Posts Tagged ‘orgasm’

The frustration of Sex Therapy.

Friday, January 15th, 2010 by Bat Sheva Marcus LMSW MPH PhD

I had a patient yesterday who has zero sex drive. Zero. She has never masturbated. She has never fantasized. She has never been turned on as far as she can tell. She is sad and frustrated and it is effecting her marriage.

She spent the last two years on sex therapy. The first year was with a sex therapist who spend the entire time having her discuss the fact that she was raised by a step father, a warm, nurturing man and the only one she ever knew as a father since he married her mother when she was pregnant. Not surprisingly this didn’t help her sex drive a whole lot.

The second sex therapist did similarly. But they also spend a great deal of time talking about a dentist who paid too much attention to her and  kissed her on the cheek when she was 15. This didn’t seem to affect her sex drive much either.

 ENOUGH.  At some point we need to get smarter about the time  (and money) we are spending  on therapy.

Consider the following possibilities:  Perhaps some problems have a physical component. Maybe some are genetic. Some problems simply cannot be helped. Spending time in sex therapy grasping at straws because the therapist needs something to address,  is not only useless but detrimental to patients. If you consider these likely possibilities and their relatively direct treatments, you will be a wise consumer and an educated patient. You know if you are being helped. If you are not, stop.

30% of Women orgasm through vaginal penetration

Tuesday, December 15th, 2009 by Shannon Bertha, ACS, PhD

Although the following statistic is located on our webpage, women are still surprised to learn that only 30% of women will orgasm through vaginal penetration.  That means almost 70% of women do not orgasm through intercourse.  At times, women and their partners may feel like they are doing something wrong, or that something is wrong with them.  Orgasms can be attained through a number of sexual behaviors.  Many women often need some form of clitoral stimulation in order to achieve orgasm but unfortunately, intercourse does not always provide direct stimulation to the clitoris.  Some women will need to stimulate their own clitoris, or have a partner stimulate it for them, or use a vibrator during intercourse.  So, there isn’t anything wrong, you may just need more focus on your clitoris.  Finding a smaller vibrator that can be used with a partner may be useful in trying to stimulate the clitoris during intercourse.

In sex therapy and treatment, sometimes just talking helps

Wednesday, December 9th, 2009 by Bat Sheva Marcus LMSW MPH PhD

I’m often struck, when first meeting with patients, how much help they get just by talking. During the first appointment, when I get a history I feel like patients relax so much. It’s like they finally had a chance to tell the truth (sometimes for the first time) to someone who doesn’t judge, doesn’t think they are strange and perhaps, for the first time, makes them feel like their concerns, habits, fears, likes and dislikes are “perfectly normal.”

In many cases, the stories patients are sharing with me, (how they masturbate, their preferred means of having sex, their “fetishes,”) are really quite common.

Then there are patients who tell me less usual stories or preferences. Again, they are often so very embarrassed about things which are not harmful and provide a source of pleasure to them.

I hope, as women explore their own sexual health, they come to believe and understand that there is just no “right” way to go about having sex!

www.centerforfemalesexuality.com

Is Sex Therapy Psychological or Physical? Yes!

Friday, December 4th, 2009 by Bat Sheva Marcus LMSW MPH PhD

 Often sexual problems are the result of both physical obstacles and emotional issues. Before committing to sex therapy to uncover the causes and stresses connected to sexual dysfunction, you may want to rule out any physical conditions that can be treated with relative ease and in a short time period.

In recent years, research into the area of female sexuality has become more focused. We are beginning to understand the complicated physiology of blood vessels and nerves in the pelvis and how surgeries, childbirth, illnesses, medications, hormonal changes and aging may affect a woman’s sexual experience.

When these conditions exist, in conjunction against the emotional backdrop change (marriage, childbirth, menopause or other lifestage developments), only an integrated approach to diagnosis and treatment will be successful.

So, yes.  Read more information on our full website: www.centerforfemalesexuality.com

With Valentine's Day Approaching

Wednesday, February 11th, 2009 by Shannon Bertha, ACS, PhD

After many years with a partner, Valentine’s Day might not have the same thrill it did when you celebrated your first Valentine’s Day together.  Romantic dinners are replaced with long waits at restaurants, piled in with lovers celebrating their love together, enough to disgust the singles out there.  Romantic overtones of flowers and chocolates have been replaced with $80.00 roses, just perfect for the occasion, $50.00 Godiva chocolates, and if you are lucky, jewelry with a heart diamond.  

This Valentine’s day, try something new and different.  If you are always on the go and eating out at restaurants, on Feb 14th stay at home.  Valentine’s day lands on a Saturday this year so plan a sexy day at home.  Go out and buy “The Seduction Cookbook” or other cookbooks that are similar and sit with your partner and plan a delicious, erotic meal, and don’t forget the wine or dessert!  Melt some chocolate in a fondue maker (a pot will also work) and buy some fruits such as bananas, strawberries, blackberries, and even some pound cake.  Take turns feeding each other.  Put chocolate places you want your lover to lick.  If you do not have children or they are not home this day, spice it up by celebrating this day naked and eating dessert naked.  (but you probably want to wear clothes while cooking, you don’t want to burn anything)

And for gifts, plan a trip to your local sex toy shop and pick out an item you both want to try for the night.  With such busy schedules, some people do not have the time to put so much work and effort into their sex lives, use this time on Saturday.  The whole day will be exciting with new toys try in the end.  My recommendation for a couple’s sex toy would be “the couple’s love ring” or vibrating penis rings.  This is a jelly ring that is worn around the penis.  It has a bullet vibration that sits at the top of the penis and an additional one at the base that is removable.  When a woman sits on top of it, it should be hitting directly on her clitoris.  Since only 30-40% of women orgasm through intercourse alone, it is important to provide some other stimulation to the clitoris.  Just make sure you get one that is reusable with batteries. 

And remember, love should be celebrated every day, not just Feb. 14th.

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.

 

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.