Transformational Pleasure

In Buddhism there is a concept called the realm of the hungry ghosts. In this space as ghosts with tiny mouths and throats but enormous bellies. They are always hungry and  can never be satiated. They are bound to their desire, constantly seeking more, trying to be full. These ghosts provide insight in to the pain of unsatisfied desire. Many of us have experienced the torment of feeling unsatisfied, longing, desperate to meet a need that remained unfulfilled. Sexuality may have caused us to feel like these ghosts trying to feed but never nourished.

So how can we avoid this frustrating existence? In this metaphor we need to expand our mouths and possible shrink our bellies, take in more while being full on less. I believe we can do this by being mindful and increasing our awareness of sensation and feelings. We take in more by experiencing everything more vividly, reducing distraction and focusing on really feeling what is happening. We increase pleasure by slowing down enough to taste it before rushing on to the next bite. We don’t think of an empty belly waiting to be filled, but think of each rush of flavor as it enters our mouth. Each touch, each breath on our skin, each shudder is appreciated. And so the experience becomes more satisfying.

We shrink our bellies, not by denying ourselves but, by being careful of what we label as “enough”. We are introduced to increasingly impossible and frankly, outlandish ideas of what we are supposed to be satisfied with, leading us to stay chasing an elusive finish line. Stay wary of temptations to always need more. The possibility of more is exciting, it is a gift, but if it becomes a distraction that takes you away from what you currently have to enjoy, be aware of that.

We live in a society that encourages constant dissatisfaction. This makes us good consumers as we desire the relief of the next thing to make us happy. We are trained to be hungry ghosts distracted by unrelenting stimulation, trying to ingest it all, but getting little nourishment from it. Our sexuality is affected by distractions too, of all kinds. It takes focus to really take in a sexual experience without minimizing it by rushing or performing or over-thinking.

Sometimes the most simple things are what satisfy – a fresh strawberry, a quiet moment to hear the breeze in the tree, a singular awareness of the softness of a tongue on your body. Feed yourself by paying attention to what you are taking in. Let yourself enjoy freely, without wondering is there supposed to be more? Change from ghost to flesh and blood.

The FDA is holding open meetings in October to obtain patient and doctor input on female sexual dysfunctions, specifically low desire. Now since it is the FDA, they are hoping to gain momentum on developing a medication that can treat lack of sexual desire. Which makes those of us who work with people struggling with sexual concerns sigh with frustration, “As though it is that simple.”

Sexual desire is complex. So much so that we can also say it is mysterious. Why we crave what we crave, why we crave it sometimes and not other times, why we are drawn to certain people, all questions without clear answers. And why we can’t just convince ourselves to want sex when it the person, place or time are convenient? That is a question that many people ask themselves. Low sexual desire is only a clinical issue when someone wants to want sex. But wanting to be sexual is not the same thing as desiring sex in that moment. And so many people are seeking their sexual desire spark to reignite.

There are physical issues that come into play with low desire, certainly. Hormones, brain chemistry, stress levels, exhaustion, side effects from drugs, general health and more should be considered. But so should emotional stressors, lifestyle, religious or spiritual conflicts, body awareness and acceptance, beliefs about sex and pleasure, traumas and fears, self image, lack of sex education, ability to enjoy sexual stimulation, and on and on. And I haven’t even started listing all the ways the relationship the person is in may affect their level of sexual desire. An issue that starts from one stimulus, say back pain, can lead to a pattern of saying no to sex, which leads to distance and resentment in a partner, which leads to less desire to be with them, which leads to less positive thoughts about sex…You can see how things interplay.

Even if the FDA can create a pill that motivates sexual desire would we want to take it? There is a creepy factor in feeling as though your sexual desire is manufactured. What invites us to ask ourselves, what is “real” desire. Desire is not just physical, nor just emotional, or relational. Our sexuality is interlaced with all aspects of our lives; that is one reason it is so potent. Sexual happiness can heal us on many levels and sexual unhappiness can trouble us on many levels.  Desire draws on multiple aspects of Self, and my sense is that many of us want it that way.

There is a group specifically challenging the medicalization of sex, called the New View Campaign. Let’s keep our approach to sexual health diverse and multi-dimensional.

The freedom to express yourself in any way you see fit is an amazing gift that everyone should experience. For those of you heading to Burning Man, you know preparation is key. Thinking ahead can give you the freedom to stop thinking so much and to just enjoy and explore, and still come home healthy and free of regrets.

Clothes have definite benefits but how often do we get a chance to be naked? If wearing very little is the way you want to go, be mindful of the more delicate parts of your body. Foreskin and public hair both serve the purpose of providing some protection from external irritants, but many of us are without these protections. Pubic hair functions as a soft screen that catches things like dust before it reaches your vulva. If it is an option, you may want to take the counter-culture stance of letting it grow out for now. If not, just be aware that your vulva is exposed and treat it accordingly. Body paints and glitters are generally not designed to play nice with genitals, so work around.  And of course, if a body part has not seen the light of day in a long time - sunscreen!

In Girl Scouts we had “sit-a-pons” which were cushions to sit on that we carried with us. This is not a bad idea, even in decidedly non-Girl Scout-ish environments, so you have a soft place to land. Still everything is going to get dirty. Anytime showers are hard to come by, it is good to get body wipes to clean up easily. A lot of the body wipes sold in stores are not designed for genitals, so find ones that are, like After Glow Toy Tissues (with the added bonus of being safe for cleaning your toys too!) You can use the tissues before sex and after sex to minimize dust or other dirt getting places it shouldn’t. If you are prone to UTIs you can ask your doctor for an emergency travel prescription if you are going somewhere without access to pharmacies. They may not give it to you, but it is worth asking.

Looking forward to a little ecstasy-induced trust or other escapes from your reasoning mind? Be honest with yourself up front about what you want to experience and prepare to make it easy to protect yourself. Acknowledge with yourself up front that even awesome, loving, beautiful people can have STDs and, since so many can be carried with no symptoms for years, they may not be aware that they are putting you at risk. Practice safer sex and be prepared by carrying your own condoms or other barrier methods. Communicate your boundaries ahead of time and while you are engaging with a partner. That way you can enjoy yourself without unwanted consequences later.

You probably planned for months so that you can have an amazing break from the everyday realities of life and still be comfortable. You deserve a chance to let go of worries and be playful but our bodies’ needs and realities are a constant.  Make your sexual health a part of your plans. Plan ahead then play hard.

Do you feel like you know yourself, really know the internal workings of who you are and how you engage with world the way you do? How about when it comes to your sexuality? Do you feel like you are aware of the different parts at play inside of you? Are you ever curious about why you desire what you desire or how your fantasies can feed your sexual life? Do you wonder about your body and its responses? Are you ever confused about conflicting beliefs or urges? Do you have things you might like to see change or transform in your sex life?

When was the last time you really explored your sexuality? Often we get an influx of information, usually somewhere around junior high, that we rapidly adapt to, feeling like we have to perform sexual know-how so we don’t look foolish or naïve. We start from a place of feeling like we know nothing, so we stop listening to ourselves. From there we bumble along through our early sexual experiences, searching for external cues and crucial information that will make us acceptable sex partners. Some of us might have looked to magazines, porn, seemingly experienced friends, maybe even some sex-ed videos or classes. We keep trying to find the perfect performance tips, learn to touch spot A, then B, then C, while desperately trying to keep things from becoming routine. Society tells us there is an answer out there, if you just listen to the right person.

But the sexual answers for you aren’t out there. And the external searching for those answers leaves many of us feeling dissatisfied, more confused, and alienated. The place you really need to be looking for sexual answers is inside yourself. Let’s be clear, the longest running sexual relationship you are going to have is with yourself. Shouldn’t you get to know that sexual partner, the one who is present for every sexual experience you have? Can you imagine what might happen if you opened up the possibilities within yourself, if you became fascinated with the sexual person you are, if you became fully awake to this part of yourself? This will feed your sex life more than any external tips or role models.

This is excerpted from The Conscious Sexual Self Workbook, by Melissa Fritchle, Sex Therapist& Educator --to be published in Fall 2014. Almost here...

Karen started having a deep burning sensation with intercourse a few months into her first long-term relationship. Sex had never been comfortable for her but she had a few times when it felt easy and fun. But over years the burning gradually got worse and her fear of it increased until sex and pain became linked in her mind. Sometimes now her boyfriend Jon is unable to penetrate her because her vagina is so tight it feels like it is cramping. Even oral sex and touch have become intolerably painful, although sometimes Karen tries to push through it. Sometimes Jon is understanding, sometimes he is frustrated, but mostly both Jon and Karen are confused. Why is this happening? Why can’t sex be easy like it is for other people? Karen’s gynecologist says there is nothing wrong with her, but the pain is very real.

Sexual pain is rarely talked about but it is not uncommon. The type of pain I described here, called Vestibulodynia, affects some 17% of women in their lives. It can last for many years, even decades, and sadly often goes untreated. Factors such as genetics, hormones, infections, allergies,  inflammation, and tiny tears in the tissue can contribute. And there are several other common diseases that can cause sexual pain, adding to the numbers of people suffering a major loss to their sex lives. And there are conditions that cause sexual pain for men as well, equally unspoken.

One incredibly challenging aspect of any chronic pain is the isolation involved. There is no way to measure pain objectively, no one else can truly understand or monitor your pain except for you. This can cause people to question themselves. For sexual pain, every woman I have worked with had been told by a doctor that there was nothing physically wrong, leading to years of self-doubt and distrust that anyone could help. In fact, the people that we generally go to for sexual health questions – our gynecologists – are simply not well informed or trained in sexual functioning issues. Sexual pain is a specialty and practitioners can be hard to find but when you do they can often diagnose and treat disorders that a majority of doctors will miss.

And treating sexual pain includes sex therapy. Not because it is all in your head, as it may have been treated in the past, but because ongoing pain, particularly pain that affects such a valued part of your life as sex, is traumatizing. It can lead you to feel alienated from your body, from pleasure, from your partner, from the universe or god or anyone who didn’t help. It may have reinforced past sexual abuse memories or negative beliefs about sex. You may have stopped seeing yourself as a sexual person. There is grief over what you have lost and about the ongoing worry about if the pain will return. Recovery requires new relaxation skills, new attention to sensation and lots of communication with future partners. Reflexive tightening and anxiety about sex can make things worse so it is important to get support as you prepare to reengage with sex.

In yoga communities you may hear a saying attributed to different teachers depending on who you talk to, a reminder to us performance-oriented types. It is : “We don’t use our body to get into the pose, we use the pose to get into our body”. This is an invitation back from striving or pushing to get our nose to our knee. There is no right way, no finish line to cross in the pose, even if your neighbor over there looks like that yoga calendar person. Instead the goal or intention of this practice is to focus on what we feel in our body as we do this and to learn about who we are in this moment at this point in our life. Learning to use the poses, these external structures, to go internal and get curious about our self.

Imagine if we approached sex in this same way. If instead of hitting a minimum of 3 different sex positions, bringing our partner to screaming orgasm, and looking good while we did it, we focused on something more real. What if instead of using our body for sex, we used sex to get into our body? Then “doing it right” would mean you were focused on sensation, aware and conscious of your own responses and emotions, riding each moment as it shifts and changes. You might need to slow down and breathe, like I do in yoga, to not get overwhelmed by intense sensation or comparisons or self doubt, but to surrender into what is happening. You might start to see efforting, worrying, and performing as signs that you are sliding away what is real and gently bring yourself back to how it feels to let your breath gush out, to press against your partner’s skin, to recognize the fluttering heat in your pelvic muscles, to arch your back, to make eye contact, to go faster or nearly stop.

Sex is an opportunity for us to be fully aware. It can show us things about our self if we utilize it in this way. While there is a lot of exciting external stuff going on, our internal experience is pretty amazing too. If doing it a certain way brings you out of yourself and into thinking and planning and trying to excel, you may be missing the gift. There is so much happening in one minute of a sexual encounter, so much detail and wonder and complexity, it is easy to miss it. But how great it can be to let all that richness and information in, to really stay curious and aware. Setting this as a sexual intention doesn’t dictate what kind of sex you have. Like yoga poses, there are many ways to get into your body. As you get better at staying aware, you can experiment endlessly. What in your goal when being sexual with a partner? Is it to feel pleasure, to achieve a release, to connect or show love, to express something about who you are? Any of these will be better achieved if you stay attuned with yourself and move from there.

I know from experience, if I go to yoga wanting to impress someone or prove something to myself, it is probably going to be bad class for me. I may even go home hurting. But if my goal is to listen to myself and be honest about where my mind, body and heart are able to take me that night, I will have the best class possible. The best sex possible for you is the sex that is happening in real-time in your body, mind, and heart. It is worth shifting your perspective so that you can be there for it.

  Declaring Sexual Independence

We hold these truths to be self-evident, that all people are created equal, that they are endowed by their Creator with certain unalienable rights, that among these are life, liberty and the pursuit of happiness – including sexual liberty and happiness.

To be truly sexually independent we…

*Must have available to us accurate information about sexuality, sexual options, and our bodies

*Must be free from employers, politicians, or other people in power denying us the right or ability to decide what to do about our own sexual health

*Should be able to present ourselves, regardless of gender identity, which genitals we have, sexual orientation, age, or other characteristic, in a way that feels genuine and true to us, without fears of discrimination or harassment

* Should be able to talk to professionals who are non-biased and sex-positive and who will support us in making decisions for ourselves

*Should be able to explore our unique paths to sexual pleasure and desire

*Will value our sexual relationship with our self and feel free to give it time and attention 

*Need to advocate for and expect privacy and protection in our sexual lives, with an understanding that our sexual history or images of us should not be shared without our consent

*Deserve sexual relationships that are free from coercion, bullying, or shaming

*Have the freedom to create relationship structures and agreements that are right for us and our partners

*Address openly the inevitable changes in our self, our body, our relationships, and our sexual needs and desires

*Approach sexuality with joy and creativity knowing that there are unlimited ways to play and connect

*Will respect other people vigilantly and allow them to make choices that are right for them

*Must work to understand ourselves so we can communicate clearly with other people and take responsibility for our own choices

 Welcome to the world, little one

One of the first sexual interventions a parent makes for a child is the decision to circumcise or not. And, as with many future sexual interventions, the parents may not have the best or most accurate information. We have been seriously misinformed about the foreskin. Many of us grew up thinking it was an unimportant, inconsequential flap of skin. But, generally speaking, our bodies don’t work that way, right? Think about it – how many other body parts do we just figure we can do without?

The foreskin actually has several purposes. First it represents 25-50% of the skin of the penis and is full of nerve endings. The most sensitive nerve endings of the penis are in a ring on the inner foreskin which are stimulated by stretch and movement. The foreskin is a double layer skin system with the inner layer containing glands that produce fluid to keep the penis protected and slippery. The soft internal layer also provides some immune protection with plasma cells, which secrete antibodies, and pathogen-killing enzymes. The foreskin protects the sensitive head of the penis when it is unerect. Without the foreskin the skin of the penis toughens up a bit as it is exposed to more friction through daily life. The foreskin also maintains lubrication and decreases friction during penetrative intercourse by bunching at the opening of the vagina. This could also provide more stimulation of the vulva.

This may be unwelcome information to you, either because you have chosen to circumcise a child or because you yourself were circumcised. But I think it is important to have accurate information about our bodies, including all body parts. There has been confusing information about health risks associated with keeping the foreskin but even in the face of those questions not one world health association actually recommends routine circumcision. In America we are more familiar with the look of a circumcised penis, although that will be changing as our circumcision rates are dropping. The CDC reports that in 2009 68% of US baby boys were not circumcised. Globally the rate of boys left intact is 70 -80%. Religious considerations are a family’s to consider and weigh, but weight them with complete information in mind.

If you are a man who has been circumcised you may feel some grief or anger about this decision that was made for you before you could choose for yourself. You may feel sadness about the unknowns, what might have been with your foreskin intact. It is difficult to compare the experience of a man uncircumcised since birth with a man who was circumcised. The best response is to grieve as you need to and to love your body as it is today. Remember there is much joy and pleasure to be had as you explore what works for you and your body.

 Welcome to the World, little one

  Less awkward with an app?

My generation came of age during the start of the AIDs crisis and we were taught to fear the consequences of STDs. We sat through school assemblies with spunky speakers in brightly colored oversize T-shirts who told us to ask our partners if they had been tested. They gave us scripts and role plays for asking a partner to wear a condom but little guidance about the conversation about STD testing. But hey, we were responsible kids, not slackers when it came to sex, a lot of us did ask partners for HIV tests and maybe for other STDs as well. But few of us found a way to be comfortable or casual about this conversation.

I just learned about a new app for exactly that conversation. Silly me, of course there’s an app for that! It’s a smart concept. Hula hosts and protects consumers STD information which can be downloaded from your healthcare provider to the site. It provides Yelp type reviews and contact info for testing facilities in your area. But the part that could change people’s dating experiences is that you can give someone a code to visit your profile and verify your STD status. So no more, “yeah, I got tested months ago, no worries”, no more wondering if someone really did get tested or how long ago. If you decide you want to take the step of being fluid bonded (sharing sexual fluids, not safe sex) with someone, you have an easy and effective way to responsibly take that step together.

My hope for something like this app is that it makes checking STD status a normal part of the sexual interaction and dating cycle. People dating now cannot deny the reality of STDs. The CDC estimates that nearly 20 million new sexually transmitted infections occur every year in this country, half among young people ages 15–24. It is a part of the sexual landscape and awareness is part of sexual responsibility. We need to find ways to make this less awkward, to normalize safer sex and the steps to take before deciding to share fluids. Can you imagine a time in which during the sexual buildup of a relationship or a hookup someone says, “U make me hot. txt me your STD profile. J”. Whether this sounds scary or sad or brilliant to you, it is a part of the modern dating reality. Anything we can do to make this conversation easier is important.

Don't abstain for Aunt Flo's sake

Put two things that people rarely talk openly about together – sex and menstruation – and what do you get? A lot of myths, exaggerations, unexamined worries, and questions..and a lot of people not talking about what they are doing. Despite old cultural taboos about the nastiness of menstrual blood, a woman having her period is  perfectly viable and healthy sexual partner. Some women suffer considerably while menstruating, for others it is a mild annoyance and they would be happy to engage in sex play during their bleeding time. An overview of all studies done on sexual desire and sexual activity levels and menstrual cycles (up to 1980) found mostly variations. Some studies found peaks at mid-cycle, some pre-menstrually, some during menstruation, post menstruation. (Schreiner-Engel, 1980). So once again, everyone is different. If you or your partner are one of the ones who feel desire during her period, not to worry, you get a thumbs up for all kinds of play.

Not only is sex during menstruation not bad for you, it may have some benefits. Orgasm can be a great way to relieve menstrual cramps and headaches, so that can be a good reason to invite a partner to play with you even while bleeding. Of course is you are feeling shy, orgasms from masturbation work just as well. A really interesting study (Meaddough et al, 2002) found that women who had sex and orgasms during their menstruation were less likely to develop endometriosis than women who rarely had sex during their period. This may have something to do with the uterus’ role during orgasm. Uterine contractions that happen during orgasm actually change direction based on the phase of the menstrual cycle. This is amazing to me. Mid-cycle when a woman is most fertile the uterine contractions pull semen up towards the uterus. But during menstruation the contractions serve to expel material out of the vagina. This can also cause your period to last fewer days as the blood gets expelled more quickly.  I find this fascinating fact out in Mary Roach’s Bonk.

Fresh menstrual blood is a normal body fluid and is not going to hurt you. It is fine to get it on thighs, penises, hands, etc. It is even fine to engage in oral sex with someone who is menstruating. Of course, if the woman menstruating is carrying an STD or HIV her menstrual blood can transmit this. So practice safer sex, as always. Otherwise, your main concern is messiness. You can shower first, make gently wiping each other down with warm washcloths part of the play, have sex in the shower (use lube!), or just put down towels or old sheets and clean up after. But there is no need to be afraid of your body or your body’s natural cycles. If you feel desire and you want to act on it, go for it.