Some people feel a lot of anxiety about being intimate and
having sexual intercourse. This may result in decreased
desire, sexual arousal disorder, or erectile dysfunction.
It is often helpful to take a step-by-step approach to
overcome anxiety. One of the best and mutually satisfying
ways to improve your sex life is to focus on the pleasures
of touching.
Sensual Massage
One option is to learn how to give and receive a sensual
massage. Sensual massage can help you and your partner:
- express needs and desires
- find out how each likes to touch and be touched
- explore new ways to give pleasure
- improve your relationship.
An illustrated manual or book can be helpful. Here are
some general tips:
- Determine who will be the first giver.
- Establish whether you and your partner will be clothed or
unclothed.
- Choose a location where you both will be comfortable.
- Dim the lights and play soft music you both enjoy.
- Use plenty of pillows or a comforter.
- If you wish, use baby oils, scented oils, lotions, or
powder.
- Tell the giver what feels good and what does not.
Begin with the face. Normally the giver sits and the
receiver lies flat on his or her back with the head resting
on the giver's thighs. With the hands well lubricated, the
giver begins with the chin, then strokes the cheeks,
forehead, and temples. Explore the face as if you were a
blind person meeting your partner for the first time. Then
explore the ear lobes, lips, and the nose before returning
to massage the temples for complete relaxation. Rest, talk
about the experience, and reverse roles.
Massage the rest of the body tenderly and pay attention
to your partner's feelings. Then reverse roles.
Sensate Focus Exercises
Sensate focus exercises were introduced by researchers
Masters and Johnson to treat couples with sexual problems.
The exercises are divided into 3 steps. Both partners
should be comfortable with each step before moving to the
next.
Schedule time when you can both be relaxed and comfortable.
Partners take turns being the giver and the receiver.
- First step: Explore various parts of your partner's body
including the head and neck, chest, belly, back,
buttocks, arms, underarms, hands, fingers, legs, feet,
and toes. Use different kinds of touch, such as
stroking, rubbing, and squeezing. You can also use
different kinds of touch with your mouth, such as
kissing, nipping with your teeth, or sucking. Limit this
stage to parts of the body other than the genitals and
breasts.
- Second step: Touch, stroke, and explore the sensual
responses of the whole body, including the breasts and
genitals. The goal is not an erection or orgasm. The
goal is to learn what feels good to your partner. At
this stage some talk may be helpful.
- Third step: Caress and stimulate breasts and genitals.
For those couples who wish to proceed to sexual
intercourse, you can receive and give orgasm if you
choose. It often helps to use a lubricant such as
Astroglide or K-Y jelly, especially for the woman's
clitoris and the vaginal opening. Vaseline should not be
used as a vaginal lubricant.
Pay attention to just relaxing and enjoying it when you
touch each other. Remember that it is possible to have a
loving, intimate relationship without sexual intercourse.
If you feel that your relationship needs more help,
psychotherapy, treatment with medicine, and sexual
counseling may be helpful.
Written by James P. Semmens, MD.
This content is reviewed periodically and is subject to
change as new health information becomes available. The
information is intended to inform and educate and is not a
replacement for medical evaluation, advice, diagnosis or
treatment by a healthcare professional.
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