decreased sexual arousal

A Kiss Is Just a Kiss or Is It?

11145 views

The mind-body connection makes us unique in our sexuality and preferences. As a women’s sexual wellness expert, I work with women on a large variety of issues from frequency disparity, pre-menopausal dryness and communication to understanding how antidepressants affect their libido, finding complementary therapies and understanding erectile dysfunction. While most of my time is spent educating and sharing information about how the mind affects the body (after all the brain is our largest sex organ); sometimes it is just as important to step back and let our bodies inspire us intellectually.

Physiologically we are sexual beings. How else can you explain the clitoris? With 8,000 nerve endings, its sole purpose is pleasure. No wonder 70% of women experience orgasm through clitoral stimulation. However, clitoral stimulation involves feeling aroused because it usually doesn’t happen until right before penetration if it is stimulation from a partner. Here lies the problem for so many women.  Equal rights, the pill and the sexual revolution came as part of a package that added all kinds of other stress along with the benefits. Unfortunately, for some women the revolution added no real revolutionary thinking when it came to their sexuality.

When I am out sharing the good news about sexual wellness, one of the saddest things I hear from the baby boomer generation is the woman who says “Oh, I don’t need any of THAT. THAT is all out of commission.”  My heart goes out to her immediately. In my mind I wonder who could have reduced her to just a reproductive machine, whether she was abused and associates her femininity with the source of the abuse or maybe even that she must tragically still be recovering from the loss of the love of her life. Certainly, it would have to be something so severe as one of these circumstances for someone to believe that sexual health is not important to overall health or to limit their sexuality to only their reproductive capabilities. Sadly, that is not the case. While there are many reasons why a woman may make such a statement; in many cases it is because a woman doesn’t know the benefits of an orgasm or how pelvic floor health can impact other bodily functions. These are important facts that have long been either unknown or not discussed.

The Kissing Connection

As I mentioned earlier while the brain is the largest sex organ in the body; sometimes it doesn’t hurt to not listen to our head and just dive into something that we know works for us physically. While the clitoris has 8,000 nerve endings, the lips (both male and female) have somewhere around 10,000. This makes the lips quite the erogenous zone in their own right and kissing would be the ideal way to stimulate them. I am often singing the praises of products that are made with mint as a means of encouraging blood flow. I usually talk about kissing when I am explaining why we all seem to lose our head during the throws of puberty. All those new and unfamiliar hormones are stirring and then we add the stimulation of lips against lips and lose sight of everything but the physical. I recently saw a video of an ad on social media that captured total strangers kissing for the first time. The ad went viral because so many people were enthralled with the idea that a first kiss can lead to love. Ultimately everything we do is motivated from love or fear and 95% of everything we do is done by the subconscious.  So for those who are struggling with their libido or just can’t seem to get there mentally a little oral exercise such as a passionate kiss can be a magic bullet. The thing about kissing is it can start slow and build momentum. So even if you aren’t feeling sexual, the stimulation with your significant other or your partner of choice can start with a little effort and go a long way.

Kissing Stimulates Blood Flow

Blood flow is the key to arousal and lubrication. Kissing stimulates nerve endings which in turn increase blood flow.  Once this cycle begins, the body begins a natural responsiveness and triggers emotional responsiveness in the mind.  The mind-body connection is a two way street and while the mind may be the dominant force it is important to never underestimate the physical contributions. A question I find myself asking women who are struggling with a lack of desire and determined to save their relationships is “When was the last time you made out on the couch?” and the question is generally followed by a quiet response of something to do with a lack of time or a repeat of their lack of desire.  Time is the great equalizer. We all have the same amount each day in our account. I am amazed how there is time for everything else, but not for something as good for us as sex. My next step is to challenge them. The next time they feel insecure about their relationship, because of their lack of desire for sex; their challenge is to “make out” for at least fifteen minutes. I coach them about starting slow and innocent and building until they are out of breath.  (Keep in mind I am not a doctor. These conversations come after I know whether this person is on medications under a doctor’s care, or am assured we shouldn’t be looking for medical assistance or if there is a need for a therapist.) Of course after the challenge, I work on helping them understand why this exercise can help them and some of the biological reasons behind it. The challenge itself is met with a wide variety of responses. I hear everything from an insecure laugh to outright refusal. Of course the receptiveness determines the next course of action and everyone is slightly unique in how we proceed; because we are all unique.

Sealed with a Kiss

What is important to remember is emotional fulfillment is one of the three reasons we have sex. Kissing inspires some of those emotions that we are looking to fulfill such as passion, intimacy, sensuality and desire. Kissing also allows us to warm up to the idea and if for some reason after kissing for a while one doesn’t feel sexual arousal there is still the ability to decline further sexual activity. This is very important for women who are struggling with a lack of sexual desire. It is not as easy to change course if you start out initiating sex and then change your mind and decline. Since kissing can stand as an activity all on its own; if it goes no further than an oral exchange there is no harm. From the feedback I receive, it is often successful in leading to more. One of the things I hear from men who are in relationships with women struggling in this area is the negative impact obligatory sex has on their self image. No one wants to feel as if sex is an obligation. Of course communication is key in all relationships; however there is a lot to be said for learning to effectively use body language. When trying to overcome issues with libido, what better way to communicate to your partner than with your lips?

About the author: Patricia Mooneyham is a Jersey girl on  global mission to help women be happier. She is a practitioner of complementary therapies and is passionate about helping women find happiness by defining their own sexuality. For the last several years she hosted the I’ll Have What She’s Having Online Radio Show. Her website: PatriciaMooneyham.com.

We Need Your Help

More people than ever are reading Hormones Matter, a testament to the need for independent voices in health and medicine. We are not funded and accept limited advertising. Unlike many health sites, we don’t force you to purchase a subscription. We believe health information should be open to all. If you read Hormones Matter, like it, please help support it. Contribute now.

Yes, I would like to support Hormones Matter. 

Photo by zelle duda on Unsplash.

Sex in a Bottle: the Latest Drugs for Female Sexual Desire

23669 views

The 21st century quest for female sexual satisfaction comes not from romance, courting or even Kama Sutra type sexual prowess, but from the lab. Forget passion, forget lithe bodies moving rhythmically, forget needing to woo a woman, forget having any skill whatsoever in bed; why bother with any of that when you can get sex in a bottle. Every man’s dream right? Apparently, not. Sexual moirés what they are, there is nothing more frightening than a sexually hungry woman. With the newest, and dare I say, pharmacologically most interesting female desire drugs in clinical trials, concern over the potential explosion of female nymphomania is palpable. According to the New York Times reporter covering the story:

“…what if, in trials, a medicine proved too effective?” laments one scientist … and the FDA rejects “an application out of concern that a chemical would lead to female excesses, crazed binges of infidelity, societal splintering.”  

“You want your effects to be good but not too good,” says Andrew Goldstein, who is conducting the study in Washington. “There was a lot of discussion about it by the experts in the room,” he said, recalling his involvement with the development of Flibanserin, “the need to show that you’re not turning women into nymphomaniacs.”

And women, well, they’re not sure whether to jump for joy about the new drugs or bear arms against the 18th century misogynist perspective of female sexuality. I’m pretty certain no one worried about turning men into sex-crazed cads, the 8-hour Viagra induced erections or the potential blindness from said erections. (Fun fact: the same erection promoting enzyme blocked by erectile dysfunction drugs Viagra, Cialis, Levitra is also found in the retina and when blocked excessively can cause blindness). When all was said and done, a good, solid erection was considered beneficial in and of itself, no matter the cost. Lo, get those women going and watch out. Sex crazed and hysterical, they might upset generations of cultural oppression. Unless, of course, it’s used to maintain the monogamy and monotony of marriage, then by all means pop a libido pill.

The Quest for Female Sexual Desire in a Bottle

Sexual politics aside, these new sexual arousal drugs portend great things for the bedrooms of many. Though developed for women, I suspect they will be cross-marketed to men, almost immediately.

Called Lybrido and Lybridos, the two compounds address sexual desire both above and below the belt. These drugs combine a sexy mix of peppermint coated, testosterone to make you horny, coupled with the erection promoting, genital-blood-flow increasing Viagra (Lybrido), plus a boost of adrenaline with an indirect dopamine kicker (Lybridos). If that isn’t a chemical cocktail to promote copulation, I’m not sure what is. It is Lybridos that intrigues me most and here is why.

Motivating the Brain to Want Sex

Sex begins in the brain and there dopamine is king. Dopamine is the neurotransmitter released with all pleasurable activities, licit and illicit. Our brains are hardwired to seek pleasure via the dopamine reward system. Experience a little pleasure, get a boost of dopamine. Get too much dopamine and addictive behavior or psychosis ensue. Too little dopamine and there is no pleasure and no motivation to seek pleasure.

Adding a bit of dopamine to a hormonally primed and engorged sexual response system would seem to facilitate not only the pleasure response associated with the sexual act itself, but would likely increase the chances that future goal directed behavior would be initiated to sustain or repeat the sexual activity – and to take the drug again. And that is why this drug is so cool, but also, potentially addictive.

A Sex Drug and Sex Addiction

Though the crude and frankly misogynist comments about inducing nymphomania warrant scorn, there is a very real possibility that this cocktail could be addictive. Think about it, combining the pleasure of sex with a boost of dopamine is the perfect addiction. Really, who wouldn’t want to have hot sex, repeatedly. And if taking a small dose of the drug increases sexual pleasure to certain degree, then would taking more of the drug increase the pleasure to a greater degree? Can someone overdose on these drugs? (You know someone will try). Conversely, if one takes the drug repeatedly, does the dose necessarily have to increase to maintain the same level of pleasure?

Because Lybridos enhances sex, a pleasurable, dopamine and endorphin releasing activity in its own right, by increasing dopamine while simultaneously enhancing libido and genital sensitivity, the possibilities for addiction are high. Therein lies the rub. Not only could this be the perfect combination of behavioral and pharmacological addiction, but pleasurable sex threatens every puritanically ingrained, social moire we have, for men and women. Create a drug that makes sex more pleasurable, make that drug and that behavior addicting and social structures will change. Perhaps, not such a bad thing.

Can Sexual Arousal Be Bought?

1961 views

A number of women are looking to over-the-counter remedies for increased sexual desire, arousal, and satisfaction, according The New York Times.

No FDA Approved Medication for Female Sexual Arousal

Though the FDA has approved sexual enhancement drugs for men, such as Viagra, there are no such drugs available for women. In 2010, the FDA denied approval for flibanserin, a drug that purportedly increased sexual arousal in women.

The denial may have been because the increase in sexual desire among the women taking flibanserin did not far exceed the increase in sexual desire among the women taking the placebo. It may have also been due to the fact that the positive effects of the drug did not outweigh its adverse effects, such as dizziness, nausea, fatigue, and insomnia.

A low-dose testosterone patch, which was intended to increase arousal and desire in women who had hysterectomies was also denied in 2004. Now, we are awaiting the approval ofFemprox, a topical drug that is intended to increase female libido.

At this time, there is no medication available for female sexual arousal disorder, which is also referred to as Hypoactive Sexual Desire Disorder (HSDD), a form of female sexual dysfunction.

Women Turn to Over-The-Counter Options

Naturally, a woman concerned about decreased sexual desire will turn to other options: Lubricants, arousal gels, massage oils, vibrators, and herbal supplements are just some of the products marketed to get your blood pumping.

When a product claims to increase a woman’s sexual arousal and satisfaction, she may just give it a shot herself, even if such claims have not been backed by a reliable source.

Consider the Options

The problem is that these over-the-counter products are unregulated, which means they do not require testing prior to public consumption. Just as toxins in cosmetics can be absorbed by the skin, chemicals in lubricants and gels can be absorbed by the skin, too.

Though doctors seem to approve of the products, it may be ideal to first consider other factors that may contribute to any decrease in sexual arousal. A drop in libido may be the result of stress, which is most likely impacting a number of women in the US. In addition to stress, relationship problems or a lack of intimacy may also impact a woman’s level of sexual desire and her ability to be aroused.

If your relationship is in good standing and you find that you are usually in a relaxed state of mind, then a low libido may be due to prescribed medications, such as antidepressants and birth control pills. Dr. Irwin Goldstein, the Director of San Diego Sexual Medicine at Alvarado Hospital, suggests determining the underlying issue for using sexual enhancement products. Hormonal imbalances from birth control pills may be the main reason for changes in sexual stimulation, and the libido fix may be as easy as changing birth control methods.

Mayo Clinic reminds us that communication is important to improving sexual satisfaction, whether there are relationship issues that need to be sussed out, or hormonal imbalances that should be discussed with the gynecologist.

If you decide to use over-the-counter stimulants, try to focus on the enjoyable aspects of sex, rather than why you bought the product. The New York Times reported that some experts are concerned that these products may cause women to focus on areas that need improvement, only putting pressure on women to perform – and we all know how difficult it is to perform under pressure.