Overcoming "Female Sexual Dysfunction"

There are a lot of women in America who struggle with some aspect of their sexuality. Nonetheless, I'm not a fan of the terminology "female sexual dysfunction." So the first step to "overcoming" this, is to let go of this pathologizing phrase. Women's sexual desire and experiences have a very broad range of "normal," so don't assume there's something dysfunctional going on.

Speaking about Female Sexual Dysfunction at the Women's Health Conversations Conference in Pittsburgh, PAWhen this terminology is used, it's generally referring to low sexual desire in women. In long term relationships, this is very common; so common, I would actually call it the norm. This is not problematic, in and of itself. Where it can be a concern, is if the woman misses her sexual feelings and desire, or if her partner is not feeling fulfilled sexually (which can then be related to not feeling loved or connected).

So if this is a concern of yours, what can you do about it? I think it's important to figure out the main factors at the heart of your low desire. Is everything else amazing in your relationship, but you just feel no drive? Then find out what does get your juices going, whether reading erotica, touching yourself, or fantasizing, and commit to doing that a few times a week to remind your body that you can feel desire.

Do you carry resentments towards your partner because you feel unloved or not nurtured? Take the 5 Love Languages Quiz and figure out how to ask for and get your needs met. Are you bored with sex and try to avoid it? Check out books like Getting the Sex You Want or Urban Tantra to reinvent your sexual landscape. Are you way too tired at the end of the day to even consider sex? Start scheduling "intimacy time" during mornings or weekend afternoons; just start with cuddling or Happy Naked Fun Time, and see what blossoms. Do you struggle like many women do, with thinking your body isn't attractive enough or perfect? Write a list of 20 things you love about your body and review that every day to retrain your brain towards appreciation.

Are you experiencing pain during sex? If so, it's no wonder you don't desire sex! Try to identify where the pain is located...is it deep inside? Then notice if certain times of the month and certain positions make a difference. Is it near the entrance? Perhaps a new thicker lubricant could help. Although there are some serious reasons why pain may be present (e.g., vaginismus), the most common reason is that the sexual interaction is moving along too quickly and your body hasn't had enough time to warm up and get blood flow and engorgement of your genitals. Women can take upwards of 20 minutes to be fully aroused, and that's even when you're enjoying what's going on! So ask your partner to slow things down.

And finally, are you giving yourself permission to be a fully sexual woman? Do you negatively judge a "very sexual woman"? Perhaps you're still carrying the heavy messages around being a "good girl" that you grew up with, and they are interfering with being present and having fun during sex. Write down all the traits that you think are part of enjoying sexual activity, and one by one start integrating them into your sexual interactions. You get to decide who you want to be as a sexual woman.

If you're experiencing low desire as a woman, you are definitely not alone! I hope this gives you a few new directions to consider in addressing this.

~Dr. Jenn Gunsaullus, San Diego Sexologist, Sex Speaker, Sociologist

How Can Costumes & Role Playing Improve Your Sex Life?

~Dr. Jenn Gunsaullus, San Diego Sexologist, Sex Speaker, Sociologist

Does the thought of donning a wig and feather boa in the bedroom sound silly, sexy, or somewhere in between? Since we're in the Halloween spirit, this morning on San Diego Living I discussed how costumes and props can be used all year long to turn a stale, serious, or predictable sex life into one that oozes fun, surprise, permission, and creativity.

Divorce Attorney Interviews Me to Help Couples Avoid Divorce because of Lost Sex!

I love this! Wendy Hernandez, a family and divorce attorney in Phoenix, AZ, interviewed me recently. So many couples who walk through her doors are there because somewhere along the way they lost their sexual intimacy. I share how common this is, gender differences, and ideas to get your sexy back...and avoid divorce!

(Check out the full page with the interview HERE, including Wendy's summary of our discussion topics.)

~Dr. Jenn Gunsaullus, San Diego, Sexologist, Sociologist, Sexuality Speaker

Faking It! Female Orgasm Infographic

I'm excited to present here my first infographic, created with the help of colleague Christy Stevens. I hope this infographic about orgasm, female sexuality, and faking it inspires you to learn more about orgasms! Click here for lots of great orgasm resources to learn from.

~Dr. Jenn Gunsaullus, San Diego, CA -- Sexologist, Sexuality Speaker, Sociologist

Easy Sex Tips to Try Now...on Wake Up San Diego (Ch. 6)

Forget the complicated Kama Sutra that justs sits on your shelf and overwhelms you! Here are some simple tips you can do right away and continually to keep you more intimately connected to your partner. We focused more on fun than educational content in this piece, but hopefully you can laugh along with us :)

~Dr. Jenn Gunsaullus, San Diego -- Sexologist, Sociologist, Sexuality Speaker

Genital Bear Trap?

http://faadooindia.com/2012/07/im-guessing-you-are-not-in-the-mood/Read the cartoon. “I’m guessing you are not in the mood…” Cue laughter.

Why does this evoke laughter? Even I laughed initially when I read it before I considered other perspectives. I was curious whether women in general would find it amusing due to familiarity with that situation, or if they would be upset by it. And what about men?

In my private practice, I frequently witness this dynamic with couples of mismatched desire levels, albeit not to the extent of barbed wire. In bed at night, here’s the monologue that seems to go through the woman’s head:

He will probably want sex tonight. It’s been a little while so maybe I should. But I’m exhausted and don’t feel like it. If I yawn loudly, he’ll see the subtle clue that I’m too tired and not ask, and then I won’t feel guilty about saying no.

This cartoon cuts through the mental game playing as the woman blatantly presents her opinion about sex that night. The man scratches his head, and with a bit of uncertainty, states the obvious.

I’m mixed about how I feel about a cartoon like this. This is a stereotype, and such stereotypes are problematic because they can enforce already restrictive gender roles. On the other hand, this is how many couples operate, and humor is a known path to opening dialogue around uncomfortable topics.

So I posted the cartoon on Facebook and asked for people’s initial reactions, and why they had that reaction (both publicly and in private message). The responses were incredibly varied from the extremes of  “this is depressing” and “this isn’t funny,” to recognition that “as a mother of three children, I laughed,” to “lighten up people, it’s a joke” (which incidentally, was from a man). The most poignant responses were those indicating opposing gender perspectives on who was responsible for the couple reaching this point. As one friend posted, we need to ask why this is happening. I quite agree. What differences are women and men learning about sex and experiencing around sex that makes this a national joke? Clearly we’re missing the mark, and each other.

From a woman’s perspective, why would she get to a point of desiring physical barriers between her and her partner? She may be exhausted and overwhelmed from juggling so much, doesn’t feel much of a physical sex drive, she’s bored with the same old in the bedroom, or she’s built up a wall of resentments that make opening up sexually difficult. These are all common explanations I hear from clients and quite valid. The Facebook crowd added that a discomfort can exist if the man has cheated or if the woman gets tired of saying no. This was exemplified by the comment, “another clueless horny man,” from a woman who thought the cartoon was funny because it’s true. There were also some women who felt that the depicted couple was sad and distressing, because clearly her other modes of communication had been ignored.

The sad theme was also mentioned by several men, who saw it as frustrating to a man. I perceived these responses to mean that to encounter such roadblocks when desiring sexual intimacy with your partner is upsetting. Continual rejection can take quite a toll on a man’s self-esteem and confidence. On the other hand, several men found humor in the cartoon with the “it’s funny because it’s true” response for a few reasons: because women don’t communicate directly enough for men to understand, so the blatancy of the cartoon is appreciated; it “blames” the woman for her lack of interest in sex; and that the use of a bear trap and fencing in bed is just funny. As to why a man could get to this point in a relationship, in my practice, I’ve found that men are more likely to continue to have physical sexual desire throughout a long-term relationship, while their female partners don’t experience the same type of physical urges. It can be difficult for men to understand and accept this shift.

That being said, I would be remiss to not share the perspectives of the women and men who expressed the opposite view. A couple women were in the shoes of the “man” of wanting more sex. One man responded, after a chuckle, that sometimes guys don’t want sex either. There were also some people who recognized that it takes two to tango, and both partner’s played a main role in creating this sad situation. I certainly see all of this in my practice as well.

What is the lesson here? In relationships as depicted in the cartoon, it’s vital to realize that the woman is not trying to be a gatekeeper. Additionally, the man is not trying to be an ass. Despite the difficulty in each partner accepting this, it is actually quite hurtful and guilt-inducing on both sides. Drop the defensiveness and get to the vulnerable truth, and allow space for your partner to do the same. Get to the heart of your needs, desires, and motivations, and open to a teamwork approach. Otherwise that electrical fence will get more charged and divisive.

And the funniest response on Facebook? One of the class clowns from my high school did not disappoint. He wrote: “I’m wondering what book she’s reading? Maybe it’s 50 Shades of Grey, in which case the guy should hang in there as she might change her mind shortly.” Thank you, Doug.

~Dr. Jenn Gunsaullus, San Diego, CA -- Sex Therapist, Sexuality Speaker, Sexologist