretty shaken up and tried after that to be more interested in their sex life, but it was a chore and it showed. We suggested that he see Dr. Werner and after a few months of gentle prodding he did go. Low and behold… he had low testosterone. (I could have told her that!)

 Well, he’s been on testosterone now for 4 months and she said he’s a changed man. He is initiating and they are back to having fun sex. Even more, the teasing and the playfulness has returned to their marriage. They are both so much happier. Her face lit up as she told me this story. And once again, (I know that sometimes I sound like a broken record,) the sex has made such a big difference in so many aspects of their marriage and their lives!

Different Roads

Monday, April 12th, 2010 by Bat Sheva Marcus LMSW MPH PhD

I am often struck by the varying and disparate ways in which we solve problems. I am fascinated by the variety of  routes people take on their way to a solution.

I saw a long time patient today whose situation provided such a great example of this concept. She is a 45 year old woman who is in a long term relationship. We had lowered her level of hormones looking toward the possibilityof weaning her off of them. She told us, in this visit, that her sexual relationship has become lack-luster once again. As she put it, “I’m back to wishing he’d have more of a life, that he’d go off to hang out with his own friends, that he’d go back to scuba diving. Somehow, when he’s more independent and less involved with me he appears more distant, mysterious and the sex is better.”

We talked about her going back into therapy to discuss some of these sexual issues more explicitly with her husband. Then she sighed. “Or,” she said,  “I could just go back on the higher level of testosterone. That worked too.”

She then went on to explain so poignantly and succinctly that when her general desire level was higher it didn’t seem to matter so much what was going on with her husband’s life. She wanted to have sex with him, the sex was hotter and, as a result the relationship was generally more passionate which kept the cycle going.

I can almost hear the naysayers shaking their heads… tut, tut, they’d say, you’re recommending drugs to wash away the real underlying problems. But I don’t see it that way. I see it as many roads leading to Rome.   Understanding the realities of the road allows an individual to find the one that they can best travel.

So my patient had a choice to make – as many of us do in so many areas of our lives.  There’s no one right way to handle things, just different routes.  And we have to choose the ones that work best for us and the day to day workings of our lives.

Libido flip-flop

Friday, April 9th, 2010 by Bat Sheva Marcus LMSW MPH PhD

This entry was written recently by a patient at MCFS following six months of treatment for low desire.  Her previous entry, written after her second appointment last October, was posted on April 5th.

Last night I kissed my husband’s ear and he did not move. He wasn’t in the mood and I was!

For some people this would be frustrating. For me it was amazing! Finally, our sex life is equal. We have an equal investment in pleasuring each other.  With almost equal interest in sex – it is no longer just about his needs and my succumbing (reluctantly). The mere fact that I was interested did change his mind, and a wonderful evening ensued, but it was a pivotal moment for us.  The last few months have changed our, and my, life. God had given the world the gift of sexuality and pleasure, and it was a gift that I never received, never really understood. I now know that I was missing out on huge piece of the beauty that exists in this world and missing out on a more meaningful and spiritual connection with my husband. I am eternally grateful to the MCFS for helping me find this gift.

Why I’m Not as Crazy as I Thought

Monday, April 5th, 2010 by Bat Sheva Marcus LMSW MPH PhD

The following is a blog entry written by a patient at MCFS.  Later this week we will post another entry by the same patient, reporting on her progress.  This was written in October 2009

For about 14 years now I have been told constantly that things are in my head. Stomach cramps-must be stress, acne- must be stress, extreme exhaustion-stress, canker sores- stress, breathing issues- stress, and most recently, no interest in sex - stress and depression. 

But recentl, for the first time in my life, someone found a real reason something was going wrong.  And I could not be happier. 

My life in general is amazing. I have a loving doting husband, two beautiful children, a wonderful home, and a fine job. And yet, depression, being overweight, exhaustion and a low sex drive have plagued my life. With some strong encouragement from my husband, who is tired of feeling physically and sexually rejected, I went to the Medical Center for Female Sexuality.  And,  for the first time, someone checked my hormone levels. No one before had ever thought to stick a needle in my arm and actually see what was going on in there. They just made me pop pills and sit in front of therapists and talk and talk and talk. None of which did much except put band-aids over the problems and cause me to doubt myself more and more. With each passing day I would feel less competent, less self-confident, and more sure that I was just crazy, that many of the simple pleasures in life were out of my grasp and this was my destiny.

But yesterday that all changed.

Yesterday 2 doctors sat me down and showed me my lab results. My hormones are a mess. My thyroid is inactive and I have almost no testosterone. There is something wrong with me! I cried the whole way home for the office, grateful to God that there is an end in sight.

The journey ahead will be difficult, hormone therapy will be tough and I’m not so excited about the potential side effects. But it will all be worth it.