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Thursday, April 6, 2023

How Women Can Be More Assertive About Getting Their Sexual Needs Met

In her book, Sex Talks, Sex Therapist Vanessa Marin discusses the problems many people have talking about sex and how to overcome these difficulties (see my articles: How to Talk to Your Partner About Sex - Part 1 and Part 2).

How Women Can Be More Assertive About Sexual Needs Met

Even though many women are more assertive now about getting their sexual needs met as compared to the past, there are still many more who either don't know what they want or don't feel entitled to ask for it. They were never taught how to talk about sex--much less be able to ask for what they want sexually (see my article: Finding Your Sexual Voice).

Many people--both women and men--still feel a lot of shame and guilt when it comes to talking about sex (see my article: Exploring Your Sexual Fantasies Without Guilt or Shame).

And many people believe that if you're in a relationship with someone, you don't need to talk about sex--they think their partner should just know what they need.  Needless to say, this often doesn't work.

How to Be More Assertive About Getting Your Sexual Needs Met
If you find yourself struggling to talk about your sexual needs in your relationship, here are some tips that might work for you:
  • Identify and Write Down Your Sexual Thoughts: If you can't bring yourself to talk about sex, keep an erotic journal that's just for you.  Start paying attention to your sexual thoughts--no matter how insignificant they might feel to you. And if you're not having thoughts about sex, take some time to write about pleasurable sexual experiences you have had in the past--whether they're with your current partner or not (make sure you keep this journal private).  This will help you to develop a sexual awareness before you even attempt to talk to your partner.
Keeping an Erotic Journal
  • Know Your Sexual Values: If you're not sure what your sexual values are, take time to think about this and do some writing to clarify your thoughts. If you need to feel an emotional connection with someone before you have sex, you can tell your partner and if they judge you, that's important information about whether you want to engage in sex with someone who doesn't respect your values. Likewise, if you see sex as a casual recreational activity, that's also your right and your partner needs to know that. You also need to respect your partner's sexual values, which is different from just going along with something that you don't want. You can respect someone's values at the same time that you tell them that their values don't match yours.  No one needs to convince or pressure anyone into doing anything they don't want to do (see my article: Living Authentically Aligned With Your Values).

Know Your Sexual Values

  • Talk to Your Partner About General Sexual Topics If You're Too Uncomfortable Talking About Yourself: If, after you write down your thoughts in your erotic journal you're still not comfortable talking about what you want, talk to your partner about about sex in general. For instance, you could suggest that you and your partner watch a TV series about sex--like the Goop series on Netflix, Sex Love & Goop--where couples work with sex coaches and other sex experts on their sexual problems. It's usually easier to talk about sex when it's about other people on a TV program instead of talking about your own sexual experiences.  Or you and your partner can listen to a good podcast about sex, like the podcast that's hosted by Sex Researcher Justin Lehmiller on the Sex and Psychology podcast (he always has great guests and the podcasts are interesting and fun). Talking about a TV series or a podcast can help you to get started without the emotional vulnerability that people often feel when they talk about themselves.  This can help you to ease your way into eventually talking about your sex life with your partner. 
  • Don't Be Critical of Your Partner: It's important that when you start talking about sex that you don't start out being critical. That will only make your partner feel defensive, possibly shut down the conversation, and make it difficult to bring it up again.  This is a suggestion from Sex Therapist Vanessa Marin in her book, Sex Talks: It's better to try to find something to compliment your partner about and then make a suggestion of what else you want. Start by validating your partner instead of launching into criticism. So, for instance, you might say, "I love how you kiss my neck and I'd also like you to ________ ." You can fill in the blank based on what you want (see my article: Improve Communication in Your Relationship By Avoiding the 4 Horsemen of the Apocalypse).
  • Know Your Sexual Boundaries and Don't Do Anything You Don't Want to Do: Women often feel they have to appease their partner by engaging in sexual acts they don't want to do. This includes women who experience pain during sexual intercourse who don't tell their partner and just grit their teeth and bear it. If you're having pain during intercourse, that's a problem and you need to address it with a sex positive gynecologist (and no, not all gynecologists are sex positive enough to understand and discuss sexual pain without being critical). Sexual pain can be caused by many different problems, so find a gynecologist who is knowledgeable and comfortable talking about it. After the gynecologist has diagnosed the problem, s/he might refer you to a physical therapist who is a pelvic floor specialist.  But being able to speak up about what you do and don't want isn't just related to pain. It could be related to engaging in a sexual act that isn't safe or anything else related to sex (see my article: What is a Healthy Sexual Relationship?).

Know Your Sexual Boundaries
  • Know What Feels Safe to You and What Doesn't: For instance, if a partner you don't know well asks you to have intercourse without a condom because he doesn't want to wear one, know that you have a right to set a boundary with that person for your health and well-being. Too many women acquiesce to men about condom use and end up with a sexually transmitted infection or become pregnant (or both).  Likewise, if your partner is mostly focused on his own pleasure and not yours, you have a right to say your sexual needs count too.  Don't settle for less (see my article: What is Sexual Health?).

Know What Feels Safe to You

  • Know the Difference Between Assertiveness and Aggressiveness: Women often confuse being assertive with being aggressive, especially if they're not used to looking out for their own needs--whether it's sexual needs, emotional needs or any other needs.  When you're assertive, you're expressing your needs in an open, direct way without being disrespectful to the other person. You're not being critical or condescending. 
  • Make "I" Statements Instead of Accusatory Statements: Part of being assertive is speaking from your own experience.  Instead of saying, "You're trying to pressure me into doing something I don't want," say, "If you insist on having sex without a condom, I don't want to have sex because I don't want to get pregnant or get a sexually transmitted infection" (or whatever the issue is).
  • Avoid Risky Situations: Being impaired by alcohol or drugs makes it difficult to use good judgment or to think clearly about what you do and don't want. Misuse of substances can also embolden someone to force you to do things you don't want sexually, so avoid putting yourself in these kinds of risky situations, especially if you don't know your partner well (see my article: Can Hookups Be Safer and More Sexually Satisfying For Women?).

Getting Help in Sex Therapy
Sex is often difficult for people to talk about--even within long term relationships.

Getting Help in Sex Therapy

If you're having a hard time talking to your partner about sex, consider seeing a licensed mental health professional who is trained as a sex therapist to work out the emotional blocks that are getting in your way (see my article: What is 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?

Sex therapy is a form of talk therapy for individuals and couples. There are no physical exams, nudity or sex during sex therapy sessions (see my article: What Are Common Misconceptions About Sex Therapy?).

Rather than struggling on your own, 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 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 Josephine Ferraro, LCSW - NYC Psychotherapist.
















Sunday, April 2, 2023

Sexual Explorations: Substitute the Words "What's Your Fantasy?" With "What Are You Sexually Curious About?"

In her excellent book, Sex Talks, Sex Therapist Vanessa Marin discusses how to make sexual communication easier and less intimidating when talking about potential sexual fantasies (see my article: Exploring and Normalizing Sexual Fantasies Without Guilt or Shame).

What Are You Sexually Curious About?

According to Ms. Marin, many people become intimidated when their partner asks them about their sexual fantasies (see my article: Finding Your Sexual Voice).

I've also noticed this with individuals and couples who come to see me for sex therapy in my private practice in New York City.  

There's something about the words "sexual fantasies" that induce shame and guilt in many people. It's as if they think their partner is asking them to provide detailed full length narratives about things they want to try in bed.  As a result, they feel ashamed, their mind goes blank, and this shuts down the conversation.  

Rather than thinking of sexual fantasies as possibilities in an open ended way, they believe they should know what they like, how they like it, when they want it, and so on.  

But when people approach sex from the perspective of new possibilities, it's not necessary to know every detail because it's an open-ended exploration.

According to Ms. Marin, a better way to approach talking about fantasies is asking, "What are you sexually curious about?" because this helps to open up the conversation to sexual possibilities and it's less intimidating for many people than using the word "fantasies."

For example, being sexually curious, it's enough to just be able to say something like, "I've always been curious about trying the reverse cowgirl sexual position" (or something else) without knowing how to do it or if you'll even like it before you try it. 

Becoming curious and open sexually, as opposed thinking you have to know everything in advance, also makes sexual exploration much less shame inducing and even fun and exciting.

In addition, be aware that some people are much more aware of their sexual thoughts than others.  

Specifically, people who experience spontaneous sexual desire are more likely to be aware of their sexual fantasies. Other people who experience responsive sexual desire might not even be aware of any sexual thoughts or fantasies at all.

This is because people with spontaneous desire experience sexual desire mentally first (sexual thoughts) and then physically.  

And people with responsive sexual desire often experience no horniness until they get physical.  So, people with responsive desire experience sexual thoughts or fantasies after they after they get physical. So, for responsive desire people, physical desire precedes sexual thoughts.

This is why if you ask someone who has responsive desire to tell you about their sexual fantasies before they're physical engaged in sex, they can draw a blank.

A Clinical Vignette - Sexual Explorations: Sexual Fantasy vs Sexual Curiosity
The following clinical vignette is a composite of many different clinical cases to protect confidentiality.  This scenario illustrates the difference between asking about fantasies vs approaching fantasies from a perspective of sexual curiosity. It also illustrates the difference between spontaneous desire and responsive desire.

Sara and Jim
After five years of marriage, Sara and Jim, both in their early 40s, sought help in sex therapy because they were no longer having sex.

Sara and Jim in Sex Therapy

They told their sex therapist that in the prior year, they had sex four times with large gaps of time in between.  In sex therapy, couples who have sex less than 10 times a year are considered no sex couples.  

Both agreed they couldn't keep their hands off each other when they first met and they had sex several times a week back then.  But two years into their relationship after they moved in together, sex became dull and, as a result, they sought each other out sexually much less often.

Although both of them were concerned about their waning sex life, they hoped that, somehow, it would improve after they got married.  

But, over time, things got worse. Instead of improving, they got into a deeper sexual rut and they both admitted to their sex therapist that they didn't look forward to sex anymore because sex had become boring.  In fact, they mostly avoided sex because they didn't know what to do to improve things.

Jim said he tried to spice things up a few years before by asking Sara about her sexual fantasies.  He told the therapist that he was prepared to talk about his rich sexual fantasy life, but they reached a dead end in the conversation when Sara drew a blank.  She told Jim she wasn't aware of ever having any sexual fantasies.  

Sara told the sex therapist she remembered the day Jim asked her about her sexual fantasies and how awkward, ashamed and guilty she felt.  

She said talking about sex was always difficult for her--much more difficult than actually having sex.  So, she just didn't know how to respond when Jim asked her out of the blue about sexual fantasies. She found the whole topic humiliating because it made her feel sexually inadequate.

After a few sessions where the sex therapist assessed each of their family and sexual histories, she explained to them that Jim experienced spontaneous desire where he had frequent thoughts about sex which led to physical sexual arousal for him.  So, she said, it made sense that he would be more aware of his fantasies.

She also explained that Sara experienced responsive desire so Sara wouldn't have been as aware of her fantasies because she needed to be already engaged in sexual activity before she had sexual thoughts.

The sex therapist explained that both spontaneous and responsive desire are normal and neither one is better than the other.  It was more a matter of understanding the differences between them so they could begin to navigate their way to a better sex life (see my article: Understanding Differences in Sexual Desire in Your Relationship).

She also explained that part of the problem might be with the words "sexual fantasies," which can be intimidating to some people. In response, Sara said she did feel intimidated by those words.  So, the sex therapist suggested they approach sexual novelty with open-ended curiosity.  

As a homework assignment, the sex therapist recommended various forms of erotica (visual and auditory) and pornography, including ethical pornography, as a way to stimulate sexual curiosity and explore new sexual possibilities.

When they returned the following week, both Jim and Sara were eager to talk.  Sara said she didn't feel sexually aroused by watching porn, but she enjoyed listening to an erotic audiobook. For her, listening was better than watching, and she had never realized this before.

Sex Therapy 

Although Sara didn't feel immediately turned on, she and Jim planned a sexy romantic evening where they turned off their phones and the TV and eliminated any other distractions.  

Both of them agreed that throughout the week knowing they had a sexy romantic evening planned helped to generate sexual anticipation.

After they set a more romantic context with candlelight and music in the background, Jim gave Sara a long massage to help her to relax.  Then, she was able to talk to him about what she heard in the erotic audiobook that piqued her curiosity.  

Sara was quick to tell their sex therapist that she wasn't aware of any detailed sexual fantasies, but she was curious to try sexual role play because it sounded so hot and fun (see my article: What Are the Benefits of Sexual Role Play?).

Jim was also able to share his sexual fantasies about threesomes.  Although the fantasy was exciting for both of them, they greed they weren't ready to try this in real life yet.  

This was the beginning of Jim and Sara getting curious about what they wanted to explore in bed.   

At the suggestion of their therapist, Sara also began keeping an erotic journal to capture her thoughts about things she heard in erotica that she was curious about.  

As opposed to when Jim initially asked her about her sexual fantasies, Sara didn't feel pressured. Instead, she felt more excited and open to sexual exploration and, over time, her sexual self esteem improved.

Conclusion
When they're asked about sexual fantasies, many people feel too intimidated and pressured. They think they have to come up with full length narratives rather than just being open to talking about sexual exploration.  This is especially true for people with responsive sexual desire, who aren't aware of having sexual thoughts before they engage in sex.

A better way to approach sexual exploration for people who don't respond well to being asked about sexual fantasies is to ask them what they might be curious about.  Even if they don't know at first, there are many ways to explore possibilities through ethical porn, regular porn and other forms of erotica to stimulate ideas and desire.

There's something about the idea of getting curious that allows them to feel more comfortable because curiosity is open ended and it opens up the possibility to find out more.

Getting Help in Sex Therapy
If you're having sexual problems, you could benefit from seeking help from a licensed mental health professional who is a sex therapist.

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

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

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

Rather than struggling on your own, 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.



















Thursday, March 30, 2023

Can Hookups Be Safer and More Sexually Satisfying For Heterosexual Women?

In my last article, Sex Research: Heterosexual Women Often Find Hookups Less Sexually Satisfying Than Men, I discussed some of the reasons why heterosexual women often feel less sexual pleasure during hookups than men. 

In this article, I'm focusing on how these hookups can be safer and more sexually satisfying for women.

Can Hookups Be Safer and More Sexually Satisfying For Women?

Let's face it: Regardless of how you feel about hookups, they're here to stay--for adolescents, college students and people in their 20s and beyond. 

So, for the purpose of this article, it's not a matter of stopping hookups or casual sex--it's more a matter of how to make hookups better for women who want to hookup.

Before going on, I want to clarify why I'm focusing on heterosexual women in particular. 

Based on sex research, compared to gay men, bisexual men, bisexual women and lesbians, heterosexual women have the least sexually satisfying sex, even in committed relationships, and even less satisfying during hookups and casual sex (see my articles: Closing the Orgasm Gap - Part 1 and Closing the Orgasm Gap - Part 2).  

More about this in the second half of this article.

Can Hookups Be Safer For Heterosexual Women?
Let's start by focusing on personal safety.

Personal safety is an important issue for heterosexual women who are much more at risk during hookups.  

According to the Centers For Disease Control and Prevention (CDC), 1 in 5 women are sexually assaulted in the United States.  

This is an astounding number.  It means that 20% of women in the US are sexually assaulted at some point in their lifetime.  

Considering that alcohol and drugs are often a part of hooking up, you can see where safety could be an issue when both people are impaired with regard to using good judgment and practicing consensual sex (see my article: What is Sexual Consent?).

    Tips For Safer Hookups
Although any hookup can be potentially unsafe, there are steps you can take as a woman to make them safer:
  • Share Your Location With Trusted Friends: Before you meet with the person you're hooking up with, share your location so, in case of an emergency, people know where you are and how to find you. You can do this through your iPhone or using Google Maps.
  • Keep Friends Informed: Share the first and last name of the person you're hooking up with and one of their social media accounts, like Instagram. Also, keep your friends posted with your whereabouts if you leave the place where you originally told them you would be.
  • Practice Safer Sex and Carry Your Own Condoms: You can't always rely on your sex partner to have condoms, so bring your own to protect your health and theirs as well.  If your partner refuses to use a condom, don't engage in fellatio or have intercourse.
  • Know Your Partner's Sexual Health Status: Even though it's good to use condoms, condoms aren't 100% safe when it comes to sexually transmitted infections and HIV. So, it's good for both you and your partner to get tested beforehand so you know each other's sexual health status.
  • Be Aware of  Your Alcohol Consumption: Be mindful of how much you drink and what you drink. Never take a drink that wasn't given to you directly by the bartender, especially if you don't know your hookup partner well, because someone could easily slip a drug into your drunk that will impair you.
  • Don't Walk Home Alone Late at Night: Make sure you have friends who can walk you home from wherever you were hooking up with your partner, especially if it's late at night or you're in a remote area.  If your friends aren't available, have enough money or a credit card with you to take a taxi or car service home.
  • Trust Your Instincts: If you get the feeling that something is off, don't hang around just to be polite. Trust your gut and leave without feeling guilty. This is about your personal safety.
Can Hookups Be More Sexually Satisfying For Heterosexual Women?
Now that I've discussed the safety precautions, let's focus on how hookups can be more sexually satisfying for women, which is so important considering the orgasm gap.

    Tips For More Sexually Satisfying Hookups
Since women often leave hookups without experiencing an orgasm or without even feeling sexual pleasure, here are some tips:
Know What You Like Sexually and Tell Your Partner

  • Tell Your Partner What You Like: You can learn to get comfortable talking about sex with a partner by practicing. The more you're able to talk about what's pleasurable to you, the easier it can get.  Don't assume your partner knows or is even concerned about your sexual satisfaction, especially if you don't know each other well. You're entitled to sexual pleasure, so don't settle for less (see my article: Finding Your Sexual Voice).
  • Take the Time to Get Sexually Aroused: Whether you experience spontaneous desire or, if you're like most women, you experience responsive desire, take the time to get aroused by kissing, touching, clitoral stimulation or doing whatever it is that gets you turned on (assuming your partner consents to it) before you engage in oral sex or intercourse. Don't allow your partner to rush you if you're not ready.
  • Make Sure You Use Lube: Even if you're very turned on and already wet, adding lubrication can help reduce the amount of friction that can make penetrative sex unpleasant and even painful. Remember that oil-based lubricants break down latex condoms.
  • Use Sexual Fantasies to Get Yourself Turned On: Sex starts in the brain, so if you want to get turned on, think about your sexual fantasies, including your peak erotic experiences.
  • Feel Free to Use a Vibrator to Have an Orgasm: Depending upon whom you're with, your partner might have an orgasm before you do. Some partners can be more sexually generous than others, but if you're with someone who is mostly focused on their own orgasm, feel free to use a vibrator to have your orgasm. There are now so many varieties to choose from, including small bullet vibrators that are so convenient that you can carry one in your pocket.
Conclusion
Hookups aren't for everyone, but they're not going away any time soon.

Since heterosexual women are more at risk than men, it makes sense to take basic precautions to ensure personal safety.

In addition, since heterosexual women tend to have less satisfying sex than men, knowing what you like and being able to tell your partner can help you to have more satisfying sex.

Getting Help in Sex Therapy
If you're having a sexual problem, seek help from a licensed mental health professional who is a sex therapist.

Sex therapy is a form of talk therapy (see my article: What is Sex Therapy?).

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

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

Rather than struggling on your own, 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 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.























Saturday, March 25, 2023

Sex Research: Heterosexual Women Often Find Hookups Less Sexually Satisfying Than Men

While sexual hookups can be fun and exciting, it's often a lot less sexually satisfying for heterosexual women than it is for men.

Sex Research: Women Often Find Hookups Less Satisfying


What Are Hookups?
Sex researchers have often found the definition of hookups to be elusive.

For instance, researchers at the University of Montana found so many different definitions of hookups among college students that the concept was unclear.  

They discovered the definition of hookups might be strategically unclear so that people aren't revealing too many details about their sexual encounters.

Sex Research: Women Often Find Hookups Less Satisfying

But based on their findings, the researchers came up with their own definition of hookups:  

Hookups are sexual encounters, which can involve vaginal, anal or oral sex where the two people are not in a serious or even a dating relationship. 

There are no spoken commitments and no expectations about the future--although, based on my clinical experience, this can be a problem if one or both people become emotionally attached, especially people with an anxious attachment style (see my article: How an Anxious Attachment Style Can Affect Your Sex Life - Part 1 and Part 2).

Hookups are spontaneous sexual encounters that are often fueled by alcohol. There is often no consent, no communication about sexual health and no communication about sexually transmitted infections (STIs).  

In addition, there is often no condom use during hookups, which puts both people at risk for STIs whether the sex was penetrative or oral sex (Yes! Both men and women can contract STIs from oral sex!). So, in terms of sexual health, this places both people at risk.

Sex Research Reveals That Hookups Are Unlikely to Be Satisfying For Women
According to sex research presented at the annual meeting of the International Academy of Sex Research, heterosexual women are much more likely to have an orgasm in a serious relationship with a man than during a hookup (although, in terms of orgasms, the data isn't great for heterosexual women in serious relationships, as discussed below).

Sex research performed by Kim Wallen, a professor of Endocrinology at Emory University, revealed that, despite sexual liberation, the sexual playing field isn't equal between heterosexual men and women, when it comes to sexual satisfaction during hookups.  

This research is backed up by sociologist Paula England of New York University: Women were less than half as likely to have an orgasm during intercourse or oral sex during a hookup as compared to men.  Specifically, her study revealed that only 40% of women had an orgasm during hookups.  

What is the "Orgasm Gap" Between Heterosexual Men and Women?
In general, even among heterosexual couples who are in a committed relationship, there is an orgasm discrepancy, also known as the orgasm gap or as orgasm inequality.

According to researchers from the Archives of Sexual Behavior, who assessed sex research involving 52,500 adults, 95% of heterosexual men said they had orgasms during sexual intercourse but only 65% of heterosexual women said they had orgasms.

According to Laurie Mintz of the University of Florida, who is a sex educator and a psychologist in private practice, the orgasm gap is a cultural problem--not a problem to be blamed on men or women.  

The orgasm gap has been attributed to lack of understanding, among both heterosexual men and women, about women's anatomy, including the importance of the clitoris in terms of women's sexual satisfaction.

Why Do Heterosexual Women Often Find Hookups Less Sexually Satisfying?
One reason why heterosexual women don't find hookups as satisfying as men is that women are less likely to express their sexual needs during these sexual encounters (see my article: Finding Your Sexual Voice).

In addition, according to Sean Massey, associate professor of Women, Gender and Sexuality at Binghampton University of New York, many men might be more focused on their own sexual satisfaction during hookups and less concerned about pleasing their female partner.

Can Hookups Be Safer and Sexually Satisfying For Heterosexual Women?
According to Debby Herbenick, sex educator at the Kinsey Institute, an institute that focuses on sex research, hookups can be more fun and sexually satisfying for women.  


Getting Help in Sex Therapy
Sex therapy is a form of talk therapy where there is no physical exam, nudity or sex during therapy sessions (see my article: What Are the Most Common Misconceptions About Sex Therapy?)

If you're having sexual problems as an individual or as part of a couple, you're not alone.

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

If you're having a problem with sex, seek help from a licensed mental health professional who is a 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.

















Finding Your Sexual Voice

This article will focus on what it means to find your sexual voice and discuss the steps you can take to develop this part of yourself (see my articles: Tips on Sexual Self Discovery and Sexual Self Discovery With Pleasure Mapping).

This article is focused mostly on heterosexual women because they often have problems with their sexual voice.  But this article is also relevant for heterosexual men and LGBTQ folks.


Finding Your Sexual Voice

What Does It Mean to Develop Your Sexual Voice?
Finding your sexual voice includes:
What Are the Benefits to Developing Your Sexual Voice?
Developing your sexual voice to communicate your needs to a partner is usually an empowering experience if you're with the right person (see my article: What is Sexual Self Esteem?).

Many heterosexual women have difficulty expressing their sexual desires because they've been conditioned to repress these sexual expression.  They might have been raised to believe that men should take the sexual initiative and women should be passive about sex.

In addition, based on sex research, most women experience responsive sexual desire, which means that they don't necessarily feel sexually turned on until they start having sex.  So, they're often unaware of what turns them on.  One possible way to overcome this problem is to look back on previous peak erotic experiences (see my article: What is Eroticism?).

According to Dr. Emily Nagoski, sex educator, about 15% of women experience spontaneous sexual desire where they're mentally aware of desiring sex which gets them physically turned on.

Even for heterosexual women who are in touch with their sexual desires, expressing their desires can feel too emotionally risky for many of them. Shame and worry that they'll be labeled a "slut" is an issue or that male partner might feel threatened if they are sexually assertive.

So, instead of expressing their sexual desires, they focus on pleasing their partner and put their own sexual needs last.  This is often due to the fact that many women are raised to be "people pleasers" so they focus on pleasing other people, including their sexual partners, instead of focusing on their own needs.

This can be especially problematic during casual sex when a heterosexual woman's partner might also be focusing only on his own sexual needs.  Then, both the man and the woman unknowingly collude in making sex an unsatisfying experience for the woman (see my article: Closing the Orgasm Gap Between Men and Women - Part 1 and Part 2).

Another issue is that many heterosexual women expect their partner to know what they want sexually without telling them, but their partner might be completely unaware of what they want.  Or their partner might assume that, in the absence of feedback from the woman, whatever they're doing is sexually satisfying when, in fact, it might not be.  

As a result, many of these women end up feeling sad, angry and resentful that their sexual needs aren't being met.  But this doesn't have to be the case as you'll see if you keep reading.

Why Is It Difficult to Find Your Sexual Voice?
Finding and using your sexual voice can be difficult, especially for women, in a society that emphasizes many false and unhelpful messages about sex, including:
  • Sex only involves penis in vagina (PIV) for heterosexual couples
  • Hard and fast sex is the only sex that is fun
  • Sex should be performative and always ends in orgasm
  • A cultural stigma that still exists against heterosexual women being sexually empowered
Let's explore each one of these issues:

    Sex Only Involves Penis in Vagina (PIV) For Heterosexual Couples:
Penis in Vagina (PIV) is also referred to as penetrative sex. 

Many individuals and couples have a limited definition of sex, which involves only PIV for heterosexual people. This is the message received in movies and TV programs.  In addition, sex education is generally so poor in the United States that many adolescents and adults never learn anything beyond PIV sex--if they even learn about that.

While there's nothing wrong with PIV, there are many more ways to have sexual pleasure and enjoy yourself, including kissing, erotic massage, oral sex and much more.  It's all a matter of using your imagination and being able to communicate what you want so you can expand your definition of sex.

In addition, some people don't like PIV.  For many people PIV becomes too goal oriented and adds too much pressure to sex.  In fact, many heterosexual women don't orgasm from PIV.  They prefer clitoral stimulation instead--either alone or in addition to PIV (see my article: Understanding Your Sexual Script).

    Hard and Fast Sex is the Only Sex That is Fun
Once again, in addition to mostly showing PIV sex, TV programs and movies usually portray sex between two people as being hard and fast ending in simultaneous orgasm for both people.  But while hard and fast can be fun for some people at times, other people prefer slow, loving and sensuous.  They prefer to ease into sex with touching and kissing.  Or some people alternate, depending upon their mood, between with wanting hard and fast and wanting slow, loving and sensuous.  So, there's no one-size-fits all (see my article: 

In addition, hard and fast sex places a lot of pressure on a heterosexual couple.  For men, hard and sex becomes anxiety-ridden performative sex, which can create problems with erectile dysfunction.  For women, hard and fast sex isn't always sexually satisfying. They feel the pressure to appear as if they've had an orgasm.  This leads to many women faking orgasm, which is a problem in itself because their partners don't learn what these women need to feel sexually satisfied.

    Sex is Performative and Always Ends in Orgasm
There are many reasons for having sex aside from deriving sexual pleasure.  For instance, many people feel the most emotionally and intimately connected with their partner when they have sex.  

Assuming you want to have more emotionally and physically satisfying sex, it's a good idea to move away from the idea of sex as a performance, as I mentioned above (see my article: What is Performative Sex?).

This also means that sex between you and your partner might not always end with an orgasm, but this doesn't mean that the experience wasn't pleasurable.  It's a matter of expanding your sexual repertoire to discover what is pleasurable for both of you.

    A Cultural Stigma That Still Exists Against Heterosexual Women Being Sexually Empowered
Unfortunately, there's still a cultural stigma in Western society against heterosexual women being sexually empowered.  In fact, women seem to lose either way--if they're sexually assertive, they're labeled as "whores" or "sluts" and if they're passive, they're labeled as being "frigid."  So, heterosexual women get mixed messages about being sexually empowered.

In addition, many women take their social cues about from social media where women are often objectified.  This results, in turn, in women objectifying themselves.  

Heterosexual women can't change this on their own. It's up to everyone to be aware of this stigma and create a culture that embraces all women's sexuality--whether they're heterosexual, lesbians, bisexual women or trans women.

How to Learn to Voice Your Sexual Curiosity and Desires
For many people talking about sex is fraught with problems--even when they're trying to communicate their sexual desires to a loving partner in a committed relationship. 

Finding Your Sexual Voice

People, especially women, are often overcome with shame when they try to talk about sex.  Often this is because they never learned how to talk about sex and/or they don't know what they like because they've never engaged in their own sexual self exploration.

Finding Your Sexual Voice
  • Understanding Your Motivation For Sex: Your motivation for sex can vary at different times and with different people.  If you're feeling sexually turned on, you might just want to have fun.  In other words, sex doesn't have to be loving and tender--it can be lusty and exciting or it can be both--depending upon what you want.  Sex should never feel obligatory or forced on you.  
Letting Go of Goals
  • Stop Approaching Sex in a Goal-Oriented Way: Sex between you and your partner isn't always going to end in simultaneous orgasms for both of you.  It's possible that neither of you will have an orgasm at times and, rather than being disappointed, consider the other pleasurable aspects of having sex. The pressure to achieve sexual goals is often a barrier to pleasurable sex. So, instead measuring sex based on a goal, focus on sexual pleasure for you and your partner.  In addition, become aware of your own and your partner's erotic blueprint so you can have more enjoyable sex.
  • Become Aware and Attuned to Your Own Sensations: While it's important to be attuned to your partner, if you don't know what turns you on sexually, you need to take time on your own to focus on yourself.  This can mean different things to different people.  In my prior article I provide suggestions on how to discover what is sexually pleasurable for you. In addition, keeping an erotic journal can help you to become more aware and attuned.
Communicating With Your Partner
Once you're aware and attuned to your own sensations, what you like sexually, and what you're curious to explore, you can communicate with your partner.

Communicating With Your Partner

As I mentioned earlier, talking about sex can be difficult for many people.  

If you have difficulty talking about your sexual desires, you and your partner can practice talking about your sexual fantasies or, if that's too difficult, watch erotic films or porn to discover what you both might enjoy (see my article: Exploring and Normalizing Sexual Fantasies Without Guilt or Shame).

Getting Help in Sex Therapy
Many people have problems discovering their sexual voice due to a variety of unresolved issues, including sexual anxiety, a discrepancy in sexual desire between partners, a history of sexual abuse, painful sexshame and guilt and a variety of other sexual problems (see my article: What is Sex Therapy?).

Getting Help in Sex Therapy

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

Instead of struggling on your own, seek help from a licensed mental health professional who is a sex therapist so you can overcome the obstacles keeping you from having pleasurable sex.

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.