Posts Tagged ‘sex and marriage’

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.

 

Should dinner always come first?

Wednesday, August 4th, 2010 by Bat Sheva Marcus LMSW MPH PhD

I’ve been thinking of the very romantic notions we have regarding dinner dates.

The typical order of events is: large, beautiful, (usually quite saucy) romantic meals and then great sex. In a way that makes sense because dinner is seen as the wooing and romancing which is then followed by sex. The problem with this picture is that so many people I know say they have better sex BEFORE they eat. Big dinners make them sluggish and tired, not exactly the two adjectives you’d want to use before the word “sex.”

Some people even go so far as to say that sex is better when they are a little bit hungry. Their senses are attuned and heightened. Now, I’m not suggesting that you starve yourself into great sex… I’m just suggesting that maybe flipping around the order a bit would make sex better.

So, next time you have a hot dinner date, maybe ravage your date BEFORE DINNER, doze for a few minutes and then go indulge your (now much bigger) appetite. Or, to help this fit into our real lives, when your partner gets home from work,  suggest a before-dinner tryst and see what happens!

Dining and Differentiation

Monday, June 28th, 2010 by Stephen Snyder, MD

What’s the secret to making your love a lasting one?    What’s the secret to keeping sexual passion alive?    There’s no one best answer, and every couple is different.   But many sex therapists, myself included, talk about something called “differentiation” as a key factor.   Differentation means being able to take care of yourself, as a separate person, while you’re in intimate dialog with your mate.

A popular book on the subject of differentiation is David Schnarch’s Passionate Marriage. Schnarch has probably done more than any modern sex therapist to promote the idea of differentiation as a core value in a romantic partnership.

Differentiation is hard. Especially if one hasn’t seen it demonstrated in one’s family of origin.   One of the benefits of a good enough marriage or any other deep partnership is that it provides a holding place in which differentiation can occur.   In which each partner can “become more truly oneself.”

Differentiation is not easy to describe, as an idea and as a feeling.    Many couples tell me,   “It sounds nice, but I don’t get what it’s supposed to feel like”

In such situations, I offer an analogy:

Let’s say you really want to go out for sushi, and your husband really wants pizza.   You could (1) go along with his wish.   (2) insist he go along with yours     (3) decide to go to separate restaurants.    All pretty conventional approaches.

None of them, though, are going to help you feel what it’s like to be more differentiated.

But let’s say that instead you decide to (4) stand on the street bickering about it, getting more and more hungry and upset, and wondering if this relationship is really going to work.

Now that’s a good start!   You’re suffering together.    You’re both being real clear about what you want, and advocating for your own needs.

Now let’s say you’re so exhausted that you say to each other, “let’s see if we can find a place that would work for us both.”   You walk down the street looking at restaurants.  You find an Indian place that looks promising, but you discover that one or both of you don’t really like Indian food.

The next night you go out again, thinking, “there’s got to be SOMETHING that we both like – and damn-it, we’re going to find it together!”

Now you’re really on your way!    And when at long last, after many weeks of searching, you find a kind of food you both like, and a restaurant that serves it, you are so happy and feel so accomplished, that it becomes “your restaurant.”  You find recipes for all their dishes and start learning to make them at home.

Those recipes are YOURS as a couple.   You worked hard for them.    They belong to no one but the two of you.    They are your story – of keeping faith with yourself, and with each other.

If you’d never met each other, you’d never have found them.   The relationship (this is important) took you someplace that neither of you ever intended to go.    The relationship expanded you, and changed you.   But it only did so BECAUSE you and your mate both insisted on what you really wanted. The answer wasn’t clear at first – but you found it.

You’ve differentiated from your respective families as well.   No one in either of your families ever knew anything about that kind of cuisine.     Your families think your new dining habits are a little strange.    But they don’t understand about this particular journey you’ve been on together.

Only the two of you understand.  You’ve become a more differentiated couple.    Now you’re more confident that you can each take care of your own wants and needs in the relationship, and make it work.

And you know that the next time you stand together on the street bickering about whatever the next thing is . . .

You’ll figure it out.

© Stephen Snyder, MD 2010    

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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.

“My husband Wants to have Sex Everyday” and other popular myths…

Friday, March 26th, 2010 by Bat Sheva Marcus LMSW MPH PhD

To be filed under the “I wish I had a nickel every time a patient said this to me.”

Women with low libidos always think their husbands want to have sex every day. When I am doing an intake with a woman who is having sex (because she feels obligated) say, once every 3 weeks, I will ask her how often  her partner wants to have sex. Invariably she looks at me like I am the village idiot and says “My husband wants to have sex everyday…  of course.”    The subtext being that all men want to have sex every day.

 Sorry, but I must disabuse you of this notion. Most men over the age of 19 really don’t want to have sex every day. They get tired too, you know. However, men who are not having any satisfying sex, or men who feel like their partners never want to have sex, often feel as though they want to have sex every day.  It may be on their minds constantly; they may be worried about it all the time and every night they may be thinking… is this the night I’m going to get to have sex?!

Think about it. If you love chocolate fudge and you had a box of it sitting there which you couldn’t eat and you didn’t know when you’d finally be able to have a piece, you’d probably be thinking about the fudge all the time! But that doesn’t mean if the fudge was readily available whenever you wanted it, you’d eat it all day long!

 The same is true about sex. When these women’s libidos are back to normal, and they are happily having sex, they aren’t having sex every day.  Their perfectly human husbands want sex regularly, but not every day.  If you doubt this, here’s a suggestion: try initiating sex every night. It never fails, by the end of week two your partner will be looking at you funny and asking if it’d be okay to wait until tomorrow night. 

And for a woman whose libido is back in check, tomorrow is perfectly ok!

The Whole Picture

Thursday, February 18th, 2010 by Bat Sheva Marcus LMSW MPH PhD

Good Housekeeping recently had an article Your Sexiest Self – Get It Back (February, 2010). It poignantly described one woman’s loss of libido for all of the usual reasons: overwhelmed with life, kids entering the picture, relationship getting “old,” she was getting older.

So the writer and her husband saw noted psychologist and sex therapist David Schnarch for a three hour session.  Presto! Whammo! In one afternoon  their primary issues were identified and addressed and she was back in the game.

Okay, so I’m oversimplifying things. But the author did comment on the fact that once her husband was able to be “real” with her and get “angry” and not always be “so nice,” she experienced real desire for him for the first time in a long while.

That is great.

I mean it.

I’m skeptical it will last, though. Really intense emotions and sudden epiphanies and moment of deep connection are important and no doubt do wonders for the short term sex drive. They really help. And some times, honestly, kick-starting the sexual relationship with a short term energy blast can make all the difference and turn things around again.

But I think that often, when the ongoing, slow simmer of a regular sex drive is gone, it’s important to get the whole picture, that is the physical stuff as well as the psychological stuff.

So if you’re one of those people who’ve been able to  create moments of deep passion through sex therapy, but have wondered why these moments don’t seem to sustain themselves, don’t give up. Get the whole picture.