Follow

Translate

NYC Psychotherapist Blog

power by WikipediaMindmap

Sunday, July 4, 2021

Sexual Wellness: What is Sexual Boredom in Long Term Relationships?

It's not unusual for one or both individuals in a long term relationship to feel bored with their sex life.  A recent survey of 653 adults cited in the Journal of Sex and Marital Therapy revealed that most people in long term relationships have experienced sexual boredom (see my articles: What is Good Sex? and Do You Remember What It Was Like to Have Fun in Your Relationship?).

What is Sexual Boredom?

What is Sexual Boredom?
About half of the respondents in the survey defined sexual boredom as sex being routine, monotonous and repetitive.  

Others indicated that sexual boredom resulted from sex feeling like an obligation in their relationship as opposed to being a pleasurable activity.

Other respondents said they experienced sexual boredom from being with the same sexual partner for a long time.  Other issues cited included low libido, difficulty reaching orgasm, and reduced sexual pleasure.  Some respondents also reported a decrease in sexual frequency and lack of affection or emotional connection with their long term partner.

The 3 Themes of Sexual Boredom
The survey cited three basic themes or factors regarding sexual boredom:
  • Individual factors
  • Interpersonal factors 
  • Practice Related factors
Individual factors
  • difficulty concentrating or being present during sex
  • feeling sad during sex
  • feeling indifferent about sex
  • feeling tired
Interpersonal factors:
  • feeling their partner was selfish during sex
  • feeling their partner wasn't enjoying sex as much as they were
Practice-related factors:
  • feeling bored due to a limited sexual repertoire in their relationship

Clinical Vignette: Sexual Boredom in a Long Term Relationship
The following vignette is a composite of many different cases (with no identifying information to preserve confidentiality) which illustrates a typical scenario:

John and Jane
When John and Jane began couples therapy, they were both in their early 50s and married for 15 years.  They had no children, and it was the second marriage for each of them (see my article: What is Emotionally Focused Therapy (EFT) For Couples?).

Jane was the one who sought couples therapy because, even though she felt they had a loving marriage and they had no other major problems, she was concerned about their dwindling sex life.  

Although John was initially reluctant to attend couples therapy because he didn't think it would be helpful, as the therapy progressed, he saw the value in therapy and he became more of an active participant.  

Both of them told the couples therapist that they still loved the other and they wanted to repair their marriage.

During their initial session, Jane said that even though sex was never very passionate between them--not even during their two years of dating--she had hoped it would improve once they got married.  She said she felt disappointed that it had not improved and that it had become infrequent, boring and routine.

One of the reasons why she married John was because she knew he was "a good man" that she could trust, which was important to her after her experience with infidelity in her first marriage.  

However, over the years their sex life had dwindled down to just once or twice a year.  She said sex had become routine and boring to her, and she sensed that John was also bored, but he was reluctant to talk about it with her (see my articles: How to Talk to Your Partner About Sex - Part 1 and Part 2).

Jane felt their sexual repertoire was very limited.  In an effort to spice up their sex life, Jane suggested several years before that they try new things.  One thing she suggested was using sex toys, but John was unwilling because he felt uncomfortable and embarrassed about sex toys.  She also sensed he felt threatened and sexually diminished by the idea of using sex toys.  

John acknowledged to the couples therapist that he couldn't understand why they would need sex toys.  He said it made him feel like less than a man that his wife would want sex toys.  In response, the couples therapist said they would talk about this in future couples sessions.

Another thing Jane suggested was watching pornography, but John wasn't open to watching porn.  He told the couples therapist that he felt embarrassed watching other people having sex--even if it was only a video.

In general, Jane said, John had such difficulty talking about sex that she had all but given up trying to spice up their sex life.  But she also felt they were too young to give up.  She was close to tears when she told the couples therapist that she couldn't stand the idea that they might spend the rest of their lives together enduring boring sex or no sex.

The couples therapist met with John and Jane individually for a few sessions each to get their family and sexual histories.  She assured each of them that whatever they told her in these sessions was confidential and she wouldn't reveal to the other spouse what they told her without their permission.

It turned out that Jane came from an affluent liberal family where her parents were open to talking about sex.  Jane's mother talked to her about menstruation by the time Jane was eight years old.  She also gave Jane a book about sex when Jane was 12 years old and then discussed it with her afterwards.

John came from a struggling working class immigrant family with conservative values.  He said sex was a taboo subject in his family, and no one ever talked about it.  He said he grew up feeling confused about sex, and he knew he couldn't approach either of his parents to talk about it.  Eventually, he said, he learned what little he knew about sex at a young age from talking to his friends when he was about 13 years old.  

With regard to their individual sexual histories, prior to his first marriage, John had very limited sexual experience.  He said he didn't date at all when he was in high school because he was very shy.  He had his first experience with sexual intercourse after a night of drinking at a party when he was a sophomore in college.  He described it as "embarrassing" because he experienced premature sexual ejaculation, and the young woman he was with got angry with him. 

He also indicated that sex wasn't that important for him or his first wife during their five years of marriage. They divorced because they were constantly arguing about money.  From John's perspective, she was a spendthrift who had high credit card debt, and he was a saver with almost little debt.  As a result, they were never able to negotiate the financial part of their relationship.

Jane indicated that she was sexually active, in terms of kissing and touching sexually, from the time she was 15.  She had her first experience with sexual intercourse with her first boyfriend when she was 17.  They eventually drifted apart when they went to different colleges.  

She was sexually active with both men and women when she was in college, but she preferred men.  Eventually, she got married to a man she began dating in her senior year of college.  Initially, she was happy in her marriage and she felt they had a satisfying sex life.  However, in their third year of marriage, Jane discovered her husband was having an affair with a former girlfriend (see my article: Infidelity: Should You Stay or Should You Go?).

Even though she felt betrayed by her first husband, she forgave him and they tried to repair their marriage.  However, several months later, she discovered he was still having an affair with the same woman, and Jane filed for divorce.  

When the couples therapist met with John and Jane together, she told them she wanted to get a sense of how they typically interacted sexually as part of their couples therapy (see my article: Understanding Your Sex Script).

When she asked them to describe the last time they had sex, neither of them could remember when the last time had been.  Jane thought it was about six months ago and John thought it might have been four months ago.

Jane said she was usually the one who initiated sex, although she had become more hesitant about it because she was tired of always being the initiator.  She also felt bored and frustrated that John wasn't open to trying new things, and she sensed that John was bored too--even though he never talked about it.

According to Jane, typically, they began by cuddling in bed while watching TV.  Then, if she felt sexually aroused, she reached over and massaged John's penis until he became erect. After they had intercourse, they both rolled over and went to sleep.

Early in their marriage, Jane said, they used to kiss and caress each other more before sexual intercourse, but during the last several years, they had intercourse without any foreplay or affection, and she missed those aspects of their sex life.  

Jane said that whenever they had sex John always had an orgasm. She said she used to have orgasms more regularly earlier in their marriage, but she rarely had an orgasm anymore.  Since John was so uncomfortable talking about sex, they didn't discuss that she experienced little pleasure during sex (see my article: Closing the Orgasm Gap - Part 1 and Part 2).

At that point, as John listened to Jane, he looked embarrassed.  He apologized to Jane for being so inconsiderate, and Jane responded by reaching out and taking John's hand.  They both agreed they were committed to coming to weekly couples therapy sessions to improve their relationship.

My Next Article:
In my next article, I'll continue describing the next phase of couples therapy for these fictional characters, John and Jane, to show how couples therapy can help improve a couples' sex life (see my article: Overcoming Boredom in Long Term Relationships).

Getting Help in Therapy
Sexual boredom is a common problem in many long term relationships due to many individual, relational and sexual practice related issues.

If you have been unable to resolve problems on your own, you could benefit from working with a licensed mental health professional who has expertise with your problem.

A skilled psychotherapist can help you to overcome the obstacles that keep you from leading a more fulfilling life.

About Me
I am a licensed NYC psychotherapist, hypnotherapist, EMDR, AEDP, EFT and Somatic Experiencing therapist (see my article:  The Therapeutic Benefits of Integrative Therapy).

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.


























Sexual Wellness: What is Performative Sex?

Performative sex is goal-oriented sex that follows a script with a predefined role.  When sex is performative, instead of it being natural and enjoyable, it becomes a show or a performance (see my article: Understanding Your Sex Script).

Sexual Wellness: Overcoming the Habit of Performative Sex

Sex often becomes performative when people are anxious, distracted or self conscious during sex.  When this happens, they're not attuned to themselves or their sex partner.  They're too worried about whether they're "doing it right" or if their body looks good, and how their partner sees them.  

Men often worry about their penis being too small and whether their penis will remain erect long enough to satisfy their partner.  

Women often worry about their body image--the size of their breasts and whether they're overweight.  Many women also worry about whether they'll have an orgasm and, if so, if they'll take so long that it will frustrate their partner (see my article: Women's Sexuality: Tips on Sexual Self Discovery).

Unfortunately, so many people get their sex education from pornography where both performers always look sexy, ready and able to achieve simultaneous orgasms with no foreplay.  But this is a performance--it's not real life.  

Performative sex can become a habit--even between two people who are in a long term, committed relationship.  Fortunately, there are ways to overcome this habit, as described below.

Focus on the Here and Now
  • Focus on the present moment--not on the past or the future.
  • Focus on being attuned to yourself and to your partner physically and emotionally.
  • Practice synchronizing your breath to your partner's breath as one way to stay connected.
Communicate With Your Partner
  • Tell your partner what you like. 
  • Make sure you have consent from your partner.  Don't assume you have consent--even if you've done the same things sexually many times before.  If you're not sure, ask.

Don't Feel Rejected If Your Partner Doesn't Like What You Like
  • Recognize that everyone is different when it comes to what they like sexually.
  • Be aware that if your partner doesn't like what you like, your partner isn't rejecting you so don't take it personally.  You might be able to work out a compromise or, if not, find something else that you both enjoy.

Don't Feel Compelled to Do Anything You Don't Want to Do
  • Don't feel you have to do anything sexually that you don't feel comfortable doing.  
  • Don't override your own feelings.  This is often a problem for women, who are socialized to be people pleasers, so they override their feelings to just "get through it" or to "get it over with."
  • Recognize that when you override your feelings to do something you don't want to do, you're damaging your self esteem.

Getting Help in Therapy
Many issues, including a history of abuse or trauma, can get in the way of having a satisfying sex life.

If you're struggling, seek help from a licensed mental health professional.

A licensed psychotherapist can help you to overcome the obstacles that keep you from leading a more fulfilling life.


About Me
I am a licensed NYC psychotherapist, hypnotherapist, EMDR, AEDP, EFT and Somatic Experiencing therapist.

I work with individual adults and couples.

To find out 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.

Wednesday, June 30, 2021

Sexual Wellness: The 2021 Self-Pleasure Survey

I was listening to a recent episode on the Sex and Psychology podcast called The Magic of Masturbation hosted by Dr. Justin J. Lehmiller, who is a psychologist and a sex researcher for the Kinsey Institute (see my articles: Sexual Pleasure and the Erotic Self - Part 1 and Part 2).

Sexual Wellness: The 2021 Survey

The guest was Marie Aoyama from the Japanese sexual health and wellness brand, TENGA.  They were discussing the findings of the TENGA 2021 Self-Pleasure Report (in this article, I'm using the terms "self pleasure" and "masturbation" interchangeably).

The organization surveyed 1,000 American adults, ages 18-54, and the findings offered some interesting insights into their attitudes and practices about masturbation as well as the changes that resulted during the COVID-19 pandemic.

The 2021 TENGA Self-Pleasure Survey Results
The survey revealed that 50% of adults ages 18-54 years old included self pleasure as part of their self care routine.

In addition, the respondents reported the following sexual wellness benefits:
  • Improved mood:  73%
  • Reduction in stress: 73%
  • Improved sleep: 74% 
  • Improved body image: 51%
  • Improved self confidence: 57%
  • Improved sense of sex appeal: 59%
Forty-two per cent of the respondents also revealed that during the COVID-19 pandemic, they coped with stress, anxiety, uncertainty and boredom by masturbating more often than prior to the pandemic.

Of the total 42%, the breakdown for men and women was as follows:
  • Men: 49%
  • Women: 32%
General Findings of the Survey:
  • People who masturbated over the last year: 86%
  • People who felt comfortable talking about masturbation with their partners/spouses or close friends: 60%
The discrepancy between the 86% and the 60% indicates that people still feel there's a stigma involved with masturbation, and they don't feel comfortable enough to talk to their own partners/spouses about it (see my articles: Are You Too Ashamed to Share Your Sexual Fantasies With Your Partner? and How to Talk to Your Partner About Sex - Part 1 and Part 2).

This reticence to talk about self pleasuring exists despite the fact that most people masturbate and despite the health benefits cited above--improved mood, reduced stress and so on.

In addition to the benefits cited above, masturbation helps you to explore what you like and what you don't like sexually, which can improve your sex life with a partner (see my article: Women's Sexuality: Tips on Sexual Self Discovery).

Conclusion
Self pleasuring, also known as masturbation, is a healthy, normal and safe way to practice self care as part of a sexual wellness routine.

Masturbation has many benefits for your body and mind, as described above.

Getting Help in Therapy
Many people grew up in a family where masturbation was considered taboo.  

If you're struggling with guilt and shame about masturbation or about your body, you could benefit from seeking help from a licensed mental health professional.

When you free yourself from guilt and shame, you can lead a healthier, more fulfilling life.

About Me
I am a licensed NYC psychotherapist, hypnotherapist, EMDR, AEDP, EFT and Somatic Experiencing therapist (see my article: The Therapeutic Benefits of Integrative Psychotherapy).

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.























Sunday, June 27, 2021

Women's Sexuality: Tips on Sexual Self Discovery

In my prior articles, The Orgasm Gap Between Woman and Men - Parts 1 and 2,  I discussed the sexual satisfaction gap between men and heterosexual woman.  One of my recommendations in Part 2 was that, in order for women to experience more sexual satisfaction, they can explore their own body and discover sexual pleasure for themselves.

Women's Sexual Self Discovery


Women Overcoming Guilt and Shame About Their Sexual Pleasure
For many women this is easier said than done because shame and guilt about their body and their sexuality gets in the way.  Part of this can be culturally induced because women still get mixed messages about enjoying sexual pleasure.  In some cases, the shame and guilt can be related to unresolved sexual trauma (see below: Getting Help in Therapy).

On the one hand, heterosexual women are told they should be sexually alluring to men.  But, on the other hand, they're still stigmatized for being sexual or experiencing sexual pleasure, especially if it's for themselves and not for men.

There is so much misinformation that it's no wonder many women feel confused, ashamed of their bodies, and they feel they have no right to their own sexual pleasure. 

There's still double standard that it's okay for men to be sexual but not for women.  And many  women are still told, if not explicitly then implicitly, they should wait until they're married to be sexual (you might think this is a thing from the past, but I still hear many women tell me in their therapy sessions that they grew up with these cultural or religious taboos).

The expectation in these families is that women will just know somehow how to be sexual with their partner or spouse "when the time comes."  But the reality is that this stigma against women's sexuality in these instances often carries over into marriage because these women haven't discovered their own sexuality beforehand.  

Women's Sexuality: Tips on Sexual Self Discovery:
  • Make a Decision as to Whether You're Ready to Get to Know Yourself Sexually: As a woman, whether or not you want to discover your sexuality is up to you and only you.  While it might feel daunting at first because of cultural or religious taboos, if you're ready to get to know yourself sexually, it can be an adventure in self discovery.  Try to be as open and curious as you can.
  • Create a Time and Space For Privacy and Relaxation: Once you have decided to get to know yourself better sexually, look for a time and place when you'll have privacy and you won't be interrupted.  Some women like to set the mood by creating a private and relaxing environment for themselves in the bath and engage their senses: candles, incense, a favorite bubble bath, relaxing music and whatever else helps to create the right mood.
  • Take a Look at Your Body: Many women have so much shame about their body that they can hardly stand to look at themselves in the mirror--even when they are fully clothed.  It's understandable why they feel this way because social media, movies, TV programs and magazines give women messages that they should look a certain way--usually thin or curvy or some other particular way.  
    • Accept Your Body As It Is Now: This might be one of the hardest steps to take because there are so many negative messages  for women about body image.  Even if you want to change your body for health-related reasons, one of the best ways to change is to start by accepting yourself as you are now.  Acceptance doesn't mean you're not going to try to change if that's what you want.  It just means that you acknowledge that you are where you are right now and you love yourself regardless of how you look.
    • Take a Hand Mirror and Look at Your Vulva:  The vulva is a woman's external genital area. It's normal for vulvas to come in all different shapes and sizes.  The vulva contains the vestibule (vaginal opening), the labia majora, the labia minora, and the clitoris.  By being curious and looking at yourself, you can discover your own unique beauty.  Holding onto the hand mirror, look at the:
      • labia majora: outer lips
      • labia minora: the smaller, inner lips
      • vulval vestibule (vaginal opening): is the part of the vulva between the labia minora into which the urinary meatus (urethra opening) and the vaginal opening open.
      • clitoristhe tip of the clitoris is slightly above the urethra and at the top of the vestibule.  The rest of the clitoris is covered by the clitoral hood. It extends into the body and wraps around the vaginal canal (the vagina is a woman's internal reproductive area). Sexual pleasure is the clitoris' primary purpose.  It is the most sensitive erogenous zone. The glans of the clitoris has 8,000 nerve endings, which is twice as many nerve endings as the penis. This erogenous zone spreads the feeling to 15,000 other nerves in the pelvis, which is why it can feel like your whole body is experiencing an orgasm.
    • Spend Time Discovering What's Pleasurable to You Through Solo Pleasuring: Solo pleasuring (also known as masturbation) is a safe and pleasurable way to:
      • discover what turns you on sexually
      • have fun
      • release sexual tension
      • improve your sleep through the release of tension
    • Understand That Your Brain is Your Biggest Sex Organ: Your thoughts and beliefs affect how you feel sexually, so your personal psychology matters just as much as your physiology.  There are two types of sexual stimulation: 
      • psychological stimulation: Visual cues or sexual fantasies can include your own fantasies, fantasies from erotica, ethical porn, sexy movies or TV programs, and so on.  Don't overthink or overanalyze it--fantasies aren't real, so you don't necessarily want to act on them.  But maybe you do.  It's up to you.  
      • physical stimulation: Your hand, a vibrator or sex toys can be used to get sexually aroused.
    • Explore Your Erogenous Zones: Your erogenous zones include your nipples, thighs, vulva, clitoris, and any other areas that might turn you on.
    • Don't Pressure Yourself to Have an Orgasm: Rather than focusing on having an orgasm, focus on what feels pleasurable to you without pressuring yourself to have an orgasm.
    • Ready to Have an Orgasm? Aside from the fact that everyone is unique in terms of what turns them on, one article isn't sufficient, but there are good books that provide can you with some guidance, including:

    Feeling Pain?  Get Medical Help
    If you are experiencing vaginal pain, seek help from your doctor immediately.  Pain can be related to any one of a number of problems, including vaginal infections, vulvodynia, cysts, pelvic floor problems or other medical problems.

    Getting Help in Therapy
    We all need help at sometimes.

    Unresolved traumatic experiences can affect your ability to be sexual whether it's on your own or with a partner.  The effects can include (but are not limited to): emotional numbing, physical pain, flashbacks, getting triggered, panic attacks, feeling disconnected from your body, and other related symptoms.

    If you have been unable to resolve your problems on your own, you could benefit from working with a licensed mental health professional.

    A skilled psychotherapist can help you to overcome the obstacles that keep you stuck, so rather than suffering on your own, seek help from a licensed therapist.

    About Me
    I am a licensed NYC psychotherapist, hypnotherapist, EMDR, AEDP, EFT and Somatic Experiencing 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.





















     


    Happy Gay Pride!

    Happy Gay Pride Day to all Lesbian, Gay, Bisexual, Transgender and Queer People All Over the World



    Happy Gay Pride


    Happy Gay Pride



    Happy Gay Pride

    Happy Gay Pride

    Saturday, June 26, 2021

    Closing the Orgasm Gap Between Women and Men - Part 2: How to Close the Gap

    In Part 1 of Closing the Orgasm Gap Between Women and Men, I focused on defining the problem and the contributing factors involved with the orgasm gap based on the book, Becoming Cliterate by relationship and sex therapist Dr. Laurie Mintz. In this article I'm focusing how to close the orgasm gap (see my article: Changing Your Sex Script). 

    How to Close the Orgasm Gap

    How to Close the Orgasm Gap Between Women and Men
    • Since only 25-30% of women have orgasms based on penis-in-vagina (PIV) sex alone, there's a need for both women and men to understand that most women--a whopping 95%!--need clitoral stimulation--either alone or in addition to PIV (individual women vary on what they need, so communication between sex partners is essential: see my article: How to Talk to Your Partner About Sex).
    • Since the clitoris is key to women's orgasms, there needs to be greater awareness and understanding about the clitoris.  This is true for everyone, but it's especially true for millennials because so many young men get so much misinformation about sex and what women like sexually from porn.  Also, so many young women think they're abnormal if they don't have an orgasm from sexual intercourse (PIV) alone.
    • The term "foreplay" implies it happens before the "main event," which is usually understood to be penis-in-vagina (PIV) sex.  It sounds like it's the appetizer before the main course, which also implies that it's less important than PIV sex.  As a result, the word "foreplay" undermines the very sexual activities, like clitoral stimulation, that are so important for women's orgasms, and some sex experts recommend that the term "foreplay" be abolished.  
    • Women can learn to make their own sexual pleasure at least as important as their male partner's pleasure, which includes developing an increased awareness of what is sexually pleasurable for them as individuals.  Once they understand what's pleasurable for them, women also need to learn to voice their sexual needs to their partners (see my articles:  Sexual Pleasure and Developing the Erotic Self  and How to Talk to Your Partner About Sex):
      • Exploring their own bodies sexually through touch and solo pleasure (masturbation) can help women to understand what is pleasurable for them and also become aware that they can provide themselves with pleasure without relying on a partner, including:
      • looking at and appreciating their naked bodies in the mirror, especially their vulva and clitoris
      • engaging in self touch/solo pleasure
      • using sex toys 
      • attending sex-related workshops led by professional sex experts          
      • Instead of being in a goal-oriented rush for the woman to have an orgasm, men need to listen to what women want sexually. They also need to take their time with oral sex.  
      • Men need to be aware that few things turn women off as much as when they feel their male sexual partner is in a hurry or approaches oral sex like it's a "chore."
    • As a society, we need to stop body shaming women for not being thin or having a particular body type.  There needs to be an increased awareness of how our society perpetuates body shame in the mass media, movies and pornography.

    Getting Help in Therapy
    If you're struggling to overcome personal obstacles, you're not alone.

    You could benefit from seeking help from a licensed mental health professional who can help you to overcome the obstacles to your happiness and well-being.

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

    I'm 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



    Closing the Orgasm Gap Between Women and Men - Part 1

    According to Dr. Laurie Mintz, psychologist and sex therapist who wrote Becoming Cliterate: Why Orgasm Equality Matters And How to Get Itthere's a huge orgasm gap between heterosexual men and women.  The focus of this article will be on identifying the problem and the contributing factors (see my articles: What is Good Sex? Part 1Part 2Part 3 and Part 4).

    Closing the Orgasm Gap Between Women and Men

    According to Dr. Mintz, a recent survey of thousands of men and women reveals that 91% of men versus only 64% of women said they had an orgasm during their most recent sexual encounter.  

    Dr. Mintz also cites another recent survey where only 57% of women said they had orgasms most or every time they had sex with a male partner, but their partners had orgasms 95% of the time.

    Why is There an Orgasm Gap Between Men and Women?
    So what's going on?  Dr. Mintz cites a number of reasons for the orgasm gap, including:
    • An Overvaluation of Intercourse: The most common way for heterosexual men to have an orgasm in partnered sex is through intercourse, also known as penis-in-vagina (PIV) sex.  This has lead to an undervaluation of women's most common way, which is through clitoral stimulation.  
      • This cultural valuation is usually seen in mainstream movies, social media and porn.  Women are regularly seen as having orgasms with intercourse alone--with little to no clitoral stimulation.
      • As a result, this perpetuates the misinformation about women's orgasms and PIV sex.
    • A Sexual Double Standard:  Our cultural double standard is that women are judged more harshly for having casual sex than men.  This often leads to women feeling conflicted, guilty and ashamed, which makes it harder for them to enjoy sex.
    • A Focus on Women Being Desirable to Men Instead of Focusing on Their Own Sexual Desires: The message that women should focus on being desirable to men (instead of focusing on their own desires) is everywhere--from social media, popular magazines, movies, porn, and so on.  
      • This message, which is so common, causes women to focus on how they look instead of how they feel.
      • The message is that women's main role is to pleasure men instead of believing that sex involves both giving and receiving pleasure.
      • A related problem is that many women don't like their bodies because thin women are often portrayed as being sexy.  
    • An Overall Problem With Sex Education in the US: Most sex education in the United States focuses almost exclusively on the dangers of sex, including pregnancy and sexually transmitted infections (STIs) instead of the pleasures involved with sex.  
      • This emphasis on the dangers of sex to the exclusion of fun and pleasurable sex makes it less likely that sex will be perceived as pleasurable.
    • A Lack of Communication About Sex: As part of sex education, most people--both women and men--get little to no training on how to communicate about sex.  
      • Since most men have orgasms and many women don't, it's especially important for women's orgasms that there is good communication about sex and orgasms in particular.  
      • As compared to men, women have different needs when it comes to having orgasms.  
      • Also, individual women have different needs (see my article: How to Talk to Your Partner About Sex).

    My Next Article:
    The focus of my next article will be how to close the orgasm gap:

    Getting Help in Therapy
    If you've been struggling on your own to resolve your problems, you could benefit from working with a licensed mental health professional.

    A skilled psychotherapist can help you to overcome the obstacles that are keeping you from maximizing your potential and leading a more fulfilling life.

    About Me
    I am a licensed NYC 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 or email me.