Tuesday, March 30, 2010

Prostate Stimulation for Sexual Pleasure

The prostate is a gland in men that contributes to semen by producing up to a third of the fluid that mixes with the sperm produced in the testes. Together, this makes up the ejaculate that comes out at orgasm. Most men don't think about their prostate unless there is a problem with it, and would prefer if they never had to think about it. To talk about the prostate gland is to bring up images of cancer or surgery that people would prefer to ignore. But I'm here to get you to think about the prostate in a different way. The prostate can be a source of great pleasure for those willing to venture. Those men that enjoy prostate stimulation say that it greatly enhances their pleasure and intensifies their orgasms.

Many heterosexual men have a fear of having their prostate stimulated because they may interpret any pleasure they have from it as an indication that they might be homosexual, but this is not true. Fear of interpretation of the excitement with prostate stimulation is a misunderstanding of the one's anatomy. The nerves that allow for an erection pass along each side of the prostate gland. So when the prostate is stimulated, (even by a doctor) it may lead to an erection simply because the nerves are also stimulated along with the prostate. This just means that you are normal and have sensitive nerves, nothing else. But this can be used to your advantage.

Some do not want to proceed with any prostate stimulation or anal play because they are concerned with issues of cleanliness. This issue can be resolved with either a little prep work ahead of time, or with careful clean up afterwards. Simply using the bathroom ahead of time to empty the rectal vault will suffice for most. For those who want to engage in a large amount of anal play or sex, they may choose to prep with an enema. Others prefer to just wash with soap and water on the exterior and then wash themselves afterwards. The giver of the prostate stimulation can either use a glove, or a condom over a finger, or just wash the finger carefully afterwards with soap and water, paying careful attention to clean under and around the fingernails. Making sure that fingernails are trimmed and filed smooth is also a good idea.

Once you have decided to explore the sensations with prostate stimulation, you need to prepare yourself with plenty of lube and probably a little towel. One of the most important things to remember is that the anus does not produce any lubrication of its own and the tissues are fragile. Because of this, adding lubrication is very important to prevent tearing or irritation of those tissues. You can choose to use a water-based lube which is compatible with all materials and toys, but it does dry up faster than some other lubes. For anal play and prostate stimulation, you can also try silicone-based lubes. They are also compatible with latex and other condoms, and last longer than water-based lubes. Just remember that silicone-based lubrication cannot be used with silicone-based toys because the friction between them will cause the breakdown of the toy. Many people choose to use a condom over their silicone anal toy or prostate-stimulating toy in order to use the longer-lasting silicone lube.

You can experiment with different positions, some preferring to lay on their sides with one leg bent up. Others prefer to be on all fours. Others still prefer to lay flat on their backs. Whichever position you choose, a good thing to keep in mind is to go slow and let the receiver decide the pace of the activity. By going slow, the receiver feels things more intensely, it allows for relaxation, and there is less risk of hurting your partner. Fingers are the best way to start this exploration. Start by gently stimulating the exterior part of the anus with lube by stroking back and forth or pressing gently in a circular motion. Once the receiver is comfortable with this pressure, you can begin to gently introduce the tip of the finger either with constant pressure or with gentle in and out motion. As the receiver allows, you may continue to push the finger inwards until you reach the prostate.

If you point your finger forward towards the front of his body, you will find the prostate gland about 2-3 inches in, depending on the person's anatomy. You will feel a rounded surface about the size of a walnut. Once you find the prostate, you can press gently on it and stroke it from side to side or make circles around it. Because the prostate is a gland, it is softer than muscle tissue and needs to be treated gently. This means that it should not be poked, jabbed, or pushed with much force. There are many blood vessels in and around the prostate and it can get bruised if not handled properly.

It also is an added bonus that on orgasm, the PC muscles which also include the anal sphincter contract around your finger, creating extra sensation for the receiver. There are also a multitude of toys made especially for prostate stimulation. If you are going to choose one, you can use your experience with your finger's position and depth as your guide for comparison. When choosing a toy, remember that silicone, stainless steel, glass and hard plastic toys are non-porous, and do not allow bacteria to penetrate so they can be cleaned thoroughly. Some of these have loops that allow you to slip your fingers in for better handling of the toy. Regardless of what you choose, any toy used anally should have a flange/widened base to prevent it from accidentally sliding in all the way.

So if you and your partner find yourself in an adventurous mood, you can begin to explore how prostate stimulation can enhance his sexual pleasure. Don't be afraid to explore or start a dialogue with your partner. I welcome comments or questions.

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Wednesday, March 24, 2010

The U-Spot

It seems that it's in our nature as humans to want to put labels on everything because it helps us feel like we have control or power over things. So I was amused when someone today brought up the "U-Spot" after reading about it in Esquire Magazine. The U-Spot is not new, and it's certainly familiar to a multitude of women whose partners like to explore the area during oral sex. But for those who have not heard about the U-Spot, I thought it would be helpful to talk about what it is and why it gets the buzz that it does.

The U-Spot is the common term given to the area that surrounds the opening of the urethra in women. This area can be particularly sensitive because the female urethra is surrounded by spongy erectile tissue that fills with blood upon sexual arousal. This spongy tissue extends from the anterior vaginal wall, around the urethra, all the way to the pubic bone. Anatomists have called this spongy tissue the Skene's glands, or the periurethral glands. Some even call it the female prostate and believe this is where female ejaculate may come from. The skin that is directly over this spongy tissue, then, is known as the U-Spot. It's already very sensitive on it's own, but becomes even more sensitive once a woman gets sexually aroused.

So what am I supposed to do with this U-Spot, you ask? First let me say that if you are approaching this with a an attitude of "I've got to find this" then take a step back. So many people develop this performance-based attitude that feeds your ego, but takes away from your enjoyment and the fun of exploration. Plus, women like to feel that you are interested in her body, not in checking off a list of things to do. The sexiest attitude to take is a playful, exploratory experience and then see what feels good to her. Now that that's out of my system.....

The U-Spot feels the best when it is wet and touched gently. You do not need to put a lot of pressure on it, and many women have discovered this spot just from their partner rubbing the head of their penis up and down their labia. This is a motion that can be incorporated with stimulation of the clitoris and can be a way to reach orgasm all on its own for some women. The U-Spot can also be stimulated with fingers, but remember - gentle stroking across it is usually more pleasurable than pushing on it (it's a spot, not a button). Once again, incorporating this stroking with stroking of the clitoris above it may also be a pathway to orgasm for some women. And as with all things having to do with sexuality and anatomy, some women have very sensitive U-Spots, while some do not. When using fingers, you may find she likes to have some wet stroking all the way from the clitoris, over the U-Spot and then just into the opening of the vagina.

But most people would agree that oral sex is one of the best ways to stimulate the U-Spot. This is because it already makes the area wet and has less friction than the skin of the fingers. The easiest way to find it is to find the opening of the vagina with your tongue, then softly and slowly lick upwards towards the clitoris, as if you are licking an ice-cream cone. This way, you can see which area she is most sensitive in, and you won't overwhelm her with too much pressure or speed. Once you find the spot she likes, you can experiment with putting different amounts of pressure with your tongue, or going faster or slower.

So there's the skinny on the U-Spot, which you may already know, even if the name is not familiar. So for those women who have been deriving pleasure from this already, continue to enjoy and don't worry about the name.

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Monday, March 22, 2010

Shape Up for Sex, Part One

Today, I would like to present a few stretches and exercises that are easy to perform and can improve your sexual performance and satisfaction. If you take care of yourself, you put yourself in a better position to enjoy sex, feel more comfortable with your body, and increase your sexual pleasure because of it. Let me say that having a regular exercise regimen is the best plan for your overall health and your sexual functioning because it maintains your muscle strength, your metabolism, your endurance, your blood flow, and your sleep patterns. But there are specific exercises that help you strengthen those muscle groups you often use in sex. And if you have been avoiding your body lately, here are some simple suggestions that can get you back on track. They can be done without any special equipment right in your living room or bedroom floor. And the beauty of these is that they are important for both men and women to prepare for a better time in the bedroom. Please do these stretches and exercises on the floor and not on your bed, as the movement of the bed increases your risk for injuries and does not allow for maximal stretching.

Let's start with the stretches. These are particularly important because when you increase your muscle flexibility, you increase your range of motion which allows for increased endurance and comfort in a variety of positions in sex. These stretches should be performed for a couple of minutes a day, every day. This way, you will be able build on your existing flexibility and add to it little by little each day. Remember, that when you stretch, you should hold the position for at least 30 seconds and up to 60 seconds or longer if it possible. The reason for this is that muscle tissue does not fully relax for the first 30 seconds or so and requires more time to get results. Also important is to hold a steady stretch and not to bounce. Although many people stretch this way, it actually promotes muscle tension and does not help you stretch effectively.

The first stretch starts by laying flat on your back on the floor. Take a deep breath in, then exhale. As you do this, feel the tension go out through the bottoms of your feet. Then bend your knees and lift them both up towards your chest. Next, hold on to your knees with your hands, or if you can, wrap your arms around your knees. Your legs will probably be most comfortable on each side of your body. As you do this, pull your knees towards you and hold this position. Breathe normally and with each exhale, imagine your lower back flat against the floor. This will relax the muscles of the lower back while also stretching some of the tiny muscles of the hip joint. You can enjoy this relaxing position for several minutes.

The next stretch is a basic straddle that is often done in gymnastics or in martial arts. The point of this stretch is to loosen any tension in the inner part of the thigh muscles. It is very important that you do not force this position, as there are large tendons here that are not as elastic as the muscles they are connected to. For this stretch, you sit on the floor and place your legs in a "V" shape to each side. It is important that you only spread you legs until you start to feel some tension on the inside of your thighs and no more. Next, place the palms of your hands flat on the floor in front of you to support your body. Then you will start the stretch by leaning forward with your head and body until you feel a good stretch in your inner thighs. Once you have found a good position, hold this and breathe in a slow and relaxed way, imagining with each exhalation that your muscles are stretching just a little bit more. Remember not to bounce here!

Now on to two exercises that are simple to do, but deceptively difficult if you are not accustomed to strengthening your core. The first exercise focuses on the core muscles, especially the abdominals, but can work on upper arms, thighs, buttocks and back if these are not strong. For those of you familiar with yoga, the first exercise I am going to describe is known as "the plank". For those who have not practiced yoga, it is easiest to start laying face down on the floor. Place the palms of your hands on each side of your shoulders and flat against the floor so that your forearms are also flat against the floor. Curl your toes so that you are on the balls of your feet as well. Next, lift your weight up onto your forearms and palms, lifting your entire body down to your feet, and hold this position. You will find that you need to pull your abdominal muscles tight in order to maintain this position. Breathe as normally as possible for at least 15 normal breaths. As your strength increases, you can also increase the time that you hold this position.

The last exercise is known in yoga as "the bridge." You begin by laying on your back with your knees bent and your feet flat on the floor. Your arms should also be flat on the floor to either side of your body. Next, you will press the soles of your feet into the ground and you lift your hips in the air until your weight is resting only on your feet and your upper back/shoulders. You will find that you need to press your gluteus muscles up towards the ceiling to maintain a straight position. Breathe and hold this position as you did for the plank.

By doing these stretches and exercises, men will find that they can increase their endurance for thrusting and women can increase their ability to press their hips up against their partner to match their thrusts. Stretching also helps take the pressure off of the lower back for both men and women and increases the comfort of maintaining sexual positions for longer periods of time. Remember that good sex starts with taking care of yourself first.

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Wednesday, March 17, 2010

What Makes for Great Sex?

People always seem to be in search of "great sex." Magazine and blogs are filled with articles about the few simple things that you can do that make it happen for you. And the way they promote these 'sex tips' are as if there is some secret information that can be imparted and you will magically start having "great sex." The problem is that the idea of "great sex" is subjective and changes from person to person. In fact, a study published in the Canadian Journal of Human Sexuality in 2009 explains just how "great sex" is less dependent on actual physical functioning and more about your ability to let go and enjoy the moment.

Of course, the predominant messages repeated about what we need to have "great sex" focus on making us feel insecure and lacking. Pharmaceutical companies only gain to benefit if you believe that their pill can make your experience more pleasurable for you and your partner. And media can continue to sell you their '7 things you must know' articles just in case you weren't in the know.

But the study, entitled "The components of optimal sexuality: A portrait of "great sex"," presents different ideas for us to consider. The elements of what makes "great sex," according to their participants, is not what the pharmaceutical companies and the makers of male-enhancement formulas would like you to believe. Instead, they came up with 8 major components of one's sex life that are crucial to the experience of "great sex." These are experienced by way of letting go, being true to oneself, and taking risks. The 8 components are:

1. Being present, focused and embodied. This refers to having a calm mind that is not constantly analyzing what is going on, but instead, just experiencing every moment to the fullest of your ability. "You are the situation."

2. Connection, alignment, merger, being in synch. Described in different ways, this refers to the feeling of being one with your partner - where you literally feel that there is no difference between your bodies. Some have described this as feeling "with" the other person.

3. Deep sexual and erotic intimacy. This includes a deep caring for the other person, trust, genuine acceptance and admiration and deep mutual respect. This is opening up and knowing that you will be taken care of and accepted.

4. Extraordinary communication, heightened empathy. This requires partners to be able to really listen to what the other is saying, both verbally and non-verbally. It becomes an automatic attention to detail where touch is an erotic form of communication and there is an understanding and appreciation of the other person's experience.

5. Authenticity, being genuine, uninhibited, transparency. This is what it means to be your true self, as opposed to who you think other people expect you to be. It allows you to give yourself up to your pleasure without censoring yourself.

6. Transcendence, bliss, peace, transformation, healing. In this component, you are transported as if you have hypnotized yourself, so that everything else melts away - time, your surroundings, noises - so that all you experience is your pleasure and your partner.

7. Exploration, interpersonal risk-taking, fun. When you allow yourself to have fun and truly explore who you are sexually, your experience of sex takes on a new level that is not dependent on the physical.

8. Vulnerability and surrender. When you are able to give yourself up to your partner, there is no hesitation. One feels completely free, and what may have previously been scary is now extremely erotic.

There are many people who are enjoying these components of "great sex" but do not match with the media and pharmaceutical companies' very physically based idea of rock-hard erections or instant lubrication. Our ability to experience intense sexual pleasure as human beings relies on things above and beyond the animal world - our ability to experience a moment, a connection, a sharing, an understanding, and fun.

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Sunday, March 14, 2010

How Anxiety Messes-Up Sex

In my practice, I have to say that upwards of 80% of the difficulties that people have with their sex lives and sexual functioning is rooted in anxiety. Most of the work I do is teaching people how to let go of their anxiety and just allow themselves to experience pleasure. From vaginismus, to premature ejaculation, to erectile dysfuntion in the absence of physical problems, to arousal difficulties in women - to name a few, all these are based in anxiety. The interesting thing about anxiety is that, although many people would admit that they have anxiety, many don't understand how it could interfere with their sexual arousal and performance. So I would like to take a couples of lines to speak about how anxiety interferes with sex.

Anxiety (or stress, nervousness, worry, or fear) is a natural part of life. Without a little anxiety, there would be little motivation to get things done or any sign to tell us that we are in danger. Anxiety is a way of alerting the body and mind that it should take some action. In order to understand just how anxiety works, it is important to explain the body's autonomic system. This is the part of the nervous system that is not under our voluntary control. It is divided into the sympathetic nervous system and the parasympathetic nervous system.

The parasympathetic nervous system is the one that is charged with our regenerative functions. It is the dominant system when we are digesting our food, sleeping, and maintaining our internal organs. It is opposed by the sympathetic nervous system, more commonly known as the "fight or flight response." When we are in danger and the sympathetic nervous system takes over, blood is diverted away from the internal organs and instead sent to the large voluntary muscles that allow us to take immediate physical action. It does this by constricting the blood vessels that supply our internal organs and raising our blood pressure. The heart beats faster to get the blood to the arms and legs, and the lungs breathe shallower and faster. These two parts of the autonomic nervous system directly oppose each other - the sympathetic system taking over quickly when danger (anxiety) is perceived. The difficulty is that our brain perceives our own anxious thoughts as signals of danger, and we respond physically with our sympathetic nervous system.

But what many people do not know is that sexual arousal is a function of the parasympathetic nervous system. It is important for the body and the mind to relax in order to have physical manifestations of sexual excitation. During arousal, blood flow to the pelvis and genitals increases when the blood vessels relax. This results in an erection for men and increased blood to the prostate, and in engorgement of the clitoris and other spongy tissue as well as lubrication in women.

With anxiety, these blood vessels constrict and sufficient blood cannot flow to the appropriate tissues. Different people are affected by anxiety at different levels. For some, a little is all it takes. It could be as simple and telling yourself "What if I don't get aroused?" Some wonder if their partner is attracted to them or if they will be pleased. Others try to will themselves to get aroused - which is counter to what the brain is trying to do.

The most important thing is to learn how to calm your own anxiety. Learning to soothe yourself and turn your negative thoughts into more positive and motivating thoughts is the way to achieve mastery over anxiety. Many people try to medicate their anxiety away or seek sexual enhancement agents to override their anxiety. This very often comes with side effects, or can result in a physical or psychological dependence. But learning how to decrease our anxiety takes effort, practice, and time. Unfortunately, our society seems to be moving more and more to instant gratification without taking responsibility or effort. But for those who would like to re-establish balance in their lives, be no longer ruled by anxiety, and not have to depend on medications for their sexual arousal and pleasure - I am there for you.

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Wednesday, March 10, 2010

Positions for Mind-Blowing Orgasms

I believe that most people have the potential to explore what positions they find most pleasurable and stimulating. All you need is some playfulness, curiosity, and willingness to experiment. Because there are slight variations in anatomy including size, shape, and sensitivity, what works very well for one person, may not be so great for another. Oftentimes, what is required is some trial and error with the understanding that not everything is going to work. Many people hold themselves back by shying away from this experimentation, but it is really the best way to learn about yourself and about how you and your anatomy works with your particular partner.

A good starting point is often a list of different ideas to choose from. I was recently asked to suggest some positions that would enhance the sexual experience, particularly for women. You can see these along with some other great positions at "Top 10 Sex Positions for Mind-Blowing Orgasms" at SheKnows.com .

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Thursday, March 4, 2010

Distorted View of Women's Bodies

I am both a very visual and very sexual person. Consequently, I enjoy watching porn on occasion. Let's face it, porn is visually stimulating, erotic, and allows a person to expand their fantasy life. But I am conscious of the importance of balance in using these images for our health and well-being.

We already know that viewing porn on a regular basis changes our ideas of what we consider attractive. We adjust our view of what we consider acceptable or desirable to match what is put out there by the media - in this case, porn. We also tend to place value in the images we see when they are reinforced by being presented as exciting, desirable, and sexy. This is accomplished by the immediately aroused response seen in porn actors. I'm not saying that some of them are not enjoying their work, but at the end of the day, they are actors playing a fictional role.

It's interesting to see how porn is shaping the view of what we consider attractive or sexy. First, let's consider breasts. If you look at a comparison of Playboy centerfolds from the 1960's to now, you see a large difference not only in size, but in the shape of breasts as well. Whereas years ago it was very common to see teardrop-shaped breasts, nowadays, breasts are usually very round and seem to defy gravity. It's obvious that very round breasts look more like a pregnant woman's breast - full of milk and ready to lactate. But they also may be an indicator of sexual excitement, since breasts can increase in volume from 25 - 30% when a woman gets aroused. It also seems that surgically enhanced breasts take more of the shape that natural breasts do when a woman is laying on her back - not an uncommon position for sex. Certainly, there are some beautiful surgically enhanced breasts out there. But our society's expectation of these as the standard is what seems dangerous. In some South American countries women can even have their government-sponsored health care pay for elective breasts implants (not related to mastectomy or an accident). This is how important it has become in our culture.

If we continue our travels a little southwards (on the female figure), we notice there have been major changes in the landscaping. Where there used to be anywhere from a full bush to a neatly trimmed little patch, now it's much more common to find the absence of bush altogether. This works very well for porn if you don't want anything obstructing your camera shot. It probably makes clean up after the money shot a bit easier as well. But pubic hair has always been one of the physical characteristics that distinguishes women from girls. So where is society going with this? How did completely shaved become the norm?

Perhaps the most disturbing trend, however, is the desire for some women to "beautify" their labia by surgical reduction. Could porn also be promoting labiaplasty? This procedure involves removing a triangle-shaped wedge from the middle of the labia, then pulling the rest together and suturing it up. (Imagine a pie slice coming out from the middle of a half-circle). This creates smaller, tighter labia. And since the edges of the labia minora are usually darker than the rest, the removal of a large part of this edge results in the appearance of lighter-colored labia. In order to create a uniform, more natural look, surgeons will often also remove part of the clitoral hood when performing a labiaplasty. The surgeons who perform labiaplasty suggest that women who have large or uneven labia should feel embarrassed with a sexual partner and that the surgery would correct this. Perhaps an understanding of what genitals actually look like would correct this without the risk of side effects from surgery. If women are comparing themselves to women they see in porn movies and skin mags, they are not getting a real view of what average and normal are. Instead, I hear of 16 year-old girls already thinking that they are "not normal" and need to "get fixed" because they think their labia are too big.

My question is how far are we going to go? Is it porn driving this distorted view of women's bodies that society seems to be adopting? How are "Hollywood" plastic surgeons contributing to this by referring to their procedures as "the Barbie" (disturbing). We are not far from that plasticine figure that has exaggerated proportions and shape, and most notably has the absence of pubic hair or defined genitals. How distorted will we allow our vision of natural and beautiful to become?

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