Labeling Instructions

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

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

By Gabrielle Bauer

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

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

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

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

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

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

A Generous Umbrella

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

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

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

The Great Divide

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

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

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

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

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

Labelling Logic

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

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

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

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

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

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

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

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

Complete Article HERE!

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

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

By

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

Complete Article HERE!

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!

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.”

You’ve Heard Of 69, But What’s 68?

— Your Guide To The Sex Position

By Amanda Chatel

There’s a good chance you’ve heard of the 69 position, maybe even before you could really wrap your brain around the concept. The position — two bodies on top of each other, facing opposite directions, and simultaneously stimulating each other orally — can be a hotly debated topic amongst friends. There are people who love 69-ing and those who’ve realized not only is 69-ing not for them, but they completely loathe the position. Luckily, we live in a world of options, one of which is a little something called the 68 position.

“The [68] position is a very relaxing one, you are actually laying there to receive rather than being expected to do something in return,” certified sex and relationship psychotherapist Gigi Engle tells Cosmopolitan UK. “A lot of the time, when women and people with vulvas have problems with orgasm, it’s because they don’t think that they have an entitlement to pleasure, due to the way that they have been socialized to be givers and to always be servicing other people,” says Engle. “This position really lends itself to just laying back and enjoying.”

To get a better understanding of the 68 position, Women exclusively talked to sexologist Marla Renee Stewart, MA, sexpert for Lovers sexual wellness brand and retailer. If you’ve never heard of this gem of a position, then here’s everything you need to know.

How 68 differs from 69

The biggest difference between the 68 and 69 positions is that only one person is being orally stimulated. But similar to 69, your bodies are still stacked and facing opposite directions. One partner lays down on their back, while the other partner lays on top of them, facing the opposite direction, but face up. Each partner should have their feet firmly on the ground with their knees bent and legs comfortably spread enough to receive oral sex. It may take some experimentation the first time around, but every sex position takes a bit of work when initially explored.

“People may find the 68 position better than the 69 because of multiple reasons,” Stewart tells Women. For starters, height differences between partners can mess with alignment of the genitals and mouths for 69-ing, she says. There’s also the matter of trying to get your head in the game during 69-ing, which for some people can be near impossible. “If they’re unable to multitask, the 68 is ideal because they only have to be concentrating on one kind of behavior,” says Stewart. “It’s also helpful if you just want to concentrate on your pleasure without any distractions like genitals in your face.”

Advantages to 68 sex position

The biggest advantage that the 68 sex position has to offer (and is the real selling point), is that each partner is able to concentrate better while giving oral, as well be more present while receiving, Stewart says. There’s also the fact that 68 allows for a “spectacular view,” she points out. Let’s be honest, during 69-ing your partner’s genitals are so close to your face that your sense of sight is pretty much deprived. All you can really see is just flesh and more flesh, and not the particulars. For people who need visual stimulation to become aroused and stay aroused, 69 just doesn’t do it. But with 68, it’s all right there — and not just your partner’s genitals, but their body and face too. It can be really sexy to make eye contact with your partner during oral sex — something you never get in the 69 position.

How to truly enhance the experience

Despite the fact that only one person is giving oral in the 68 position, both partners can still stay active. It takes two to tango, which means that just because you’re not giving oral, it’s not okay to mentally check out. When you do, you’re denying both you and your partner what can be a really intense and intimate experience.

“You should always be active unless your role is to be passive,” says Stewart. “As an active person in the sexual experience, that means that you are giving feedback (moans, talking, etc.) to let your partner know how you’re feeling.” After all, communication (all forms of it) keeps the momentum going and allows both partners to know that they’re on the same page.

If your partner is new or it’s a one-night stand, be sure to communicate beforehand as well. Having sex with someone you just met can be really exciting, like opening a gift, but because sex is an umbrella term for so many sexual acts, you want at least a glimpse of what you’re both into — especially if there’s the possibility of having to navigate a kink gap. “Know which tactics that they have as sexual assets that will titillate your partner in the ways that they like,” says Stewart. “Being able to connect to your lover authentically is a great way to foster trust, safety, and security.” Also, don’t forget to tackle the consent chat before you do anything.

Things to consider before diving into 68

Not every body is able to move in the exact same way, and it’s important to keep that in mind whether you’re planning to 68, 69, do it doggy style, or try some super advanced position you come across in the Kama Sutra. Just because something exists, it doesn’t mean everyone can (or should) do it. “When doing [the 68] position, keep in mind your physical limitations and be cognizant of your physical abilities,” says Stewart. “Nothing is worse than getting into a position you think you like and then having it be ruined by a body part that is too achy or unable to withstand the sexual experience.”

It’s also worth noting that sex-related injuries are far more common than you might think. According to a survey by Superdrug Online Doctor, a whopping 62% of people in a roughly 1,000-person survey reported injuring themselves during sex. Among the sex positions most likely to result in an injury? Doggy style — for people with vulvas and people with penises. So ease your way into the 68 position, make sure both you and your partner are comfy, then let the oral stimulation commence.

6 Reasons Why 69-Ing May Not Be The Best Sex Position For You

Somewhere down the line, every person is introduced to the 69 position. In most cases, they hear about it first and, depending on your age and sexual experience, the mere idea of it can be perplexing. We’re talking about a position in which two people are facing opposing directions — as in head-to-toes — and giving each other oral sex at the same time. Why? Who came up with this? As if it weren’t hard enough to garner the necessary stamina and confidence to be on top, let alone this.

Like a lot of sex positions, this one goes way back. It appears in the Kama Sutra, which was written somewhere between 400 BCE and 200 CE, and is explained as “When a man and woman lie down in an inverted order, with the head of one toward the feet of the other, and carry on this congress, it is called the Congress of a Crow.” But how the name evolved from “congress of a cow” to 69 can be attributed to, of course, the French — leave it to the French to come up with a pretty term for anything sex-related. At the beginning of the French Revolution a sex manual entitled “The Whore’s Catechisms” was published and in it, this notorious position was renamed “soixante-neuf,” the French translation for sixty-nine. And the name stuck.

Although there are those who love 69-ing, for many it’s not a great position for a slew of reasons. If you don’t love, or even like 69-ing, you’re not alone.

Height differences

It’s pretty rare that you come across a couple who are the exact same height, especially in cishet relationships. However, if two people want to pull off a 69 and make it enjoyable enough to be an almost-perfect situation, then being the same height is key. Granted, a couple of inches in height differentiation aren’t a big deal, but if you’re five-foot and your partner is six-two, that’s quite a disparity and 69 isn’t likely to be the best fit for you two.

“69’ing is not actually ‘nice,’” a Reddit user wrote. “If both partners aren’t well-matched in how tall they are, it just doesn’t work well … One person lies on the bottom and is kind of crushed. If you don’t orgasm simultaneously, it’s just awkward.”

Although there’s the debate that if you perform 69 on your sides, there’s no crushing involved even if the two partners aren’t remotely close in height, it can still be tricky. If you and your partner have a mismatched height situation, then skip 69.

It involves too much multi-tasking

Some people aren’t multitaskers. They don’t have it in their DNA and that’s fine! If the world were full of only multitaskers, far too much would be accomplished and, honestly, we don’t really need that. The 69 position is multitasking and then some. Just think about the position and what it entails from both partners: attention to detail, being totally present, and trying to offer up some really great oral sex while also trying to focus on your own pleasure.

“Female perspective: There’s too much going on at once,” wrote a Reddit user. “It’s almost impossible to concentrate if the other person is doing a good job. If the other person isn’t doing a good job then why bother with bells and whistles for them if they are just lapping at you like a thirsty dog drinking water … It’s a totally overhyped sex position.”

Contrary to the belief that cis men are into 69-ing, this Reddit comment got a very apropos response: “Male here and I 100% agree with you,” wrote the Reddit user. “I can’t speak to fellatio, but I know cunnilingus takes some concentration to be done well. So 69 is like doing math problems while on a roller coaster: you won’t enjoy the coaster and you’ll f*** up the math. It’s better for everyone involved to just take turns … I put 69 in the same category as shower sex and beach sex. They sound nice on paper but are typically disappointing in practice.” There’s no sense in giving and receiving mediocre oral sex when you can give and receive fantastic oral when you subtract multitasking from the scenario.

It’s not orgasm-friendly

As the Reddit users pointed out, with all that’s going on, concentration goes out the window. When that happens, having an orgasm is hard for both partners — no matter if they’re penis owners or vulva owners. Even if your end game in 69 isn’t focused on climaxing, your brain is still immersed in things that you normally wouldn’t be thinking about if you and your partner partook in oral sex one at a time.

For example, there’s all that lovely face-smothering that can make breathing a bit of a challenge. Then there’s that distracting lapping and sucking sound that, when oral is performed on each person one at a time, isn’t as noticeable because there are things like moaning and being able to lose yourself in the moment fully. During 69, you can become overly aware of things you wouldn’t normally even notice. For those with a vulva, trying to orgasm is often difficult enough.

“[The media] has been guilty of telling women how orgasms are supposed to happen,” clinical psychologist and sex educator Lawrence Siegel told Healthline. “To have an orgasm you have to be able to let go and allow it to happen, which is an issue for a lot of people … People wonder if they’re pleasing their partner enough, or they get self-conscious about their own bodies in certain positions. Porn is a big misconception about how people are ‘supposed’ to look, feel, and react during sex. And a lot of that is fake.” If you’re someone who struggles to orgasm with a partner or without one and want to orgasm with your oral sex, then 69 probably isn’t for you.

You can’t communicate

According to a 2018 study published in Sex and Marital Therapy, ultimate sexual satisfaction is directly linked to communication — this includes both verbal and non-verbal. But when you’re 69-ing, you can’t verbally communicate (for obvious reasons), nor can you non-verbally communicate, again, for obvious reasons. It’s not exactly the most forgiving position when it comes to movement that would let you non-verbally communicate to your partner that you’re enjoying a technique, disliking something they’re doing, or if they moved their tongue a little to left, things would feel much better. You’re sort of trapped in a locked-in position, both mouths full of genitals, and minimal ability to communicate what you want to tell them.

People who like to talk during sex and feel comfortable expressing what they’re experiencing, giving direction, or are open to receiving direction, aren’t likely to find satisfaction in 69. Sure, you can “uh-huh” with your throat, but that’s about it — especially if your bodies are really close and you have a penis in your mouth that you have to struggle to get out of your mouth to say even one word. Also, if you’re not awkward about dirty talk and are really into it while being intimate, it’s definitely not happening during 69.

It can actually leave you with some pain

Two words: neck pain. Anyone who’s ever tried 69 laying down, either one on top of the other or side-by-side knows that neck pain, if you hold the position too long, is a given. Certain parts of the body aren’t made to be held in specific positions for extended periods of time, so when these areas are pushed to the limit, pain inevitably follows.

According to a survey of over 1000 Europeans and Americans by Superdrug Online Doctor, 62% of people reported experiencing sex-related injuries at some point in their life. Although doggy style appears to be the most dangerous for those with vulvas and missionary the most precarious for penis owners, 69 is also on the list. As the survey found 2.6% of penis owners and 1.4% of vulva owners have been victims of 69ing gone awry. While the survey didn’t say how these injuries occurred or what they were, they still happened. There’s also the risk of an over-excited person wielding their penis in a way that can get a little aggressive.

“It’s not uncommon for an enthusiastic penis-haver to press down a bit too far into their partner’s mouth, restricting airflow and causing a bit of discomfort,” sex and relationships therapist Stefani Goerlich, LMSW-Clinical, LISW told Insider. If you’re accident-prone, already have some aches and pains that you’d prefer not to add to, or you’re a big fan of breathing while engaging in sexual activity, then maybe look toward other sex positions instead of 69.

It’s not conducive to summer weather

As you’ve probably noticed, people get horny in the summer. We have the sun, more skin showing, holidays, and just a general upbeat attitude about life as a whole. So, naturally, sex is on the brain for a lot of people — and research proves it. According to a 2013 study published in the Archives of Sexual Behavior, a five-year-long analysis found that once summer rolls around, Google searches for porn, prostitution, and online dating skyrocket. The study noted that the findings further prove that seasonal trends around STIs, condom sales, and abortions increasing as well. But while many people may be in the mood to get it on, there’s one position you shouldn’t get into when things are hot and sweaty.

“The 69 position is best avoided because it obviously means bodies are super-close together, rubbing down,” sex expert Ruby Payne told LadBible. “And even if you do it on the side, there’s more contact with the bed fabrics … Stick to the ‘unmutual’ kind of oral in a heatwave.”

That’s right; a sex expert has actually advised against summer 69-ing. If July and August are your months to sexually shine before Labor Day, then 69 isn’t for you. But guess what? That’s totally okay! Despite what we see in porn, most people aren’t 69-ing all the time. In fact, a 2015 survey by Uncovering Intimacy found that only 17% of people favor the 69 position for oral sex, while 46% prefer laying on their back with their partner between their legs. So there you go — you’re not alone and there are many of us, so you’re in fabulous company.

Complete Article HERE!

How do you give your kids ‘The Talk’ in 2024?

— It’s World Sexual Health Day, and now’s the time to dig into the birds and the bees, debunk some myths, and look at how we approach Sex Ed through a 2024 lens.

By Sarah Gill

“Students are increasingly demanding an education that reflects their different realities and needs, not one rooted in shame-based approaches,” Elisa Belmonte, Research Communications Manager at Royal College of Surgeons in Ireland (RCSI) tells us.

In celebration of World Sexual Health Day, now’s our chance to sit down and consider the myriad ways we can ensure that the next generation can get the Sex Ed we wish we had. One that’s free from shame and stigma, that delves into the areas of positive consent, periods, contraception, sexually transmitted infections and so on so that young people can be equipped with the knowledge and understanding of themselves, their bodies, and the real world around them.

Dr Caroline Kelleher, a lecturer in the Department of Health Psychology in RCSI and a contributor to expert lead sexual health education outreach programme Debunking the Myths, says: “Historically, sexuality education has been heteronormative, predominantly focusing on the sexual experiences and practises within cisgender, heterosexual relationships. The range of sexual orientations and gender identities that are part of our society and always have been, have remained ‘in the closet’ in sexuality education, and it is time this changed.

“Young people need to feel visible, represented and supported in the education they receive, and fully aware of the knowledge and taught skills they will need to explore their sexuality in a healthy, safe and consensual way.”

Here, we speak with both Elisa Belmonte and Dr Caroline Kelleher on how programmes like Debunking the Myths represent a step in the right direction, and how parents can ensure that their children get the Sex Ed they so require…

Can you break down what’s covered in present-day Sex Education?

Sex education in Ireland, known as Relationships and Sexuality Education (RSE), is part of the broader Social, Personal, and Health Education (SPHE) curriculum. The SPHE curriculum (both for the Junior Cycle and Senior Cycle) has been recently updated, to reflect the increasing evidence of the challenges young people in Ireland face as they grow up, and the growing recognition of the significant benefits of school-based health education programs for their social, emotional, and physical well-being.

The school ethos plays a significant role in its approach to RSE, which can lead to differences in the quality and scope of RSE that students receive.

The Debunking the Myths program is designed to complement the Senior Cycle RSE curriculum, providing students with access to healthcare professionals who can address specific questions in an age-specific, safe, unbiased environment, contributing to counter harmful misinformation and empower young people to make informed decisions about their health. The feedback we’ve received from teachers is they really appreciate the added value that our programme is bringing.

Is the shroud of shame that has always existed around sex and Sex Ed still there, or are programmes like Debunking the Myths having the desired effect?

Social attitudes towards sex and sexuality have evolved, and programs like Debunking the Myths are playing a significant role in driving this change among the younger generation. These initiatives are helping to open up conversations and normalise discussions about topics that were once considered taboo, such as STIs, pleasure, contraception, and anatomy.

Students who attend Debunking the Myths workshops consistently express the value they find in having medical experts delivering the workshops. Their presence creates a more objective and trustworthy environment which is crucial in dispelling misconceptions about sexual assault, contraception, and sexually transmitted infections. Having trusted, knowledgeable sources reassures students and helps break down barriers to discussing these critical issues openly.

Moreover, students are increasingly demanding an education that reflects their different realities and needs, not one rooted in shame-based approaches. Programmes like Debunking the Myths are responding to this demand, providing a relevant and comprehensive understanding of sexual health. While progress is being made, we need a collective effort to enhance conversations and ensure that sex education continues to evolve in a positive and inclusive direction.

Are the Senior Cycle secondary school students who engage with these workshops open to discussion, or relatively open minded?

Most Senior Cycle secondary school students who engage with these workshops are open to discussion and display an open-minded attitude when it comes to conversations about consent, and gender identity and sexuality. Our workshops are designed to be highly interactive.

We are conscious that teenagers may not feel comfortable to speak up in an environment where they are surrounded by their peers and teachers, so the workshops utilise an online application called Mentimeter which allows teenagers to submit questions anonymously and to answer polls and quizzes in real time with answers being incorporated in slides projected to all attendees.

To date, we have received more than 2,000 anonymous questions during our workshops, which highlight students’ eagerness to know more. They are the ones actively demanding an education that addresses their needs and reflects their diverse experiences.

What are some tips you would give parents when it comes to approaching the birds, the bees, and beyond?

Dr Caroline Kelleher says: “For parents, it is about providing a safe space for your children to speak about these topics, gently letting them know that you are here to listen and support them. You may not know the right thing to say or the answers to all of their questions, but creating a supportive environment at home is a strong first step.”

Could you share some resources that might come in useful?

The team at Debunking the Myths have created a dedicated section on our website where we collate trustworthy information and existing educational materials from reputable sources which can be accessed HERE.

Among the resources cited on our website:

Complete Article HERE!

A College Student’s Guide to Safer Sex

— Tips from an Intimacy Coordinator

Safe sex is incredibly important for sexual health.

Learn about boundaries, consent, and pleasure with the C.R.I.S.P method.

By Ju Derraik

Sexual health is not just about testing and contraception, although there are plenty of resources available on campus to help with that. It’s also about creating a healthy relationship with your boundaries and with pleasure. Yes, sex should be safe, but it should also be meaningful, whether it’s to connect with a partner, with an identity, or with yourself.

As an intimacy coordinator and someone who spent this summer connecting with students about consent culture at Orientation, sexual health is really important to me. Talking to incoming students this summer brought to mind my freshman self, hailing from little to no high-school sex education (all we had was an abstinence pact… that only girls had to sign). While I handed out Condom Fairy flyers and consent stickers, I thought about the advice I would have given my first-year self.

Shakespeare said, “All the world’s a stage.” Cheesy as it is, his adage rings true in how intimacy works for student films, which has taught me about intimacy off-camera. As an intimacy coordinator, I work with actors and directors to plan, choreograph, and ethically execute intimate scenes.

When I’m on set, be it a high-five, fist bump, or elbow touch, I always have my actors tap in before intimacy work. ‘Tapping in’ is a kinesthetic practice at the start of every intimate scene. It’s a way to say:

Hey! I’m here, present in my body! I see you. Do you see me too? 

I use the consent acronym C.R.I.S.P on set to help actors be curious about their boundaries. Applying C.R.I.S.P to real-life sex, I encourage you to do the same:


Considered


Having consideration is not just about asking yourself, ‘Do I want this?’ It’s about preparing in advance so that sex can be a source of pleasure, not distress. With BU Student Health Service’s access to free and low-cost contraception and birth control options, you can ensure not only that your consent is considered, but that you consider your consent.

Revokable


I always tell my actors, that “No” is simply information. You have the right to change your mind at any point during intimacy! You always have a choice. Your sexual partner(s) should be able to graciously receive that information freely.

Informed


Informed consent isn’t just a form for BU’s social science labs. Staying informed about your sexual health is an act of consideration for your partner(s) and yourself. The chief way to stay informed is to get tested; SHS makes it easy. Remember! Plenty of STIs can be asymptomatic. Go with your partner(s) or friends (post-brunch activity?).

Specific


Consent is situation-specific. My actors’ agreement to one point of contact does not mean an agreement to the next. The same rings true for sex. Past consent does not mean present consent; present consent should be enthusiastic! College is for exploration in more than one sense. Find out what you don’t like. Find out what you do! (And feel empowered asking for it).

Participatory


Without my actor’s participation, there can be no intimacy. Although this one seems self-explanatory, our generation tends to forget it the most. In reality, sex does not have to be romantic, but it shouldn’t be dissociative. Yes, consent involves checking in with your partner, but it also involves checking in with yourself. Be present in experiencing your sexuality. You can only learn if you participate.


Today and every day, while I urge you to tap into BU’s safer sex resources, I also encourage you to tap into your built-in resource: your body. Invest time into yourself; learn about your boundaries. Forego judgment and be curious about what you like. You can find that curiosity using C.R.I.S.P or any method of reflection you prefer best. Whatever it takes to tap in and say:

Hey! I’m here, present in my body! I see you. Do you see me too? 

Complete Article HERE!

The seven things only a sex therapist will tell you

— If your sex life is awkward, unenjoyable or simply non-existent, a sex therapist shares her top tips to improve intimacy

By

As a sex therapist, I make space for people to let go of what they think should be happening and move towards what they truly desire. I often see clients who are stuck in their sex lives, or not having the kind of pleasure they want. There are seven key things I have learnt in my time as a sex therapist that can help individuals break free and improve their sex lives.

If people avoid talking about sex, it is often for the wrong reasons

It’s so common for people to be avoidant about the topic of sex that the underlying reasons for it are rarely even considered. I have found that at the root of any avoidance or awkwardness there is usually something the individual has catastrophised. They avoid talking about sex as, unconsciously, they believe that doing so could reveal catastrophic truths, such as that their partner totally fantasises about someone else or that others are far more competent in the bedroom than they are. These unexamined worst fears are rarely the reality.

A client may say “I think he really doesn’t find me attractive anymore, since I’ve given birth” and my response is “OK, but what makes you think that, have you asked him? Have you asked what might be going on with him, or been curious about the changes in your sex life?”

If I could give only one piece of advice, it would be to let go of assumptions and expectations and find out what is going on with your partner.

Shame is the ultimate passion killer

Individuals often carry unconscious shame, which can greatly impact desire. Feelings of shame may be linked to negative sexual experiences but shame can date back to childhood. It can be surprising for people to realise that their sex life is being affected by beliefs and feelings originally unrelated to sex. For example, a child may have learnt to be ashamed of their own needs if they were expected to suppress them in favour of other people’s. As an adult, this may cause them to focus only on their partner and to totally disconnect from their own pleasure and enjoyment. In therapy, this relates to what we call conditions of worth: believing that we are worthy only if we meet certain conditions. Unpicking these conditions of worth can pave the way for far greater passion.

One particular client, a single woman in her 30s, was struggling with sexual shame. We talked about a difficult sexual experience and she came to the realisation that the experience had not been consensual. Once she was able to see this for what it actually was, and to think about how her body had felt, the shame began to dissipate. She then reframed the experience as sexual assault. It was a tough realisation, but this alignment was ultimately incredibly freeing for her.

Libido and orgasm type can be changed

Many aspects of a sexual relationship can be transformed by therapeutic work. A mismatched libido is very common but there is great potential for sex drives to become more in sync. There is a playful erotic exercise which can be really helpful: the couple ‘show and tell’ by demonstrating to each other what they like through self-pleasure. Couples find this game-changing for increasing their desire and libido and I highly recommend anyone in a trusting partnership try this exercise.

Similarly, people may have a fixed way to reach orgasm, but this too can change. By spending time focussing on their senses and exploring touch, they may discover, for example, that they can orgasm from nipple play.

A recently divorced woman in her 50s came to see me because she was feeling lost within her sexual self. She had been a wife and a parent for more than half her life and was keen to enter into a new form of relationship and sexual adventure but didn’t know where to start. After working on self pleasure and becoming more aware of her body’s responses, she found that she had a new fantasy life, focussed on being dominant rather than submitting. She went from low confidence and self-worth to loving her body and feeling empowered about having choices; she was reminded that her relationships, and her life, were in her control.

An achievement mindset is not helpful when it comes to sex

Goal-orientated pressure can really diminish sex. This can be particularly apparent for clients who are trying to conceive, as the pressure of timing can lead to difficulty maintaining an erection. But striving to ‘achieve’ can cause psychosexual issues in many other scenarios. People who experience issues such as vaginismus, erectile dysfunction, delayed, early or absent ejaculation will often be feeling a great deal of pressure – from a partner, societal norms, or themselves.

People would be far less concerned about achieving certain sexual goals if they knew the wide variation in people’s experience and knowledge. Some women are unfamiliar with their own genitals; some married couples have never had sex; some men do not know how to perform penetration. I see couples, for example, who have been to the doctors for their struggle with conception; yet when they come to see me and we talk it becomes apparent that penetration isn’t actually occurring. Little to no sexual experience is far more common than many would assume.

Planning sex can be genuinely sexy – plus it reduces the risk of rejection

People tend to expect that there should be total spontaneity in their sex life; that they should be having unpredictable sex every other day of the week, on the kitchen counter; and that it should all just ‘happen’. However, for most people, life simply gets in the way. The expectation of spontaneity also means that sex isn’t talked about beforehand; couples assume they should be completely aligned and just know what each other wants. But this is unrealistic.

People are usually resistant to planning sex, but it can be very sexy and erotic – communication throughout the day about the where and the when can build up the arousal. Equally, deciding in advance not to have sex, feels so much better than one person spontaneously initiating, only to have the other person turn away.

Planning sex was transformative for a couple in their 30s who, when they first came to see me, thought they would never be able to have sex again. The woman had MS, the man had painful arthritic hips, and every time they tried to have sex one or both of them would be in pain and take days to recover. Attempting to have sex had become a tense and sad experience. Initially we worked on building intimacy and connection through non-penetrative exercises, then we thought carefully about their bodies and came up with different sexual positions for them to try including the use of supportive cushions. They were delighted to be able to be intimate in these new ways.

Authenticity, not perceived attractiveness, is what is important

So many people, regardless of gender, have negative feelings about their body, worry about their appearance or about being ‘enough’ for their partner. But it’s not looks that make a satisfying sexual connection: it is feelings – genuine and authentic feelings. Authenticity is the antidote to shame and insecurity and the key to intimacy.

If people are struggling with insecurity we can look at the relationship; whether they are accepted for who they are, and whether they take pride in all that their body does for them. Working with people around their truth, their authentic self, is powerful.

There is such a thing as sex homework

Sex homework can involve journaling, self exploration exercises or whole body massage. But a classic sex homework task is to temporarily avoid penetration. This removes the perceived goal from sex and allows for more focus on sensations and emotions. This can be transformative for people, even if they’ve been having sex together for years.

It is my hope that, regardless of where they are now, people can release fear and shame and experience more joy and pleasure. Which is often easier than they think!

Complete Article HERE!

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.

Complete Article HERE!

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.”

Complete Article HERE!