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.

Sexual Self Discovery With Pleasure Mapping

The term "pleasure mapping" was coined by Sex Educator Kenneth Play.  

Pleasure mapping can be done on your own if you want to discover for yourself what you like sexually or it can be done with a partner (see my article: Sexual Self Discovery).

What is Pleasure Mapping For Sexual Self Discovery?

There are many individuals who have difficulty answering the question, "So, what do you like?" when they're with a sexual partner because they haven't taken the time to get to know what gives them sexual pleasure.

Sexual Self Discovery With Pleasure Mapping

Pleasure mapping is a way to discover what gets you sexually aroused without the pressure of doing this in front of a partner if you don't feel comfortable at this point and without the pressure of trying to have an orgasm (see my article: Sexual Wellness: What is Performative Sex?).

What's the Difference Between Sexual Arousal and Desire?

Sexual arousal is when your body feels turned on.  Sexual desire is when you feel mentally turned on.

People who experience spontaneous sexual desire tend to feel turned on mentally first.  They think about sex and they're turned on physically.

People who experience responsive sexual arousal often don't feel turned on at first by thinking about sex, but once they get going physically, they usually feel sexual desire mentally as well as physically.  

Pleasure mapping can be good for everyone, and it's especially good for people who tend to experience responsive desire to set the mood and get themselves physically turned on so they feel sexual desire.

A Simple Guide to Pleasure Mapping

• Set Aside at Least 30 Minutes of Uninterrupted Private Time: In order to explore your sexual turn-ons, you need time and privacy.  

• Set the Mood: Context is important so choose a place in you home where you'll be comfortable and you can relax. Set the atmosphere with your favorite soothing music--whether it's sultry jazz, rhythm and blues or whatever you like to put you in a sexy and seductive mood.

Sexual Self Discovery With Pleasure Mapping

• Collect Items That Will Aid You in Your Sexual Exploration: What feels sensuous to you? Maybe you like massage oil, your favorite moisturizer, a silky cloth, feathers, leather or whatever turns you on. You'll also want to have a hand mirror, notepad and pen, and possibly your favorite fruit (grapes, strawberries or whatever you like to eat) or something else that's pleasurable to eat.

• Dim the Lights or Light Candles: Sitting or lying down under dimmed lights or candlelight can help you to relax.

• Breathe to Relax: Square Breathing can be relaxing. You can also try this type of breathing: Inhale in the count of 4, hold for 4 and exhale slowly to the count of 8.  Do this several times until you feel tension melting away.

• Do a Body Scan: See my article: How to Do the Body Scan

• Mindfully Touch Yourself: Once you feel relaxed, close your eyes and place your hands on the crown of your head. Allow your hands to move very slowly down your body to sense where you feel pleasure. Go beyond exploring the erogenous zones that you're already familiar with and become aware of what feels good. You might discover certain areas of the body, aside from the ones you already know, that start to turn you on. If you prefer, you can use massage oil to slowly explore your body all over.  If you start to feel uncomfortable, remember you're doing this privately and no one needs to know. 

• Spend Time Touching Your Erogenous Zones: If you've discovered new erogenous zones that you were unaware of before, spend extra time touching those areas gently. Remember: This is a non-performative exercise, so you're not trying to have an orgasm. You're learning what it's like to discover sexual pleasure for yourself.

• Use Your Mirror to Explore Your Genitals: Explore your genitals and use your hand mirror to discover what you look like. Take your time to observe in a gentle and nonjudgmental way.  You're not masturbating at this point.  You're just looking. Do your genitals look different when you're sexually aroused and when you're not?  What else do you notice?

• Take Notes: After you have explored your body with touch, massage or how ever you explored your body, take notes:
• What felt good?
• What felt uncomfortable?
• What type of touch did you prefer?
• What parts of your body turned you on?
• Did you discover new erogenous zones? What were they?
• What did you like about pleasure mapping?
• What didn't you like?
• What added to your sexual experience?
• What would you like to try again in the future?
• What new areas would you like to explore?

Pleasure Mapping Can Enhance Your Sexual Self Esteem

See my article: What is Sexual Self Esteem?

Share Your Pleasure Mapping Experience With a Sexual Partner

The advantage of doing pleasure mapping on your own is that you discover for yourself what gives you pleasure. You're not relying on a partner, who might not know what you like, to get you turned on. 

Share Your Pleasure Mapping Experience With Your Partner

Pleasure mapping on your own can be sexually empowering.  You have control over what you do, how you touch your body, what you're using to get yourself in the mood, the type of pressure you use with your touch, and so on.

Sharing what you've discovered about your sexual pleasure with a partner can provide both of you with pleasurable experiences. If you're with a romantic partner, it can also bring you closer together.

Keep an Erotic Journal

Keeping an erotic journal is a good way to help you build sexual self awareness and keep track of what is sexually pleasurable to you (see my article: Keeping an Erotic Journal For Sexual Self Discovery).

Getting Help in Sex Therapy

It's not unusual for people to feel sexually blocked for a variety of reasons.

If you're having problems sexually, you can work with a skilled sex therapist who can help you to discover and overcome whatever blocks are getting in your way (see my article: What is Sex Therapy?).

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

Sex therapy sessions are for individual adults or couples (see my article: What Are the Most 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 have a meaningful and pleasurable sex life.

About Me

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

I work 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.

What is Sexual Self Esteem?

Most people are familiar with the concept of self esteem, which is how you see yourself in terms of deserving love and being capable of handling life's many challenges.

Sexual Self Esteem

As it turns out, self esteem affects every area of your life:

• How you feel about yourself
• What you feel you deserve
• How lovable/unlovable you feel
• Whether you get into healthy or unhealthy relationships
• What career choices you make
• How you feel about yourself sexually

What is Sexual Self Esteem?

We are all sexual beings.

Sexual Self Esteem

Sexual self esteem includes: 

• How sexually attuned you are to your body

• Whether your relationship to your body is positive, negative or a mix

• Your openness to sexual self discovery

• Whether you see yourself as a sexually appealing individual

• Whether you believe you deserve a satisfying and enjoyable sex life

• Whether you feel sexually confident

• How capable you feel about giving yourself sexual pleasure during solo sex/masturbation

• How much sexual confidence you feel when you're having sex with your sexual partner(s)

• Whether you make healthy sexual choices, which is part of high sexual self esteem, or poor sexual choices, which is part of low sexual self esteem.  

What Factors Affect Your Sexual Self Esteem?

Your sexual self esteem can be affected by:

• What your psychological and emotional history in your family of origin

• Whether you were taught that you are a lovable, capable person who deserves to be happy

• What your sexual developmental history was including, among other things:
• How you learned about sex and what you were taught

• What you were taught about your sexuality and your body

• Whether sexual boundaries in your family and with others were healthy or unhealthy

• Whether you were sexually, physically or emotionally abused

• What you experienced in your prior sexual and romantic relationships

• Whether or not you had positive experiences in your first romantic and sexual relationships 
  
  
• Other related issues

How Does Your Self Esteem Affect Your Sexuality?

• Your Sexual Choices: People with high sexual esteem usually make positive choices, and people with low sexual self esteem often make poor choices. An example of a poor choice might be going along with a sexual partner's wish not to practice safe sex when you really wanted to be safe.

• Self Confidence: You're more likely to have a satisfying sex life when your self confidence is high.  This includes both solo sex and partner sex.

• Body Image: Whereas having high sexual self esteem allows you to generally have a positive regard for your body, having low sexual self esteem can make you feel self conscious about your body image.

Sexual Self Esteem Can Change Over the Course of Your Life

Sexual self esteem can change over time--from negative to positive as well as from positive to negative.

Most of us are bombarded by images and concepts on social media, magazines, television and other outside sources about what is considered beautiful or sexy, which leads to unhealthy comparisons.

Sexual Self Esteem and the Aging Process

The aging process can be a positive or a negative factor in terms of sexual self esteem.  If a person derives their sexual self confidence based on sources outside him or herself, their sexual self confidence can suffer, especially if they allow negative concepts about aging and attractiveness to affect them.

Sexual Self Esteem and the Aging Process

Being able to maintain a positive self regard for your inner qualities as well as cherishing your body and overall sexuality will help you to develop and maintain a high degree of sexual self esteem.

Developing Healthy Sexual Self Esteem

There are steps you can take on your own to bolster your sexual self esteem, including

• Monitoring your internal dialogue about yourself and being aware of negative self talk

• Keeping a journal to express how you feel about yourself sexually

• Being aware of peak erotic experiences that gave you sexual pleasure--whether they were alone or with partners

• Educating yourself about sexuality through books, podcasts or other forms of healthy sex education

• Developing an awareness of your erotic orientation

• Developing an awareness of your erotic blueprint

• Understanding your sexual turn-ons and turn-offs alone and with partners

• Getting to know your emotional aphrodisiacs

• Being aware of what you're willing and unwilling to do sexually and being able to communicate that to sexual partners

• Focusing on sexual pleasure and not sexual performance both in solo sex and in partner sex

When to Seek Help in Sex Therapy

If you have been unable to increase your sexual confidence on your own with self help techniques, you could benefit from help in sex therapy.

Sex therapy is a form of psychotherapy, also known as talk therapy, where the sex therapist focuses on the sexual issues of individuals and people in relationships. 

There is no physical exam, nudity or physical touch involved in sex therapy (see my articles: What is Sex Therapy? and Common Misconceptions About Sex Therapy).

You deserve to have a fulfilling sex life.

You can free yourself of the obstacles that are keeping you from having a fulfilling sex life when you work with a skilled sex therapist.

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.