The Sexual Revolution Has Been Great

— For Men

By Charles Runels, MD

During the month of September, Sexual Health Awareness Month, it may help to notice something: Men and their doctors have significantly more options to help with sexual function than do women and their clinicians. Moreover, the education of physicians regarding the examination and treatment of women for sexual dysfunction has been and remains, even now in 2024, much less thorough than for men.

Not convinced? Let’s take a quick tour.

The New Sexual Revolution and the Growing Anger

photo of Newsweek 50 Shade edition

Around the time of the release of the book and movie 50 Shades of Grey, Newsweek put the cultural sensation on its cover.

I bought the magazine at the airport and, while waiting for my plane, showed the story to a woman sitting next to me. “What do you think — is this the new ‘sexual revolution’?” I asked her.

She glanced at the cover and answered as accurately as if she had written the article: “In the ’60s, it became okay for women to have sex; now, it’s okay for women to demand good sex.”

I would add to that: Women are demanding good sex, and they want to define for themselves what “good” means.

That social revolution rages, still.

You would think that the demand would bring a corresponding response in clinical medicine. You would be wrong. Although efforts in some sectors are heroic, overall, the results are lagging the forward movement of women wanting better sex.

The Lag in Sexual Education

To examine the progression of the education of physicians regarding the treatment of female sexual dysfunction (FSD), Codispoti and colleagues examined the curricula of seven medical schools in and around Chicago. They found the following: Only one institution identified all anatomic components of the clitoris — one! Four of the seven discussed the physiology of the female orgasm. Only three of the seven highlighted the prevalence and epidemiology of FSD or the treatments for FSD. Only one of the seven explained how to do a genitourinary physical exam specific to assessing FSD.

When assessing obstetrics and gynecology clinical materials, sexual pleasure, arousal, and libido were not included anywhere in the curricula.

I have been teaching physicians about the therapies I developed (over 5000 clinicians in 50-plus countries over the past 14 years). During those sessions, I often stop the class and ask, “Who in here was taught how to retract the foreskin and examine the penis for phimosis?”

All hands will go up.

Then I will ask, “Who in here was taught in medical school how to retract the clitoral hood and examine the clitoris for phimosis?”

Not once has anyone raised a hand.

The Sex Remedies Gap

When I first published research offering support for using platelet-rich plasma to improve sexual function in women, women had not one drug approved by the US Food and Drug Administration (FDA) for the treatment of sexual dysfunction — none. Men had over 20. Today, men have a growing number of FDA-approved drugs for erectile dysfunction, including the “fils“; women have three.

Women have access to only one FDA-approved medication that primarily affects the genitalia: prasterone. This drug is indicated only for the treatment of pain in postmenopausal women. It does not directly enhance desire or improve orgasms. Said another way, although the incidence of sexual dysfunction is higher in premenopausal women than in other groups, they do not have a single approved medication designed to improve the function of their genitalia.

The other two of the three available drugs — flibanserin and bremelanotide — primarily affect the brain and could accurately be called psychoactive agents. They are available only for premenopausal women to improve desire. Flibanserin resulted in one extra sexual encounter per month on average, and patients are advised to avoid alcohol while using the drug. The other can make you vomit.

I do think all three of these treatments can be of great help to some women. I am not advising their disappearance. But in contrast to what is available to men, they are woefully inadequate.

Historical Perspective

In 1980, the medical establishment believed “most instances of acquired impotence are psychogenic.” Then, with the accidental discovery of the benefits of phosphodiesterase type 5 inhibitors , we realized that most cases of male sexual dysfunction involve the vasculature of the genitalia, not the neuroses of the brain. Yet, our two FDA-approved drugs for women with sexual dysfunction are designed to affect the brain. Women have nothing but off-label therapies to improve the function of the genitalia.

Despite the fact research supports the use of testosterone in women for both libido and orgasm, and despite the fact millions of women are treated with testosterone off-label for the benefit of sexual function, the only widely used FDA-approved class of drugs for women that affects testosterone — birth control pills, by blocking pituitary hormone production (the way they prevent pregnancy) — lowers the production of testosterone.

One might wonder, considering our expanded understanding of the endocrinology of both men and women, at the irony of why it is acceptable to lower the testosterone level of an adolescent girl knowingly, as if her development did not require the hormone (such would never be acceptable in an adolescent male unless sexual transitioning were the goal); yet, we are fearful of giving testosterone to grown women who can no longer make it.

Premenopausal Women: An Orphan Population

The concept of “orphan populations” can partially explain the gap in available therapies between men and women.

Women of childbearing age are risky to study; so, with testosterone, for example, it is safer and cheaper for pharmaceutical companies to prove the benefits for men and ride the profits from the off-label use for women. I don’t mean to condemn the manufacturers of testosterone, only to point out the phenomenon of why up to 30% of the prescriptions written by a primary care physician are off-label; off-label use is common among cardiologists (46%); up to 90% of children in the hospital receive at least one off-label drug; and approval of drugs for premenopausal women is more expensive than approval of drugs for men.

What Can Be Done?

The regrettable situation does not reflect evil intent on the part of regulators, educators, or physicians. But the gap between what women want and what medical education and the pharmaceutical-regulatory complex are providing is intolerably wide.

First, I would recommend a standard, required curriculum for the study of female sexual anatomy and function be established and widely adopted by medical schools. The reproductive system contains different components and a different purpose from the orgasm system, with modest overlap. Both systems should be taught in every medical school.

Second, physicians should be required to undergo a course in understanding their own sexuality. Research demonstrates doctors will avoid conversations about sex, and it seems to me this could be secondary to being uncomfortable with their own sexuality. After all, to talk with a patient about sex, you cannot be fearful of where the conversation may lead.

Third, the FDA might reconsider the requirements for the approval of drugs for FSD. Currently, to approve a drug for men, an objective finding — ie, an erection — can be sufficient. However, a higher bar, “satisfaction,” which is subjective, must be obtained with women.

Regenerative therapies have proved helpful but are not yet widely adopted; more grant money for the study of regenerative therapies would be a good start here.

Finally, by the definition of FSD, a woman must be psychologically distressed. The idea of sex is not pleasure alone. Sexual function affects family relationships, emotional health, confidence, even sleep, as well as the emotional well-being of the children who live in the house. Saying women are wonderfully and mysteriously made may be poetic, but it is not an excuse for not learning more and closing the gaps.

Complete Article HERE!

10 things you need to know about sex and dating at university

By Serena Smith

Freshers’ week is nigh: as I write this, hordes of 18-year-olds are likely raiding their parents’ drawers for knives and forks, panic-buying overpriced clothes from Urban Outfitters, and fruitlessly trying to identify their future flatmates via a number of impenetrable Facebook Freshers’ groups.

If you are one of these lucky incoming students: good luck! While you’re probably excited at the prospect of moving somewhere where there’s a bit more to do than get drunk on a park bench and traipse around a desolate ‘retail park’, it’s also totally normal to feel anxious as Freshers’ week looms.

The first few weeks of university have a reputation for being fun, a little chaotic, and, yes, prime time for casual sex. But if you’re panicked at the thought of having to navigate it all, don’t fret – we’ve compiled a handy list of our ten best tips for how to approach dating, sex, and relationships in your first year of university.

DO BREAK UP WITH YOUR SIXTH FORM PARTNER

I’m sorry, but they are not the love of your life. Yes, even if you lost your virginity to them; even if the train between Leeds and Nottingham is only two hours long; even if you’ve already planned your one-year anniversary dinner at Pizza Express. If you don’t heed this warning, you will break up two years down the line and be forever haunted by the realisation that you a) blew your shot with the hot guy you met at the student union bar who now has a beautiful girlfriend and b) wasted £692 on Trainline tickets to Nottingham.

DON’T BECOME OBSESSED WITH THE FIRST PERSON (MAN) WHO IS NICE TO YOU

For those heading to uni already single, I get it; teenage boys are cruel and you’ve probably spent the last few years internalising the idea that you are ugly and freakish and fundamentally unlovable. But the first man to treat you with a modicum of respect probably isn’t the love of your life either. If anything he’s probably a mental narcissist who’s sniffed out how insecure you are and is planning on putting you through the ringer with some seriously fucked-up mind games (it’s not like I have firsthand experience of this or anything haha).

Then again, maybe this is a canon event for anyone with cripplingly low self-esteem, so go for it if you want, I guess. Character building etc x

Fanciable people are everywhere at uni: keep your eyes peeled and your heart open

DO FALL IN LOVE WITH EVERYONE

None of this is to say you ought to swear off dating during your first year of university: conversely, this is the perfect time to sow your wild oats. Try to find romance everywhere. Allow yourself to be delusional with it: why not kid yourself into thinking the fit guy in your English seminar is hopelessly in love with you because he said your thoughts on Heart of Darkness were “interesting”? Why not fantasise about the myriad ways you could possibly introduce yourself to the sweet-looking girl you always walk past in the library? Fanciable people are everywhere at uni: keep your eyes peeled and your heart open.

You might never shag – let alone speak to – most of these people, but that’s half the fun. “Fantasy love is much better than reality love” or whatever Andy Warhol said.

DO SHAG YOUR FRIENDS

Listen. Maybe this is bad advice, but I don’t care. You can’t say you think everyone on Hinge is ugly and narcissistic and then write off lovely Matt from the film society because ‘it would be weird’ because you’re ‘like brother and sister’. You are not like brother and sister: you met three weeks ago and have probably both fantasised about shagging one another. Get drunk and have a little kiss at least. Life’s too short.

(One caveat: do not shag your first-year flatmate. People repeat this advice for a reason.)

DO BUY A VIBRATOR

You don’t have to worry about your mum intercepting your Lovehoney parcel or hearing the muffled buzz of a bullet through your bedroom wall any longer – enjoy the freedom!

DON’T ‘FORGET’ TO CHANGE YOUR BED SHEETS FOR THE ENTIRETY OF YOUR FIRST TERM

This one is largely aimed at all the straight, male freshers of the world. It’s not nice to bring someone back to your room and expect them to get into sheets which reek of must and semen.

And while we’re on the topic, don’t be afraid to inject some personality into your room too. It doesn’t have to be Architectural Digest-worthy but most women will think you’re a serial killer if the only ‘decoration’ in your bedroom is a PS5 perched atop a sad pile of the textbooks needed for your course. Get a plant, at least.

DON’T BE WEIRD ABOUT CASUAL RELATIONSHIPS

Having casual sex with someone doesn’t mean you’ve got carte blanche to treat them like a sex toy with an annoying human appendage. Don’t bolt out the door as soon as you’ve wiped the cum off your thighs: stay for a glass of water and a cuddle and maybe an episode of something. Smile if you walk past them on campus. Reply to their texts in a timely manner. It’s not hard.

Having casual sex with someone doesn’t mean you’ve got carte blanche to treat them like a sex toy with an annoying human appendage

DO BE SAFE

On a more serious note, do use condoms and try to remember to carry them with you (whether you have a dick or not).

Plus, if you haven’t already, it’s a good idea to consider some form of long-term contraception if you’re worried about an unplanned pregnancy (PSA for anyone with prudish parents: they don’t need to know. You’re an adult. It’s your business, not theirs).

If you have had unprotected sex, get tested: you can access STI and STD testing at a local sexual health clinic or GP surgery. You can also order free and discreet tests online. If you’re worried about an unplanned pregnancy, you can also get the morning after pill from most sexual health clinics, GP surgeries, or pharmacies. You may also be able to get the it for free on the NHS, but you may have to pay at pharmacies like Boots. Men: if any of your sexual partners has to pay for the morning after pill, don’t be a dick – split the cost with them.

DON’T DITCH YOUR FRIENDS FOR A PARTNER

Not because you’ll have no shoulder to cry on if things go south with your partner – more because it’s just a shitty thing to do to your friends. Your mates will carry you through uni, and if you’ve got good ones, they’ll carry you through post-grad life too. Don’t treat them like they’re playing second fiddle to your partner.

DO HAVE FUN

Navigating love and sex at uni is not easy by any means. One day you will probably find yourself sobbing into your McDonald’s order over a man who doesn’t care if you live or die. You will probably call one of your Hinge matches while drunk and say something so toe-curlingly embarrassing that the next day you’ll look into the logistics of transferring to the University of Strathclyde. You will probably break someone’s heart too. But university is probably the first and last time in your life where you will be parachuted into the midst of a ready-made community of hot, interesting people, with all the time in the world to go on dates, have sex, and, yes, even fall in love. Make the most of it.

Complete Article HERE!

Labeling Instructions

— Why the Rise of Sexual, Romantic and Gender Identities is a Good Thing

Young people are claiming a host of sexual, romantic and gender identities, and these brave new words can provide us with some important answers about who we are.

By Gabrielle Bauer

Do you know what aroace means? Greyromantic? Or cupiosexual? When the boomer generation was growing up, they had three common labels to choose from: straight, gay and bisexual. As the 1990s drew to a close, transgender people began seeking shelter under the same umbrella, and the LGBT acronym was born.

Life never stands still. Today’s young people are carving out increasingly specific sexual, romantic and gender niches. They may feel no sexual attraction toward other people (asexual). They can crave sexual contact, but lack sexual attraction (cupiosexual) or the desire for a romantic connection (aromantic). Maybe they see themselves as alterous, with feelings that fall somewhere between romantic and platonic, or simply as gender-variant or nonconforming, refusing to let traditional concepts of men and women define them. In one way or another, they don’t fit society’s old shoes.

In tandem with the split between sexual and romantic attraction, sex and gender are now understood to be distinct. Transgender individuals have a strong and persistent sense their gender doesn’t match their biological sex, while the term cisgender describes people whose sex and gender align; the kaleidoscope of gender variance includes nonbinary people, who don’t see themselves as exclusively male or female. And, of course, gender-variant individuals can experience the full range of sexual and romantic orientations.

I admitted to Lucia O’Sullivan, a University of New Brunswick psychology professor in Fredericton, who specializes in sexual relationships, that I had trouble understanding the nonbinary designation. Doesn’t every human have different combinations of gender-typical and gender-variant traits? “Ah, but you still consider yourself a woman, right?” she asked me. I agreed. “That’s the difference,” she said. “It’s not a question of behaviours or traits, but of identity. Nonbinary people will tell you they don’t feel either male or female.” On the flip side, you can enjoy romantic comedies and wear nail polish, but feel very much like a man. In short, your gender expression (how you behave) doesn’t dictate your gender identity (how you feel inside).

Increasingly, people affirm and telegraph their gender identity by specifying their pronouns (such as she/her, he/him or they/them) in professional profiles, email signatures or upon meeting new people. This can get complicated for gender-fluid people, who lack a fixed sense of gender and may change pronouns in sync with their shifting identity or use gender-neutral pronouns such as they/them. Canadian actor Elliot Page, who came out as transgender and nonbinary in 2020, uses both “he” and “they,” or what are called rolling pronouns; although he presents as masculine, they identify as nonbinary, so both pronouns apply.

Gender identity has turned political in both Canada and the U.S., spawning heated opinions and divisive policies. In some parts of our country, if a child wants to change their name and pronoun, the school must inform their parents. Some people applaud these policies, while others argue children should have the right to make these choices without involving parents who may be hostile to their decision. Between the noisy polarities lies a messy middle – people doing their best to understand the social shifts and possibly struggling to keep up. To cut through the confusion, it helps to remember pronouns are simply meant to express how people feel inside.

A Generous Umbrella

All told, about nine per cent of people stand somewhere under the LGBT+ umbrella, according to a 2023 IPSOS survey of 22,500 adults in 30 countries. The Q, for queer or questioning, came along to cover people who fall outside sexual and gender norms and those still exploring their identities, with the + added for good measure. Some people use expanded acronyms like LGBTQIA2S, which includes intersex, asexual and two-spirit people, a term used by some Indigenous people to describe gender variance.

If studies are any indication, this group encompasses significantly more young people than older ones. The IPSOS survey found gen-Zers about twice as likely as millennials and four times as likely as gen-Xers and boomers to place their sexual orientation outside the heterosexual norm. Similar findings emerged in a 2022 Statistics Canada report on LGBTQ2+ people aged 15 and over, which drew on the results of a 2018 survey. Of the estimated one million people (four per cent of the population) who claimed an LGBTQ2+ identity, 58.4 per cent were under 35 and 16.5 per cent were 55 or older. Clearly, young people are defining themselves in increasingly expansive ways.

Why is this important? These young people are our children, our friends’ children, our nieces and nephews, our grandchildren and their friends. We meet them when we volunteer at an animal shelter or go to a music festival. To connect with them, we need to understand them. Just as importantly, these new labels, so foreign when they first reach our ears, can help us understand ourselves. If, for example, we felt different from our peers during adolescence but couldn’t put a finger on why, these brave new words can give us some answers.

The Great Divide

Many of us grew up conflating romantic and sexual attraction: If we had a crush on someone, it meant we lusted after them. In recent years, formal studies of asexuality have laid this presumption to rest. Dr. Anthony Bogaert, a health sciences professor at Brock University in St. Catharines, Ont., has devoted a large part of his career to researching the one per cent (more, in some studies) who call themselves asexual. He discovered that many asexuals still want intimate relationships; they crave the closeness and the romance, just not the sex.

“If you’re romantically attracted to someone, you feel a deep emotional bond to that individual and there may be some urge for physical connection, like hugging or holding hands or curling up together,” Bogaert explains, adding that “sexual and romantic attraction represent distinct processes in the brain.” Indeed, in a 2020 analysis of seven asexual studies, led by University of British Columbia, Vancouver, researchers determined 74 per cent of 4,032 subjects experienced romantic attraction. A person may also feel sexual but not romantic attraction, though Bogaert told me this combination is quite rare.

Rebecca Stuart, 39, exemplifies the self-discovery that often accompanies a mixed sexual and romantic orientation. “I waited for my big sexual awakening, which never came,” says Stuart, who lives in Guelph, Ont. She did “a bunch of work to ensure I was sex positive.” She wondered if she was a repressed lesbian. She even explored kink in hopes of finding her “thing.” While she didn’t initially identify as asexual because “my junk works,” she came to embrace the orientation as she learned more about it.  Stuart, who is married, also sees herself as heteroromantic. “From high school on, I had romantic feelings toward guys.”

People who feel neither sexual nor romantic attraction sometimes shorten their label to aroace. Greysexuals and greyromantics, meanwhile, experience their respective attractions only sporadically, while demisexuals and demiromantics only feel it once they’ve established an emotional connection. These nuances remind us that, in the enigmatic realm of human attraction, diversity rules the day.

So what’s the difference between asexuality as an orientation and low sexual desire, which some experts view as a disorder? Dr. Lori Brotto, director of the Sexual Health Laboratory at UBC, offered a clarification. “Asexuals don’t report distress about their lack of attraction, and even if offered treatment to kindle desire, they’re generally not interested. It’s just who they are.” Sexual people, on the other hand, experience lack of desire as a loss they would love to reverse.

Labelling Logic

As society continues to refine concepts of sexuality, people are exploring the nuances of their attractions and creating labels to match. Pansexuals, for instance, are attracted to people without any regard for their sex or gender. Gynosexuals respond sexually to femininity in all its forms, as opposed to lesbians, who feel a pull toward people of the same sex.

Shades of grey also exist within the gender realm. People who call themselves agender don’t connect to any gender at all, an identity that differs subtly from nonbinary. Pangender individuals experience parts of many genders, while omnigender describes people who contain all genders.

With the profusion of identities described and dissected online, it’s no surprise young people seek to fine-tune their own labels. “In terms of sexuality, my preferences have never been based on the person’s body parts or looks overall,” writes one member of the Asexual Visibility and Education Network Facebook group. “If our personalities don’t sync and I don’t feel I can be my authentic self (and same you), then there’s no real relationship to start with. So how do I identify? I am a sapio-demi-ace.”

When I first encountered posts like this, some of the microlabels struck me as forced, even a little silly, but the experts I interviewed melted my skepticism. “The labels can help you find your tribe, to feel like you’re seen,” O’Sullivan explains. Her son Jack, 16, throws in a young person’s perspective. “There can be a lot of stigma to experiencing attraction or gender in a different way. Young people always worry there is something wrong with them. When they suddenly find this identity that perfectly describes how they feel, they feel very validated.”

As O’Sullivan points out, an individual who identifies as aroace but seeks a mate to build a life with, perhaps including children, may “have a hard time finding a like-minded partner in the wild.” The labels are a shorthand they can use, often online, to connect with people who share their inclinations.

Aha! moments happen to older people, too, like American comedian and Let’s Make a Deal host Wayne Brady, 52, who came out as pansexual in 2023. Even boomers like me can gain insight from the new microlabels. When I was 12, giant posters of celebrities like Donovan and Paul Newman sprang up on my friends’ bedroom walls. Who were these men? Why didn’t they stir me as they clearly stirred my friends? It’s only now, more than a half-century later, that I have the vocabulary to describe my difference. While I can respond sexually to men and women, pop stars and strangers have never done it for me; the emotional connection has to come first. That would make me both bi- and demisexual. At the same time, I have never been able to picture myself in a lesbian romance. Heteroromantic, then.

Even if the terms don’t resonate with you, O’Sullivan cautions against making light of them. “It’s important to understand that young people aren’t using the labels for attention, even if they shift over time,” she says. “They’re just giving you a snapshot of who they are right now.”

If a youth entrusts you with such personal information, Bogaert invites you to “show understanding and interest, and maybe ask some questions.” Later on, “you can do research to find out more.” Above all, remember that “claiming an identity helps transmute shame into pride” – and who wouldn’t want that for the young people we love?

Complete Article HERE!

Men Are Openly Admitting The One Thing They Wish Women Understood Better About Their Sexual Needs

— “Sometimes, I wanna be the pillow princess.”

By

“Men, what’s one thing you wish women understood better about male sexuality?”

1.”Lack of erection does not equal lack of interest.”

2.”I want to be seduced. Don’t take for granted that I’m always 100% ready to go at the drop of a hat. Sometimes, I wanna be the pillow princess.”

“I’ve told women this, and it blows their mind. So many beautiful women have never once thought about how to seduce a man past dressing cute. They’re like, ‘Well, I’m here!’”

3.”We like our partners to communicate what they like and don’t. Communication is sexy.”

4.”Don’t use sex as a reward system. I want you to want it because you like it, not as a treat or chore or whatever.”

“Yes! I’ve told my wife more than once that ‘transactional’ sex or offers of sex are a complete turnoff.

Flirting with me while I’m doing something and saying I should come find you once I’m done? That shit is amazing. Telling me if I do task ‘X’, then we might have sex later makes me feel like you really have no interest in affection.”

5.”If I’m not constantly messaging you, it’s not because I don’t care, it’s that I feel secure about us and want to save any news for some quality time in person — not a constant, distracting stream of largely meaningless messages.”

6.”As someone with severe performance anxiety, if I haven’t had sex in a while, it can be very hard to get it up. It’s not that I’m not turned on, and it’s not that you’re anything less than gorgeous; it’s just that my anxiety is preventing me from getting an erection at this moment, and the more I think about it, the worse it’ll get. Just let me go down on you for a while, and we’ll see if it happens. Lol.”

7.”Not all men are like a light switch and are ready to get right to the action immediately. Intimacy and foreplay are a core part of the experience.”

8.”I just wanna be a little spoon once in a while. That shit feels nice.”

“My partner and I usually cuddle for a bit, then turn over and sleep back to back when we’re ready for actual sleep. Sometimes I wake up, and she’s on me like a jetpack, and it just feels so good in my heart.”

9.”There’s a huge difference between orgasm as a physical release (i.e., one-night stand, masturbating) and an orgasm with someone you are emotionally close to. I can jerk off a bunch of times in between having sex, but I need to have sex with my partner in order to be emotionally and mentally fulfilled.”

10.”We can have body image problems. You grew up looking at models who starved themselves to look that way. We grew up looking at action heroes with 0% bodyfat, steroid inflated muscles, who are so dehydrated they can smell water. The body standards for us were just as unrealistic and unhealthy, and it’s nice to hear that we don’t have to be that to be attractive.”

11.”Do not be a people-pleaser in the bedroom. I’d be so hurt to find out I don’t actually know what you like. I am trusting when you give me a ‘hell yes, I love that,’ you’re being honest. It can result in this really frustrating, shameful outcome of knowing you can’t satisfy her but also don’t even know what you’re doing wrong. I can handle reality if I’m not making you cum. I want to improve, so even if you want to tap out or I’m too tired, I want to continue improving. I want to make you feel good, too.”

12.”Blue balls is not a serious condition. Don’t let anyone pressure you into sex, especially with that as an excuse.”

“Or to continue sex, you no longer consent to. There’s no rule that says you have to finish what you start. Consent is revocable by either party at any time.”

13.And finally, “I just want back scratches. You’re only allowed to stay near me because of your nails. I’ll pay for it. But you need to pay the toll. A little to the left. Down. Down. Left. Riiiiiiight theeeeere.”

Complete Article HERE!

10 Men’s Sexual Health Questions That Are Too Embarrassing to Ask

Sometimes asking questions about sex can be embarrassing—even for adults. Here are questions ranging from alcohol and sex to ejaculation disorders. Sometimes asking questions about sex can be embarrassing—even for adults. Here are ten common questions men ask their Men’s Health providers at University of Utah Health ranging from alcohol and sex to ejaculation disorders.

1. Do Different Sex Positions Increase or Decrease Chances of Pregnancy?

No. Regardless of what sexual position you use, vaginal sex can cause pregnancy.

2. Can I Drink Alcohol With Viagra and Cialis?

Yes, there will not be a bad interaction between the two. Keep in mind that when you drink alcohol, your erection may not be as firm and the medication may not work as well.

3. Is There a Surgery That Can Increase the Size of My Penis?

Even an implanted penile prosthetic will not increase the size of your penis. If you are overweight, getting to your ideal body weight will help restore some of the length you have lost since gaining weight.

Many men will ask about injections to add girth and if there is a procedure to increase penis length. The AUA (American Urological Association) considers fat injections (to increase penile girth) and suspensory ligament division surgery (to increase length) to be unsafe and ineffective.

4. Is My Penis Average in Size Compared to Other Men?

This is a question that is hard to answer, and one that many men wonder about. There are many different techniques to measure penis length, including the amount of force the clinician uses to stretch the penis.

Also, some men will see a significant change in penis length once it is erect. Others will notice that their penis only becomes more rigid. There is not a number that men should set as their benchmark.

Some medical conditions and surgical procedures can reduce the length of your penis. We cannot always restore the length you lose.

The biggest take-home for patients regarding this is to keep a healthy weight. Get care if you feel like your erections are not rigid enough or if you have other concerns about your penis.

5. How Long Should My Erection Last During Sex?

The answer to this question is completely different per person. There is not a standard time that all men should be able to maintain an erection.

For most men, the goal is to get an erection that is rigid enough for penetrative sex and that lasts until both partners are satisfied. We counsel patients that if an erection has lasted over three to four hours and is painful, they should get care with the nearest emergency room. This condition is called priapism.

6. What Is Considered Premature Ejaculation?

There is not a standard amount of time that an erection should last before ejaculating. The AUA defines premature ejaculation as “ejaculation that occurs sooner than desired, either before or shortly after penetration, causing distress to either one or both partners.”

There is not a lab test that can determine this. This diagnosis is made based on a patient’s report and a physician assessment. Treatment options are available. Your provider can help you decide which is best for you.

7. You Don’t Ejaculate After an Orgasm—What Causes This?

Various surgeries or medications can cause a man not to ejaculate after an orgasm. This is called anejaculation. The semen can also go backwards into the bladder, which is called retrograde ejaculation. Common causes of anejaculation can be associated with:

  • Prostatectomy or other prostate procedures such as transurethral resection of the prostate (TURP)
  • Taking Flomax (Tamsulosin)
  • Diabetes
  • Nerve injuries

8. Are Orgasms and Ejaculation Different?

Yes. Typically, an orgasm is the pleasure you experience while ejaculating. Men can have an orgasm without ejaculation. Men can also ejaculate before orgasm. Additionally, it’s possible to have an orgasm and ejaculation without an erection that is satisfying for sex. These conditions can have various causes, some that can be identified and treated, and others that can’t.

9. How Much Ejaculate Should I Have?

Ideally, men should have at least 1.5mL of ejaculate. This is equal to 0.304 US teaspoons, so it is not a large volume. As men age, the amount of ejaculate begins to decrease. If you notice a big difference suddenly, you’ll want to contact your provider.

It’s OK to have more, but if you are noticing significantly less over time, especially during the time you are trying to get pregnant, you should see a urologist.

10. Is a Curved Penis Normal?

Some men have a slightly curved penis that has been present for quite some time. If it is not painful and does not bother you, that is normal. If it’s painful or bothers you, then make an appointment with a men’s health doctor. Your doctor will evaluate your condition and discuss your treatment options.

If you notice a new curve to your penis and that bothers you with either pain or appearance, be seen by a doctor. This curve can impact your erections, which is another element that can be evaluated and treated.

Complete Article HERE!

I’ve been studying sexual fantasies for over a decade

— Here are the most common

By

What can turn you on with just a thought? Is there a specific genre of erotica you always gravitate towards? What pops into your head when you’re in the mood?

Gillian Anderson’s new book, Want, reveals the deepest desires held by women around the world, categorising the 174 anonymous personal essays into chapters like ‘To Be Worshipped’ and ‘The Watchers and the Watched’.

The stories included in the collection range from daydreams of lesbian exploration and office romances to altogether more niche imaginings such as having a three-way with the Weasley twins from Harry Potter – but there are common threads that run throughout.

‘What is very revealing are the areas that we are the same,’ the Sex Education star said in a recent interview. ‘No matter the fantasy, the takeaway is the need for intimacy, the need to be desired, to be seen, a desire to be held, to be comforted, to be safe.’

It seems fantasies are at the forefront of many of our minds right now too, as this work coincides with a recent report from The Kinsey Institute looking into the bedroom habits of people around the world.

Alongside dating app Feeld, the survey of over 3,000 people uncovered more about how different generations view monogamy, how often people have sex, and how common kinks are among different age groups. And there’s even more that can be gleaned from speaking to Kinsey’s sexuality experts.

Dr Justin Lehmiller is a research fellow at the renowned institute, and has studied sexual fantasies for more than a decade, speaking to more than 10,000 people throughout his career to work out what gets humanity going.

‘One of the things I’ve discovered are that there are at least three key things that almost everyone fantasises about at one time or another,’ he tells Metro.co.uk.

Group sex

According to Justin’s surveys, a whopping 95% of men and 87% of women have fantasised about sex with more than one person, but men do so at a much greater frequency compared to women.

He says: ‘Also, which is kind of surprising to a lot of people, these fantasies are actually least common among young adults and most common among people in their 40s and 50s.’

Part of the allure of multi-partner sex is ‘wanting to feel overwhelming desired’, as evidenced by the fact that ‘most people picture themselves as being the centre of attention in their group sex fantasies.’

‘Another reason people find this idea attractive is that it just opens up a lot of new possibilities for sexual exploration, such as trying new positions and activities or exploring same-sex/gender attractions,’ Justin adds.

Kink and BDSM

Nowadays, BDSM is no longer the preserve of dominatrixes (and their clients). If anything, the likes of 50 Shades of Grey have contributed to submission and domination becoming downright mainstream in 2024.

Justin explains: ‘In my research, I find that 96% of women and 93% of men have had a kinky fantasy before – but it’s important to note that women fantasise about BDSM far more often than men.

In the Feeld State of Dating Report, the majority of Gen Z reported these types of desires, a figure that declines with each age group (only 12% of baby boomers said the same).

‘Part of the reason that Gen Z might be kinkier is that they have greater access to porn than any previous generation, and much of the porn that’s out there features elements of kink,’ says Justin.

‘But it’s not just about porn. Gen Z is also the most stressed and anxious generation, and kink/BDSM can be an adaptive way of coping with anxiety because it helps to take you out of your head and into the moment.’

Adventurous sex

Adventurous sex – having sex in new and exciting places, such as on a beach or in some other exotic location – features in the fantasies of 97% of people.

Justin comments: ‘Like multi-partner sex, novelty fantasies are also most popular among mid-life adults. This may be because most people at this age are in long-term monogamous relationships and are looking for ways to spice things up.’

He surmises that the younger generation are less likely to fantasise about novelty, in part, because sex itself is still fairly new for them.

‘They don’t necessarily need as many bells and whistles to keep things exciting because they’re less likely to have settled into sexual ruts and routines,’ adds Justin.

Fantasies that are more common than you might think

As well as the desires the vast majority of people share, certain sexual fantasies which may be considered ‘taboo’ are surprisingly popular.

Public sex

Practises like dogging may not be societally prevalent, but doing it in view of others is a major theme when it comes to our innermost desires, with 81% of men and 84% of women having fantasised about it.

Justin says: ‘The appeal of these fantasies often resides in the thrill that accompanies potentially being caught or observed – in other words, the taboo and risk-taking aspect of public sex heightens excitement for many.

‘However, for some, it’s also about having an exhibitionistic streak and deriving gratification from knowing that others are watching you have sex, and enjoying it.’

Many of these fantasies are just that, and won’t end up being enacted in real life. That said, if you do decide to give this a go, please keep decency laws (and general etiquette) in mind.

Cuckolding

The idea of watching a partner have sex with someone else, known as cuckolding, is doubly popular with men than women; 52% and 26% have had this fantasy, respectively.

‘The numbers are even higher among gay, lesbian, and bisexual adults, perhaps because they do not feel as bound to notions of traditional relationships,’ Justin adds.

There’s been an increase in online searches for cuckolding in recent years, suggesting it’s becoming more widespread.

This could be connected to the rise in kink, as some people find it connotes a submissive or masochistic sexual role, but Justin says that for others, it’s merely a fantasy of ‘taking pleasure in your partner’s pleasure and seeing your partner being fully satisfied.’

Complete Article HERE!

Why your “later in life” bisexual awakening is actually right on time

— Coming out as queer later in life isn’t just normal—it’s a revolutionary act of self-discovery in a world that tries to keep women’s desires hidden.

By Melissa Fabello

I spend a lot of time online, especially in spaces where identity politics take center stage. And a trend I’ve seen gaining momentum since the start of the COVID-19 pandemic is the complexity of coming out as queer “later in life.” Type “late in life lesbians” into the search bar on TikTok, and you’ll see what I mean.

As someone who’s known she was queer since childhood and has identified as such since middle school (#earlyinlife?), it brings me an enormous amount of joy to see so many women connecting with their authentic sense of desire—and making content about it! And while I’m grateful for some of the experiences I had in queer adolescence and early adulthood (and traumatized by others), I also reject the idea that there are better or worse times in the life span to come out.

Especially for bisexual women, who face an enormous amount of stigma both within and outside of the queer community, the message that coming out after your twenties is an anomaly can add more pressure to an already difficult self-development process. After all, bisexual people are already at an increased risk of negative mental health outcomes due to what’s called “minority stress” (that is, the experience of being marginalized), compared to both straight and other queer people.

As bisexual women struggle both with cisheteronormativity (the cultural pressure to be cisgender and straight) and the norming of monosexuality (attraction to one gender) in our society, they already can doubt the validity of their orientation. Add to this a complex and nuanced relationship with compulsory heterosexuality (the patriarchal lie that marginalized genders must depend on cis men for access to power and resources), and we have a self-concept disaster waiting to happen.

According to a 2013 survey conducted by Pew Research Center, while the majority of LGBT adults (59%) report knowing they were queer in puberty and adolescence, a full 28% say they didn’t know until their twenties or later. And this latter experience is most highly reported by bisexuals (15%, as compared to 14% of lesbians and 3% of gay men).

But why? Why are women – and especially bisexual women – more likely to come out “later in life?” Well, not to put too fine a point on it, but the answer is cisheteropatriarchy (the combined influence of oppression against trans people, queer people, and gender minorities).

Women’s sexual development is different

Historically, when it comes to research, scientists have looked at how cis men operate – and then compare everyone else to that supposed baseline. Just look at how it took until recently for medicine to catch up with the fact that women experience heart attack symptoms differently! Unfortunately, but perhaps unsurprisingly, gendered sexuality research is no different.

Sexual development is just one area in which we’ve made the mistake of seeing cis men as the norm.

On average, cisgender men tend to experience their sexual peak in adolescence and early adulthood – that is, through their twenties. This is when they are the most desirous of sex and confident about their sexuality. After this, sperm count tends to lower, issues like erectile dysfunction start to arise, and sexual insecurity can creep in.

Cisgender women, on the other hand, generally report an increase in sexual self-knowledge, confidence, and desire as they age into mid-life. While physiological issues with sexuality also come up for women as they get older (they literally refer to pregnancy after 35 as “geriatric,” y’all), women’s psychological experience with sexuality only improves.

One study found that by their thirties, women feel like they have the experience to be sexually confident, especially as they shed insecurities about their bodies. When are women most sexually insecure? At 25.

As women age, we tend to shed the patriarchal socialization that has plagued us our entire lives. We become more comfortable in our bodies, more knowledgeable and vocal about what brings us sexual pleasure, and more curious about our erotic authenticity: “What do we want?” becomes an important mental refrain.

That this is the point in sexual development that many women come into their queerness – a desire pushed down by cisheteropatriarchal socialization – is no surprise. At the exact moment that women, regardless of orientation, are coming into their own sexually, queer identity questions can also pop up.

Queer identity development is its own thing

For my Masters degree in Human Sexuality Education, I had to take a course dedicated to psychological and sociological development across the lifespan. How this class was (brilliantly) taught is that week to week, we would add a theory to a physical representation of the lifespan set up in our classroom. “Oh, Erikson says that from 12-18, people struggle with themes of identity and confusion? Add that to the ‘adolescence’ column!”

There are countless theories on how our minds develop over time. And the question of queer identity has its own subset of developmental theories (here are just a few). For instance, D’Augelli that queer people go through several processes in order to come into their own; the first three are shedding straight identity, developing personal queer identity, and exploring their identity in social contexts.

Guess what—straight people don’t have to do!

Similar to how we can’t look at cisgender men and assume other genders have the same experiences, we can’t assume that queer people come into their sexual identity at the same time as straight people.

Straight people have very few obstacles to developing sexual identity. This is a simple fact of straight privilege. When institutions, media, and our families of origin normalize and celebrate heterosexuality, it’s relatively easy for straight people to see themselves represented and understand something intrinsic about themselves, even if it takes time to learn the language for it.

Queer identity development takes a different route – especially because so many queer people assume that they must, too, be cis and straight within the context of cisheteronormativity. Many queer and trans people, myself included, start off believing they must fit into the world around them, until they sense the nagging thought that there has to be another way.

When we notice our difference happens at different times for different people, depending on several factors: Were you able to talk to adults you trusted about your experience? Did you grow up in a more liberal or conservative environment? What role did religion play in your upbringing? And this is just the beginning of queer identity development! According to a 1979 framework developed by researcher Vivienne Cass, once a queer person notices their difference, there are still six more stages until they’re able to synthesize this into the totality of their lives.

For all of us, queerness takes time to know and accept.

Compulsory heterosexuality sucks

Let’s talk about how society pushes women into relationships with men, even when that might not be what they truly want. This idea, called compulsory heterosexuality, is about more than just assuming everyone’s straight – it’s about how our culture steers women away from relying on each other and into marriages with men.

Often misunderstood to be the same as cisheteronormativity – or, according to some misinformed folks on TikTok, something only lesbians experience – compulsory heterosexuality is a complex web of ideas. But writer Adrienne Rich popularized the term in 1980 arguing that the feminist movement needs to better understand lesbianism – not just as a sexual orientation, but as a way of life – in order to better undermine patriarchy.

In our culture, women tend to take care of one another. In fact, research shows that women are far more likely to go to their female friends for emotional support than they are to their male partners. Think back to some of the most transformative relationships you’ve had in your life, and I’m willing to bet that female best friends come up over and over again. And yet, we are actively taught through our socialization that the key to a happy, healthy life is marriage to a cis man (citation: every fairy tale ever).

So what does this mean for how we see women as potential partners – in love or in life? Rich says that society squashes women’s desire for each other, whether that’s for friendship, love, or sex. And it affects all women, not just lesbians.

For bisexual women, it gets even trickier. Particularly for those who find themselves “later in life” already committed to long-term, monogamous relationships with men, finally coming to terms with the depth of their queerness: “Well, now what?”

On the one hand, you might want to explore your queer side, but since you are attracted to men and you’re with one, it can feel easier to just ignore that part of yourself. Not because society tells you to, but because facing it feels too hard.

And it’s this pressure to bottle up and push down your queer desires can push you further and further from accepting your bisexuality, sometimes for years.

***

Combined, bisexual women’s access to their own authentic sense of desire (what feminist academics call “the erotic”) can be stunted – by no fault of their own! Bisexual women experience a deeply complex, and oftentimes painful, relationship to their queerness within cisheteropatriarchy.

So when they come out “later in life,” their newfound liberation should be celebrated, not stigmatized.

As we celebrate Bisexuality Visibility Week, let’s move beyond merely acknowledging that bisexual women are valid – but that their journey to their identity, in whatever form it takes, is valid too.

Complete Article HERE!

What People Get Wrong About Sexless Relationships

— From A Sex Therapist

By Kelly Gonsalves

There are many reasons sex gets so much attention when it comes to discussing a healthy relationship: It’s a uniquely connective experience where couples get to completely shed their walls, get playful with each other, and indulge in giving and receiving physical pleasure, all in a way that is (for monogamous folks) not shared with any other person.

That said, while sexual intimacy can certainly bring couples closer together, one of the biggest misconceptions—according to one licensed sex therapist we spoke with—is that healthy relationships require an active sex life.
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In fact, while sex does offer many benefits, both for an individual’s well-being and for a relationship, that doesn’t mean relationships always suffer without it, or that a lack of sex is always a sign of trouble in the relationship. “Lots of relationships have extended periods without sex, circumstantially or intentionally, and are still fulfilling and sources of love and connection,” she says. “This can ebb and flow or be a sustained context of the relationship.”

Here are some examples of situations where couples might have little to no sex without it being a relationship crisis, according to Franc

  • When partners are long-distance or have opposing schedules
  • When a partner is ill or unwell and therefore unable to have sex comfortably and safely
  • When partners are tired or burned out
  • When partners may abstain from sex for religious or spiritual reasons
  • When one or both partners lose interest in it

As long as both partners are on the same page about it and are continuing to find other ways to enjoy intimacy together, Francis says it’s not inherently a problem if a couple puts sex on the back burner.

Sexless relationships can be healthy and fulfilling

There’s a common assumption that sexless relationships are inherently unfulfilling, or at least less fulfilling than sexual ones. But that’s actually a big myth, according to Francis.

“Not everyone wants to have sex, and not all people consider sex to be an integral part of their partnerships,” she points out.

Of course, many people do have an innate desire for sex and see it as vital to their relationships, but it’s important to recognize that that’s not true for everyone.

For example, ever heard someone say they could go the rest of their lives without ever having sex again? (Or maybe that’s you?) Some people really do experience little to no desire for sex—also known as asexuality. “Asexuality exists as an umbrella and is an example of a group of people who may intentionally create relationships that have low or no partnered sex experiences,” says Francis.

While much research has demonstrated a connection between sexual satisfaction and relationship satisfaction1, it’s important to remember “sexual satisfaction” can mean vastly different things to different people and different couples.

A couple might have one single, fabulous sexual encounter a year and not really feel a desire to do it any more frequently; that’s sexual satisfaction for them. Another couple might have sex every week, but one person wants it more often and the other finds the sex to be a chore. That’s probably a pretty unsatisfying sex life, despite the fact that they’re having frequent sex.

Likewise, for some couples, having little to no sex might actually be a pretty satisfying situation. As Francis puts it, “If both partners are in agreement to not have sex, then not having sex is not a problem and can bring people closer as they create the kind of relationship that honors their desires.”

And for the record, one 2017 study2

found sexlessness in the past year had virtually no impact on an individual’s self-reported happiness—even among married people. People who had no sex in the past year reported being about as happy as those who had been sexually active. This isn’t to say that sex isn’t important to some people (it definitely is!), but it may not be as universally necessary to everyone, as we’re so often told.

The problem with compulsory sexuality

Constant emphasis on how much sex couples are having and how to increase sexual frequency can contribute to what some experts refer to as compulsory sexuality.

Compulsory sexuality is that prevalent idea that all humans need sex and should be aspiring toward having an active sex life. In addition to invalidating the experiences of asexual people, compulsory sexuality can make everyone feel like there’s something wrong with them or their relationship if they’re not having a ton of sex.

“Societal pressure to have sex or have a certain amount of sex is harmful to everyone,” Francis points out. “It is disembodying and coercive to feel forced to have sex, and people feel the impact of that even when the pressure is coming from a cultural script.”

Some research backs this up, too: A 2015 study3

found that when couples felt pressured to have more sex, the increased sexual frequency that resulted actually decreased their overall happiness in the relationship—and resulted in them feeling even less motivated to have sex.

That means that, if you’re pushing yourself to have more sex when you don’t actually authentically want that, it might just harm your relationship even further.

On the other hand, as Francis points out, feeling like your experience of desire is being honored and accepted exactly the way it is can actually help couples feel closer to each other as they co-create a mutually satisfying relationship.

Put simply, “If folks do not want to have more sex than they are having, that is to be celebrated,” she says.

The takeaway

Here’s the long and short of it: If you’re having less sex than you (or your partner) would like, and it’s causing tension in the relationship, then the relationship will of course benefit from more intentionality and investment in this part of your lives.

But if you and your partner aren’t having sex, and neither of you has a problem with that, then there’s nothing to worry about. All those external voices around you telling you there’s something wrong if a couple doesn’t have an active sex life? Ignore them.

Sex isn’t mandatory for a healthy relationship. It’s up to you and your partner to decide what role it does—or doesn’t—play in your lives.

Complete Article HERE!

Is It Possible To Masturbate Too Much?

— We Asked A Sex Therapist

By Kelly Gonsalves

Remember that time on Sex and the City when Charlotte received a rabbit vibrator and fell so in love with it that her friends needed to stage an intervention?

It was a fun and goofy storyline, but it does operate under the assumption that it’s possible to masturbate “too much.” So…is it?

Listen. Sometimes you get your hands on a sex toy that just blows your mind, and you need to spend basically every night with it for a few weeks.

Or you’re just having a bit of a hard month, and you just really need to blow off steam in the evenings with a little help from your vibrator. And sometimes there is no reason—you’re just horny, or in the mood, or feeling it, so you go for it. Often.

No one’s judging! But in case you’ve ever wondered if you’re overdoing it, we reached out to sex and relationship therapist Shadeen Francis, LMFT, to get the lowdown on your downtown time.

Can you masturbate too much?

“Self-pleasure is a very low-risk sexual activity,” Francis says.

That said, it’s possible to do anything in excess, including masturbation. Just like you can exercise too much or wash your hands too much—even though those are generally great habits—you can also masturbate too much.

“If your masturbation habits are causing you mental, emotional, relational, or physical distress, that is an indicator that you may be masturbating more than is currently healthy for you,” she explains.

She emphasizes that pleasure is healthy, and most people don’t have to worry about overdoing it.

In fact, the guilt around masturbation is much more likely to negatively affect someone’s well-being than the actual masturbating. “Sexual health includes your awareness of your sexual needs and feeling empowered to act on them safely,” she explains.

But, as Francis points out, if you’re masturbating with a frequency that’s causing physical harm (that is, you’re noticing soreness or bruising) or negative impact on other parts of your life (like feeling consistently distracted by thoughts of masturbating at work such that you can’t accomplish anything), that’s a sign that it’s time to take a pause, evaluate the role masturbation is playing in your life, and potentially make some changes.

It’s also possible for your body to get used to a certain type of stimulation, Francis notes—for example, the feeling of a vibrator on your clitoris or the rhythm of your own hand on your shaft. ”

They may notice difficulty maintaining their [erection] or reaching orgasm in partnered sex if it doesn’t mirror what they do when they’re alone,” she says, but adds that this issue is easily solved by making sure to mix things up while masturbating or bringing some of your solo activities into partnered sex.

(Don’t underestimate the thrill of mutual masturbation, people!) If you want, it may also help to pause on masturbation for a bit before a partnered sexual experience.

Signs you’re masturbating too much

How much masturbation is too much will depend on the individual, Francis says. A routine that feels great for one person might feel like way too much for another person.

Rather than focusing on frequency, focus on how the behavior makes you feel and how it is (or isn’t) affecting your life.

Here are some signs Francis looks for to know if a person’s current masturbation practice might not be healthy for them:

  • It feels like a need instead of a choice.
  • It no longer feels pleasurable.
  • You’re experiencing pain, numbness, or loss of pleasing sensation.
  • There is a significant decline in your availability for sexual presence with partners.
  • You are struggling to keep up with your responsibilities because of how often you masturbate.
  • You’re feeling mental, emotional, or relational distress around masturbating.

“The general rule of thumb is that if something is causing unintended pain, you should take that as an indicator that something is wrong,” she says.

If any of the above feel like they may apply to you or if you simply find yourself continuing to worry about your behavior, consider reaching out to a sex therapist or another qualified sexual health professional who can help you take a closer look at what’s going on.

The takeaway

There’s nothing wrong with masturbating a lot. Most people masturbate because it brings them a little pleasure, relaxation, or relief at the end of a long day or because they just want to have fun connecting with their body.

Now, if you find your masturbation feels less relaxing and more stress-inducing, or if it feels “out of control” in any way, it’s worth checking in with a professional to make sure everything’s OK.

But if you generally feel anywhere from amazing to neutral before and after masturbating and aren’t noticing any negative effects on other parts of your life, you probably don’t need to worry. Regular masturbation is a common and generally healthy pastime, so if it’s feeling good, have at it.

Complete Article HERE!

What a sex therapist wishes all couples knew

— Desire doesn’t have to dwindle in long-term relationships, says Dr Stephen Snyder. Here’s the advice he gives married couples in his clinic

By Anna Maxted

How do you keep the passion alive when you’ve been with your partner for decades? Dr Stephen Snyder, the therapist and author whose book Love Worth Making: How to Have Ridiculously Great Sex in a Long-Lasting Relationship is a bestseller, has the answers. Having worked with hundreds of married couples over 30 years, he explains why desire often dwindles over the years — and how to rekindle it.

Don’t expect sex to knock your socks off every single time

If you ask people to recall the greatest sex of their life, most will admit that it wasn’t in the context of a committed relationship. More often they’ll recall something novel, unexpected, or possibly even forbidden. There is something uniquely thrilling about the first time you get naked with someone.

If you seek that kind of thrill within a committed relationship, as many do, you’re likely to be disappointed and frustrated. I tell couples in my clinic, don’t compare apples and oranges. Better if you can learn to listen carefully to your own arousal, and to the particular feeling your partner arouses in you. I don’t think of it as a “spark” — that word is too dramatic. Pay attention to that vibration, and be open to hearing it. You never know where sexual inspiration will come from. Don’t try to control it.

Don’t schedule a time for sex

Many sex therapists advise couples to just “put sex in the diary”. I think that’s a recipe for bad sex. It’s like making a dinner reservation, but when you get to the restaurant you’re not hungry. Instead, I recommend couples schedule a time to go to bed together to do nothing at all. Allow yourself to shift from your ordinary state of mind. You don’t always have to be “doing”. Take a breath and feel the air. If you’re feeling something, maybe express it to your partner. Or turn to them and say: “Hey, talk to me, what’s going on with you?” But keep it simple. Focus on the here and now.

In sex therapy, we call this the 2-Step, where Step 1 is cultivating awareness by going to bed with no agenda except to do absolutely nothing. That gets you ready for Step 2, where you let yourself become physically aware of your partner and notice any erotic feelings that might arise. Stay in the moment, if you can. Don’t try to arouse your partner. Just experience them — their voice, the scent of their hair, the way they feel in your arms and on your lips. You don’t need to feel desire to 2-Step, just a willingness to go wherever it might take you.

If you want lust to last, appearance matters

In my practice, what I hear most often from women is that they like their man to be diligent about grooming. He doesn’t have to be impeccably turned out just to watch TV on a Tuesday, but there’s no reason a man can’t be careful about how he presents himself, even if it’s just getting a nice haircut and trimming ear hair, nose hair, and eyebrows if they’re unruly, and maybe investing in a nice new set of boxers. And what about weight gain? It’s a sensitive subject, but it can matter. How lucky that near vision deteriorates in midlife. Every couple over 40 should have a dimmer switch in the bedroom, since none of us looks quite as good as when we were teenagers.

Truth is, most women in my practice say they’re turned off if a man has a pot belly, which is where most men tend to put on weight. But I haven’t seen much success with women telling their husbands to do sit-ups and watch their diet. That doesn’t seem to work any better with a man than it does with a woman, and it certainly won’t put your partner in the mood for sex. Instead, I recommend for a woman to lie him on his back, where his belly won’t look so prominent. Get on top, and focus on the parts of him that you do like.

Women like to feel passionately desired

Desiring a woman is more than just wanting to have sex with her. Most women crave a kind of erotic attention that has nothing to do with penetration or orgasm. It’s more likely to be from a shared look across a room, or in the moments before a first kiss. At its most intense, it’s feeling irresistible. That’s what makes erotic novels compelling for many women: the hero finds the heroine irresistible. He can’t stop thinking about her. So many women in my practice tell me they need to feel strongly desired. But that’s a tall order when you’ve been together for a long time, you’re busy with work and kids, and you both probably value a good night’s sleep more highly than sex.

I advise husbands, whenever you feel sexually attracted to your wife, don’t waste the moment. Act on it. Let’s say she’s in the kitchen wearing something nice, or changing, or just out of the shower. If you feel drawn to her in that moment, walk over, take her in your arms and hold her like you mean it — which of course you do. Kiss her passionately, inhale the scent of her hair, and say: “Did I ever tell you how attracted I am to you?” Most women in relationships say they need that show of desire more than they need sex.

Accept your partner for who they are

A wise old sex therapist colleague once asked me: “Why do women get bored with their husbands but not with their dogs?” I suspect it’s because most women accept that their dog is just a dog, but many have trouble accepting their husband for who he is. Some women tend to think of their male partner as a project, or a work in progress, and they forget to be thankful for what they’ve got. Most men are like cactus flowers — they don’t need much watering to bloom. Sometimes it’s best to leave your list of projects to the side and find something about your husband to enjoy or appreciate.

Be connoisseurs of your arousal

The happiest lovers savour arousal wherever they find it, whether it’s with a partner, alone, or through fantasy. They pay attention to what their arousal feels like. And happily, since taboos around female pleasure and sexuality have fallen away — and sex toys have improved — fewer women worry about having an orgasm through penetrative sex, making it easier to relax and enjoy the moment.

Cultivating arousal can be like learning to enjoy good wine. You begin to notice its components, like how arousal grabs your attention and makes you forget about non-essential things; how it makes you regress to a more spontaneous version of yourself; and how it touches your core sense of being. Many people spend lots of energy trying to produce strong arousal, as if that’s something you can control. Established couples who have good sex understand that there’s a passive element to it, as if you are riding a wave.

Remember to enjoy each other

In my practice I often ask women what they crave most in lovemaking. For some it’s a feeling of “surrender” with a partner who knows how to take charge. They appreciate a certain kind of male energy — confident, decisive and fully engaged. Many relationships start out with plenty of it, but as time passes the man runs out of steam and becomes inert and lacking in initiative. When couples like this are in treatment, the male partner will sometimes tell me he feels nothing he does makes her happy, so he withdraws to protect himself — which definitely makes her unhappy. And so her unhappiness and his lack of confidence just keep reinforcing each other in a vicious cycle.

The truth is that many men are quite sensitive to their partner feeling disappointed. It’s often worth reminding a man that a woman’s disappointment doesn’t have to be a calamity. It’s worth reminding her to enjoy him for who he is, rather than complaining about who he’s not. Male or female, deep down we all need to be enjoyed. Many men start manifesting confident male energy again once they feel their partner really appreciates them.

Most long-term committed couples don’t get excited together unless they’re going to have sex, which is an enormous mistake. This is a fork in the road early in a relationship. Once the fever of having sex passes, you’re faced with the decision whether to go right or left. Almost everybody goes left; they keep desire toned down, unless sex is on the menu. They don’t wear anything sexy to bed, they don’t play footsie under the table in a restaurant. It never occurs to them that arousal might have independent value. Why save it just for sex? The happiest couples, meanwhile, enjoy feeling turned on together just for its own sake, even if it’s just for a minute or two, even if they’re not going to have sex.

In sex therapy, we call this “simmering”. It’s what most of us did as teenagers — passionately kissing in the hallway between classes, then hearing the bell ring and darting off in opposite directions, feeling deliciously buzzed. In most adult relationships, the simmering is at least as important as the sex — if only because it’s easier to find time for. I suggest, whenever you might ordinarily kiss your partner, consider simmering them instead. Instead of waving them off to work with a peck on the cheek, simmer them goodbye. Hold them tight, feel their body, maybe rumple them up a bit, then send them on their way. And men, if you’re watching TV and your wife comes to kiss you goodnight, grasp her around the waist, pull her down to you and hold her tight. It may well lead to something more later — but it doesn’t have to.

Take responsibility for your own orgasm

Many women still think that if their male partner gets an erection, they’re responsible for relieving him of it. This makes no sense, since no one should ever feel obliged to do anything in bed they don’t want to do. What’s more, we men like being aroused. It’s not painful and if nothing sexual happens, an erection simply goes down. So if you’re lying in bed with your man and he gets excited, it’s totally fine to say: “Nice to know you’re happy to see me, but I’m really tired. OK if we just simmer for a minute, then go to sleep?”

Sometimes, though, he’ll crave an orgasm — just like sometimes a woman might crave an orgasm. He could always go to the bathroom to deal it himself, but it’s cold and lonely in there. The sexually happiest couples tend to compromise with something we sex therapists call “lazy sex”. They kiss, he holds her passionately with one hand, and with his other hand gives himself an orgasm. Some couples tell me they’ve always done this, especially when they were new parents and exhausted, or because their libidos don’t always align. Other couples, when I mention lazy sex, look at me as if I have three heads; as if taking a vow of marriage means swearing never again to touch your own genitals in bed. Obviously that’s a misreading of the marital contract.

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