Posts Tagged ‘Intercourse’

Post Orgasm Crunch – Is it a New Cereal?

Tuesday, October 4th, 2011 by Bat Sheva Marcus LMSW MPH PhD

Today we had an hysterical appointment with a patient where we created the new sensation, “post orgasm crunch”… okay. I’ll be honest. It wasn’t a new sensation but a problem that needed to be solved.

The patient was talking about the fact that when she is having intercourse with her husband she will sometimes have an orgasm and that any thrusting he does immediately afterwards is very painful to her. As a result he will need to pull out which, as you can well imagine, doesn’t always  work so well for him. I suggested at our last appointment that instead of having him pull out he just stay still for 20-30 seconds. It’s working well for the patient.

However, when she came in today and I asked her how the whole “post orgasm crunch” thing was going, she first looked at me blankly and then burst into peals of laughter. “Sounds like a cereal,” she said and the marketing possibilities had us all in stitches for the next few minutes.

All joking aside, each woman’s vagina seems to react differently to orgasm. Some women say their vagina relaxes and loosens up and intercourse is more comfortable after orgasm. For other women (and this patient was one example),  the orgasm tenses the vagina and makes penetration more challenging. So which woman are you?

Gender Differences

Thursday, September 8th, 2011 by Barbara Gross, LMSW

In a recent article by Fisher and Alexander, the researchers  posit that the differences between the sexes (in terms of sexual beliefs and practices) are really differences in perception rather than in actuality. The differences exist primarily in terms of “ gender norms” that society has created rather than in actual differences.  The authors state that the differences appear to exist in research studies because men and women report different practices.  These are in accordance with what they feel the gender norms dictate, such as men typically reporting more sexual partners, decreased age at first intercourse and more masturbation, and women reporting fewer partners, later first date of intercourse and less masturbation.

However, when the studies were created to report answers to these questions and those surveyed felt they were going to be penalized for not telling the truth, both sexes reported much more similar answers. Since number of partners and age of first intercourse require both sexes, the fact that the answers were mismatched is fairly illogical.

All in all,  it appears that men and women think about sex a similar amount, have sex a similar amount and masturbate a similar amount. Possibly the truth about our sexual practices will become more widely known. I hope it’s soon.

 

Sex and the Vibrator Movie

Tuesday, September 6th, 2011 by Bat Sheva Marcus LMSW MPH PhD

I admit it. I have been waiting all my life (okay, maybe just the last 10 years) for someone to make a quality film about the incredibly interesting history of vibrators. Really. I’m not kidding.

And finally, someone is doing it. (Well, I can’t actually vouch that it’s quality, but it is a real film). Maggie Gyllenhaal, the beautiful, feisty, funny and sexy chick from Secretary (another blog post on the feminist aspects of BDSM in the future, I promise) is going ahead and starring in a movie called Hysteria, about vibrators. Imagine a rom-com about the vibrator history. Someone order the popcorn! http://www.aceshowbiz.com/news/view/w0005673.html

So why do I feel like somehow the world is really not complete without a movie about vibrators? Because in my heart of hearts I believe that the vibrator is to the over-30 clitoris what eyeglasses are to over 15-year-old eyes. They can change your life. They make things easier, clearer and more beautiful.

Here’s the real deal. We live in a ridiculously androcentric sexual universe. Put another way, we have allowed men and the media to define sex as vaginal intercourse. If you asked a typical person on the street (male or female) to tell you what the basic requirement or ingredients of “sex” are, no doubt you’d hear something like “man put penis in vagina. Man ejaculates.” Hmmmm… Why would the answer not be “partner massages vulva and clitoris until the women reaches orgasm.” But let’s just be honest, one in 1000 people would answer that way and the one person would probably turn out to be me, a member of our staff or my family. No one answers that way! Worse, no one thinks that way.

So, if say, we were to flip that way of thinking onto its head and suggest that perhaps a woman’s orgasm should be an actual primary component of our sexual definition, well then that changes the equation – totally.  Intercourse is, without question, one of the least efficient and effective means of women achieving orgasm. 33.3 percent (that’s 3/10 women for those of you with math challenges) actually can have an orgasm from vaginal intercourse alone. Compare that statistic to 96.5%… the number of women who can achieve orgasm with a vibrator.

So, if you were a professional dealing with that statistic daily, wouldn’t you want there to be more understanding, acceptance, and use of perhaps the best invention since the light bulb?

Perhaps a mainstream movie might accomplish what is so hard for so many of us professionally in the field. Perhaps there will be just a little nudge in the direction of understanding and accepting female sexuality in all its complicated and misunderstood glory.

Seeing Vaginismus Everywhere

Monday, August 29th, 2011 by Bat Sheva Marcus LMSW MPH PhD

My husband claims I see vaginismus everywhere. Okay. Maybe he’s right. Maybe I do….it kills me. When I see a woman who is totally avoidant of relationships I suspect she is fearful of penetration. When I see a young girl fearful of tampons, I suspect she is panicked at the idea of putting something inside.  What kills me is that I know how unbelievably treatable the condition is!! And it kills me that anyone is letting it ruin their relationships or their life.

Anyhow, last weekend I was reading a book by AS Byatt, Possession. It’s a beautiful book about two modern English researchers who are studying 2 Victorian poets who they discover had a clandestine love affair. (By the way, writing this book was no easy feat since the author had to write poems that were supposedly written by 2 separate Victorian poets in addition to writing the book around their work!) Anyhow, back to my point that my husband suspects I see vaginismus everywhere. “Hey,” I gasp, “one of the characters has vaginismus.” He smiles knowingly… “No really.” I  say. “Here. You read it!’

 

A few flames made their sinuous way upwards. She remembered her honeymoon, as she did, from time to time, and deliberately.

She did not remember it in words. There were no words attached to it, that was part of the horror. She had never spoken of it to anyone, not even to Randolph, precisely not to Randolph.

She remembered it in images. A window, in the south, all hung about with vines and creepers, with the hot summer sun fading.

The nightdress embroidered for these nights, white cambric, all spattered with lovers’ knots and forget-me-nots and roses, white on white.

A thin white animal, herself, trembling.

A complex thing, the naked male, curly hairs and shining wet, at once bovine and dolphin-like, its scent feral and overwhelming.

A large hand, held out in kindness, not once, but many times, slapped away, pushed away, slapped away.

A running creature, crouching and cowering in the corner of the room, its teeth chattering, its veins clamped in spasms, its breath shallow and fluttering. Herself.

A respite, generously agreed, glasses of golden wine, a few days of Edenic picnics, a laughing woman perched on a rock in pale blue poplin shirts, a handsome man in his whiskers, lifting her, quoting Petrarch.

An attempt. A hand not pushed away. Tendons like steel, teeth in pain, clenched, clenched.

The approach, the locked gateway, the panic, the whimpering flight.

Not once, but over and over and over.

When did he begin to know that however gentle he was, how-ever patient, it was no good, it would never be any good?

She did not like to remember his face in those days, but did, for truthfulness, the puzzled brow, the questioning tender look, the largeness of it, convicted of its brutality, rejected in its closeness.

The eagerness, the terrible love, with which she had made it up to him, his abstinence, making him a thousand small comforts, cakes and tidbits. She became his slave. Quivering at every word. He had accepted her love.

She had loved him for it.

He had loved her.


So, he did read it – and agreed I was right and it wasn’t my imagination.

I was moved because Byatt describes so dramatically and poignantly the pain and psychological damage associated with Vaginismus.

But all I could keep thinking that night and the next day was: We could have helped her! We really, really could have.

Alas and alack, there is little to no market for “fixing” fictional characters. And then poor AS Byatt would have had to rewrite the entire book.

 

A Good Day At Our Center

Monday, August 1st, 2011 by Bat Sheva Marcus LMSW MPH PhD

Someone once asked me what makes a good day at our center.

 

Today is one of those days.

 

  • Today I got an e mail with a copy of a baby picture from a patient who struggled for 2 years with vaginismus. She is fine, having great sex and has a beautiful little baby girl to prove it.
  • Today we got an email from a patient with chronic pain from a severe and significant accident. Six months ago she believed she could never be approached by her husband again and that she’d never had an orgasm again. She and her husband were so sad that this part of their life was over. They just emailed from vacation. They are having sex (albeit with some modifications) and she is having orgasms again. They feel like they have been given an incredible gift.
  • Today I received an email from a young woman who sat in our office 4 years ago sobbing. Her marriage was ending because of her inability to have intercourse and her low desire. She felt hopeless, beyond help and so very alone. She emailed to tell me that those problems are far behind her. She is in a new, wonderful, supportive relationship. No pain. No problems with desire. She is starting a new chapter in her life.

 

So on those frustrating days when I am sitting across from someone who is struggling and whom we are struggling with to help find the right solution, I just have to remember these days. Because when you help someone restore their sex life you have given them a powerful reminder of just how great life can be!

How long is too long: the average time for intercourse

Thursday, June 17th, 2010 by Bat Sheva Marcus LMSW MPH PhD

Okay ladies (and the men who may be looking over their shoulder.) The average time for intercourse is 3-5 minutes. So if your partner is thrusting inside of you for 25 minutes and your vagina hurts or gets sore, there is nothing wrong with your vagina. There is something wrong with your timing! Now… lets respond to all the possible women’s reactions:

 “But I LIKE intercourse for 30 minutes” Great!! You’re just not average. If you and your partner enjoy prolonged intercourse and you’re not having pain afterwards – go for it! Have fun.

 “But he needs 25-30 minutes to ejaculate” – Try exploring other stimulations for 15-20 minutes. Rubbing against your body, using your hands, using your mouth, him using his hands are all good possibilities. Then when he comes inside of you he may only need 5 minutes or so.

 “He really needs 40 minutes inside of me to ejaculate.” This is where I think you need to bring in a male sexual dysfunction specialist to have him evaluated.

 Bottom line. Don’t always blame your vagina!!

“IT’S ALL IN YOUR HEAD!” and other myths about painful intercourse

Friday, May 14th, 2010 by Shannon Bertha, ACS, PhD

I’m tired of doctors telling patients “it’s all in your head,” a quick response to a problem because they do not know what to say or how to help. Although this may be true in some circumstances, shouldn’t doctors acknowledge what a patient tells you? How do you know what they are feeling, emotionally or physically?

The other day I had a woman state that she had been to numerous doctors, who told her the pain she was experiencing was “in her head.” Rather than acknowledge this issue or explore it, they dismissed her, her feelings, even her symptoms!

What does this patient do? Feeling hopeless, as if pain during intercourse is something she would have to endure the rest of her life, she goes to the internet and finds something called vaginismus, painful intercourse . She reads testimonials on various websites, and learns that other women also experience pain during intercourse and this is not something “in her head.”

These women are, in fact, able to find treatment with specialists who have decades of experience with treatments, and which also house the newest solutions to this problem. At the Medical Center for Female Sexuality, we are able to treat patients with vaginismus relatively quickly in most cases; and most patients complete their treatment and go on to have satisfying, pain-free intercourse.

I commend women on their tenacity to find an answer to this problem and to not settle for “it’s in your head,” even if it comes from a powerful influencer such as a medical doctor. We know our bodies better than anyone can because we feel what is happening. So, trust those feelings and if you feel something that doesn’t seem quite right or the way you thought it should be, search until you get your answer or until you can find someone who can answer and acknowledge and treat this condition.

Yet another reason for women to be fit…

Sunday, July 26th, 2009 by Dr. Neil Cannon

Overweight women should know that your oral contraceptive may take longer to become effective.  A new study recently published in the Journal of Contraception found that oral contraceptives for woman who are overweight can take twice as long to become effective.  Most drug tests are not tested on people who are obese and so body size is often ignored.  The study which was conducted by scientists from Colorado, Oregon and Southern California found that it took approximately 10 days for oral contraceptives to be effective in obese women versus 5 days for women with a Body Mass Index less than 35.  This is something to be aware of and talk to your physician about….

Is longer always better?

Wednesday, June 4th, 2008 by Bat Sheva Marcus LMSW MPH PhD

No. No. No. I’m not doing another harangue on penis length, I promise. This has to do with time. There seems to be a prevalent myth out there that women always want men who can last longer. HMMMMM… let’s see. The average time that a penis usually spends in a vagina before ejaculating is 3-5 minutes. Generally as men get older they can last longer. Here’s what I hear from patients. Anything up to 10 minutes can be great. After that, their vagina’s can get irritated. Again, I am talking the norm. Sure there are women out there who want to go at it for 30 minutes. Sure there are women who get irritated after 1 minute (although, it that’s you, sweetie, you might want to ask your doctor for help… that should be treatable if it’s a problem for you.) However, really and truly, most women do not want a penis in their vagina for 30 minutes. It doesn’t feel good. Now, that doesn’t mean that sex has to be over in 10 minutes… if you spend 20 minutes rubbing up against different body parts, having oral sex and using each other’s hands then when the man is good and ready he puts his penis in the vagina, 3-7 minutes should be plenty in there! However, as always, talk – talk-talk. See what your partner wants. Thank goodness we don’t live in “average.”

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.