Category: Sexual Satisfaction

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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↩!

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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↩!

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Is ‘Death Grip Syndrome’ actually real

— And can it harm your penis?

Gripping your penis too tightly could cause some issues

Masturbation isn’t something any of us should be shy about, but when the mood strikes, some of us seize it a little too tightly.

By

To put it plainly, if you’ve got a penis, grabbing it too hard while pleasuring yourself could leave orgasms further out of reach.

It’s what is known in slang terms as Death Grip Syndrome (DGS), though there’s actually no official medical name for the condition.

Some credit sex columnist Dan Savage with coining the term back in the early 2000s, but it’s also popped up in various Reddit threads over the years. It even got a formal Urban Dictionary entry in 2010.

But we wouldn’t put your physical health in the hands of public forums, so we had Dr Lawrence Cunningham tell us just how real (or not) it is.

What is Death Grip Syndrome?

‘DGS refers to the phenomenon where habitual, overly tight gripping of the penis during masturbation can lead to decreased sensitivity, and difficulty achieving orgasm through other forms of sexual activity,’ Dr Cunningham tells Metro.

The UK Care Guide doctor believes many men are unaware their masturbation habits could impact their sexual health, and let’s face it, none of us want any lingering problems just because we went a little too hard.

A composite image showing a hand holding a downturned bread roll.
DGS can lead to reduced sensitivity and sexual pleasure.

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Death Grip Syndrome may sound alarming, Dr Cunningham explains, but it doesn’t do any physical damage to the penis in the traditional sense.

The issue, he says, is when it comes to sexual stimulation: ‘The persistent use of a tight grip can condition the nerves and tissues to respond only to this specific form of stimulation.

‘This can make it challenging to experience pleasure and achieve orgasm through more typical forms of sexual activity.’

What are the symptoms?

The primary symptoms include decreased sensitivity in the penis and difficulty achieving orgasm, unless you’re gripping your member very tightly.

It goes without saying that this is going to decrease your levels of sexual satisfaction, which no one wants.

According to men’s health website Hims and medical adviser Mike Bohl, other symptoms include penile pain and anorgasmia.

The latter is a condition where you experience delayed, infrequent or absent orgasms — in other words, it’s a form of sexual dysfunction.

Dr Cunningham adds: ‘Years of consistent, tight-grip masturbation usually doesn’t lead to complete anorgasmia, but it can certainly lead to delayed ejaculation or reduced pleasure.’

The physical effects can result in anxiety and relationship issues too, so the doctor believes addressing the issue is crucial.

Is DGS common and is it reversible?

While there’s limited scientific data to say just how prevalent Death Grip Syndrome is, Dr Lawrence thinks he’s got a handle on it.

A composite graphic showing a drooping cactus in a plant pot
Death Grip Syndrome could cause a form of anorgasmia but this is unlikely

‘I believe I’ve seen a number of men who experience these issues. It’s common enough that sexual health professionals encounter it regularly, but many men may not realise it’s the root of their difficulties,’ he explains.

If you’re experiencing any of these symptoms, don’t be stressed because it’s generally treatable and ‘often reversible’.

How? Well, Dr Cunningham suggests: ‘Start with a change in masturbation habits; using a gentler touch and exploring different types of stimulation.

‘Incorporating more mindful and varied sexual practices can also help. In some cases, professional counselling or sex therapy can provide additional support and strategies to regain sensitivity and sexual satisfaction.’

Complete Article ↪HERE↩!

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Scheduled Sex Can Be Sexy, According to Esther Perel

— The famed relationship therapist says a little premeditation can be a great way out of a relationship rut.

By Erin Bunch

My relationship recently hit a milestone described by Esther Perel as the “fatal erotic blow”—my partner and I transitioned into parenthood. In our experience so far, the famed sex and relationships therapist’s gloomy framing of life after baby has been spot on. Since the birth of our son, sex has completely disappeared from our relationship, with no sign of return. Desperate to maintain that part of myself, and of us, I recently suggested to my partner that we start scheduling sex dates. His response (by text) was: calendar emoji + eggplant emoji + gravestone emoji. In other words, he gave the idea a hard (or rather, soft) pass.

Such resistance to the concept of scheduled sex is not uncommon, Perel herself tells me weeks later when we meet by Zoom to discuss her two new on-topic couples courses, “Playing with Desire” and “Bringing Desire Back.” While nobody thinks scheduling a softball game will detract from the pleasure of playing softball, she says, people feel differently about sex. “Somehow it’s entered into people’s heads that sex should be natural, it should just happen.” she says. “It should just come out of nowhere, envelope me, take me over, and burst out of me.”

My partner, I tell her, definitely struggles with the belief that sex is only good if it’s organic, and she says this mindset is setting us both up for failure. “If you think desire is just this thing that sustains itself on its own—it’s spontaneous, unprompted—you will be disillusioned,” she says. “Good sex over time is premeditated. It’s willful, it’s conscious, it’s intentional.”

Hence, the sex date, the scheduling of which Perel says does not, as my partner fears, imply your relationship is more or less over. On the contrary, she says that when a couple sets aside such time together, it actually demonstrates a promising level of care for the relationship. “The sex date is something that confers importance,” she says. “It says it matters. It says we don’t wait for when we are completely in the mood. It says we meet, and we don’t just meet for the perfunctory meeting. We meet and we can create something special.”

But Perel says turning a to-do, even a sexual one, into anything but a “perfunctory meeting” requires effort and forethought. Sexy sex dates don’t just happen, and her advice for transforming what could be rote into an erotic experience goes far deeper than lingerie and candles.

Step One: Build Anticipation

To begin with, she says, couples must endeavor to create an atmosphere of anticipation around the scheduled rendezvous. Since this isn’t a given—clearly, my partner wouldn’t exactly be drawing hearts around the date on his calendar—it requires what Perel refers to as foreplay, which is much more involved than a few moments of physical warm up prior to intercourse. “Foreplay actually starts at the end of your previous orgasm,” she says.

Here, foreplay means anything that creates “a shift in mindset signaling availability.” It’s flirtation, sexual tension, playfulness—the creation of a vibe between you and your partner. “People think they can scratch the back of the other person and they will be hot and aroused,” says Perel. “But can you do a little more? Can you seduce me? Can you play with me? Can you send me a little note?”

If it’s helpful, she suggests imagining things you might do for a lover rather than a partner. “[With a lover], you’re engaged in a plot. You’re writing a story. It has moods, it has imagery. It has a whole world to it,” she says. And if this is starting to sound like a heavy lift, rest assured that gestures such as a flirty text or small sexy gift can suffice. The key is just to get both parties excited about the scheduled time, so that it feels less like a to-do and more like an I-can’t-wait-to-do-you.

Step Two: Design Rituals

Next, Perel says it’s important to “infuse” the sex date with rituals. Doing so, she explains, helps signal that the event is unique, special, and significant. “Routines create consistency, but the ritual is what gives creativity and intentionality to the routine,” she says.

Your ritual or rituals can be anything, and it doesn’t have to be complicated, just consistent. Maybe you always open your favorite bottle of wine, for example, or put on a specific playlist. “It’s a small thing,” says Perel.

Rituals can also be designed to help you switch from caretaking mode, or career mode, or whatever your daily default mode may be, so that you can tap into your erotic, most alive self. As a new parent, for example, she tells me my ritual could include a shower, a massage, or “anything that brings the woman out from behind the mother.”

Step 3: Ask Yourself Perel’s Favorite Question

To further prepare for your date, it might be helpful to ask yourself one of Perel’s go-to questions for clients, which is “What turns you off?” or “What shuts you down?”

“People will tell you, ‘I turn off when I’m worried, when I’m anxious about money, when I feel like I’m not doing well at work, when I struggle with money, when I feel bloated,’” she says. “It has not much to do with sex, per se. It has to do with life. ‘I’m not alive when…’.” The answers to this question can then help you understand what needs to be left at the door.

On the flip side, asking yourself what turns you on, what helps you feel present and alive, can also help, says Perel. “‘I turn myself on by’ is not the same as ‘what turns me on is’ or ‘you turn me on when’,” she says. Instead, it’s about owning your own desire. “So the question is, ‘How do you make yourself available?’ How do you give yourself permission? How do you make yourself present?”

Without this intel, Perel says, you can tell your partner what works for you, but it probably won’t work. “You won’t respond because you’re not in it. You’re not present,” she says. And while your honest answer may be something along the lines of ‘a first-class ticket somewhere tropical,’ the key is to think of smaller, more achievable turn-ons that will ease you into a more erotic headspace, e.g. a wax, a cocktail, or a compliment from your partner.

Step 4: Understand What Creates Desire

While desire is complex, Perel offers a recipe of sorts, which is “curiosity plus risk.” Curiosity, she says, helps mitigate the less-than-sexy feeling of familiarity. “Curiosity is a key ingredient of eroticism, and that is, ‘Who is this person’ What do they think? How do they experience things? What does coffee taste like to them?’,” she says. Such curiosity often dies as two people enter a place of safety and security together, but she says rediscovering it can help you rediscover passion for your partner. “The need for familiarity is absolutely real, but it cannot be at the expense of no longer having the discovery, the exploration,” she says. “If you don’t have curiosity, you choke the erotic.”

And while you may think you know everything about your partner, Perel says this is an illusion. “We don’t have to create the mystery, the unknown, the discovery,” she says. “It is right in front of us—we just have to engage with it.”

Risk, meanwhile, is a related concept, as it’s also about breaking free of the familiar and stepping outside of your comfort zone as a couple. “If you do the things you enjoy that are familiar to you, then you have good friendship, consistency, reliability. It brings cuddle, not sizzle,” she says. “If you want sizzle, you have to go and create things together, experience new things together, experience yourself differently from how you usually experience yourself in the presence of that person.”

For Perel, risk doesn’t have to take the shape of, say, nonmonogamy. She describes it instead as a combination of novelty and playfulness. “Novelty creates uncertainty, and the creation of uncertainty in the midst of familiarity is unbeatable,” she says. “So what does this mean? It’s not big productions. It’s just doing something you’ve never done together.”

Complete Article ↪HERE↩!

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

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

By Raven Ishak

“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↩!

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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↩!

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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↩!

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Let’s Talk About Sex and Cancer

— A cancer diagnosis can change your sex life, but patience, experimentation and communication can help you get back on track.

By Liz Highleyman

Sexuality is an important part of life that contributes to overall well-being. Getting a cancer diagnosis, undergoing treatment and becoming a survivor can affect sexual desire and function. Surgery, radiation and chemotherapy not only alter the body, but they can also change how patients—and their partners—feel about their bodies and about sex.

“Sexuality is not synonymous with sexual activity. It covers intimacy, desire, arousal, orgasm and satisfaction,” says Don Dizon, MD, director of the Pelvic Malignancies Program and the Sexual Health First Responders Clinic at Brown University Health Cancer Center. “When it functions normally, we don’t think about it, but when something negatively affects who we are sexually and how we experience pleasure, it can be quite distressing.”

Research suggests that as many as 90% of people with breast, gynecological or prostate cancers experience difficulties with sexual desire or function. For women, the most frequently reported problems include vaginal dryness or atrophy and pain during intercourse (dyspareunia). For men, erectile dysfunction is a common problem. People of any gender may experience loss of sexual desire (libido) and difficulty reaching orgasm.

Treatment for breast, cervical, ovarian or prostate cancers may involve removal of the ovaries or testes or use of hormone therapy to slow the growth of tumors with estrogen, progesterone or androgen (male hormone) receptors. This can put younger women into sudden menopause and can cause numerous side effects for postmenopausal women and men as well. In an effort to prevent cancer recurrence, such treatment may last for years.

But sexual problems are not only a concern for people with cancers that affect the reproductive system. Surgery or radiation for any type of cancer in the pelvic region can lead to scarring and damage to organs, nerves and blood vessels that play a role in sexual function. Treatment for anal cancer can impact the sex lives of gay men and others who enjoy anal sex. Some people with bladder or colorectal cancer will need an ostomy bag to collect urine or feces. One bright spot, however, is that the recent trend toward active surveillance, less invasive surgery, more targeted radiation therapy and lower medication doses can lessen negative outcomes.

Beyond the direct physical effects, cancer and its treatment can also take an emotional toll. Chemotherapy, other cancer medications and radiation can cause side effects such as fatigue, nausea and pain that can leave people uninterested in sex. Hair loss or weight changes due to chemotherapy or removal of a breast can lead to self-con­sciousness or a poor body image. And simply facing cancer can trigger stress, insomnia, anxiety and depression, all of which can kill the mood.

Often, the cancer experience brings couples closer together, but sometimes it can drive them apart. Partners might have a hard time understanding a lack of sexual interest and may need time to adapt to changes in appearance and function. Some partners may withdraw emotionally or fear that sex will cause harm. What’s more, changing roles—for example, when a spouse becomes a caregiver—can affect sexual relationships. Single people may have concerns about when to bring up cancer while dating, and they may be hesitant to start new relationships if their prognosis is uncertain.

“Sometimes cancer can make a relationship stronger. My partner was so loving and supportive, I fell more in love. But for some, it’s a deal-breaker,” says Annie Sprinkle, PhD, a former adult film star and current performance artist who holds a doctorate in human sexuality. “Cancer is going to change you. You have to accept that, and your partner has to accept it.”

Sprinkle was diagnosed with early breast cancer about 20 years ago and had lumpectomies, radiation and chemotherapy, which caused “instant menopause.” Years later, when she got scans after a car accident, doctors found signs of lung cancer, and she underwent surgery again. In characteristic fashion, Sprinkle and her partner, University of California Santa Cruz art professor Beth Stephens, PhD, made cancer a theme of their art.

Cancer patients and survivors can take steps to improve their sexual desire and function before, during and after treatment. Patience, experimentation and communication are keys to a better sex life.

For women, estrogen replacement therapy may improve menopausal symptoms, but this is often not possible for those with hormone-driven cancers. Estrogen creams or vaginal rings can relieve dryness and irritation without increasing the risk for cancer progression or recurrence. A recent study showed that Addyi (flibanserin), a drug that helps balance neurotransmitters in the brain, improved sexual desire, arousal and satisfaction for women with breast cancer. Modern breast surgery techniques are less likely to cause lasting changes in mobility and sensation. Most women have reconstructive surgery after breast removal, but going flat is also an option.

For men, decisions about testosterone replacement therapy to revive a flagging libido can be a balancing act between managing symptoms and minimizing the risk of cancer recurrence. For some men, drugs like Viagra (sildenafil) or Cialis (tadalafil) are effective for treating erectile dysfunction. Penile injections, inflatable implants or vacuum pumps may also be an option. Some experts recommend “erectile rehabilitation,” or regular use of medications and vacuum pumps to achieve an erection even when sex is not desired.

For everyone, eating a balanced diet, getting enough exercise, maintaining a healthy weight and getting adequate sleep contribute to overall quality of life, including sexual well-being. Studies have shown that aerobic exercise, pelvic floor exercises, yoga and meditation can help improve libido and sexual function. Exercises that strengthen the pelvic muscles, in particular, can reduce pain during intercourse, prevent urine leakage during sex and lead to firmer erections.

Time and patience can go a long way. Some sexual symptoms are likely to improve after treatment is completed. Nerves and blood vessels injured by surgery or radiation can sometimes repair themselves, but this can take months or even years. Give yourself time to heal before resuming vaginal or anal sex. Due to a waning libido, sex may not be as spontaneous as it used to be. You might need to plan ahead for when you have more energy or to give erectile dysfunction meds time to work. Adapting to physical and emotional changes can be a prolonged process for both the person with cancer and their partner.

“I like to say, the only answer to any question about sex is, ‘It depends.’ That’s spot-on when it comes to sex and cancer,” Sprinkle says. “Parts of your body might be numb or nervy or have scar tissue, or you can’t have weight on top of you. Forget everything and do it your way. There’s no right way—there’s just what works for you.”

Experimentation is key. Before resuming sex with a partner, it might be helpful to explore your own body and its changing sensations to figure out what feels good—or doesn’t—now. Tune in to novel sensations, and try new positions that might be more comfortable. Some people may choose to wear sexy clothing to hold a breast prosthesis in place or cover a chemo port or ostomy bag. Lubricants can relieve vaginal dryness—many different types are available. Likewise, there’s a wide variety of vibrators and other sex toys to try. Men who are unable to have an erection can usually still experience sexual sensations and learn to achieve orgasm without ejaculation. If intercourse is not possible, explore other ways to maintain intimacy. Your sex life may be different than it was before cancer, but it can still be pleasurable.

“Sometimes people have too narrow a definition of sex,” says Sprinkle. “Get out of the idea that sex is only about intercourse. Find what turns you on. If nothing does, at least have sensual pleasure, like massage or cuddling. Anything can be sex if it gives you pleasure or you find it sensual or erotic. Your sex life can become your pleasure life.”

Open communication is among the most important factors, both between partners and between people with cancer and their health care providers. Talk to your partner about how you’re feeling physically, mentally and emotionally. Discuss what you want out of your sex lives and how to satis­fy both of you. If this is difficult, a marriage or couples counselor or sex therapist might be able to help.

Early in your journey, have frank discussions with your care team—doctors, nurses, mental health therapists and social workers—about how cancer and its treatment could affect your sexual well-being and how to prevent or ameliorate problems. Some cancer centers have sexual health specialists and offer sexual rehabilitation programs. Forewarned is forearmed.

Unfortunately, a majority of cancer patients report that they did not receive adequate sexual health information before, during or after treatment. In part, this is due to a stereotype that older people are not interested in sex. Finding appropriate information can be especially challenging for gay, lesbian, bisexual and transgender people. For their part, most oncologists say they never received training in managing sexual problems. Patients often say they don’t want to make their doctors uncomfortable, while doctors say they don’t want to make their patients uncomfortable. Don’t be afraid to make the first move.

“Sexuality does not have to be another part of one’s life ‘lost’ to cancer,” says Dizon. “To avoid conversations around sexuality after cancer robs people of the opportunity to fully participate in a domain that defines us as human beings.”

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Can Meditation Actually Save Your Sex Life?

— Bringing mindfulness to the bedroom

By Wendy Wisner

Sex and meditation are not two things we tend to think of as a pairing. One is typically quiet, relaxing, peaceful, and still. The other is, well…sex.

But meditation is not just about sitting crossed legged on the floor and trying to empty your mind. Meditation is simply being mindful. That can happen during a formal meditation practice, while taking a walk, washing the dishes, as well as including “body-centered techniques”, such as focusing on sensory perceptions.1

So what happens when you combine sensory-focused meditation and mindfulness with sex? Well, you get something called sexual meditation. “Sexual meditation is the practice of combining meditation techniques with sexual activity or intimate connection to deepen physical and emotional awareness,” says Sophie Cress, LMFT, licensed marriage and family therapist at SexualAlpha. “Its purpose is to enhance the sexual experience by fostering a state of mindfulness, where both partners are fully present and attuned to each other.” Research shows that combining mindfulness with sex can increase sexual health and satisfaction.2

Ready to take a deep dive into meditation and sexuality, including how to practice more meditative sex, either alone or with a partner? We’ve got you covered.

Understanding Sexual Meditation

The concept of sexual meditation is fairly open-ended. It’s simply when you combine sex or sexuality with ideas of mindfulness and meditation. That can look different for different folks.

Shamyra Howard, LCSW, AASECT, certified sex therapist and sexologist at Lovehoney Group, defines sexual mediation like this: “Sexual meditation involves focusing on the present moment and being fully aware of sensations, emotions, and thoughts during sexual activity, whether solo or with a partner.”

Sexual meditation combines the practice of mindfulness and the concept of body awareness3 by focusing on breath and sensation without judgment. “It’s all about allowing yourself to exist and feel all the feels,” Howard says.

Sexual meditation is a conversation between the mind and body, and it’s a process of expressing gratitude for what your body can do and feel in the moment.
— SHAMYRA HOWARD, LCSW, AASECT

Brian Tierney, PhD, licensed psychologist at The Somatic Doctor, describes sexual meditation as a “presence practice,” or a type of body awareness discipline that enables a person to develop the capacity to perceive more and more pleasure. “The purpose is to take more delight in life, to experience the expansive pleasure of having a body-in-relationship,” he says.

“Sexual meditation can delightfully combine the benefits of a mindfulness practice—the training of the mind to remain present, usually by noticing how much it escapes to the past and future—with an expansion of body awareness so that every nook and cranny of the body can tingle with a maximum amount of pleasure from moment to moment,” Dr. Tierney adds.

Exploring the Connection Between Meditation and Sexuality

Meditation and sexuality are more connected than many of us realize, says Howard. That’s because sexuality is not just about sexual pleasure or gratification. “Sexuality includes emotional, psychological, and social dimensions,” she says. “It’s a fluid aspect of human identity that incorporates our sexual preferences, desires, behaviors, and expressions.” and is influenced by not only biology but psychological and social factors as well.4

In other words, sex already has some aspects of mindfulness in it, because you can’t experience sexual pleasure without being attuned to your senses. What adding mindfulness does to the equation is that it can make sex all the more pleasurable. “The benefits of sexual meditation include enhanced arousal, desire, orgasm, and overall sexual well-being,” Howard describes.

Techniques for Sexual Meditation

Alright, let’s get down to business. How exactly can you integrate sexual meditation practices into your sex life?

First, it’s important to note that many people have complicated relationships with their bodies, which may be related to pain, past traumas, disability or body image concerns. For that reason, when practicing sexual meditation, it is important to move at a pace that feels comfortable to you. Second, sexual meditation and mindful body awareness is something you can do solo, or with a partner. It’s really up to you, and the techniques described below work in both instances. However you are doing it, Cress recommends starting by setting the mood. “To practice sexual meditation, one can begin by setting a calm, intentional environment free from distractions,” she advises.

Howard shared her top tips for getting started with your sexual meditation practice:

Breathe

Howard suggests breathing slowly with your eyes closed, in through your mouth and out through your nose. “Place one hand on your belly and the other on your genital area, and as you breathe in and out, think of what would feel good, no judgment,” she explains. “It’s okay if you get a genital response, and it’s OK if you don’t.” You’re just here to feel and explore.

If you are with a partner, you can breathe together this way. “Then, you and your partner can place a hand on each other’s genitals while breathing together,” Howard suggests. Again, keep it a no judgment zone, just letting each other feel whatever you feel.

Take it Slow

Mediative sex is usually by its nature, very slow—slow and intentional. This can be great for many people, but also has challenges. “This slow sensory experience can bring up different emotions and feelings,” Howard shares. “Some people laugh, some cry, some have the best orgasm they’ve ever had. Remember, this isn’t a time to judge yourself. This is a time to allow yourself to feel.”

Feel the Feels

Mindful sex is all about letting yourself lean into whatever sensation you are feeling, and just really feel them. Howard suggests paying attention to textures, temperature, and pressure.

Ask yourself questions like, “What does it feel like when you breathe in and out?” or “How does your or your partner’s genital area feel under or in your hand?”

Howard suggests slowly rubbing your hands over different body parts, placing your attention on skin texture and temperature. If you are with a partner, you can “use your mouth to tell your partner where to touch you,” Howard says. “Or use your hand to guide your partner to where you’d like them to touch you.”

Practice Delaying Orgasm

Howard recommends sinking into each moment during sex, feeling each sensation deliberately. “During partnered sex, go slow and continue to focus on sensations,” Howard says. “Pay attention to sounds, smells, and tastes to keep you grounded in the moment.”

Often, this slowness means not rushing to “get off” or orgasm. “Practice edging or delaying orgasm at least three times and focus on the sensations only,” she suggests. Sometimes you may not end up orgasming at all, but often you will, and you may find that these orgasms are super intense and pleasurable.

Benefits of Integrating Meditation and Sexuality

Sexual mediation has numerous benefits—just take it from Dr. Tierney, a huge proponent of sexual meditation, both personally, and for his clients. For him, sexual meditation is about taking sex slowly, so that you can focus on each sensory moment.

“The simple story for me is that when I finally learned how to engage in slow sex, to truly divest from chasing orgasms, it felt like I lost my virginity again (seriously),” he shares.

Dr. Tierney also shared some client stories, which illustrate some of the benefits of integrating mediation and sexuality:

  • “One couple felt like they were starting their marriage over again after 26 years of being together.”
  • “Another couple laughed so hard while they were practicing slow sex that they had to take a pause, not because they were reaching 8.88 on the orgasm scale, but because their ribs started cramping up.”
  • “Another couple realized that they had been avoiding looking at each other during sex for decades and decided to make more eye contact: it completely transformed their love live and radically diminished their highly-entrenched conflicts which were basically a result of them not seeing eye-to-eye.”

The research on the benefits of meditative sex mostly focuses on women, with several studies finding that women who meditate experience increase sexual function.5 The experts we spoke to say that sexual meditation isn’t just beneficial for women, and it doesn’t just make you have better sex or orgasms.

According to Cress, the benefits of sexual meditation include:

  • Enhanced emotional intimacy
  • Improved sexual satisfaction
  • Reduced performance anxiety
  • Better communication between partners
  • Helping people overcome sexual blocks or inhibition by promoting self-awareness and relaxation
  • More meaningful and pleasurable sexual experiences

Addressing Common Questions and Concerns

While sexual meditation may sound awesome on paper, but that doesn’t mean people won’t experience doubts or concerns.

One concern people have is that sex should not be a discipline—because the idea of discipline runs counter to the idea of sex and letting go, says Dr. Tierney. But this is a misconception, according to Dr. Tierney, and the benefits of the practice outweigh any doubts about intentionality or scheduling.

“This is a hang-up that should be left behind if you want to meet your pleasure and bliss potential together,” he says. If your goal is mind-blowing, sensual sex, you should know that it often takes practice and discipline, Dr. Tierney says.

Another question people have about sexual meditation is: “Am I doing it right?” Howard says that any suggestions about sexual meditations are just that—suggestions. You get to decide what feels right for your body, and what meditative sex means to you. “Explore to find out what works best for you,” Howard recommends.

Finally, people often feel concern that sexual meditation will take out the mystery behind sex or make it less spontaneous or romantic. But Cress says you don’t need to worry about that. “With guidance and practice, individuals often find that sexual meditation enhances rather than detracts from the natural flow of intimacy, helping them to become more present and connected,” she assures.

Conclusion

If you are looking to have more sensational sex—sex where all of your senses are awakened and on fire—sexual meditation might be just what you need. Sexual meditation is just what it sounds like: it means practicing mindfulness, intentionality, and bodily/emotional awareness during sexual acts.2 It’s not for everyone, but people who practice it often experience increased pleasure, deeper connection, and more meaningful sex.

Please contact a licensed mental health professional or a sex educator if you would like more information about sexual meditation or if you have general questions about sex and sexuality.

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What doctors wish patients knew about pain during sex

By Sara Berg, MS

Experiencing pain during or immediately after sexual activity—known as dyspareunia—is a condition affecting many women, yet it remains a topic often shrouded in silence. This medical issue, which can affect both physical and emotional well-being, is more common than many may realize. Understanding and addressing this condition is crucial for promoting overall sexual health and quality of life.

Dyspareunia can affect men and women, but it’s more common in women. Pain during or after sex can affect about 10–20% of women in the U.S. This may be a low estimate, though, as many women don’t seek medical help for painful sex and therefore underreporting is likely.

It happens during or after sex

“Dyspareunia is any time women report pain with intercourse,” Dr. Savells said, noting it can also “be defined as anytime there is pain with sexual activity because that doesn’t always involve a partner.”

It is typically painful during sex but can also “include time immediately following that, so in the next several minutes, not a day or two later. That would be something else,” she explained.

Keep an eye out for these symptoms

“Symptoms can be external irritation—around the clitoris or around the opening of the vagina—but a lot of the time it is inside the vagina,” Dr. Savells said. “And that can be with initial contact or foreplay, or it can be with penetration.

“Some patients can even specifically differentiate the difference between pain that occurs as soon as a partner tries to enter versus that which occurs from deep thrusting,” she added.  “Being able to provide these kinds of details to your doctor can help them determine the cause.”

Menopause is a main cause

“The causes of dyspareunia include the thinning of skin and lack of estrogen that both occur with aging as women go through menopause,” Dr. Savells said. “This is very common. Probably about 40% of all menopausal women say they have difficulty with their intercourse, their intimacy.

“That can be due to both vaginal atrophy—which is thinning of the skin—and it can also be due to vaginal dryness,” she added. “A lot of women have both of those, but they are two distinct problems.”

There are other causes

“Patients who have pain with intercourse can also have muscle spasms in the muscles around the vaginal wall. These muscle spasms can cause pain with sex but can also be a cause of chronic pelvic pain that is unrelated to intimacy,” Dr. Savells said. “If they’ve had a painful intercourse experience in the past, it can cause them to be tense because there’s fear that pain will occur again.”

“It can be due to just stress and anxiety. Or it can be due to post-traumatic stress disorder from a previous traumatic event, such as assault or rape,” she said. Vaginismus, which is an involuntary tensing of the vagina that is often experienced at the start of sex, while inserting a tampon or while getting a pelvic exam, is another reason.

“Some patients can also have pain with sexual activity due to a skin condition called vestibulitis, which is an irritation of the skin at the posterior portion of the vaginal opening,” Dr. Savells added. “Unlike several of the other skin changes which can cause sex to be painful, this condition is often treated with surgery instead of topical creams.”

“Less commonly, some patients can have scar tissue from previous surgeries to their labia or their vagina. And yet another cause for dyspareunia can be an enlarged uterine fibroid, which can also cause pain with intercourse,” she said. “There are even some bladder conditions that can cause pain with intercourse.”

Additionally, “some patients as they get older will have something called vaginal stenosis or vaginal narrowing and the same vagina that worked with that partner 10, 15 years ago is now too small,” Dr. Savells said, noting patients will say, “I’ve got the same partner, why don’t we fit together anymore?”

“It’s because the vagina is actually getting smaller,” Dr. Savells said.

Dyspareunia is also common for women post-pregnancy if they had a traumatic vaginal birth or issues with prolapse.

Vaginal dryness is a concern

“Stress, anxiety and depression can all cause patients to have difficulty with the arousal component of their sexual function,” Dr. Savells said. “But as far as pain goes, a lot of times that’s due to the dryness.”

For example, “a lot of patients with cancer will have dryness due to their chemotherapy or other treatments they’ve had,” she said. “If patients have had pelvic radiation for uterine cancer or cervical cancer, they may have dryness and pain due to that.

“They may have scar tissue due to that, but even patients who’ve had chemotherapy for nongynecologic reasons can have a lot of vaginal dryness as a side effect of their medication,” Dr. Savells said.

Treatments vary depending on cause

“There are a lot of things that we can do to help patients who are having pain with sex. I don’t ever want anybody to feel like it’s their fault or they’ve created the problem,” Dr. Savells said. One of the most- common causes is “when a woman is having problems because they are estrogen-deficient. Lack of estrogen is the definition of menopausal and for most women, that is about 50 years old.

“But there are also much younger women who are also estrogen-deficient; if they have had an early hysterectomy or if they have had breast cancer and had to have their ovaries taken out,” she added. “For most women who are estrogen deficient, the primary thing we start with is estrogen cream. There are women with contraindications to estrogen therapy, however, so it is essential for patients to consult with their physician about whether or not this is appropriate for their individual situation.”

“If your vagina is out of estrogen, you just add back more estrogen. And for a lot of women that is very effective and fixes their problem,” Dr. Savells said. “There are also nonhormonal therapies for vaginal dryness and vaginal atrophy, so we have options even for those women who cannot take estrogen replacement too.”

For example, Dr. Savells’ practice has a MonaLisa Touch laser, which she said is “super effective.”

“Mona Lisa Touch treatments include lasering of the vaginal tissue and the tissue that surrounds the vaginal opening on the outside. As a result, all the skin in the treated area becomes thicker and stronger. This helps those women lubricate more-naturally when they become aroused, and also reduces the microscopic tears which cause many women to feel a burning sensation after sex,” she said. “For both pre-menopausal or estrogen deficient women, these treatments can be very beneficial. For patients who have vaginal spasms, pelvic floor therapy is helpful for them.

“But therapy is not a quick fix,” Dr. Savells added. “For immediate help, sometimes those patients will get injections into the muscles around the vagina to help relax those muscles so that they don’t spasm and have so much pain.”

“We also utilize compounding pharmacies to make vaginal suppositories that have muscle relaxers in them to help relax those muscles,” she said. “And sometimes patients will insert a vaginal suppository with a muscle relaxer in it a little while ahead of when they anticipate intercourse might happen. That will help relax them a little bit so that they don’t have as much discomfort.”

“For someone who has a condition called vestibulitis, which is a specific type of irritation in the skin at the posterior portion of the vaginal opening, surgery is necessary. Fortunately, this is a relatively minor procedure and simply involves excision of superficial skin in the affected area,” Dr. Savells said. “Sometimes I’ll see patients who just need a little bit of help, they’ve just had a little bit of narrowing and a very short course of dilator therapy, from four to six weeks, gets them back to where they want to be.”

Dilator therapy is a treatment that is used to gently stretch and expand your vaginal tissue over time. This improves its elasticity and reduces the pain you may feel during sexual intercourse.

“If your pain with intercourse is due to uterine prolapse or the uterus falling down, then a hysterectomy may be necessary,” she said.

It can affect your mental health

“Lots of women feel insufficient in their relationship at home. A lot of women feel less sexy or attractive and it causes significant relationship conflict in some households,” Dr. Savells said. “So, it’s kind of the chicken-and-the-egg discussion.”

“For some people, the anxiety, stress, a previous trauma, history of PTSD can lead to pain with intercourse,” she said. “And then for some patients, some other medical condition was the initial culprit of the pain with intercourse.

“But because of that, now they have anxiety or depression or feel like they’re less than,” Dr. Savells added.

Try pelvic floor physical therapy

“I’m a huge fan of pelvic floor physical therapy,” Dr. Savells said, noting that “physical therapy is great for patients whose pelvis floor muscles have gotten too relaxed as they get older and they may be having urine leakage, some stress incontinence, things like that.

“But it’s just as helpful for patients whose muscles are too tight, which is really where it plays into this discussion,” she added. “So, those patients with vaginismus—where they have lots and lots of tension in their pelvic floor muscles—a physical therapist is good at helping them learn to relax those muscles.”

“We don’t pick how we exhibit our anxiety or our stress or our attention and some patients just tend to have a lot of tightness in their pelvic floor muscles just like other patients report neck tightness or stiffness,” Dr. Savells explained. “A physical therapist can help patients learn to isolate those muscles—it’s not intuitively obvious—and help them learn to be intentional about relaxing those pelvic floor muscles.”

Continue treatment to prevent return

If dyspareunia is treated appropriately, the pain “shouldn’t recur as long as the patient is continuing their treatment,” Dr. Savells said. “Patients have had really good success. If they get the right diagnosis and the right treatment, most of them don’t have problems again as long as they maintain their therapy.”

For example, some “menopausal women will use their estrogen cream, get better and then feel like they are cured, and they will quit using their cream. Then a year later the problem comes back,” she said. “In the beginning it’s hard to convince people this is a chronic thing. This is your new normal.”

Set realistic expectations for sex

“If you surveyed thousands of women, about 40% of them across the board will say that they have concerns about their sexual function,” Dr. Savells said. “But a lot of times, especially in younger women, they have concerns that their body isn’t quite normal because of what they’re comparing themselves to or their partner is telling them that their sex drive is not as good as it should be, that their frequency of intercourse is not as good as he would like for it to be.”

“A lot of their concern about their sex life has to do with setting realistic expectations for them, reassuring them that their anatomy is normal, that their sexual frequency is in fact normal despite what television or social media tells them,” she said. “So, about 40% of women will say that they have sexual concerns, but only 15% of women have true sexual dysfunction, which means it’s interfering with their ability to perform—they can’t have intercourse, they don’t enjoy intercourse.”

Include your partner in the process

“If someone’s doing dilator therapy, that can involve a partner. If you’re doing marital therapy or sex therapy, obviously those involve a partner,” Dr. Savells said, noting “sometimes partners are affected by a woman’s treatment course in other ways, although not directly involved. If a patient requires gynecological surgery for her painful intercourse, then she will be required to abstain from sexual activity for a period of four to six weeks. This is a great opportunity for a partner to be emotionally supportive of her feelings and sexual health.”

“It’s important to include them in the communication so that they understand why this is hurting. A lot of times, it’s often important for patients to reassure their partner that it’s not you,” she said. “Men are often very affected by this problem as well because as soon as the woman is feeling pain, she’s withdrawing a little bit and not as eager to initiate sexual contact. … So, it very much becomes a problem for both of them.”

Don’t be embarrassed

“This should be something that your gynecologist is super comfortable having a conversation about,” Dr. Savells said, noting that “I probably have this conversation multiple times every day, so don’t be embarrassed.”

“Your gynecologist should be super comfortable talking to you about your sex life, the parts that are good, the parts that are bad, the parts that need improvement,” she said. “We have lots of options for how to help.”

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