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What Gets Talked About In Sex Therapy?

We Have Mis-Matched Sexual Desires

The most commonly reported problem in sex therapy is called ‘desire discrepancy’: one partner wants sex more often than the other and in a more erotic way. In the beginning of a relationship, the higher desire partner probably kept the erotic energy going in the marriage and it was fun and sexy. After a while, if you’re the lower sex-drive partner, it can feel annoying and even manipulative to have a partner who is constantly looking for sex when you aren’t.  Sometimes it’s just because the sex isn’t that great; working on discovering the kind of sex both partners want can improve the performance and eroticism of their sex life. Or it could be that there’s tension and frustration in the relationship and it’s leaking over into the erotic part of the relationship. If that’s the case, it’s a hard climb over that kind of resentment in bed. But talking about what’s bothering you can actually bring you closer and make you more inclined to want to make love.

I Can’t Orgasm The “REAL WAY”

Women sometimes tell me they wish they could climax the ‘real’ way — through intercourse. The clitoris, however, not the vagina is the centre of sexual and pleasure nerve endings. In fact, only about 15-20 percent of all women can climax during sexual intercourse and even then they require lots of vibration, manual or oral stimulation to get them close. For those who still want to try likely positions, I recommend two with good G-spot-penile contact: Either woman-on-top at a 45 degree angle or woman-lying-on-her back on a relatively firm surface with her hips rocked up (for instance, with her knees hooked around his elbows).

Performance Issues

When a man is in a relationship, the most common performance problems are premature ejaculation (PE) and erectile dysfunction (ED). In both instances,​ ​the men end up with strong​performance anxiety which can cause them to avoid sex and intimacy. Women whose partners are dealing with ED may feel insecure that their partners are no longer attracted to or desirous of them.  To move beyond performance anxiety, men need to focus on their own bodies and pleasure and worry a little less about their partners. Learning to focus on pleasure, relaxing your body and your breath and letting yourself enjoy the experience help tremendously. If you are his partner, it’s essential not to take it personally and to be gentle with him. Supportive partners who do not require that their partners function perfectly all the time have the best chance of resolving these issues.

I Want To Spice Up Our Sex Life But My Partner Isn’t Interested

People frequently tell me they want more variety in the bedroom. As time goes on, partners may express more desire for novelty or feel more comfortable letting their partner know they have certain activities they want to explore. While one partner might enjoy getting a few slaps on the behind or experimenting with anal play, the other may not want to try. A sex therapist’s responsibility is to assess and possibly promote openness to change and reveal the underlying tensions that the couple may not be discussing initially.

Before Baby Sex

Couples seek sex therapy soon after having babies, sometimes because the woman feels too loose and says she can’t feel him inside her.  Kegel exercises with twenty reps three times a day can improve the muscles in the pelvic floor. If she wants quicker results, there are medical devices such as the Apex which inflates to fit and does your Kegel exercises for you through gentle electric stimulation. Of course there is more to satisfying sex than just intercourse, such as mutual masturbation, oral sex and incorporating sex toys into their sexual pleasure

I Have A Lower Sex Drive Than My Wife

I frequently see couples where the man is confused about why he doesn’t want to have sex and the woman is the frustrated one. Without a clear answer, I end up asking a ton of questions trying to decipher why. If it’s because he feels too dependent or too close to his partner, distancing is the goal.  Most commonly, men complain to me about not getting the loving contact they want. He may feel she goes through the motions, treats sex like a chore, or just lies there when he wants more love, contact, emotion and presence. Women sometimes make the mistake of thinking their partners are just trying to satisfy a biological need and treat sex in a perfunctory manner, to ‘please’ the guy. But this shuts men down; they want more passion than that. I remind couples that passion requires engagement, expression, eye contact and trying to really feel. It’s more than touch.

I Have A Lower Sex Drive Than My Husband

Many women tell us that they either have never felt much desire or their desire has dropped considerably over the course of their life or relationship. There can be many underlying reasons why women are experiencing low desire. They might have had a lot of negative learning in their lives telling them that they were not supposed to want sex, they might not have been able to express their main fantasies or changing sexual desires to their partner or they might be feeling emotionally disconnected. This problem can often lead to sexless marriages or relationships. In the case of low desire, women need to get back in touch with their bodies and learn to ask for what they want. It can take time to address and requires patience, understanding and a willingness to learn on the part of their partner

My Partner Is Ill But We Want To Maintain Our Physical Connection

Couples often need help when one of them gets sick. For instance, a cancer patient might feel too broken or undesirable for sex, while their partner feels helpless. I encourage them to do different kinds of touching such as cuddling, massaging with feather light strokes, kissing and even just holding hands regularly. Bathing together can also be a healing experience that helps reduce strain on joints, relax muscles and increase blood flow. For something more sexual, if the person is sick feels self-conscious or insecure, I recommend he or she blindfold their partner and make love to them so they feel less self-conscious.

Stuck In A Sexless Relationship

Oftentimes a low sex or no sex marriage happens when a couple finds themselves in a rut of distraction or avoidance. They are distracted by work, by young kids or the business of everyday life. Whoever was the traditional initiator of sex stops initiating. The non-initiating partner waits, hoping things will get back to ‘normal.’  To get out of a low sex or no sex rut, talk to your partner. Throw out some ideas that you are wondering’ about — for instance, ‘I am wondering if we are both so tired at night that we should try for morning sex?’ Keeping your statements vague and phrasing them as ‘wonderings’ takes the pressure off and makes whatever sexual issue you’re avoiding easier to talk about. The truth is, it’s not your fault or theirs. Your sex life belongs to both of you.

 

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Courtesy of some great USA sex therapists.

sensual and sexual red lips

Sensual AND sexual energies create the X Factor

Fast or slow sex?

Our whole culture tells us that we should do more, do it faster, do it now – not just in sex but also in everything we do. All these messages may lead us to feel that we should speed up and that packing in more experiences, more work, more play is good. In sex the opposite is more often true.

Instead of speeding up we would suggest that you would benefit much more from slowing down. Fast sex has a certain type of energy that can feel delicious on some occasions but overall we have found that slowing things down leads to much deeper and more authentic sex.

If we focus on speeding up sex we are in effect getting it over with as fast as possible. It is a strange contradiction about sex that whilst many people spend a huge amount of their time thinking about sex, when they are in a sexual experience most rush towards orgasm, which is actually the discharge of that sexual energy. It is as though they cannot wait to get rid of the sexual energy and stop feeling it in their system. The impulse of sexual desire seems for many people to move as fast as possible and therefore have sex end as soon as possible. This does not arise from the fact that these people are not enjoying sex, but rather because they feel unable to hold greater amounts of sexual energy.

The Build-up of Sexual Tension

You might imagine this as though a person’s sexual energy is like water. Imagine that the person has a container to hold their sexual energy. The container can only hold so much energy. Once it is full any extra energy would spill over and could not be contained. Most people only have a very small container for their sexual energy. If the energy they hold becomes more than they are used to, they may feel that it is “too much” and start to edit it or discharge it by having fast sex or by releasing the energy through orgasm and ejaculation, usually in the case of men.

Part of the process of learning to have more meaningful and authentic sex is to increase the size of your container. Size matters – but not the way portrayed in pornography. Do you know how you feel as you begin to allow more sexual energy into your system without rushing to discharge it? Again by being present with what is there in each moment you can become aware of more subtle sensations.

The tendency for most people is to chase orgasm and to get to that place as fast as possible. When we do this we feel the euphoric release of orgasm or ejaculation but if we have rushed to get there, the amount of pleasure we can feel will typically be small compared to what is possible. Imagine a balloon being filled with air. If we burst the balloon after a few breaths into it, when it bursts there will be a small pop. However if we fill the balloon to capacity before bursting it, there will be a satisfyingly large explosion since more pressure and tension has built up in the balloon.

The same is true of orgasm. The faster we reach orgasm, the less intense and satisfying it will be. By slowing down we give ourselves the possibility to increase the erotic tension and this will feel even more pleasurable when it is released. Building sexual energy slowly over time not only gives us more intense pleasure but also creates a heightened sense of anticipation.

The longer gratification is delayed the better it feels when we finally let ourselves go there. Long slow periods of bodily caress and foreplay build erotic tension. Focusing on the whole body and its pleasure moves the energy away from the genitals and incorporates the whole body into the experience of pleasure. Slowing down touch on the genitals themselves allows us to increase the erotic energy there before we let ourselves discharge it.

Slowing down not only increases the amount of erotic energy we are holding in our system but also gives us awareness of new and subtler levels of sexual feelings.

What is sex?

Sex is such a variety of activities, and the only thing they have in common is the energy that arises in us; the felt experience. As suggested, this energy can move from not being felt at all to a highly charged state. How does this happen? How do we create the flow of desire that allows us to experience sex as a process, happening over time? The clue is to look at the difference between sensual and sexual energy.

Sensual energy

Sensual energy refers to the experience arising from our senses; from smell, touch, taste, sound and a felt sense. Sensuality is a whole body experience in the sense that all body parts and all senses are able to experience pleasure, and a sensual experience is defined by creating a general sense of well-being. Because sensuality arises from the senses it is experienced in the moment, and it is an experience with no urge to ‘go anywhere’. This is why we can be sensual, ‘cuddly’ with our friends, pets and children, where sexual energy would be inappropriate. In relation to others, sensual energy is therefore first and foremost a connective energy. It brings us into embodied presence with the other, which creates a sense of well-being. Neurologically, our parasympathetic nervous system is activated, which makes us feel relaxed, loving and open.

Sexual energy

Sexual energy is different. Although sexual energy can be felt in the whole body, it has a specific focal point that gives it a particular quality. This focal point is mainly felt and experienced in the genitals, and even though other body parts can be stimulated, the main focus keeps returning to the genitals. Also, it is innately charged with an increasing intensity. Sexual energy gives us the feeling that it wants to “go somewhere”; it wants to peak in the orgasm and discharge the energy. Compared to sensual energy as embodied presence, sexual energy therefore feels much more goal oriented. In essence it is a drive. It is the life force energy that wants to express itself. Connection and pleasure of the moment becomes secondary to this urge for the ultimate pleasure. It can feel like the energy itself is taking over. We surrender, ultimately, to the orgasm; and in that we surrender to something greater than ourselves.

Fulfilling sex

Fulfilling sex consists of an interplay between sensual and sexual energies. It is embodied presence with the other as well as life force energy wanting to express itself in the ultimate surrender. If we think that sex is about genital contact until we orgasm, we get trapped in a reductive idea of sex. This is very much the reductive focus of pornography. Ultimately this deprives us from the pleasure and energetic connection that is authentically experienced in the moment. By consisting of sensual and sexual energies, sex can be a full body, connective experience of flow. For this to happen we need to allow both sensual and sexual energies to arise and be expressed. Sensuality gives us the connectivity, and sexuality gives us the urge to surrender.

For a free 10minute phone consultation

please phone Christina on 0435 438 899