Low libido, intercourse pain, orgasm problems?

— Sexual-health doctors are trying to help

Some Canadian doctors aim to address what they call near-total lack of support for women’s sexual health

By Brandie Weikle

A small number of Canadian doctors specializing in women’s sexual health are trying to address what they say is a near-total lack of support for those suffering from common problems such as low libido, difficulty achieving orgasm and pain during intercourse.

“In terms of the juxtaposition with men’s sexual functioning, we are behind and it’s really frustrating,” said Dr. Stephanie Finn of Oakville, Ont.

Finn is one of five Canadian doctors trained by the International Society for the Study of Women’s Sexual Health (ISSWSH), based in Burnsville, Minn.

While help for male sexual dysfunction has been widely available since erectile dysfunction drug Viagra burst onto the scene — approved for use in Canada in 1999 — women’s sexual health has remained largely shrouded in secrecy.

“When’s the last time your doctor has asked you about your clitoris? Like never, and that’s fascinating, right? We ask men all the time about their penises and their function, sexual functioning and such,” she told White Coat, Black Art.

I think that there is generally a lack everywhere of interest in women’s sexual functioning, and I’m happy to say that I think that’s beginning to change.”

A woman stands in front of an exam chair in a doctor's office.
Dr. Stephanie Finn is a family doctor focusing on women’s sexual medicine.

Originally a family doctor, Finn found that so many of her female patients needed help with sexual issues that she decided to focus on sexual medicine, opening her clinic about a year ago.

Part of that work is simply teaching women about their bodies, she says.

“It is really common for women to have almost no understanding of their own anatomy,” Finn said.

“I’ve had women who really haven’t a good idea about where their clitoris is. I’ve had people say, ‘Oh, I’ve always wondered,’ and sometimes I’m slightly surprised by that response in women who are in their 50s.”

Finn offers her patients the option of holding a mirror while she gives them a guided tour of their genitalia. Or she’ll use a 3D model to show patients things such as how the clitoris is actually a wishbone-shaped organ, with only the clitoral bulb visible externally.

An illustration of the parts of the vulva.
Parts of the vulva.

A study published in the Journal of Sexual Medicine in 2023 found that the bulb has around 10,000 nerve endings. That’s compared to about 7,800 at the tip of the penis, according to a paper published in the same journal in February.

A culture of shame

Some of that knowledge gap and reluctance among women to seek help for sexual-health issues is tied to cultural shame, says Dr. Stephanie Hart from Okotoks, Alta., another ISSWSH-trained family doctor.

In North America, vaginas are dirty. Like, I actually had somebody say that to me yesterday,” said Hart, who opened her specialized clinic in 2019.

For some women, that’s simply because they are grossed out by bodily fluids, including those that come out of the vagina, she says.

An exam chair inside a doctor's office.
A chair used for gynecological exams in Finn’s clinic. Many women are uncomfortable with speaking openly about sexual health.

But for others, it’s a morality issue: “You know, ‘sex is shameful.’ That’s a very common attitude that I see people [have]. And kind of unsurprising that people would then have sexual dysfunction when they feel that way about it.”

Despite people’s difficulty talking about their sex lives, these clinics are busy. Hart says she sees 250 new patients every year in her practice, 75 to 80 per cent of them being women, but is referred around 400.

“So every six months, I’m another three months behind.”

Finn said she sees about 15 new patients every week at her Oakville clinic.

A model of a vulva.
Finn often shows her patients a model of a vulva to help familiarize them with their own anatomy.

Most Canadian women do not have access to a doctor who specializes in sexual health. Existing clinics where women have traditionally sought care for sexual health are focused on contraception and infection, says Hart.

These kinds of clinics refer patients to her when they bring up difficulties like pain during sex or low libido, Hart says, as do specialists such as gynecologists.

Help for low libido

Carolina Jara, 57, says she used to be a very sexual person, but since menopause, her libido has tanked.

“My libido went somewhere. I don’t know, maybe back home,” joked Jara, who is originally from Peru but lives in Vancouver.

She says she’s worried about how that can impact her relationship with her husband of eight years. And that part is not a laughing matter.

A close-up of a woman with white earrings and a red top.
Carolina Jara, 57, says she used to be a very sexual person — but now, she is suffering from low libido.

“He still wants it, but I don’t get ignited, I don’t get an orgasm for many years. So it feels more like a duty, more than something that I enjoy.”

There are two medications approved for use in Canada that can be used to increase sexual desire in women: a pill called flibanserin, and a self-injectable called bremelanotide.

Unlike Viagra, which is used on an as-needed basis and acts by increasing blood flow to the penis, both of these drugs impact the brain chemicals that influence mood and sexual appetite. Flibanserin must be taken daily and has been shown to have serious potential side effects.

A pink pill is seen on a piece of paper that shows part of the Sprout Pharmaceuticals logo.
Flibanserin, pictured above, is one of two medications approved in Canada that can be used to increase sexual desire in women.

Critics have argued that libido problems are more a matter of mismatch between the sexual appetites of partners that would be better addressed with relationship counselling.

A non-medical tool for addressing low libido or difficulty achieving orgasm is a class of sex toys sometimes referred to as clitoral suction devices.

“We have wonderful studies actually now showing improved clitoral blood flow and pelvic floor blood flow using these devices,” Finn said. “We know they can make a huge difference for women when they are attempting to achieve orgasm.”

Pain during sex

But sexual-health issues are by no means the exclusive domain of older women, says Finn, whose patients range in age from teenagers to octogenarians.

Talia Steele, 34, suffered for years from pain during sex, stemming from a series of problems that started with a common urinary tract infection.

Woman with shoulder-length curly hair smiles at the camera.
Talia Steele says she had some early negative experiences with male doctors and felt her problems weren’t treated with sensitivity.

Eventually she got surgery to address the issues. But all the poking and prodding, and her history of painful sex, has had lasting effects.

“There’s always that bit of anxiety, never being able to be fully in the moment, always in your head about what’s going on,” said Steele, who is married and also lives in Vancouver.

“Even though I don’t have that pain, those feelings and thoughts still enter my brain at times, and it can be challenging to try new things or come out of my comfort zone.”

Greater Victoria’s Sex Lady discusses sexual health and how teaching it has evolved

One of the challenges with getting care for women’s sexual-health issues is that there’s no established medical specialty for them.

“You take these women with pain [during] sex, for example, and you send them to the gynecologist who would say, ‘Well, it’s not endometriosis,’” Hart said. That might be the end of the road if the doctor doesn’t know about other options that might help.

Hart says she’s on a mission to teach other doctors how to help, starting with asking patients the right questions.

“Like, actually ask if somebody has pain with sex and then know what to do about it if the person says yes. Because patients won’t always volunteer the information if they don’t know that there’s something that can be done.”

Complete Article HERE!

Your pelvic floor might be impacting your orgasms, here’s how

By DAISY HENRY

Keep that good thing going.

If there was a way to achieve better orgasms, would you take it? Sure, sex and pleasure shouldn’t always be about the big ‘O’ (in fact, there’s a solid case for rethinking that approach completely), but the temptation surely remains.

Stressed? Orgasm. Horny? Orgasm. Tired? Orgasm. Whether it’s self-inflicted or delivered to you by someone else, it’s a great cure for many of life’s woes. In fact, a mind-bending, head-exploding orgasm has to be high up there with one of the finer things.

When you hear the term pelvic floor, your mind likely jumps straight ahead to Kegels. More often than not, Kegels are heralded are the no-nonsense, fast-tracked way to improve your orgasms and have better sex.

While they seem simple enough (i.e. you can do them sitting at your desk and no one will know), I find the idea of doing constant Kegel reps throughout my day a bit much. According to Heather Foord, women’s health specialist and founder of Core Restore, a pelvic floor and core clinic, there’s a lot more you can do to help strengthen and relax your pelvic floor and ultimately achieve better orgasms. Below, Heather walks us through the basics.

What are we talking about when we say ‘pelvic floor’?

Here’s the kicker. For a muscle group that’s so important, we can get so confused about ‘what’ and ‘where’ the pelvic floor is because we can’t see it. The pelvic floor is the shape of a basin. It connects to each side of your pelvis and then connects to the pubic bone at the front and the tailbone at the back.

Its number one job is to support your pelvic organs and support the holes you have ‘down there’. So, for those of us with vulvas, it provides a framework around your urethra (where you wee), your vagina and your bowel. And, contrary to popular belief, the pelvic floor affects so much more than how you wee.

Does a stronger pelvic floor equal stronger orgasms?

In short, yes. Research shows us that women with stronger pelvic floor muscles have higher sexual function and increased levels of desire, arousal and orgasm. The female orgasm starts with the pelvic floor contracting and relaxing in a rhythmic fashion. That’s where the ‘waves of pleasure’ that women describe stem from.

The contractions of the pelvic floor can number anywhere from one to 20 or even more. We all want longer, stronger orgasms, right? So, we want to make sure the pelvic floor has all the strength and endurance it can to keep that good thing going.

And, it’s not just about your orgasm. If you’re partaking in penetrative sex with a partner, the pelvic floor muscles can play a key role in their pleasure too (talk about a multitasker). So, when you climax, the pelvic floor closes and relaxes around the vagina and anus, enhancing the sensation for your plus one.

For those of you with a penis, the pelvic floor is also key when it comes to sexual function. Weak muscles can make it tricky to get or maintain an erection and it can lead to premature ejaculation. These muscles are important for the male orgasm, as their job is to contract during climax to eject the semen from the body.

How might your pelvic floor negatively affect your orgasms?

The first and most obvious way is that if your pelvic floor is weak, the orgasm contractions are likely to be weak so it may be harder to reach orgasm – and if you eventually do, it tends to be a bit of a ‘blah’ orgasm.

But, like any muscle, your pelvic floor can also be too tight. An overly tight pelvic floor (or hypertonic as we say in the health industry) can mean it’s also really hard to achieve orgasm because the muscles are so tight and tired from being switched on all the time, they have no more energy to contract further to get you to climax. This can also lead to painful sex and even pain after orgasm (which is called dysorgasmia).

What other exercises can I do that aren’t Kegels?

If you’re like me and struggle to remember your Kegels, don’t stress – there are other ways to strengthen your pelvic floor! And, if you’re overly tight? There are stretches you can do to help your pelvic floor relax, too. If you’re looking to work on strength, try exercises like the goblet squat, marching bridge and bird dog. If you want to relax your muscles, try a child’s pose, mermaid pose and reclined butterfly sit.

My biggest tip is to get to know your own body and reach out for help. Sex, libido and orgasms are dependent on so many different things. It can be related to your physical function (i.e. pelvic floor), or it can be impacted by stress levels, hormones, lifestyle… the list goes on.

Whether it’s lack of libido, painful sex, struggle to climax, struggles with erections or vaginal laxity, know that you’re not alone and there are so many health professionals here to help. In the Core clinics, we use technology to treat pelvic floor weakness in less than three weeks, but if you can’t make it to a clinic and want to find someone local, get in touch.

Complete Article HERE!

I stopped having sex like a capitalist

— You should try it

“Now, at 29, with years of orgasm-chasing one night stands, toxic relationships and unlearning under my belt, I think I finally get it.”

By Laura Roscioli

I used to have so much energy for all kinds of sex. One night stands. Crazy kinks. All-nighters with an unexpected participant. Couples, friends, people from the internet. I think it was because it was all a bit of a mystery. I was figuring out what I liked, my sexuality, my boundaries. But I was also figuring out what it meant to be a sexual woman in a male dominated world. I was in an era of understanding how my sexuality could be empowering, rather than something that decreases my value.

I feel we’re not really told enough about sex, especially as women. We’re not taught to ask for what we want, we’re not really sure what the norm is… we just feel a lot of pressure to look a certain way and be into certain things, without asking ‘why?’. It was a lot to learn but it gave me the energy to engage with sex in a somewhat surface-level and self-focused way.

As I’ve grown into myself, my relationship with sex has changed so much. I don’t have the energy for sex that doesn’t make me feel safe and grounded. I very rarely feel that animalistic desire to consume sex to satiate a need to figure it – and myself – out, because I’m not aiming for this unachievable pinnacle of orgasm anymore. It’s not a mystery I need to solve to have good sex. But it used to be.

Back in my one night stand days, orgasms felt like the headline act. That everything I — and the person I was in bed with — did, was in the lead up to the orgasm. There were different ways to get there, of course, but really, sex was all about cumming.

It’s a lot of pressure to fully let go and have a wild, mind-bending experience in an intimate setting with someone you hardly know, in the unquestioned effort to reach an orgasm. But it’s always been part of the criteria of doing sex ‘successfully’.

“We’ve come to define ‘good sex’ as achieving an orgasm mostly through the way sex is sold to us,” says sex therapist, Aleks Trkulja. “We’ll often see porn, film and TV scenes that portray a ‘good’ sexual experience as one where people are ejaculating and orgasming.”

Aleks thinks there’s an element of capitalist mentality within it too, where even in sex, we have to “always be producing and achieving and if we’re not, we feel that somehow we’ve failed”. This rings so true to my early experiences with sex. If I wasn’t able to cum or, worse still, I wasn’t able to make the person I was intimate with cum, I felt like I hadn’t done it right.

“There’s this deeply entrenched capitalist attitude, even within a space like sex, that truthfully has no real agenda or criteria of what it should and shouldn’t look like. This pressure is damaging and creates performance anxiety.”

This is why sex can feel stressful. It’s like we’re working towards this goal we don’t really understand and it actually takes us out of the moment and into our heads, making the experience less enjoyable.

And it also becomes boring over time. If each time you have sex with someone new, you’re trying to achieve that same thing in a different way, it can feel predictable. Like, not this again! Not another night of me wondering if I’m good enough at giving blowjobs because they didn’t orgasm from it. Not another night of feeling someone figure out how they’re best going to conquer my body and give me “the best orgasm” I’ve ever had.

By the time I was single again after my previous long-term relationship, I was so done with all of that. I didn’t feel horny for sex unless it was going to be a relaxing, fun and energising experience. To me, that was what I’d come to decide good sex was.

Aleks defines good sex as “a sexually intimate experience you have with consenting adults, where you feel safe and your pleasure is prioritised”. A space that has allowed you to have “an embodied, grounded, enjoyable and curious time”.

“That definition is really important,” she says.  “A lot of people assume good sex means you had multiple orgasms, your dick was rock hard the entire time etc. And it actually has very little to do with function and more to do with how safe and present you feel in your body. That you’re enjoying what you’re doing with yourself or with other people.”

Now, at 29, with years of orgasm-chasing one night stands, toxic relationships and unlearning under my belt, I think I finally get it.

You could literally just be lying down with someone, your clothes off and being stroked in a way that makes you tingle all over: that is good sex. If you’re able to create an environment that makes you feel sexually attuned with yourself, where you feel able to explore free of judgment, where you feel turned on without having to think too hard, where your curiosity and comfort, like Aleks said, is more at the forefront of your mind than your orgasm-count; that is good sex.

“Because we live in a culture and society that deeply conditions us with very intense attitudes around sex that are often embedded within shame, it can be a really difficult process to unlearn your sexual attitudes and beliefs,” says Aleks. “It’s really normal to need professional help, often because the people around you haven’t done that work and you’ll constantly be faced with those beliefs.”

However, if we want to feel empowered and energised by sex, it’s important to redefine what pleasure means to us.

“You need to learn to be present in your body and find pleasure and joy in your body, in a way that is not defined by goal-oriented achievements,” she says. “So not: I orgasmed – therefore I achieved good sex, but rather; I felt pleasure in my body, I felt safe in my body, I was curious in my body. That is good enough. It’s pleasurable.”

These feelings need to become the new indicators for what is a sexually satisfying experience – not the big ‘O’.

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.

Complete Article HERE!

How a survey of over 2,000 women in the 1920s changed the way Americans thought about female sexuality

In the 1920s, many women became more comfortable in their skin. But the facts of life remained in short supply.

By

American women still have fewer orgasms than men, according to new research that suggests that decades after the sexual revolution, the “orgasm gap” is still very much in effect.

One of the study’s lead authors at the Kinsey Institute for Research in Sex, Gender, and Reproduction told The New York Times that the gap persists because many Americans continue to “prioritize men’s pleasure and undervalue women’s sexual pleasure.”

As my research shows, these attitudes toward sexual pleasure have a long history.

But so do efforts to push back against them.

Almost a century ago, a pioneering American sex researcher named Katharine Bement Davis challenged the prevailing view that respectable women did not – and should not – experience sexual desire or have sex, except to please men or to have children.

Davis’s 1929 book, “Factors in the Sex Life of Twenty-Two Hundred Women,” completely upended this thinking.

By surveying everyday American women, she was able to show that it was completely normal for American women to have sex for the sake of pleasure.

An unlikely advocate for sexual liberation

Davis spent the first half of her career policing women’s sexuality, not promoting it.

In 1901, after earning her Ph.D. at the University of Chicago, Davis became superintendent of the New York State Reformatory for Women at Bedford Hills. While there, she studied the women in her care. Most female convicts, she concluded, were “immoral women.”

Davis’ efforts to enforce sexual morality drew the attention of philanthropist John D. Rockefeller Jr. In 1917, he invited her to lead his private agency, the Bureau of Social Hygiene, founded to study and combat prostitution and venereal disease.

During World War I, Davis promoted sex education to curb sexually transmitted infections among soldiers and civilians. Through this work, she became convinced that sexual ignorance – not sexual immorality – posed the greatest danger to women’s welfare.

Davis had long criticized the sexual double standard, which condoned men’s sexual experimentation but condemned women’s sexual experience.

Now, she also recognized that this double standard promoted women’s chastity at the expense of knowledge. She complained that discussions of women’s sexuality were “taboo,” which resulted in “distorted views, baffled speculation, and unfortunate experiences.”

Tackling a taboo topic

Insisting that Americans needed accurate information to achieve “a sane outlook on all matters pertaining to sex,” Davis made it her mission to teach women about sex.

But first, she needed to learn about women’s actual sexual experiences. Davis decided to undertake a large-scale study of what she called “the sex life of normal women.”

Davis’ approach was a dramatic departure from existing studies of “abnormal” sexuality focused on institutionalized populations. “Except on the pathological side,” she remarked, “sex is scientifically an unexplored country.”

Woman in white blouse seated in chair posing for a portrait next to a bouquet of flowers.
Katharine Bement Davis was frustrated by the double standard that celebrated men’s sexual experiences and condemned those of women.

By contrast, Davis explained, she wanted to understand “the woman who was not pathological mentally or physically.”

To that end, Davis distributed a detailed questionnaire to what she called “women of good standing in the community” from 1921 to 1923. The resulting study sample of 1,000 married women and 1,200 unmarried women was not representative – it skewed white, well-educated and well-to-do. But their responses allowed Davis to redefine female sexuality.

America’s first sexual revolution

Davis launched her study of women’s sexuality during what historians now refer to as America’s first sexual revolution. The second – and more well-known one – would take place in the 1960s.

In the 1920s, as one commentator noted, a “revolution in manners and morals” was underway. Sex suffused popular culture. Contestants in beauty pageants displayed their charms in skimpy bathing costumes and short skirts. Actresses flaunted their sex appeal on stage and screen.

New attitudes about sex affected the daily lives of average Americans, too. Young women throughout the nation adopted the sexy look of “flappers,” the term used for women who sported short skirts, rolled stockings and bobbed hair.

Prior to the 1920s, courtship often took place in the home, allowing parents to closely supervise couples. But the ubiquitous automobile – which one juvenile court judge had dubbed “a house of prostitution on wheels” – rendered adult chaperonage obsolete and granted young people unprecedented sexual freedom.

Meanwhile, birth control activists like Margaret Sanger and Mary Ware Dennett distributed contraceptive devices and disseminated sexual information in defiance of the Comstock Act of 1873, which had defined birth control and sex education as “obscene” and made circulating such materials a federal crime.

Sex, secrecy and shame

Even amid the nation’s first sexual revolution, the facts of life remained in short supply.

According to surveys Davis distributed to married women, only about half of the respondents believed that they had been “adequately prepared … for the sex side of marriage.”

After expanding her study to include unmarried women, Davis found that fewer than one-third of all participants received sex education from their parents.

Many women didn’t know how pregnancy occurred. Some had been unprepared even for menstruation. One recalled that when she experienced her first period, “I naturally thought I was bleeding to death.”

In place of information, many women imbibed shame. “Having acquired the feeling as a small child that any sex pleasure was shameful and a great sin,” as one respondent put it, some could never overcome their discomfort with sex. Another woman regarded all sexual thoughts as “something to be shunned like the devil.”

One response succinctly summarized the problem: “Our present secrecy, fear, and repression are responsible for most of our sex ills.”

Challenging the conspiracy of silence

Many women were eager to challenge what one called a “conspiracy of silence” surrounding female sexuality.

Study participants ended up providing Davis with over 10,000 pages of handwritten responses. She used this information to produce the nation’s first major study of women’s sexuality, a 400-plus page book brimming with both statistical data and personal stories.

Factors in the Sex Life of Twenty-Two Hundred Women” covered a wide range of topics, ranging from sex education to sex play. Running throughout the entire work, however, was one central idea: Women liked sex.

Davis included data on birth control, same-sex relationships and masturbation. At the time, these practices were universally stigmatized and often criminalized. Yet significant proportions of study participants engaged in all these activities.

Nearly three-quarters of married respondents reported using contraceptives. Many probably took advantage of state laws allowing physicians to prescribe diaphragms to protect patients’ health. Surprisingly, nearly 1 in 10 women admitted having abortions, even though the procedure was illegal in every state.

More than half of unmarried women and nearly one-third of married women stated that they had experienced “intense emotional relationships” with other women. In each group, approximately half described those relationships as sexual. This was a remarkably high figure, given prevailing views of homosexuality as sexual deviance and state laws criminalizing homosexual acts.

Nearly 65% of unmarried women and more than 40% of married women reported masturbating. Since nearly all physicians and pastors condemned the practice, Davis assumed the actual numbers were even higher.

Davis’ data demonstrated that “normal” women experienced what one called “natural sex feeling.” In short, her study showed that many women enjoyed sex for its own sake.

Davis believed that reliable data would lead to “more satisfactory adjustments of the sex relationship.” In other words, better information would lead to better sex.

Davis paved the way for future studies that validate women’s sexual pleasure. While researching female sexuality, she established the National Research Council’s Committee for Research on the Problems of Sex. The Rockefeller-funded committee later subsidized Alfred Kinsey’s studies of human sexuality.

Davis’ legacy lives on. The findings from the Kinsey Institute’s latest study show that discussing sexual pleasure still matters, particularly for women. It also suggests that Americans’ understandings of sex have improved over the past century.

When Davis conducted her study in the 1920s, she found it “advisable” to define “orgasm” for participants who were unclear on the concept. Now, a generation of better-informed Americans ponder how to address a persistent “orgasm gap.”

Complete Article HERE!

Can Orgasms Make You Smarter?

— Here’s What Experts Say

Various sections of the brain are activated during the Big O, including the limbic system.

By

No matter your relationship status or sexual preference, we all want to experience orgasm during sex. And why not? Studies show one of the benefits of orgasm is shutting down the thinking and logical part of our brain; a vacation for the overthinker. Instead, we drift off into an ecstasy of pleasure, a feeling that has inspired poetry, art, and songs for centuries.

While we always remember the feeling, there is a relationship between orgasms, the human brain, and overall health from gynecological and neurological perspectives. And since orgasms have a major effect on the brain, we reached out to experts to ask a simple question: Can orgasms make you smarter?

It’s an especially important question given the persisting orgasm gap. A recent study published by the journal Sexual Medicine found that 82% of men reported orgasm during their most recent casual sexual encounter—compared with only 32% of women. Since the 1970s (the age of female sexual empowerment), resources and information revolving around women’s sexual health has increased. Yet while women may have reached the era of sexual liberation in America, the gap in orgasm satisfaction is still significant. But why?

When it comes to sex for heterosexual couples, studies show that women have a lower orgasm rate due to different definitions of pleasure and satisfaction. “One of the biggest reasons women may struggle to orgasm is a lack of clitoral stimulation,” says Aliyah Moore, a certified sex therapist with a PhD in gender and sexuality studies. The majority of women require direct or indirect clitoral stimulation to achieve orgasm, as the clitoris includes a large number of nerve endings that play an important part in sexual pleasure. Men prioritize penile-vaginal intercourse over more clitorally focused sexual activities. This seems to happen mainly in heterosexual relationships, as lesbian and bisexual women reported higher orgasm rates.

Another reason for the orgasm gap is the pressure of performance. “When women feel pressured—either by themselves or by their partner—to attain orgasm, it can cause tension, which makes it even more difficult. The emphasis switches from enjoying the sexual experience to satisfying an expectation, sometimes disrupting the natural rise to orgasm,” says Moore. Women also struggle to orgasm more with age due to hormonal changes, history of abuse, or chronic illnesses.

Low orgasm rates show there’s still more work to do in female sexual empowerment, especially since the deficit is depriving women of numerous health benefits. Ahead, neuroscientists and sex therapists break down how orgasms affect the brain, the physical benefits, and how to increase your orgasm rate overall.

Can orgasms make you smarter?

While there is not yet any concrete evidence that orgasms can boost intelligence, there is something to be said about what happens to the brain when a person reaches orgasm. According to research by Barry Komisaruk, PhD, a psychologist, neuroscientist, and professor at New Jersey’s Rutgers University, “more than 30 major brain systems are activated” during orgasm. Dr. Komisaruk specializes in identifying the brain regions that respond to genital stimulation to generate orgasm in women and men.

In a 2010 research study, Dr. Komisaruk found when a person reaches orgasm, various sections of the brain are activated, including the limbic system (responsible for memory) and the prefrontal cortex (responsible for problem-solving).

The brain produces waves of neurochemicals that activate brain regions during orgasm including the hypothalamic paraventricular nucleus, amygdala, hippocampus, and vagus nerve, among other places. These chemicals are released toward the spinal cord and increase brain activity. So while an orgasm won’t suddenly turn you into a genius, the neurochemicals released during this pleasurable experience can temporarily boost cognitive performance in certain areas.

What are the other benefits of orgasm?

Achieving orgasm regularly provides numerous physical benefits. While sexual activity has been known to release endorphins and oxytocin (resulting in feeling relaxed), orgasms through sex can help relieve menstrual pain, reduce stress, improve bladder control, and promote better sleep. In Dr. Komisaruk’s book The Science of Orgasms, women who engaged in sex during menstruation were less likely to develop endometriosis. It also helps regulate hormones, positively impacting mood and overall health. But that’s not all!

“Sex may also be associated with beauty, as it can increase levels of DHEA, a hormone which is thought to ward off depression and promote shiny hair, glowing skin, and bright eyes,” says Jessica O’Riley, PhD, a sexologist and relationship expert. “This explains the term sex glow.”

Regular sexual activity, whether with a partner or solitary, is associated with higher levels of estrogen, which is key for supporting skin health by increasing collagen and hyaluronic acid naturally. Sex is also a form of exercise and can help boost blood flow throughout the body, which helps reduce stress and has been linked with decreased risk of the common cold or flu and protection against viruses, including influenza.

How can you increase your orgasm rate for better health?

The answer is simple: solo play. Masturbation has been linked to an increase in positive body image and self-confidence when it comes to sex. Sofie Roos, licensed sexologist and couples therapist, suggests this is the first step to reaching sexual satisfaction and a consistent orgasm rate. “Discover yourself and understand your own body and how you can orgasm. Find what physical stimulation you need, such as what sex positions you like best, but also what angles, pressure, and pace you enjoy the most.”

If you’re not in a relationship and would prefer to fly solo, it doesn’t hurt to invest in a good vibrator. Companies like Kama, Omgyesa, and Quinn have taken the lead on sexual wellness, allowing women to experience sex in new and exciting ways.

If you’re in a relationship and want to increase your orgasm rate with your partner, the key is to have a real conversation about sex—not just dirty talk. “All couples have different ways of communicating around sex, and a great way to do it if you find it difficult is in places where you’re most comfortable, like a car ride or a walk,” says Roos.

This conversation can (and should) feel safe and open. “It helps to have a conversation starter to ease into the topic, like an icebreaker,” says Roos. “For example, you can say you saw an advertisement for this new couples’ sex toy that promised to give amazing orgasms and you’re curious to try it, or that you read about a sex position with a higher chance for women to orgasm—like cowgirl or doggy style—and ask if they want to try.”

Complete Article HERE!

Sex Advice With An Edge — Podcast #43 — 12/10/07

[Look for the podcast play button below.]

Hey sex fans,

I have a really delicious show for you today. We have a big load of stimulating questions from all over the globe. And I respond with an equal number of stunning, cheeky and oh so informative responses! Hey, it’s what I do.

  • Wondering is wondering about many things to do with her pussy!
  • Young Jaymie’s got it bad for his mate. But the boy sleeps right through it.
  • Rachel has yet to cum after two tries. WTF?
  • Kirk is a randy little bugger, but doesn’t know where to point his dick.

BE THERE, OR BE SQUARE!

Sex Advice With An Edge — Podcast #05 — 03/12/07

[Look for the podcast play button below.]

Hey sex fans,

This week we have a smorgasbord of sultry submissions —

  • Bob’s plumbing isn’t workin’ like it usta!
  • Silvie is lookin to get her groove on…for the first time!

And finally we visit with —

  • Bisexual Phil. He’s got an itch and he scratches it regularly! But wait, there’s a problem…

BE THERE, OR BE SQUARE!

 

Dr Dick is now on iTunes. You’ll fine me in the podcast section under the heading — Health, subheading — Sexuality. Or search for Dr Dick Sex Advice With An Edge. And don’t forget to subscribe. I don’t want you to miss even one episode.