Posts Tagged ‘marriage and sex’

Newlywed’s Guide to Intimacy

Thursday, September 1st, 2011 by Barbara Gross, LMSW

In my work at the Center I frequently see “Torah observant” women who are struggling with sexual and relationship issues in a new marriage. They are from a community where certain rules and rituals must be observed. A new book called The Newlywed’s Guide to Physical Intimacy has just come out by Jennie Rosenfeld, PhD and David Ribner, DSW.

This is an excellent book for this community. It includes a lot of basic information about anatomy and how to begin a sexual relationship. The authors also do a great job of talking about intimacy (both physical and emotional) in a way that is very accessible and helpful.  Rosenfeld and Ribner gently take couples through various life stages and they explain how things like marriage, pregnancy and health issues may affect intimacy.

The book includes several illustrations; one of male and female anatomy as well as several basic positions for intercourse.  The illustrations are not as informative as they could be. It was a great idea to include them because knowledge about one’s anatomy is the first step towards discovering and exploring your sexuality, however these are not well done. They also included illustrations of sexual positions. Most of them are fine but one is so unclear that I fear it could actually lead to confusion. Other than that, I highly recommend this book.

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.

 

Adversity and Desire

Monday, August 8th, 2011 by Bat Sheva Marcus LMSW MPH PhD

It happens all the time. A tearful, distraught woman sits down and informs us that:

Her husband is leaving her/has left her.

Her husband is having/was having an affair.

She believes this is due to the fact that they haven’t had sex in (you fill in the blank: 6 months, 1 year, 2 years, 5 years, 11 years.)

The funny thing, she’ll say, is that her sex drive (the lack of which caused all the problems) has miraculously re-emerged. Now, on top of every other painful emotion she is experiencing (abandonment, anger, betrayal, sadness, fury) she feels crazy and distorted.

Now my sex drive is working????? Am I crazy?

No. You’re not crazy. Not only are you not crazy, but nearly every other woman we’ve seen in the same situation feels similarly. (A variation of the theme is that after their first appointment with us, their sex drive comes back and they think we are genius miracle workers.)

Okay. So now you (the reader) are probably saying something like: “Yea. We all want what we can’t have.” Or “it’s the competition thing going.” Well, that’s probably right, but it doesn’t actually explain anything nor does it account for such a sudden and extreme shift in what these women feel as a physical reality. Some of them are getting wet for the first time in years and having orgasms easily when they couldn’t before.

Helen Fisher  (noted sociologist) wrote in “Why we Love”, “As adversity [in relationships] intensifies, so does romantic passion. This phenomenon is so common in literature and in life that I coined a term for it: ‘frustration attraction.’” She then goes on to explain how when we suffer a disappointment or a delay in reward, the dopamine procuring neurons in our brains prolong their  activities- increasing brain levels of the natural stimulant “ And very high levels of  dopamine are associated with intense motivation and goal directed behavior”  — and I will add here, arousal and orgasm.

So here we have it yet again. Is it something physical or psychological? I don’t really know the answer. I only know that the two are becoming more and more intrinsically linked in the way we practice here at the Center and I only wish we knew more.

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!

Two Truths

Friday, April 29th, 2011 by Bat Sheva Marcus LMSW MPH PhD

 

We saw a patient yesterday who made me think about two truths… one I had already “known” or at least had been conscious of; the other, not so much.

The patient is a lively, beautiful mother of a 10 year old girl. She came to us two years ago because of her lack of libido – she and her husband were only having sex about once a month, she wasn’t having regular orgasms and she was having pain. In short, her sex life was a mess. We’ve been working with us for the past two years and needless to say, things are way, way better. She’s  happy!

Well our visit yesterday included a bunch of things, but it also included the following:

First she told me that she and her husband are having sex about 3 times a week. Then she told me “you know,  I think it’s a funny thing, but it seems to work in a cycle. When we’re having more sex, he’s acting more sexual in general. He strokes my neck, pats my bottom when he walks by, says sexy things to me… and that makes me want to have sex with him. I feel sexier and more interested.

Leading me to….
Truth #1: Great sex leads to everyone feeling happier and sexier and that leads to more sex.

Then, she laughingly told me about her daughter and how they need to be careful because she is involved in their lives and will walk into their room without knocking, etc. She reported how her daughter found her vibrator in the bedside drawer and, assuming it was a back massager, began to use it. She also laughed as she told me that her daughter mentioned the fact that her parents should buy a new bed because she “heard the bed squeaking last night.”

The mother laughed as she told me this and what was so clear was that there was an impish, happy, child-like quality in the secrets she and her husband share. Somehow, whether she was fully conscious of it or not, their sex life was creating a glue just between her and her husband. I was thinking how terrific this was. They are obviously a happy, close family. But it is important that the mother and father in a relationship maintain something that is just theirs,  special and alone, a great sex life does that!!

Truth #2: Your kids will come and go in your life. You and your partner have to be more than roommates. An fun erotic life can be the glue that holds just the two of you together forever.

The Cookie Sutra

Monday, August 23rd, 2010 by Bat Sheva Marcus LMSW MPH PhD

Every once in a while a book comes out that makes us smile. The Cookie Sutra is one of them.

Written with a witty tongue-in-cheek style with adorable pictures of gingerbread men and women in a variety of compromising positions, this book would make a really fun gift. As the cover states, this is the book  “Where imaginations are fertile, love will never grow stale, nor crumble.” The book’s dedication is (presumably) to the author’s  partner: “For Lisa, for showing me where we keep the baking stuff and not asking why.” And it even has a recipe for gingerbread cookies at the end. Haven’t tried it yet… but believe you me, I will!

But things weren’t always like this….

Monday, May 10th, 2010 by Shannon Bertha, ACS, PhD

If I had a nickel every time a woman told me about her sexual situation with her husband and concluded with, “But it was never like that,” I would be a wealthy woman. 

After being married for 10 or 15 years, people compare what is going on in their relationship currently with what it was like when they were 20 or 25 years old, and they are surprised that “things are just not the same”.  As we age, there will be a number of changes our bodies will go through.  Women may lubricate less; men may require more time in order to achieve an erection, some places on your body may not be as sensitive as they used to be, you may even prefer different positions than those that typically worked for the two of you.

But if you stop and think about this for a minute, this can be the fun part!  You get to explore and experiment all over again!  Communicating about these changes with your partner may be the hardest aspect of exploring new ways to enhance your sex life.  What we find is, like a lot of things in life, taking the first step is hard, but then it feels good and you feel proud and you’re on a roll (think exercise, diet, etc).  So raise the issue with your partner and, together, find what works for you.  Adapting to these situations is essential to  a healthy sex life, because they are changes we all will ultimately go through.

desire and depression

Friday, March 19th, 2010 by Shannon Bertha, ACS, PhD

Sometimes, when women come into the center with low desire we talk to them about anti=depressants.  The reaction isn’t always good:   “You think I’m depressed? I’mhere to talk about my lack of sex drive!”

Life situations and hormones can play a role in depression.  Serotonin, the hormone normally associated with depression, isn’t the only culprit.  Testosterone may also have an effect on mood.  As an essential hormone needed for desire, low Testosterone levels may contribute to mild feelings of depression as well as low desire for sex.

 So it would make sense that if a women is experiencing low desire, she may also have low testosterone levels and that may be affected her moods. 

If your relationship is unstable lately, or if life is stressful and you haven’t had appropriate time to give to yourself and your partner, you may feel ‘down’ and exhausted from dealing with this.    You may miss the comfort of a loving connection, you may feel lonely and estranged. You may wonder when you’ll have the chance to focus on sex in your life without the myriad interruptions we experience.  Who wouldn’t be a little depressed!

When we prescribe treatment for low desire, after conducting significant blood work and a physical exam,  we investigate levels of testosterone along with other hormones.  Depending upon the patient, treatment will be individualized; but the message is same:  your depression may or may not be the ‘I can’t get out of bed’ kind of depression, but mild or low grade depression can go hand in hand with low interest in sex .  Although people may have a negative association with depression and anti-depressants, it is completely normal to experience some depression with a lack of desire. 

So, don’t be afraid to bring up the issue of low desire with your practitioner.  You may find yourself solving more than one problem when you when you do.