Posts Tagged ‘sex life’

Fantasies

Wednesday, November 16th, 2011 by Bat Sheva Marcus LMSW MPH PhD

A patient and I spoke today about her fantasies, or more accurately about her lack of them and how important fantasies can be in keeping up one’s interest in sex. Part of the reason she doesn’t think she can get what she wants in her fantasy is that she believes she is unattractive by common standards. This may or may not be true (I’ve long ago come to realize that what we think of as pretty and what is attractive sexually bears little resemblance),  but what is absolutely true and almost universal about her situation  is that often we can’t really get exactly what we might want sexually. That can because what we want is not attainable (say, George Clooney and Julia Roberts in the same room coming onto us), what we want we wouldn’t really want in real life (say a gang-bang at a rock concert), what we want is too expensive (sex on our own private beach with a diamond necklace as a parting gift), we feel guilty about what we want (our best friends lover), or because it doesn’t really exist (sex with a martian – at least I don’t think it exists).

I believe that one of the pleasures of fantasies is the privacy they afford. You can  have everything and anything you want – if you just use your imagination. The bottom line is that your brain can take you anywhere, match you up with anyone, hold an unlimited amount of dates (say include 10 someones) and make the impossible real. That’s why fantasy is so unbelievable. I encourage everyone to develop their fantasies and include them in their life as often as possible. Fantasizing is cheap, legal and feels great. It can also rev up your sex life. There’s really nothing more powerful when you’re talking about your sex life.

My Closet is X-rated!

Thursday, September 29th, 2011 by admin

Not only do I love my job because I get to help people, but I also get to constantly explore and test out anything that has to do with increasing one’s sexual pleasure. It recently occurred to me that my closet is x-rated and that when my child goes looking for something in my room it might be better if he didn’t! I realize that most people may not have the time, energy or resources to spice up their sex life, so I wanted to write about the things that you can do for very little money and very little time that might make having sex a lot more fun, and that happen to be in my closet as I write this!

Massage candles are candles that burn at a cooler temperature and then turn into a massage oil. You might wonder,  “who has time for that?”, but it doesn’t need to be an all-night activity. They burn quickly and  smell good.  A  few minutes of massage with something that is warm and feels great might change your whole night, and when you are having fun and experiencing  pleasure it stays with you the next day.

Vibrators come in so many shapes, styles, sizes and intensities. If you are someone who has never used one you should try it and if you are someone who uses one regularly, try a new one.  I write about them often because for many women they are a necessity. There are also several that can be used during intercourse so if a woman or a man feels that a vibrator will be replacing them, don’t fret; try one that can be used together.

Lubricants can also open up a whole new world. Some women need one all the time, some never do. Much like vibrators there are so many different kinds to try. There are lubricants that are:  water based,  silicone based, organic, warming  and edible. Even if you are someone who has never used one, you can try a few to add something new.

Esther Perel in her book “Mating in Captivity”, poses that comfort and security can kill your sex life. I am from an attachment theory background so I do not necessarily agree. But I do think that people need variety to feel excited and alive, so try something new, you will be glad you did!

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.

 

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.

 

Bremelanotide” The Barbie Drug” or PT141

Tuesday, June 28th, 2011 by Barbara Gross, LMSW

At the Medical center for Female Sexuality we often treat  Hypo Sexual Desire Disorder or low desire. We have several effective treatments for this condition but most of them are off label for reasons I will not go into here. The field of female sexual dysfunction is always growing and we are at the forefront of trying new treatments to assist women so that they can have more fulfilling sex lives.

We are currently trialing a new drug called Bremelanotide.  When  Bremelanotide was first trialed it was referred to as , “The Barbie Drug”. The reason for this is that the side effects seem to be weight loss, slight increase in skin pigmentation ( or appearing tan) and increased sex drive. It sounds good, right?  Of course any medication may have adverse side effects so the research is done very carefully.

If you are interested in this study for any reason, please contact our offices.   We think this study is really important because not only may it improve an individual woman’s experience but possibly that of their partners too. In fact, it will be contributing to an often over looked area of the female experience.  According to the Journal of the American Medical Association, more than 43% of American women (about 40 million) experience some form of sexual disorder.  It is an important issue and we clearly feel it is necessary aspect of any woman’s health.

Sex When You’re Exhausted

Thursday, June 9th, 2011 by Bat Sheva Marcus LMSW MPH PhD

 

Patients often remark that they resent having to decide between sex and sleep. And I can certainly relate! Any woman who is taking care of kids, working, running a household or taking care of 3000 other details always feels sleep deprived and often grumpy.

 

Here’s the other side though. Making love with your significant other can make you feel connected in a way little else can. That connection can get you through an awful lot of exhaustion, unhappiness and bumps in the road in life.

So what’s the solution?

Maybe have some good plain “fast sex.”

A quickie means different things to different people but whatever is fast and effective for you may make sense.

Say some really hot erotic things to each other before you even touch.

  • Pull out that vibrator. Most women orgasm quickly and easily with a vibrator.
  • Use your hand or mouth on your partner rather than have intercourse
  • Try it in the shower (you can get clean while having sex and kill two birds with one stone.)

Basically, think about having 15 minute sex, and know that as a result you’ll probably fall into a deeper, sounder sleep and feel happier in the morning.

How To Talk To Your Partner About Using A Vibrator

Tuesday, May 3rd, 2011 by Barbara Gross, LMSW

Occasionally, women feel nervous about introducing a vibrator into their
relationship. Sometimes their partners express that they don’t
feel comfortable with it. This is particularly challenging for our
clients who have never had orgasms because they may require
additional stimulation which oral or manual stimulation can not
provide. In these instances I try to explain to both the woman and her
partner that:

1. Their sex life will dramatically improve if a woman is able to have
an orgasm.

2. Vibrators do not “replace” a partner. Women frequently come in with
an internal or penis shaped vibrator. This can be
intimidating for a man. The truth is we generally recommend an
external vibrator, for a woman who needs increased stimulation.   If
you are living with a penis you don’t really need a mechanical one.

3. There are vibrators which can be used during partner sex. Most of
the clitoral vibrators can be used with a partner. And there are
vibrators which a man can wear too. These can or may provide pleasure
for both of you.

4. The bottom line is that most people enjoy sex much more if they can
have an orgasm. So ultimately if the use of a vibrator allows a woman to have more satisfying sex,
she will want to have it more often, which is often what people come to us for.

5. For those men who feel that they should be “enough” for their partners to be able to have an orgasm, we frequently explain it this way:    Before the discovery of eye glasses, many people had unclear or horrible vision. They could often get around but the details and clarity that good vision provides was not possible. Then once eyeglasses became readily available, all those people who had been missing the details of their partners face or the beauty of a sunset could finally see clearly! A vibrator is a lot like glasses, many women feel good when they get touched in a sexual way but they can’t have the full experience of an orgasm without the help of a little extra stimulation. The first vibrator was created in the 1880’s. There is a reason that that invention has persisted and been perfected over the years. Many, many women can experience their sexuality in a whole new way once they experience an orgasm.  And with a little help,  their partners may also.

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.

Birth Control: What Doctors Never Tell You

Monday, March 14th, 2011 by Barbara Gross, LMSW

 
If a patient comes to us with low desire or low arousal, one of the first questions we ask is, “Are you on birth control pills?”  The reason we ask this is because oral contraceptives can wreak havoc on your system and can be particularly detrimental to your sexual desire. Yaz tends be the worst and Lo-Estrin the best. Of course everyone is not affected by this but many are, and what I find disturbing is that we have never had a patient come to us who was told this information by their GYN or OBGYN.  This can happen soon after going on the pill or many years later but Dr’s usually don’t explain any of these potential side effects.
 
Another thing that we treat here at the Medical Center is Vulvodynia. Vulvodynia is basically,” pain in the area of the vulva.”   Vulvovaginal specialist Andrew T. Goldstein, MD, notes, “ the users of oral contraceptive pills are 660 percent more likely to develop vestibulodynia as compared to non-users.”  This is another potential side effect from oral contraceptives that is rarely discussed. I am not entirely against women going on the pill. For some it can be a great method of birth control. You should simply know all the side effects before you decide to use it. And if you are someone who is prone to desire or arousal issues, you should absolutely consider another form of birth control.

An Orgasm A Day, Keeps The Doctor Away?

Thursday, February 24th, 2011 by Tara Ford, R.P.A.

We all know the old adage that “an apple a day will keep the doctor away” but did you know that there are health benefits associated with having orgasms?  Scientific research is proving that orgasms are not only pleasurable but are good for our health and longevity. 

 So, what are some of the health benefits from having a “Big O?”

 Stress Reduction-  An orgasm is a total body event, not just a pelvic event.  The release of accumulated sexual tension results in rhythmic muscular contractions in the pelvic region that produces intensely pleasurable sensations and rapid relaxation throughout the entire body. 

Improved Sleep-   Orgasms release endorphins which have a calming, sedating effect on the body.  After orgasm, blood pressure drops and your body is calmed which leads to a relaxed state where sleep can occur. 

Pain Reduction-  Orgasms cause the release of oxytocin, a natural opiate that is a powerful analgesic.  Pain from menstrual cramps, arthritis and headaches can be eased by orgasm.  Oxytocin and endorphins that are released during sex can raise your tolerance to pain by as much as 70%!

Alleviate Depression- Oxytocin and endorphins not only reduce pain but have a positive effect on mood and improve our overall sense of wellbeing. 

Boost Immunity-  Orgasms release DHEA, a powerful chemical that helps keep the immune system optimized.  Research shows that people who orgasm frequently have 30% more immunoglobin A, an antibody known to improve the immune system. 

How many orgasms do we need to have in order to reap these health benefits?  Researchers at Duke University recommend 200 orgasms a year which breaks down to about 4 orgasms a week.  Fortunately, there is no difference between orgasms achieved with a partner or if you’re flying solo.    It’s not important how you achieve orgasm, what’s important is that you have one (or multiples!).  

 If you find yourself having difficulty achieving orgasm or believe you’ve never experienced an orgasm, contact us.  We can help you.