Overcoming Problems With Anxiety-Related Erectile Dysfunction (ED)

Anxiety-related erectile dysfunction is a common problem for men regardless of sexual orientation, age or race (see my article: What is Sexual Anxiety?).

What is the Link Between Anxiety and Erectile Dysfunction?

Most men experience occasional problems with maintaining an erection and most of the time these occasional problems aren't a cause for concern.

Anxiety-Related Problems With ED

Occasional problems can be related to not getting enough sleep, drinking too much or other factors.

Occasional problems are different from ongoing problems with erectile dysfunction.  

Assuming medical problems have been ruled out by a urologist or a sexual health doctor, erectile dysfunction (ED) is often caused by stress and anxiety, especially when men worry about their ability to please their partner (see my article: The 5 Most Common Male Sexual Insecurities).

Anxiety and stress-related ED can include one or more of the following problems:

• Problems with Body Image: For many men body image problems involve worrying that their penis is too small.  There can be a lot of variation in penis size, however, the average size of a flaccid penis is 3.5 inches and 5.1 inches for an erect penis.  Men who compare the size of their penis to male actors in pornography can develop a distorted view of what an average penis looks like, especially if they don't realize that male actors in porn are chosen for their unusually large penises.  

• Shame and Guilt About Sex: Shame and guilt can be related to many factors, including personal shame about sex, cultural shame or interpersonal issues with a partner.

Anxiety-Related Problems With ED

• Relationship Conflict: Stress and anxiety related to relationship conflict can be a contributing factor to ED and an inability to experience sexual pleasure. Relationship conflict can include frequent arguments, a history of emotional and/or sexual infidelity, financial infidelity, child-rearing disagreements, problems with one's own family or with in-laws, and so on.

• Unresolved Sexual Trauma: When there is unresolved sexual trauma, partnered sex can trigger trauma-related guilt and shame which often has nothing to do with the current sexual partner.  Trauma-related triggers occur in an instant without a person's conscious awareness.  Since trauma-related triggers often occur outside a person's awareness, a man might not understand why he feels so emotionally overwhelmed in the moment because he doesn't realize he is triggered and that the trigger has nothing to do with his current partner.  Anything can act as a trigger including a scent, a word, a gesture, a movement, a particular sexual position and hundreds of other things that were related to the original trauma (see my article: How Unresolved Trauma Can Affect Your Relationship and Overcoming a History of Sexual Abuse).

• Sexual Libido Differences in a Relationship: This is the #1 problem that brings couples into sex therapy.  Even though they can accept that they have differences when it comes to food or entertainment, most people find it difficult to accept that they experience sexual libido differences with their partner. This can create sexual pressure for a man or feelings of sexual rejection which, in turn, can lead to ED or sexual avoidance (see my article: Relationships and Mismatched Sex Drives: What is Discrepant Sexual Desire?).

• Lack of Sexual Experience: When a man worries he won't be able to "perform" sexually or that he won't be able to satisfy his partner, this can lead to "spectatoring" where a man becomes so self conscious that he becomes a so-called "spectator." Rather that enjoying sex with his partner, he is  "spectatoring" which takes him out of the sexual experience and can create a problem ED (see my article: What is Performative Sex?).

• Stress and Worry Unrelated to Sex: A little stress in the form of sexual anticipation can enhance sexual pleasure, but too much stress can lead to ED.  

• Other Mental Health Problems: Generalized anxiety, depression and other mental health problems that are not directly related to sex can also contribute to ED.

How Does Sex Therapy Help Men to Overcome Erectile Dysfunction?

Sex therapy is a form of talk therapy for individual adults and couples (see my article: What is Sex Therapy?)

Sex therapy is an effective treatment for sexual anxiety and other sexual problems.

During a sex therapy session, there is no sex, nudity or physical exams (see my article: What Are Common Misconceptions About Sex Therapy?).

Individuals and couples seek help in sex therapy for many reasons (see my article: What Are Common Issues Discussed in Sex Therapy?).

Regardless of the sexual problem, sex therapy usually begins with an assessment, including taking a family history, relationship history and sexual history to determine how the current problem might be related to the client's history.  This usually takes several sessions.

Sex therapy is an effective form of treatment for ED and other sexual problems (see my article: How Sex Therapy Can Help With Sexual Anxiety).

The underlying issues of erectile dysfunction are different for each person, so there is no one-size-fits all approach to overcoming ED.  

If a man is able to maintain an erection when he masturbates and if he experiences normal erections during sleep and upon waking up (also known as "morning wood"), ED is usually related to an underlying issue that he might have no awareness about before beginning sex therapy.

A sex therapist is a trained mental health professional who has special training in sexual-related problems, including erectile dysfunction.

Sex therapists give sex therapy clients assignments to do at home either alone or with a partner.  This can include (but is not limited to):

• Practicing Sensate Focus or other forms of touch exercises (see my article: What is Sensate Focus?)

• Reading assignments 

• Keeping a journal related to the sexual problem (see my article: Keeping an Erotic Journal)

• Practicing sexual communication with a partner (see my article: How to Talk to Your Partner About Sex)

• Other assignments between sex therapy sessions

If the ED occurs within the context of a relationship, it's considered a relationship problem and sex therapy is more effective if both partners are attending sex therapy sessions together.

In future articles, I'll explore, among other topics, how the penis is often a barometer of physical, emotional and sexual health.

Also, see my article: Is It True That "Real Men" Are Always Ready to Get It Up?

Getting Help in Sex Therapy

In addition to whatever underlying issues there might be, men often feel too ashamed to seek help in sex therapy.  This is often due to distorted stereotypes of what it means to "be a man" or to "be strong."

Getting Help in Sex Therapy

Sexual shame is often reduced or eliminated when men learn how common erectile dysfunction is for men regardless of age, sexual orientation, race and other identifying factors.

If you're experiencing ED, rather than struggling on your own or ignoring the problem, seek help from a licensed mental health professional who is a trained sex therapist.

Getting Help in Sex Therapy

Overcoming anxiety-related ED can lead to more satisfying sex and a more meaningful life.

About Me

I am a licensed psychotherapist, sex therapist, couples therapist, hypnotherapist and trauma therapist (EMDR, AEDP, Somatic Experiencing and other forms of trauma therapy) with more than 20 years of experience.

I work with individual adults and couples and I have helped many clients to overcome sexual problems.

My office is conveniently located in Greenwich Village, Manhattan where I provide in-person and virtual sessions.

To find out more about me, visit my website: Josephine Ferraro, LCSW - NYC Psychotherapist.

To set up a consultation, call me at (917) 742-2624 during business hours or email me.

The 5 Most Common Sexual Insecurities That Heterosexual Women Have

Sexual insecurity is a common problem for both men and women.   In my prior article, The 5 Most Common Sexual Insecurities that Heterosexual Men Have , I focused on men's sexual insecurities.  

The Sexual Insecurities of Women

In the current article, I'm focusing on women's most common sexual insecurities.

The 5 Most Common Sexual Insecurities That Women Have

Women often seek help in sex therapy for many of the following issues:

• Insecurity About Weight: More than ever, women are bombarded in the media with culturally idealized images of women--specifically, white women. Based on these images, women should be white, young, thin, tall and beautiful. This creates a lot of insecurity and anxiety for most women who don't fit this image.  It creates so much stress that many women are undereating, over-exercising and spending too much time worrying about their appearance and whether they'll be sexually appealing for the male gaze (see my article: How Mindfulness and Self Compassion Can Help With Body Acceptance).

Body Image Insecurity

• Insecurity About Breast Size: Insecurity about breast size is part of problems with body image, but it's such a big problem that it deserves its own category. Most heterosexual women assume they will be more desirable with large breasts and, rather than being happy with their breasts, they worry about whether they should have surgery for breast augmentation. In reality, just like anything else, beauty is in the eye of the beholder so it's a fallacy that all men prefer large breasts. Also, focusing externally, rather than appreciating your body as is, is a psychological trap. In addition, bodies change over time as people age, so learning to accept your body will give you greater peace of mind.

• Insecurity About Their Vulva and Vagina: Also related to body image is the specific anxiety that many women have about their vulva and vagina. The vulva is the external female genital area. It includes the labia, clitoris, vaginal opening and the urethra. The vagina is the internal female genital area. It includes is a muscular canal that extends from the vulva to the neck of the uterus. Specifically, women worry about whether their labia are the right size and color and whether labia are uneven. In reality, labia come in all sizes, shapes, colors, evenness and unevenness.  And all of them are normal. Similar to male insecurities about penis size, pornography usually portrays culturally idealized images of vulvas. This sends the wrong message to women that if they don't have vulvas that look like the cultural ideal, they're not normal. This could result in women seeking unnecessary plastic surgery to get their vulvas to look like the cultural ideal, which has been happening more often in recent years.Women also worry that they smell during oral sex (cunnilingus), which can create stress during sexual activities if they're preoccupied with their scent instead of focusing on their pleasure. For many women this has been exacerbated by experiences with men who want to receive fellatio (oral stimulation to a man's penis) but who are unwilling to reciprocate.  Other women won't allow men to engage in cunnilingus because they have so much shame about their scent. Each woman has her own unique scent, which is normal. Women who are concerned about a strong scent that persists despite showering should consult with her gynecologist to rule out an infection.

Sexual Insecurities of Women

• Insecurity About Taking Too Long to Orgasm: Rather than focusing on overall sexual pleasure, many heterosexual women tell their sex therapist that they worry they're taking too long to orgasm during partnered sex. They worry that men will get impatient or frustrated with them. The more they worry, the more difficult it is to have an orgasm. Many women are especially worried that men will get impatient with them during cunnilingus (oral stimulation of the vulva). This problem can be overcome during solo sex (masturbation) with either digital stimulation or stimulation with a vibrator or other sex toy. This allows women to know what they like and how they like it,which they can then communicate this to their partner. Also, getting comfortable with being more embodied, instead of being stuck in your head, can help a lot. In addition, although it can be great to have an orgasm, focusing on overall sexual pleasure, instead of orgasms, can take a lot of pressure off women (see my articles: Closing the Orgasm Gap Between Men and Women and Why You Shouldn't Fake Orgasms).

• Insecurity About "Low Libido": In their book, Desire: An Inclusive Guide to Navigating Libido Differences, the authors Dr. Lauren Fogel Mersey and Dr. Jennifer A. Vencill, make the point that desire discrepancy is relative to who you are having sex with. You can be in a relationship with someone where you're the higher desire partner and in another relationship where you're the lower desire partner. Also, many women who are falsely labeled as having a low libido aren't having sex that turns them on. They don't have low libido--sex with a particular partner just might not be satisfying for them.  So, as mentioned before, it's important to get to know what you like and don't like during solo sex so you can communicate this to your partner. In addition, TV, movies and other media tend to portray spontaneous sexual desire as being the norm. During spontaneous sexual desire, people are turned on immediately.  But, in reality, many men and women experience responsive sexual desire where they don't get sexually turned on until they have already begun sexual activities. So, if you experience responsive desire, it's often a matter of having the willingness to get started because you know you will get turned on. In addition, if there is a sexual desire discrepancy, just like any other difference in a relationship, it's normal for there to be one person who desires sex more than another. Desire discrepancy is the #1 issue that brings couples into sex therapy where they learn to negotiate these differences so both partners are satisfied.

Overcome Sexual Insecurity in Sex Therapy

Sex therapy is a form of talk therapy that focuses on sexual issues (see my article: What is Sex Therapy?).

Getting Help in Sex Therapy

There is no physical exam, nudity or sex during sex therapy sessions (see my article: What Are the Most Common Misconceptions About Sex Therapy?).

Many individual adults and couples seek help in sex therapy for a variety of reasons (see my article: What Are Common Issues Discussed in Sex Therapy?).

Rather than struggling on your own, seek help from a licensed mental health professional who is a sex therapist so you can lead a more fulfilling life.

About Me

I am a licensed New York City psychotherapist, hypnotherapist, EMDR, AEDP, EFT, Somatic Experiencing and Sex Therapist.

I am a sex-positive therapist who works with individual adults and couples.

To find out more about me, visit my website: Josephine Ferraro, LCSW - NYC Psychotherapist.

To set up a consultation, call me at (917) 742-2624 during business hours or email me.

The 5 Most Common Sexual Insecurities That Heterosexual Men Have

As a sex therapist in New York City, I have seen many clients struggle with sexual insecurity. In fact, sexual insecurity is a common experience for many people at some point in their lives.  

The current article focuses on heterosexual men's sexual insecurities (see my article: Overcoming Feelings of Sexual Shame and Guilt).

The Sexual Insecurities of Men

What Are the 5 Most Common Sexual Insecurities of Men?

• Fear of Rejection: Despite many positive changes in gender roles in the past few decades, unfortunately, the cultural expectation is still that men are the pursuers and women are the pursued, especially among traditional men and women. This places the burden on men to make the first move and risk rejection, which can create stress and anxiety. It also creates anxiety and frustration for women when they're in the passive role of waiting for men. With dating experience, over time, many men learn to deal with rejection, but many others never overcome this fear. They hope they'll be able to pick up on social cues from women who are interested, but these cues might be confusing or nonexistent in certain situations. If a man is especially fearful of rejection, he might feel his whole sense of self is on the line. Due to his fear, he might avoid taking the initiative--only to feel bad about himself later (see my article: Coping With Fear of Rejection).

• Fear of Not Pleasing Their Partner in Bed: There's an unfair stereotype of men being mostly focused on their own sexual gratification. This stereotype is amplified in most male-oriented pornography which focuses primarily on men's pleasure (the exception to this is ethical porn).  Although this might be true for some men, especially in hookup situations, many men worry about whether they're pleasing women in bed. And, while it's important not to be selfish in bed, the misconception that men are responsible for "giving" women orgasms puts a lot of pressure on both men and women. It also casts women in a passive role as if they're only the recipients of sexual pleasure and not capable of generating their own pleasure.  Unfortunately, many men also base their sense of masculinity and sexual self esteem on whether or not their female partner has an orgasm instead of whether she enjoyed sex.  If their partner doesn't have an orgasm, they feel inadequate.  In some cases, due to a man's existing feelings of inadequacy, he can become so worried about his partner's pleasure that he loses sight of his own pleasure,. This can lead to other problems, including erectile dysfunction (see my articles: What is Sexual Anxiety? and What is Sexual Self Esteem?).

The Sexual Insecurities of Men

• Fear of Having a Small Penis: Another common male insecurity is fear having a small penis. This is especially true of men who watch a lot of pornography and who compare their penis to the penises they see in porn. What many men don't know is that male porn actors are specifically chosen because they have unusually large penises as compared to the average penis, which is about 5.1-5.25 inches long. Fear of having a small penis also creates a lot of shame, which can affect a man's ability to initiate sex or create anxiety about maintaining an erection.  In reality, size doesn't matter with regard to sexual pleasure, and most women don't care about penis size. Also, even a man with a micropenis, which is about 3.67 inches or less, can be give and receive pleasure.

• Fear Related to Overall Body Image: Body image issues are usually associated with women. But, even though women are mostly the ones who are negatively impacted by unrealistic body images portrayed in the media, men are also affected by unrealistic images of having "six pack" abs or a muscular build, which often creates anxiety about taking off their clothes during sex.  Other body image insecurities can include hair loss, weight, height and so on.

• Fear of Erectile Dysfunction (ED): All of the above fears can result in problems with erectile dysfunction, which most men dread. The cause of ED is often psychological due to stress, anxiety, lack of sleep, alcohol consumption, smoking cigarettes, drugs and so on. There are also some medical problems, like diabetes, high blood pressure, prostate problems that can cause ED.  If ED, premature ejaculation (PE) or delayed ejaculation (DE) is a problem, a man should see a urologist to rule out any medical problems first and then see a sex therapist to deal with psychological issues. Erectile problems can also be a combination of physical and psychological problems so that a urologist and sex therapist would collaborate in treatment.

See my article: The 5 Most Common Sexual Insecurities That Heterosexual Women Have

Overcoming Sexual Insecurities in Sex Therapy

Sex therapy is a form of talk therapy that focuses on sexual issues (see my article: What is Sex Therapy?)

Getting Help in Sex Therapy

There is no physical exam, nudity or sex during sex therapy sessions (see my article: What Are Common Misconceptions About Sex Therapy?).

Many individual adults and couples seek help in sex therapy for a variety of reasons (see my article: What Are Common Issues Discussed in Sex Therapy?).

Rather than struggling on your own, seek help from a licensed mental health professional who is a sex therapist so you can lead a more fulfilling life.

About Me

I am a licensed New York City psychotherapist, hypnotherapist, EMDR, AEDP, EFT, Somatic Experiencing and Sex Therapist.

I am a sex-positive therapist who works with individual adults and couples.

To find out more about me, visit my website: Josephine Ferraro, LCSW - NYC Psychotherapist.

To set up a consultation, call me at (917) 742-2624 during business hours or email me.

How to Stop People Pleasing So You Can Reduce Your Anxiety and Increase Your Pleasure in the Bedroom

People pleasing, which is also known by the term "fawning," is often a trauma response (see my article: Trauma and the Fawn Response: People Pleasing to Avoid or Diffuse Conflict).

People who focus on pleasing others, to the detriment of their own emotional needs, often don't even realize they're doing it because it's such an ingrained trauma response from early in their life. 

How to Stop People Pleasing to Reduce Your Sexual Anxiety

They learned to focus on other people's needs to ward off conflict in family dynamics and to try to shore up dysfunctional family dynamics (see my article: Adult Children of Dysfunctional Families and People Pleasing).

As children, these people would extend themselves emotionally beyond what they were developmentally capable of doing, but they tried to do it anyway (see my article: Children's Roles in Dysfunctional Families).

A key component of the people pleasing involves feeling unlovable.  

Examples of Children Who Who Were People Pleasers 

The list below includes just a few examples of children who were people pleasers and who over-functioned in their family.

Children who were people pleasers in their family often:

• Became their parents' confidants at a young age (see my article: Role Reversal in Families)

• Believed they had to take on the family problems in order to be liked or loved

• Believed the family wouldn't survive unless they became people pleasers

• Became perfectionists (see my article: Overcoming Perfectionism)

• Were scapegoated in the family, or

• Became overachievers and the family hero in an effort to please depressed, anxious or traumatized parents

• Became pseudo-independent (i.e., they believed, erroneously, that they didn't need help or emotional support because they could take care of themselves--even though they were children

• Sacrificed their own emotional needs for their parents and other family members

• Emotionally numbed themselves to their own needs

• Agreed to do things they didn't want to do and lost touch with what they wanted and needed

• Were physically, emotionally or sexually abused or neglected

• Carried the family burden of shame

And so on.

People Pleasing Children Become People Pleasing Adults

Unfortunately, people pleasing (or fawning) doesn't stop when children become adults, and these behaviors often carry over into sexual activities so that sex becomes solely performative rather than being pleasurable to them.

How to Stop People Pleasing to Reduce Your Sexual Anxiety

Usually people with this problem are so hyper-focused on their partner's pleasure that they don't pay attention to their own sexual pleasure.  

This creates performance anxiety because they're worried about whether they're pleasing their partner.  The result is that they can become cut off from their own emotions and bodily sensations so they don't enjoy sex (see my article: What is Sexual Anxiety?).

Sexual People Pleasing and Performance Anxiety

Sexual people pleasing often occurs when people are willing to do whatever they think their partner might like--even if it's not what they want or it has a detrimental effect for them--so their sexual partner will like or love them.  

This creates performance anxiety for both men and women which can result in:

• Worry or fear before, during or after sex

• Negative thoughts or emotions about sex

• Negative thoughts about their body image

• Spectatoring (self consciously monitoring and critiquing their own behavior in bed)

• Unrealistic expectations related to sex, especially with regard to their own sexual "performance"

• A disconnect between their mind and body (see my article: The Mind-Body Connection: The Body Offers a Window Into the Unconscious Mind)

• A lack of sexual pleasure in a relationship or during sexual hookups

• Faking orgasms
  

• Erectile dysfunction

• Anorgasmia (delayed, infrequent, less intense or absence of sexual orgasms)

• Painful sex

How to Overcome People Pleasing in the Bedroom

Depending upon the specific problems involved, overcoming sexual people pleasing often involves different interventions, including medical treatment to deal with possible physical problems or rule out medical issues, trauma therapy and sex therapy.

• Medical Issues: If there is a physical component to the sexual problem, like painful sex or erectile dysfunction, possible medical problems should be ruled out first.  For instance, many women assume that painful sex is solely the result of anxiety.  However, although anxiety might be an important part of the problem, it's also possible that there might be medical issues that contribute to the problem--like pelvic floor problems, which must be diagnosed by a medical doctor and often requires the assistance of a physical therapist who is a pelvic floor specialist.

Seeking Medical Help to Rule Out Physical Problems

• Trauma Therapy: Since people pleasing is often a longstanding problem that originated in childhood, there is often unresolved trauma that needs to be worked through in trauma therapy. A mind-body oriented therapy, like EMDR therapy, Somatic Experiencing , AEDP and Parts Work/Ego States Therapy is often helpful to bring about increased bodily awareness and work through trauma.  See my articles:

• What is Trauma Therapy?

• What is Complex Trauma?

• Sex Therapy: Sex therapy is a form of talk therapy for individual adults and couples with no physical exam, nudity or sex during therapy sessions. Performance anxiety is a common issue that sex therapists help clients to overcome.  See my articles:

• What is Sex Therapy?
  

• What Are Common Issues Discussed in Sex Therapy?

• What Are Common Misconceptions About Sex Therapy?

How to Overcome Your Fear of Getting Help

If you feel fearful and ashamed to get help for trauma-related sexual problems, recognize that you're not alone.  Many people have similar problems.  In fact, these problems are common.

You can start by finding a licensed mental health professional who addresses both trauma and sex therapy.  Therapists who specialize in both areas can be difficult to find, but you can use a therapist directory to locate someone in your area.

Getting Help From a Sex Therapist Who Specializes in Trauma

If you're already in therapy, you can find an adjunct therapist who specializes in trauma and sex therapy to collaborate with your therapist so you get the help you need.

Make sure the therapist is a licensed mental health professional, which is different from a coach or mentor.

Start by asking for a consultation so you can get a sense of whether you feel comfortable with a therapist (see my article: How to Choose a Psychotherapist).

Be aware that it can take time to develop a therapeutic relationship with a therapist, so be patient.

Once you have worked through your trauma-related sexual problems, you can lead a more fulfilling life.

About Me

I am a licensed New York City psychotherapist, hypnotherapist, EMDR, AEDP, EFT, Somatic Experiencing and Sex Therapist.

I am a sex positive therapist who works with individual adults and couples.

As a trauma and sex therapist, I have helped many individuals and couples to overcome trauma-related sexual problems.

To find out more about me, visit my website: Josephine Ferraro, LCSW - NYC Psychotherapist.

To set up a consultation, call me at (917) 742-2624 during business hours or email me.

    

Creating the Potential For Sexual Desire Using the Sex Drive Simmer Technique

In the last several articles I've written about sex and sex therapy, I have been focusing on the book, Sex Talks by Sex Therapist Vanessa Marin.

Creating the Potential For Sexual Desire

In her book, she discussed a technique called the Sex Drive Simmer that has the potential to create sexual desire for individuals and couples.

I'll discuss more about the Sex Drive Simmer technique later on in this article.

What is Sexual Energy?

First, I want to focus on defining sexual energy since this is a crucial part of the Sex Drive Simmer technique.

Most people associate sexual energy with the sexual tension between two people. Although this is one definition of sexual energy, it's not the only one and it's not the one I'm referring to in this article.

Your sexual energy is your life force and it contributes to your vitality, creativity and your overall sense of well-being.

Tips on How to Connect With Your Sexual Energy

To connect with your sexual energy you need to become aware of your body and how energy flows in your body.

 

The Body Scan Meditation:

One way to become aware of your body is to do the Body Scan Meditation. Choose a quiet time and place when you won't be interrupted for at least 5-10 minutes.

The Body Scan Meditation

Start by closing your eyes and doing the Square Breathing exercise to calm and ground yourself.  

Then, focus on the crown of your head and slowly bring your awareness to the rest of your body and notice where you're holding onto any tension.

As you're scanning your body, notice what's happening with the energy in your body. This often takes practice, but if you do the body scan once a day for at least a few minutes, you'll start to notice what's happening energetically in your body. 

Eventually, you'll probably notice that energy moves subtly throughout the body and you can track it.  

After a while, if you keep practicing, you'll also notice how your sexual energy ebbs and flows throughout the day.

As an Aside: People who do Kundalini yoga become especially adept at feeling how sexual energy flows throughout their body. I'm just mentioning it here, but it's outside the scope of this article for me to go into this in detail for the purpose of this article.

In general, being able to detect, develop and maintain a degree of sexual energy is predicated on your overall health and how well you take care of yourself with regard to eating nutritious food, getting enough sleep, and exercising at a rate that's healthy and right for you.

What is the Sex Drive Simmer Technique?

As I mentioned earlier, Sex Therapist Vanessa Marin discusses the Sex Drive Simmering technique in her book, Sex Talks.  

She recommends that, instead of trying to get sexually turned on before you have sex with your partner, you use this technique right after you have sex and keep the sexual energy simmering until the next time you have sex.

Creating the Potential For Sexual Desire

As an example, if you and your partner have sex on a Sunday morning, right after you have sex, focus on maintaining a degree of sexual arousal that you can continue to develop and build for the next time you have sex.

This is in contrast to what most people do. Specifically, most people, who are having problems with sex in their relationship, wait until they have sex again to try to develop sexual desire, but this is often a setup for failure when sexual desire is the problem.

To understand why waiting can be a problem, Ms. Marin compares waiting to get turned on to boiling water in a pot. If you start with ice cold water, it's going to take much longer for the water to boil than if you already had the water simmering on the stove.

Similarly, if you can maintain even a low level of sexual desire between one sexual encounter and the next, all other things being equal, you'll be more likely to enjoy sex.

How to Get the Sex Drive Simmer Technique Going

Everyone's degree of sexual desire is going to look different depending upon what gets you sexually turned on and whether you experience responsive desire or spontaneous desire.

There is no right or wrong way to do the Sex Drive Simmer technique. It all depends on what you enjoy sexually.

You can use imagination and experiment to see what works for you.

Creating the Potential For Sexual Desire

The main thing is that you want to increase your sexual awareness in your body and create and build sexual desire.  

Here are things that have worked for sex therapy clients in the past.  

They may or may not work for you depending upon your situation and what you like.

I'm not recommending these things since I don't know you or your partner and what might work best for the two of you.  This is just information about what worked for other clients, which might spark some ideas for you.

    Core Physical Exercises

For some people keeping sexual energy alive involves doing certain core exercises (core exercises include doing planks, crunches, dead bugs, glute bridges and other similar exercises).  

Remember: If you decide to try these exercises, it's very important before beginning any exercise routine, that you check with your doctor first.

Some people say that when they do core exercises, they can feel sexual energy in their genitals. 

These are often people who are sensitive to sexual energy while doing core exercises and some even say they experience orgasms while working on their core. These orgasms have been labeled "Coregasms."  

Although some people say they have this experience, many others say they don't.  So, this isn't something that happens to everyone.

    Psychological Sexual Stimulation

Other people find ways to generate the Sex Drive Simmer through psychological stimulation (also known as psychogenic stimulation).  

This might involve thinking about your favorite sexual fantasies (if you're aware of them) or your peak sexual experiences, watching ethical pornography or whatever you can do to get yourself sexually aroused on a psychological level.

Keeping an Erotic Journal

Many people find it helpful to maintain an erotic journal to write down their peak sexual experiences, sexual fantasies or other important sexual memories.

When you're working with the Sex Drive Simmer technique, you're not necessarily trying to have orgasms. You're mostly trying to maintain some sexual energy bubbling up so that when you and your partner have sex again, you can tap into this energy and you'll already be turned on before you start having sex.

    Generating Sexual Anticipation: Planning a Sex Date With Your Partner

Sexual anticipation falls within the psychological stimulation category.

A lot of people initially dislike hearing their sex therapist ask them to do homework assignments between therapy sessions.  One assignment can be planning a sex date.  

A sex date is a designated time planned in advance when a couple agrees to have sex at home.

Many of these clients who dislike this assignment (at first) mostly dislike it because they're not approaching it with the right attitude and they need to reframe it for themselves.

The reframe is that, instead of dreading the exercise or expecting it to be boring or mechanical, you and your partner learn to look forward to it with sexual longing and anticipation, which is like an aphrodisiac.  

Sexual longing and anticipation assumes that you and your partner can learn to have the kind of sex which each of you can look forward to and enjoy. 

I know that many clients who come to sex therapy don't start out necessarily wanting the sex they've been having or they're having very infrequent sex or any sex at all.

Needless to say, no one wants to have sex they don't enjoy.  So, it's possible that if this is the case for you and your partner, you'll have to work on this aspect of your sex life before you plan a sex date.

In addition, there could be other factors involved, like sexual pain, significant sexual anxiety or other physical or psychological obstacles that need to be addressed first.

However, if there aren't these or other obstacles, many people learn to look forward to planning a sex date in much the same way they did before when they were dating.

Potential Obstacles to Generating Sexual Desire With the Sex Drive Simmer Technique

Aside from the physical or psychological issues mentioned, there can be other obstacles.

A common problem that could get in the way at first is sexual desire discrepancy where one person wants sex more than the other.

There are also many couples where the relationship has deteriorated to such an extent that the couple needs to work on their emotional connection first before they work on their sexual issues.

Other couples have tried unsuccessfully so many times to revive their emotional and sexual connection that they feel hopeless and too afraid to even try again because they don't want to encounter failure.

Unfortunately, many couples wait until it's too late to work on these issues in therapy. So, be aware that the longer you wait, the tougher it will be to resolve them.

Also, many couples go to couples therapists assuming that these therapists are trained in sex therapy, but this is often not the case.  

In fact, as difficult as this might be to believe, most psychotherapists get no training in how to help individuals and couples to overcome sexual problems.  This is also true for many medical doctors.

Getting Help in Sex Therapy

If you have been experiencing sexual problems as an individual or as part of a couple, seek help in sex therapy (see my article: What is Sex Therapy?).

Getting Help in Sex Therapy

Sex therapy is a form of talk therapy. There is no physical exam, nudity or sex during sex therapy sessions (see my article: What Are the Common Misconceptions About Sex Therapy?).

Individuals and couples seek help in sex therapy for many different reasons (see my article: What Are the Most Common Issues Discussed in Sex Therapy?).

A skilled sex therapist will do a thorough assessment of your situation and work with you to help you resolve your problems. 

Rather than struggling on your own and possibly allowing your situation to deteriorate further, seek help from a skilled sex therapist so you can have a more fulfilling sex life.

About Me

I am a licensed New York City psychotherapist, hypnotherapist, EMDR, AEDP, EFT, Somatic Experiencing and Sex Therapist.

I am a sex positive therapist who works with individual adults and couples.

To find out more about me, visit my website: Josephine Ferraro, LCSW - NYC Psychotherapist.

To set up a consultation, call me at (917) 742-2624 during business hours or email me.