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    <title>The Sex Doctors are In!</title>
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    <id>tag:www.goodinbed.com,2010-03-09:/blogs/sex_doctors//19</id>
    <updated>2013-03-15T14:56:35Z</updated>
    
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    <title>After an Affair</title>
    <link rel="alternate" type="text/html" href="http://www.goodinbed.com/blogs/sex_doctors/2013/03/after-an-affair/" />
    <id>tag:www.goodinbed.com,2013:/blogs/sex_doctors//19.4993</id>

    <published>2013-03-15T14:55:39Z</published>
    <updated>2013-03-15T14:56:35Z</updated>

    <summary>We've all heard the adage: "Once a cheater, always a cheater." If your partner has been unfaithful, you're likely getting all sorts of advice from well-meaning friends and family.Much of that advice may involve ending your relationship. Yet it's possible...</summary>
    <author>
        <name>Ian Kerner</name>
        
    </author>
    
    
    <content type="html" xml:lang="en-us" xml:base="http://www.goodinbed.com/blogs/sex_doctors/">
        <![CDATA[We've all heard the adage: "Once a cheater, always a cheater." If 
your partner has been unfaithful, you're likely getting all sorts of 
advice from well-meaning friends and family.<br /><br />Much of that advice may 
involve ending your relationship. Yet it's possible -- and perhaps even 
beneficial -- to stay in a marriage or long-term relationship when one 
partner cheats. That's the idea of two new books from noted experts on 
the topic: a newly revised edition of the best-selling "<a href="http://janisaspring.com/?page_id=6" target="_blank">After the Affair</a>" by Janis Abrahms Spring and "The New Monogamy: Redefining Your Relationship After Infidelity" by <a href="https://www.drtammynelson.com/" target="_blank">Tammy Nelson</a>.
<p class="cnn_storypgraphtxt cnn_storypgraph3">But should you really forgive and move on after infidelity?</p>
<p class="cnn_storypgraphtxt cnn_storypgraph4">"Most of us are totally 
unprepared for what lies ahead in a relationship, and ignorant of what's
 required to last the course," Spring writes. "An affair shocks us into 
reality. Fortunately, it also invites us to try again."</p>

<p class="cnn_storypgraphtxt cnn_storypgraph5">Adds Nelson, "Many couples instinctively know that infidelity is much more complicated than our culture sometimes admits."</p><p class="cnn_storypgraphtxt cnn_storypgraph7">Couples can, and do, often find their way to an ultimately deeper, more intimate bond -- but it can take time and effort.</p>
<p class="cnn_storypgraphtxt cnn_storypgraph8">"In the wake of 
infidelity, most betrayed partners feel surprised and caught off guard,"
 says marriage and family therapist James Walkup. "But even though the 
hurt person may have assumed they would not stay married to a straying 
spouse, they may realize they still love their partner and want to work 
on the relationship."</p>
<p class="cnn_storypgraphtxt cnn_storypgraph9">Today, not all committed 
relationships follow the traditional definition of monogamy. For 
example, both partners may decide together what constitutes cheating 
going forward -- whether that means flirting with a particular friend, 
visiting a strip club or even having sex outside the relationship.</p>
<p class="cnn_storypgraphtxt cnn_storypgraph10">"I have seen a growing 
number (of) straight and same-sex couples thrive on the infamous 
'monogamish' agreement," psychotherapist Jean Malpas says. "They realize
 that long-term relationships might need to include the reality of 
attractions to other people. They carefully define trust and craft 
guidelines for acceptable behavior based on their level of comfort with 
risk and fluidity."</p>

<p class="cnn_storypgraphtxt cnn_storypgraph12">Such a "monogamish"<strong> </strong>approach tends to be more common among gays, lesbians, bisexuals and transgendered people, notes sex therapist Margie Nichols.</p>
<p class="cnn_storypgraphtxt cnn_storypgraph13">"The issue is commonly 
on the table for consideration or discussion when LGBTQ partners get 
together, and when a transgression is purely sexual (as opposed to 
emotional), it may be less likely to end the relationship," she says.</p>
<p class="cnn_storypgraphtxt cnn_storypgraph14">That's not to say that monogamish couples are safe from infidelity, however.</p>
<p class="cnn_storypgraphtxt cnn_storypgraph15">"Just because a couple 
is monogamish does not mean that they will be any more forgiving of a 
partner who breaks the rules and violates their trust," says social 
psychologist Justin Lehmiller. "Deciding whether to work things out has 
less to do with the gender of the partners and more to do with whether 
it was a good quality relationship to begin with."</p>
<p class="cnn_storypgraphtxt cnn_storypgraph16">Nelson adds, "Ideally, 
your relationship will continue to grow and change as each of you grows 
and changes, and it may change position on the (monogamy) continuum 
throughout the years."</p>

<p class="cnn_storypgraphtxt cnn_storypgraph18">You can't heal from 
infidelity overnight. Instead, take time to rebuild your relationship 
slowly. Rather than ignoring the affair, be willing to share your pain, 
listen to each other and provide comfort when one partner is remembering
 the betrayal -- all can help lessen the pain while re-creating the 
original bond that joined the two of you together.</p>
<p class="cnn_storypgraphtxt cnn_storypgraph19">"Turning your back on a 
damaged relationship may be the simplest or most sensible solution, one 
that frees you from the tyranny of hope," Spring writes. "But it also 
may be a way to escape growing up, facing bitter truths about life, love
 and yourself, and assuming the terrible responsibility for making your 
relationship work."</p>
<p class="cnn_storypgraphtxt cnn_storypgraph20">Some couples undoubtedly
 view an infidelity as the end of their relationship -- and in some 
cases, going your separate ways may be the best decision. But for 
partners who are willing to recommit themselves to each other, an affair
 can be a turning point.</p>
<p class="cnn_storypgraphtxt cnn_storypgraph21">"Sometimes my clients 
acknowledge that coping with infidelity was the worst and yet the best 
thing to happen to their relationship," Walkup says. "The distance 
between them has been bridged, and a deeper level of sharing and 
intimacy can bring joy and hope in the long run."</p> ]]>
        
    </content>
</entry>

<entry>
    <title>Can you change your sexual response?</title>
    <link rel="alternate" type="text/html" href="http://www.goodinbed.com/blogs/sex_doctors/2013/02/can-you-change-your-sexual-response/" />
    <id>tag:www.goodinbed.com,2013:/blogs/sex_doctors//19.4932</id>

    <published>2013-02-13T02:39:25Z</published>
    <updated>2013-02-13T02:40:18Z</updated>

    <summary>A useful way to think about the idea of sexual response is to break it into two concepts: arousal and arousability.Arousability refers to your trait levels of SIS and SES (dual control model). Our best understanding at this point is...</summary>
    <author>
        <name>Emily Nagoski</name>
        
    </author>
    
    
    <content type="html" xml:lang="en-us" xml:base="http://www.goodinbed.com/blogs/sex_doctors/">
        <![CDATA[<p style="margin-bottom: 1.5em; outline: 0px; font-size: 14px; color: rgb(0, 0, 0); font-family: Arial, Helvetica, sans-serif; line-height: 22.265625px;">A useful way to think about the idea of sexual response is to break it into two concepts: arousal and arousability.</p><p style="margin-bottom: 1.5em; outline: 0px; font-size: 14px; color: rgb(0, 0, 0); font-family: Arial, Helvetica, sans-serif; line-height: 22.265625px;">Arousability refers to your trait levels of SIS and SES (<a href="http://www.thedirtynormal.com/2010/02/21/how-sex-works/" style="margin: 0px; padding: 0px; border: 0px; outline: 0px; color: rgb(85, 85, 85);">dual control model</a>). Our best understanding at this point is that sexual arousability works along the lines of intelligence, height or any of the other plastic traits: you're born with a certain range of potential, and where you fall within that potential depends on life experience. It is "innate," along the lines of Jonathan Haidt's very useful definition: organized in advance of experience. That doesn't mean it's set in concrete at birth. It means that you're given a range of pontential at birth, and your experiences shape how that potential plays out.</p><p style="margin-bottom: 1.5em; outline: 0px; font-size: 14px; color: rgb(0, 0, 0); font-family: Arial, Helvetica, sans-serif; line-height: 22.265625px;">In other words, your trait-level arousability is a result neither of nurture nor of nature, but of the interaction between the two.</p><p style="margin-bottom: 1.5em; outline: 0px; font-size: 14px; color: rgb(0, 0, 0); font-family: Arial, Helvetica, sans-serif; line-height: 22.265625px;">Arousal, in contrast, is the product of the interaction between your arousability and the environment. And THAT is something you definitely CAN change deliberately.</p><p style="margin-bottom: 1.5em; outline: 0px; font-size: 14px; color: rgb(0, 0, 0); font-family: Arial, Helvetica, sans-serif; line-height: 22.265625px;">Because while our capacity to respond to sexually relevant stimuli is organized in advance of experience, what qualifies as "sexually relevant" is NOT. (There may be one or two minor exceptions, but for the purposes of this question we'll cheerfully ignore them.)</p><p style="margin-bottom: 1.5em; outline: 0px; font-size: 14px; color: rgb(0, 0, 0); font-family: Arial, Helvetica, sans-serif; line-height: 22.265625px;">Imagine a little girl, maybe 4 or 5 years old, lying in her bed at naptime, masturbating as is her habit. And imagine that her adult caregiver walks in on her and feels surprised and then embarrassed and then ashamed, and the parent says to the little girl, "Don't do that! That's bad!"</p><p style="margin-bottom: 1.5em; outline: 0px; font-size: 14px; color: rgb(0, 0, 0); font-family: Arial, Helvetica, sans-serif; line-height: 22.265625px;">That little girl's brain creates a little glitch, a little brakes response that is associated with whatever arousal she was experiencing at the moment she was interrupted.</p><p style="margin-bottom: 1.5em; outline: 0px; font-size: 14px; color: rgb(0, 0, 0); font-family: Arial, Helvetica, sans-serif; line-height: 22.265625px;">Now accumulate time and repetition. Let the steady drip of life corrode a pathway into the brain. The message doesn't have to be perfectly consistent - some of the learning can be contradictory, as long as the message is consistent ENOUGH, it will build a pathway in the brain deeper than the alternative pathway. And 20 years later, that girl who grew up in a culture that taught her masturbation was bad and her body was not her own to do with as she pleased, now wonders why she feels guilty when she's aroused and it takes her an hour to have an orgasm.</p><p style="margin-bottom: 1.5em; outline: 0px; font-size: 14px; color: rgb(0, 0, 0); font-family: Arial, Helvetica, sans-serif; line-height: 22.265625px;">The good news is that this learned association can be unlearned. And that is what we can change about our sexual response.</p><p style="margin-bottom: 1.5em; outline: 0px; font-size: 14px; color: rgb(0, 0, 0); font-family: Arial, Helvetica, sans-serif; line-height: 22.265625px;">The best book that I know of is Julia Heiman's&nbsp;<a href="http://www.amazon.com/Becoming-Orgasmic-Sexual-Personal-Program/dp/0671761773/ref=sr_1_1?s=books&amp;ie=UTF8&amp;qid=1359309013&amp;sr=1-1&amp;keywords=becoming+orgasmic" style="margin: 0px; padding: 0px; border: 0px; outline: 0px; color: rgb(85, 85, 85);">Becoming Orgamic</a>. It walks you through a series of exercises that help you recognize when negative thoughts or feelings emerge when you're experiencing arousal, and then help you let go of those negative thoughts or feelings when they emerge.</p><p style="margin-bottom: 1.5em; outline: 0px; font-size: 14px; color: rgb(0, 0, 0); font-family: Arial, Helvetica, sans-serif; line-height: 22.265625px;">It takes time and patience and practice. If changing your sexual response is walking to the center of a maze, I've just described the general route. This is not the same as actually going through the maze.</p><p style="margin-bottom: 1.5em; outline: 0px; font-size: 14px; color: rgb(0, 0, 0); font-family: Arial, Helvetica, sans-serif; line-height: 22.265625px;">If going through it alone seems daunting,&nbsp;<a href="http://www.aasect.org/directory.asp" style="margin: 0px; padding: 0px; border: 0px; outline: 0px; color: rgb(85, 85, 85);">a sex therapist</a>&nbsp;can walk through the maze with you.</p><p style="margin-bottom: 1.5em; outline: 0px; font-size: 14px; color: rgb(0, 0, 0); font-family: Arial, Helvetica, sans-serif; line-height: 22.265625px;">It's absolutely possible. The glitches got planted because your brain was working APPROPRIATELY. You're not broken, you just grew up in a culture that built some stuff into your brain. And now that you're a grown up, you can choose whether to keep that stuff or try something different.</p><p style="margin-bottom: 1.5em; outline: 0px; font-size: 14px; color: rgb(0, 0, 0); font-family: Arial, Helvetica, sans-serif; line-height: 22.265625px;">It takes time. Practice. Patience. But the same processes that built in the glitches can deconstruct the glitches and build a new and different response to sexual stimuli.</p> ]]>
        
    </content>
</entry>

<entry>
    <title>GSD: Not Just Another Queer Alphabet Soup</title>
    <link rel="alternate" type="text/html" href="http://www.goodinbed.com/blogs/sex_doctors/2013/01/gsd-not-just-another-queer-alphabet-soup/" />
    <id>tag:www.goodinbed.com,2013:/blogs/sex_doctors//19.5016</id>

    <published>2013-01-31T16:54:34Z</published>
    <updated>2013-04-25T20:18:04Z</updated>

    <summary>A couple of weeks ago, the Pink Therapy group in the UK made news by proclaiming 'GSD' - Gender and Sexual Diversities - as the new umbrella term for a community that seems to add letters by the season. Seriously,...</summary>
    <author>
        <name>Margie Nichols</name>
        
    </author>
    
    
    <content type="html" xml:lang="en-us" xml:base="http://www.goodinbed.com/blogs/sex_doctors/">
        <![CDATA[<p>A couple of weeks ago, the Pink Therapy group in the UK made news by proclaiming <a href="http://www.huffingtonpost.com/2013/02/25/gender-and-sexual-diversities-gsd-lgbt-label-_n_2758908.html">'GSD' - Gender and Sexual Diversities </a>- as the new umbrella term for a community that seems to add letters by the season. Seriously, I've seen: LGBTQQIAA- lesbian, gay, bisexual, transgender, queer, questioning, intersex, asexual, allies. And&nbsp;lots of groups - &nbsp;nonmonogamous people, kinky people, those who identify as pansexual, for example- &nbsp;aren't included in that mouthful of letters.</p>
<p>At first I thought it was just the brilliant Brits.&nbsp; And then I did a little research and discovered that the term is already in use in some <a href="http://www.colby.edu/administration_cs/student-affairs/deanofstudents/multicultural/glbtq.cfm">academic and educational circles here in the U.S</a>.&nbsp; Pink Therapy is publicizing a growing cultural shift. I'm jumping for joy! I feel like I've waited a lifetime for this trend.</p>
<p>Because this isn't just a new alphabet soup. This is a different paradigm, a reversal of the&nbsp;pattern of making finer and finer distinctions of sex and gender&nbsp;that prevails in all areas from identity politics to scientific discourse.&nbsp; </p>
<p>They say in scientific thinking there are 'splitters' and 'lumpers; 'different issues at different times require both approaches. LGBT activism started in the 1970's with organizations that just used 'gay' in their titles, e.g. the National Gay Task Force.&nbsp; Then lesbians argued that 'lumping' them with gay men made them invisible, and that started the trend of adding letters to distinguish the different groups who wanted to be included under the 'big tent.'&nbsp; Politically, this made sense.&nbsp; But science followed politics, and over time researchers as well as the culture at large have behaved as though each letter in the acronym represents a&nbsp;distinctly different group.&nbsp; And this has led to some&nbsp; problems- identity politics have become conflated with reality.&nbsp;&nbsp; This is a time for us to be 'lumping' together people who are outliers, minorities, nonconformers in their gender expression/ identity and/or their sexual expression/identity. This group of people includes those with same sex attractions, or both/pan gender attractions; it includes the whole spectrum of TGNC (transgender and gender nonconforming) people; but it also includes kinky, nonmonogamous, asexual, queer, refuse-to-label-myself people as well.</p>
<p>Here's why we should all switch to GSD immediately:</p>
<ol>
<li>It's easy. Say it a few times - it trips off the tongue.</li>
<li>It's inclusive. We like inclusivity, right? Well, actually&nbsp;some of us don't, but I'm going to assume here that it's a good thing.</li>
<li>It's politically advantageous. Strength in numbers. (And yes, I know the arguments against including people who are stigmatized even more than you.&nbsp; It's the reason why drag queens and&nbsp;other gender benders&nbsp;were excluded from gay politics for a long time. I disagree with the 'Virtually Normal' argument.)</li>
<li>It encourages us to find our commonalities. And believe me, as a queer shrink for 30+ years - we have SO much in common.</li>
<li>It encourages us to work together. Good karma, good communities - good politics, too.</li>
<li>THERE IS A LOT OF OVERLAP AMONG THESE COMMUNITIES ANYWAY. Especially among gay men/nonmonogamy/bisexual/kinky folk.</li>
<li>Which leads me to my last and not insignificant reason: IT IS VERY LIKELY SCIENTIFICALLY MORE CORRECT. Or at least it is a BETTER paradigm for scientific research than the one we are using now.</li>
</ol>
<p>The paradigm that currently dominates the field of sex therapy and research is one that first and foremost is a pathology model, a medical/psychiatric model that tends to see all 'outliers' as indicators of disease. And it is a 'splitting' model: every time the psychiatric Bible, the DSM, is amended the fights are about adding new categories of sexual anomaly/pathology. This time around, in the preparation of DSM5, there was a group proposing that 'hebephilia' be added as a 'paraphilia' i.e., sexual perversion. (Hebephilia, by the way, means sexual attraction to teenagers. Perhaps a majority of men would qualify as hebephiles.)</p>
<p> And what I keep coming back to is - maybe our categories are just plain wrong. Different cultures at different historical periods have 'sliced up' the GSD pie in different ways. For example, although we draw a bright line between gender and sexual orientation, throughout history more commonly the two have been conflated: 'Invert' was the nineteenth century term for homosexual.</p>
<p>We 'see' gender and the gender to which one is attracted as the two most important dimensions of sexuality. What if there are others we are missing completely? What if there are reasons - perhaps including even biological reasons - why the kink, nonmonogamy, and LGBT communities overlap so much?&nbsp; More intriguing examples:&nbsp; young people are replacing 'bisexual' with 'pansexual,' and it is true that there is a huge overlap between the bisexual, kink, transgender, &nbsp;and open relationship communities.&nbsp; What if we are missing an important dimension of human sexuality like general openess to a multitude of sex and gender expressions? Or this - there is a growing phenomenon of previously lesbian identified transmen who become attracted to gay men after transition.&nbsp; What if 'same-sex' orientation is exactly that - attraction to others of the same gender as you.</p>
<p>What if we don't have a clue? What if we are&nbsp;our understanding of sex/gender variation is in its infancy, as I believe? If there is a chance that is true - then the lens we need to use must be broad and inclusive. For now, GSD - Gender and Sexual Diversities - is the best paradigm we can use.</p> ]]>
        
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</entry>

<entry>
    <title>Sexual Identity and Children</title>
    <link rel="alternate" type="text/html" href="http://www.goodinbed.com/blogs/sex_doctors/2013/01/sexual-identity-and-children/" />
    <id>tag:www.goodinbed.com,2013:/blogs/sex_doctors//19.5021</id>

    <published>2013-01-04T17:32:42Z</published>
    <updated>2013-04-25T20:17:01Z</updated>

    <summary>Are younger people more likely to embrace their sexual identity? That's the implication of findings from a recent large Gallup survey. The survey, which asked 120,000 American adults whether they identified as lesbian, gay, bisexual or transgender, found that 6.4%...</summary>
    <author>
        <name>Ian Kerner</name>
        
    </author>
    
    
    <content type="html" xml:lang="en-us" xml:base="http://www.goodinbed.com/blogs/sex_doctors/">
        <![CDATA[Are younger people more likely to embrace their sexual identity? That's the implication of findings from a recent large Gallup <a href="http://www.gallup.com/poll/158066/special-report-adults-identify-lgbt.aspx" target="_blank">survey</a>.
<p class="cnn_storypgraphtxt cnn_storypgraph2">The survey, which asked 
120,000 American adults whether they identified as lesbian, gay, 
bisexual or transgender, found that 6.4% of people aged 18 to 29 said 
they were LGBT: about three times more than people over age 65.</p>
<p class="cnn_storypgraphtxt cnn_storypgraph3">But do results like these
 indicate that younger adults are more likely to be LGBT, or are they 
simply more likely to acknowledge it? It's probably the latter, say my 
colleagues.</p>
<p class="cnn_storypgraphtxt cnn_storypgraph4">"These numbers might 
reflect a generational change in social acceptance for LGBT identities,"
 said psychotherapist Jean Malpas, director of the <a href="http://www.ackerman.org/posts/view/142-the-gender-and-family-project" target="_blank">Gender and Family Project </a>at
 the New York-based Ackerman Institute for the Family. "Today's youth 
and young adults, at least in some communities, are gradually more 
comfortable being open about their sexual and gender identities."</p>
<div class="cnn_strylftcntnt"><div class="cnn_strylctcntr cnn_strylccimg300"><br /></div></div>
<p class="cnn_storypgraphtxt cnn_storypgraph5">Another potential reason 
for the increase in self-identified LGBT youth is the influence of a new
 generation of parents who embody a positive attitude and wouldn't have 
it any other way.</p>
<p class="cnn_storypgraphtxt cnn_storypgraph6">"Today's millennial 
parents are more than just accepting of their children's sexual 
identity. They're comfortable and embracing of it, too," said <a href="http://www.rontaffel.com/" target="_blank">Ron Taffel</a>,
 psychologist and author of the book "Childhood Unbound." "They want to 
actively support and engage their children through communication about 
all aspects of their lives."</p><p class="cnn_storypgraphtxt cnn_storypgraph8">Research, including this survey, also suggests that young women may be more likely than men to identify as bisexual.</p>
<p class="cnn_storypgraphtxt cnn_storypgraph9">"The pattern across 
surveys is that men are more likely to identify as gay, whereas women 
are more likely to identify as bisexual," explained social psychologist <a href="http://www.lehmiller.com/" target="_blank">Justin Lehmiller</a>.
 "We don't know exactly why this is, but many psychologists believe it 
results from women's sexuality being somewhat more 'flexible' or 'fluid'
 and men's sexuality being somewhat more 'fixed.' "</p>
<p class="cnn_storypgraphtxt cnn_storypgraph10">Many other young people are eschewing traditional descriptors for sexuality and gender completely.</p>
<p class="cnn_storypgraphtxt cnn_storypgraph11">"There's been a lot of 
work done on how LGBT youth is more and more frequently rejecting labels
 altogether, blurring the lines between sexual orientation and gender, 
creating new labels and identifying as gender-queer, gender-fluid or 
pansexual, to name a few," said sex therapist <a href="http://www.ipgcounseling.com/about-us/dr-margaret-nichols" target="_blank">Margie Nichols</a>. "The very term 'LGBT' is too confining now, which is why I prefer the term Gender and Sexual Diversity, or GSD."</p>
<p class="cnn_storypgraphtxt cnn_storypgraph12">That term could also include the 1% of people who identify as asexual, which means they aren't sexually attracted to anyone.</p>
<p class="cnn_storypgraphtxt cnn_storypgraph13">"While we're creating 
space for a variety of sexual identities, we also need to create space 
for non-sexual identities," said college sex educator Emily Nagoski.</p>
<p class="cnn_storypgraphtxt cnn_storypgraph14"><br /></p>
<p class="cnn_storypgraphtxt cnn_storypgraph15">Indeed, many of the 
experts I spoke to expressed frustration that Gallup and other surveys 
limit the options from which a respondent can choose.</p>
<p class="cnn_storypgraphtxt cnn_storypgraph16">"The terms lesbian, gay and bisexual just don't capture all sexual minority identities," Lehmiller said.</p>
<p class="cnn_storypgraphtxt cnn_storypgraph17">Nichols agrees. "These 
studies are missing a tremendous opportunity by not including an 'other'
 category. It's a shame, because the 'other' category is the wave of the
 future."</p>
<p class="cnn_storypgraphtxt cnn_storypgraph18">Separate from sexual 
identity is gender identity. While not addressed in the Gallup survey, 
experts say, this distinction is increasingly important, particularly 
for today's youth.</p>
<p class="cnn_storypgraphtxt cnn_storypgraph19">"Gender nonconforming expression and identity are different from sexual orientation," Malpas explained.</p>
<p class="cnn_storypgraphtxt cnn_storypgraph20">"Sexual orientation is 
about who you are attracted to and who you fall in love with. Gender 
expression and identity refer to the gender you feel comfortable 
expressing and identifying with, which might or might not be aligned 
with the biological sex you were assigned at birth."</p>
<p class="cnn_storypgraphtxt cnn_storypgraph21">As transgender and 
gender-nonconforming children and teens become more visible, both in 
communities and in the media, parents are less likely to dismiss them.</p>
<p class="cnn_storypgraphtxt cnn_storypgraph22">"Only a decade ago, a 
parent would have probably answered 'stop saying silly things' to a 
6-year-old son who insisted on being a girl," Malpas added. "Today, the 
same parent will stop and think about the transgender children they've 
seen on TV or in magazines and may more readily inquire with 
professionals and other parents."</p>
<p class="cnn_storypgraphtxt cnn_storypgraph23">More than just stop and 
think, they'll also hopefully want to talk. Says Taffel, who specializes
 in breaking through to teens, "Open communication is a primary value 
for today's parents, much more so than setting limits and rules, and the
 spirit of open communication trumps the content of any conversation."</p>
<p class="cnn_storypgraphtxt cnn_storypgraph24"><br /></p>
<p class="cnn_storypgraphtxt cnn_storypgraph25">While it's important not
 to confuse gender and sexual identity, parents can take a similar 
approach in discussing them with their kids.</p>
<p class="cnn_storypgraphtxt cnn_storypgraph26">"Of course, you should 
reassure the child of your love, but you'll also want to find ways to 
expose your child to others like him or her so the child doesn't feel 
different or alone," Nichols suggested. "Allow yourself to experience 
mixed or negative feelings if you have them, and consider joining a 
support group. You've also got to be prepared to be your child's 
advocate with schools, neighbors and community activities."</p>
<p class="cnn_storypgraphtxt cnn_storypgraph27">I find the survey 
results very encouraging, as they indicate not just a shift of 
differences in human sexuality toward the mainstream but also suggest 
that the future is promising for people who don't fit into "the norm."</p>
<p class="cnn_storypgraphtxt cnn_storypgraph28">"We're evolving, 
culturally, beyond the need to impose rules on who's allowed to do what 
with their genitals and their hearts," Nagoski said. "This new 
generation of young people understands that love is love, that people 
are people and that the freedom to experience joy and mutually 
consensual pleasure is a birthright."</p> ]]>
        
    </content>
</entry>

<entry>
    <title>I Want To Watch My Wife Sleep With Someone Else. Is That Normal?</title>
    <link rel="alternate" type="text/html" href="http://www.goodinbed.com/blogs/sex_doctors/2012/12/-i-want-to-watch-my-wife-sleep-with-someone-else-is-that-normal/" />
    <id>tag:www.goodinbed.com,2012:/blogs/sex_doctors//19.4876</id>

    <published>2012-12-06T19:42:06Z</published>
    <updated>2012-12-07T19:32:39Z</updated>

    <summary>I want to watch my wife sleep with someone else. Is that normal? Believe it or not, you aren't the first guy who has fantasized about this. In fact, a similar scenario has even appeared on one of the Top...</summary>
    <author>
        <name>Justin Lehmiller, Ph.D.</name>
        
    </author>
    
    
    <content type="html" xml:lang="en-us" xml:base="http://www.goodinbed.com/blogs/sex_doctors/">
        <![CDATA[<p><b>I want to watch my wife sleep with someone else. Is that normal?</b></p>

<p>Believe it or not, you aren't the first guy who has fantasized about this. In fact, a similar scenario has even appeared on one of the <a href="http://www.lehmiller.com/blog/2012/10/12/fantasy-friday-a-top-10-list-of-readers-sexual-fantasies.html">Top 10 Lists of Sexual Fantasies</a> that I have compiled on my website. So let's talk first about where this fantasy might come from; however, please keep in mind that different reasons might exist for different men.</p>

<p>Perhaps the most common reason I hear from non-psychologists in trying to explain this fantasy is something along the lines of "well, duh, he's either gay or bisexual." This may be true for some guys, particularly guys who are interested not just in watching, but also joining the action--however, I don't think this explains why so many men have this fantasy. Instead, there may be some psychological and/or evolutionary reasons behind it.</p>

<p>For instance, some men may find it arousing to see their partner sleep around simply because they are voyeurs. In other words, they may derive great pleasure from watching other people engaged in sexual activity. A certain degree of voyeurism is common, given the widespread popularity of pornography; however, some people have more intense degrees of voyeurism than others and are only satisfied seeing the real thing in person.</p>

<p>Another possibility is that there is a biological or evolved mechanism that stimulates arousal in this situation. Specifically, seeing another man (or multiple men) bedding a desirable woman may stimulate <i>sperm competition.</i> The basic idea is that when such a situation is observed, men's bodies and brains respond in such a way as to increase the likelihood that their sperm will outcompete that of other men. Consistent with this idea, both men and women report that after a period of separation or when female infidelity is suspected, the male partner thrusts faster and deeper during their next sexual encounter, possibly as a means of displacing other men's semen.<sup>1</sup> Perhaps even more compelling, research has found that after viewing pornography that depicts sperm competition (i.e., two men having sex with the same woman), male participants exhibited a greater percentage of active sperm in their ejaculate than did men who viewed porn featuring only women.<sup>2</sup> Thus, it may be adaptive for men to be aroused by this situation because it will increase the odds that they will impregnate their partner instead of someone else.</p>  

<p>Of course, other explanations are also possible (e.g., some guys may just have a desire to see their partner completely satisfied, while others may enjoy the fact that it is a forbidden or taboo activity). But no matter the reason, as long as the activity is consensual and nobody feels pressured into doing something they do not want to do, acting on this fantasy could potentially enhance sexual satisfaction for everyone involved.</p>

<p>As for the question of "how to talk your wife into it," I cannot tell you that because I do not know how your wife feels about nonmonogamy and the prospect of sleeping with other men. Like any other sexual fantasy, this is not something you can force upon your partner--going through with it has to be a mutual decision. The only thing you can do is tell your partner about your fantasy and see where it goes. Of course, that's easier said than done because sharing fantasies can be difficult, especially when they involve bringing other people into the mix. This is the kind of thing where you don't just want to blurt out what you're thinking; rather, you want to work up to it slowly through a more general process of communicating about your desires. Thus, the timing is important, as is the way it is framed because your partner may interpret this fantasy in a lot of different ways.</p>


<p><sup>1</sup>Gallup, G. G., Burch, R. L., Zappieri, M. L., Parvez, R. A., Stockwell, M. L., &amp; Davis, J. A. (2003). The human penis as a semen displacement device. <i>Evolution and Human Behavior,</i> 24, 277-289.</p>

<p><sup>2</sup>Kilgallon, S. J., &amp; Simmons, L. W. (2005). Image content influences men's semen quality. <i>Biology Letters,</i> 1, 253-255.</p>]]>
        
    </content>
</entry>

<entry>
    <title>Technology and Your Relationship</title>
    <link rel="alternate" type="text/html" href="http://www.goodinbed.com/blogs/sex_doctors/2012/09/technology-and-your-relationship/" />
    <id>tag:www.goodinbed.com,2013:/blogs/sex_doctors//19.4896</id>

    <published>2012-09-10T16:18:41Z</published>
    <updated>2013-01-25T04:24:26Z</updated>

    <summary>Are you spending more time with your smartphone than with your partner -- even during romantic dates? Technology allows us to be constantly connected to the world, but it can also make us even more disconnected from each other. In...</summary>
    <author>
        <name>Ian Kerner</name>
        
    </author>
    
    
    <content type="html" xml:lang="en-us" xml:base="http://www.goodinbed.com/blogs/sex_doctors/">
        <![CDATA[Are you spending more time with your smartphone than with your partner -- even during romantic dates?
<p class="cnn_storypgraphtxt cnn_storypgraph2">Technology allows us to be constantly connected to the world, but it can also make us even more disconnected from each other.</p>
<p class="cnn_storypgraphtxt cnn_storypgraph3">In fact, two recent <a href="http://spr.sagepub.com/content/early/2012/07/17/0265407512453827.abstract" target="_blank">studies</a> show that cell phones can have a negative impact on close relationships.</p>
<p class="cnn_storypgraphtxt cnn_storypgraph4">Researchers from the <a href="http://www.essex.ac.uk/about/" target="_blank">University of Essex</a>
 found that people who engaged in personal discussions when a cell phone
 was nearby -- even if neither was actually using it -- reported lower 
relationship quality and less trust for their partner. They also felt 
their partner was less empathetic to their concerns.</p>
<p class="cnn_storypgraphtxt cnn_storypgraph5">Other studies suggest 
that cell phones can distract our attention from the present moment. And
 that's a problem, considering the results of the <a href="https://www.lookout.com/resources/reports/mobile-mindset" target="_blank">Mobile Mindset Study</a>, a recent survey that found three out of five U.S. smartphone users don't go more than hour without checking their gadgets.</p>
<p class="cnn_storypgraphtxt cnn_storypgraph6">Taken a few steps 
further, smartphones, tablets, and laptops -- and the social media they 
often support -- have the potential to tear couples apart.</p>
<p class="cnn_storypgraphtxt cnn_storypgraph7">I've <a href="http://thechart.blogs.cnn.com/2011/03/03/e-motional-affairs-how-facebook-leads-to-infidelity/">talked before</a>
 in this column about the capability of Facebook and other social media 
to threaten relationships: They provide a sense of instant gratification
 that stimulates our brain's reward centers, offering quick hits of 
novelty that can be downright addictive.
</p><p class="cnn_storypgraphtxt cnn_storypgraph9">Plus, they allow us to 
connect with friends, co-workers, and even former flames, fostering an 
immediate and intense sense of intimacy that can lead us to romanticize 
these connections. At best, you're giving your energy to these digital 
distractions, not your partner. At worst, you could be setting the stage
 for emotional infidelity.</p>
<p class="cnn_storypgraphtxt cnn_storypgraph10">Of course, it's 
unrealistic to ditch your smartphone altogether, especially if you also 
need it for work. But there are things you can do to use it wisely -- 
and even help improve your relationship. Here are three tips for making 
technology work for you and your partner:</p>
<div class="cnn_strylftcntnt"><div class="cnn_strylctcntr cnn_strylccimg300">

<div><br /></div>
</div></div>
<p class="cnn_storypgraphtxt cnn_storypgraph11"><strong>Set it aside.</strong>
 It should go without saying that cell phones are best kept out of sight
 and out of mind when you're on a date. Turn it off and place it in your
 bag or pocket for the duration -- the world won't end if you can't 
check your e-mail for an hour or two.</p>
<p class="cnn_storypgraphtxt cnn_storypgraph12">I also recommend 
shutting down phones, tablets and laptops at night, or at least charging
 them in a room other than your bedroom. Not only can they interfere 
with your ability to relax and unwind, but their distracting presence 
can also put a real crimp in intimacy.</p>

<p class="cnn_storypgraphtxt cnn_storypgraph14"><strong>Rethink social media.</strong>
 We've talked about the possible perils of connecting with your exes 
online. But I typically advise that you don't "friend" your partner, 
either. As Facebook friends, you have access to the most mundane parts 
of your significant other's day, from what he ate for lunch, to what new
 movies she wants to see. Talk about removing any sense of mystery!</p>
<p class="cnn_storypgraphtxt cnn_storypgraph15">If you do want to 
connect online as well as off, consider joining a digital service that 
helps foster togetherness. Best described as intimate online spaces for 
just you and your partner, programs like <a href="http://appbetween.us/en/" target="_blank">Between</a> or <a href="http://www.twocup.com/Account/Welcome" target="_blank">TwoCup</a> offer a place to share private memories, messages, and photos -- away from the prying eyes of others.</p>
<p class="cnn_storypgraphtxt cnn_storypgraph16"><strong>Make a sexy connection.</strong> Technology isn't all bad: It can actually bring you closer together -- and even add some spice to foreplay.</p>
<p class="cnn_storypgraphtxt cnn_storypgraph17">Use your smartphone to 
send your partner a sexy e-mail, voicemail message, or "sext" describing
 a fantasy or your plans with him or her for the evening. Engage in a 
little Skype or FaceTime flirtation, especially if one of you is out of 
town. Just a word of caution: Be sure to use personal, not company 
accounts.</p>
<p class="cnn_storypgraphtxt cnn_storypgraph18">Smartphones and other 
gadgets can clearly have a negative impact on your relationship -- but 
they don't have to. By learning to use them wisely, you can start to 
feel more connected to your partner than ever.</p> ]]>
        
    </content>
</entry>

<entry>
    <title>Persnickety erections</title>
    <link rel="alternate" type="text/html" href="http://www.goodinbed.com/blogs/sex_doctors/2012/08/persnickety-erections/" />
    <id>tag:www.goodinbed.com,2012:/blogs/sex_doctors//19.4112</id>

    <published>2012-08-25T14:05:18Z</published>
    <updated>2012-09-06T14:17:35Z</updated>

    <summary><![CDATA[Talk to most teenage guys and you'll find that their erections seem to have a mind of their own - popping up when least expected or perhaps at a less-than-opportune time.&nbsp; But for many men, the opposite can be just...]]></summary>
    <author>
        <name>Madeleine Castellanos, M.D.</name>
        <uri>http://reclaimyoursexuality.com</uri>
    </author>
    
    
    <content type="html" xml:lang="en-us" xml:base="http://www.goodinbed.com/blogs/sex_doctors/">
        <![CDATA[<p>Talk to most teenage guys and you'll find that their erections seem 
to have a mind of their own - popping up when least expected or perhaps 
at a less-than-opportune time.&nbsp; But for many men, the opposite can be 
just as disconcerting - desperately wanting to have an erection at a 
particular moment, and finding no cooperation from the involved member.&nbsp;
 It seems that erections can be quite finicky and are affected by a 
multitude of factors.</p>
<p>After puberty, testosterone levels are usually at their highest, 
driving competitiveness, aggression, and sexuality.&nbsp; It seems that 
almost anything from nervousness, to excitation, to daydreaming, to 
boredom can trigger an erection.&nbsp; For many teenage guys, masturbating 
daily or even several times a day is common without untoward 
consequences.</p>
<p>Then we cut to a sexual situation.&nbsp; Maybe there is the expectation of
 having sex with a partner that is very attractive and exciting, so much
 so that a guy becomes anxious about his ability to please his partner.&nbsp;
 If his anxiety starts to overshadow his excitement, he may not be able 
to keep an erection or even get one at all.&nbsp; Once the anxiety becomes 
the predominating thought, not only does it flood the system with 
adrenaline, but it leaves little room for real erotic thoughts that 
drive arousal.</p>
<p>What kind of response a guy gets to his level of arousal can also 
greatly influence the level of his erection or ability to maintain it.&nbsp; A
 strong, judgmental, hysterical, or demanding attitude on the part of 
his partner is not only insensitive, but works directly against his 
arousal and can make the situation even worse.&nbsp; The more that a guy can 
continue to focus primarily on what he finds exciting without getting 
pressure from his partner or from his own performance anxiety, the 
better the chance that he will have in getting an erection that he is 
pleased with and keeping that erection.</p>
<p>When anxiety takes hold, the best tactic is to redirect one's 
thoughts to whatever activity or stimulus is pleasurable and erotic in 
the moment.&nbsp; Don't worry about what will happen 5 minutes from now since
 you are only in control of the present.&nbsp; Similarly, don't continue to 
beat yourself up about past disappointments, because those moments have 
passed and you have the ability to shape each moment differently.&nbsp; 
Instead, pick the first thing that is the most erotic for you and let 
yourself completely focus on this.&nbsp; Sex is much better when it is a 
"want to" and not a "have to."</p> ]]>
        
    </content>
</entry>

<entry>
    <title>Relationship Boredom</title>
    <link rel="alternate" type="text/html" href="http://www.goodinbed.com/blogs/sex_doctors/2012/08/relationship-boredom/" />
    <id>tag:www.goodinbed.com,2011:/blogs/sex_doctors//19.3463</id>

    <published>2012-08-25T00:37:01Z</published>
    <updated>2012-09-06T14:18:34Z</updated>

    <summary>Good in Bed Research recently conducted a survey to examine relationship boredom, and according to 3,341 readers in committed relationships, half reported either being bored or on the brink of boredom in their relationships. Further, 24 percent of people reported...</summary>
    <author>
        <name>Kristen Mark</name>
        
    </author>
    
    <category term="relationshipboredom" label="relationship boredom" scheme="http://www.sixapart.com/ns/types#tag" />
    
    <content type="html" xml:lang="en-us" xml:base="http://www.goodinbed.com/blogs/sex_doctors/">
        <![CDATA[<p><a href="http://www.goodinbed.com/research/relation/index.php">Good in Bed Research</a>
 recently conducted a survey to examine relationship boredom, and 
according to 3,341 readers in committed relationships, half reported 
either being bored or on the brink of boredom in their relationships. 
Further, 24 percent of people reported having engaged in infidelity due 
to boredom.</p>

<p>"Boredom is basically like an attack on our 
relationship's immunity system - once weakened we're all the more 
susceptible to a cascade of ailments," said sex therapist Ian Kerner.</p>

<p>Some of the top factors leading to relationship boredom include:<br />
• Moving in together (15.6 percent)<br />
• Marriage (13.8 percent)<br />
• Getting pregnant (8 percent)<br />
• Having kids (32.2 percent)<br />
• Getting older (38.5 percent)</p><div class="sect vert">
			</div>

<p>So it sounds like the the longer your relationship goes on, the more likely you are to become bored.</p>

<p>But listen up: When it comes to relationship
 boredom and infidelity, women may be more vulnerable than men. Maybe 
that's because men tend to cheat opportunistically - you know, "there 
she was just'a walking down the street" - whereas, for women, infidelity
 is more related to overall relationship satisfaction. And any woman 
will tell you that boredom strikes at the heart of contentedness and can
 quickly turn satisfaction into dissatisfaction.</p>

<p>So here are some tips to boredom-proof your relationship:<br />
<b>1. Ask your partner to try something new in the bedroom.</b> The 
majority of the respondents were entirely interested in trying something
 new in the bedroom to combat boredom. So, get going. Need some ideas? 
Check out the <a href="http://www.goodinbed.com/ebooks/2010/04/52-weeks-of-amazing-sex/index.php">Good in Bed Guide to 52 Weeks of Amazing Sex.</a>
 Start with sharing a fantasy, or try a sex toy such as a vibrator. You 
may be surprised to find out that your lover actually does want to try a
 new position, play a sex game, use a lube -- or even an enhancer.&nbsp;</p>

<p><b>2. Maintain your individuality.</b> For 
many people, this wasn't the first relationship in which they've felt 
bored, and most also felt bored both at home and work. In this sense, 
boredom is contagious, and you have to start with yourself. From your 
career, to your friends, to maintaining your own personal passions and 
interests, being a strong couple requires being a strong individual.</p>

<p><b>3. Keep finding things to talk about</b>.
 At the end of the day, it's easy to feel that communication is a chore,
 that talking to your partner is boring or routine and that there's 
nothing new under the sun to possibly talk about. When you're feeling 
this way -- nodding and half-listening, with no real interest in how 
your partner's day went -- you're in serious danger of getting too 
detached and disconnected and becoming vulnerable to things like 
infidelity, depression and indifference.</p><br />Read more: <a href="http://www.foxnews.com/health/2011/05/23/bored-bedroom-snooze-lose/#ixzz1NE3LhsHB">http://www.foxnews.com/health/2011/05/23/bored-bedroom-snooze-lose/#ixzz1NE3LhsHB</a><br />]]>
        
    </content>
</entry>

<entry>
    <title>Why Do Straight Men Like Breasts So Much?</title>
    <link rel="alternate" type="text/html" href="http://www.goodinbed.com/blogs/sex_doctors/2012/08/why-do-straight-men-like-breasts-so-much/" />
    <id>tag:www.goodinbed.com,2012:/blogs/sex_doctors//19.4839</id>

    <published>2012-08-24T03:54:54Z</published>
    <updated>2012-10-30T01:33:01Z</updated>

    <summary>As you may have noticed, heterosexual men seem to have a certain fascination with women's breasts. Society feeds into this by putting the female chest on display everywhere from Hooters restaurants to nudie magazines to beer advertisements. But how do...</summary>
    <author>
        <name>Justin Lehmiller, Ph.D.</name>
        
    </author>
    
    
    <content type="html" xml:lang="en-us" xml:base="http://www.goodinbed.com/blogs/sex_doctors/">
        <![CDATA[<p>As you may have noticed, heterosexual men seem to have a certain fascination with women's breasts. Society feeds into this by putting the female chest on display everywhere from Hooters restaurants to nudie magazines to beer advertisements. But how do we explain men's obsession with these two mounds of fatty tissue? If you ask guys why they like breasts so much, you probably won't get too much insight other than "I don't know--I just do." So what do scientists have to say? Most theories, including a brand new one from the book <em>The Chemistry Between Us</em>, suggest that there is an evolutionary basis for it.</p>

<p>One of the earlier explanations, known as genital echo theory, proposes that female breasts only became a significant factor in attraction once human beings started walking upright.<sup>1</sup> Before we started walking on two legs, the biggest source of visual excitement for men was the female buttocks. However, when we stood up, the buttocks was no longer as prominently displayed. As a result, the thought is that the breasts became bigger and more pendulous in order to mimic the visual appeal of the buttocks (think about it this way: cleavage bears a striking resemblence to the rear end, doesn't it?).</p>

<p>One of the newer theories is that men have evolved a preference for breasts because stimulating them enhances bonding with a female partner.<sup>2</sup> The basic idea is that women find breast and nipple stimulation to be sexually pleasurable. In fact, some women find nipple stimulation so pleasurable that it can lead to orgasm in and of itself! In addition, such stimulation causes the release of oxytocin in the brain. Oxytocin is a hormone that facilitates bonding between humans. Research has shown that it plays a role in the bonding that occurs between mother and child during breastfeeding, as well as between romantic partners who have sexual contact. Some scientists believe that men have developed an attraction to breasts precisely because breast and nipple stimulation tap into this neurochemical bonding system that can bring couples closer.</p>

<p>Other theories certainly exist (e.g., breasts may also be desired because they indicate sexual maturity and fertility status), however none of them tell us definitively why heterosexual men tend to look at women's breasts like they are one of the seven wonders of the world. These theories are complicated by the fact that not all men are into breasts, and that there are big cross-cultural variations in terms of what men find attractive about the female body. Although scientists do not fully agree on a single explanation, there does seem to consensus that men's fascination with breasts has evolutionary roots.</p>

<p>Check more of Dr. Lehmiller's articles on his blog, <a href="http://www.lehmiller.com/" target="blank">The Psychology of Sex.</a></p>

<p><sup>1</sup>Fisher, H. E. (1992). <em>Anatomy of love.</em> New York: Fawcett Columbine.</p>

<p><sup>2</sup>Young, L., &amp; Alexander, B. (2012). <em>The chemistry between us: Love, sex, and the science of attraction.</em> New York: Penguin.</p>]]>
        
    </content>
</entry>

<entry>
    <title>Great Books about Sex</title>
    <link rel="alternate" type="text/html" href="http://www.goodinbed.com/blogs/sex_doctors/2012/08/great-books-about-sex/" />
    <id>tag:www.goodinbed.com,2012:/blogs/sex_doctors//19.4693</id>

    <published>2012-08-23T22:22:39Z</published>
    <updated>2012-08-23T22:24:11Z</updated>

    <summary>With the blockbuster success of "Fifty Shades of Grey," many people are curious about dipping their toes (not to mention other body parts) into more sexually adventurous waters. I'm always careful to make clear that while the adventures of Ana...</summary>
    <author>
        <name>Ian Kerner</name>
        
    </author>
    
    
    <content type="html" xml:lang="en-us" xml:base="http://www.goodinbed.com/blogs/sex_doctors/">
        <![CDATA[With the blockbuster success of "<a href="http://thechart.blogs.cnn.com/2012/03/15/erotic-novel-fifty-shades-of-grey-goes-viral-for-good-reason/">Fifty Shades of Grey</a>," many people are curious about dipping their toes (not to mention other body parts) into more sexually adventurous waters.<br /><br />
<p class="cnn_storypgraphtxt cnn_storypgraph2">I'm always careful to 
make clear that while the adventures of Ana and Christian may make for a
 compelling erotic yarn, their story is by no means an accurate 
depiction of BDSM relationships (bondage, discipline, dominance, 
submission, sadism, masochism), nor is "Fifty Shades" any sort of guide 
book.</p>
<p class="cnn_storypgraphtxt cnn_storypgraph3">For instruction on that topic, you'll need to turn to the works of true sex-positive educators such as <a href="http://clarissethorn.com/blog/" target="_blank">Clarisse Thorn</a> or <a href="http://tristantaormino.com/" target="_blank">Tristan Taormino</a> and their books "<a href="http://www.amazon.com/gp/product/B0086QIBEC/ref=as_li_tf_tl?ie=UTF8&amp;tag=clarthor-20&amp;linkCode=as2&amp;camp=1789&amp;creative=9325&amp;creativeASIN=B0086QIBEC" target="_blank">The S&amp;M Feminist</a>" and "<a href="http://www.amazon.com/The-Ultimate-Guide-Kink-Erotic/dp/157344779X" target="_blank">The Ultimate Guide to Kink</a>," respectively.</p>
<p class="cnn_storypgraphtxt cnn_storypgraph4">But there's no denying 
that "Fifty Shades" has sparked widespread interest in how to improve 
our sex lives -- and what better way to do that than via a good "how-to"
 book?</p>

<p class="cnn_storypgraphtxt cnn_storypgraph5">If you're uncomfortable 
talking about sex to your friends, doctor, therapist or even your 
partner, such books can be an important resource, whether they impart 
new information, help you work through an issue, inspire you to become 
more adventurous or simply turn you on.</p>
<p class="cnn_storypgraphtxt cnn_storypgraph6">So, in the spirit of sharing, I asked some of my favorite sex experts to pick their favorite sex books:</p>
<p class="cnn_storypgraphtxt cnn_storypgraph7"><strong><a href="http://www.mysexprofessor.com/about-my-sex-professor/" target="_blank">Debby Herbenick</a></strong><strong>, a research scientist at Indiana University and the author of "</strong><strong><a href="http://www.amazon.com/Sex-Made-Easy-Questions-Answered-For/dp/0762444061" target="_blank">Sex Made Easy</a></strong><strong>:"</strong></p>
<p class="cnn_storypgraphtxt cnn_storypgraph8">"Hands down, I recommend '<a href="http://www.amazon.com/The-Male-Sexuality-Revised-Edition/dp/0553380427" target="_blank">The New Male Sexuality</a>'
 by Bernie Zilbergeld. A classic in the field, it gives a rich picture 
of men's sexual lives including myths they're taught about sex and 
common problems such as erectile issues, communication blocks and rapid 
ejaculation as well as solutions for these problems."</p>
<p class="cnn_storypgraphtxt cnn_storypgraph9"><strong><a href="http://www.joekort.com/" target="_blank">Joe Kort</a></strong><strong>, a clinical sexologist and founder of the Center for Relationship and Sexual Health:</strong></p>
<p class="cnn_storypgraphtxt cnn_storypgraph10">"I recommend Jack Morin's '<a href="http://www.jackmorin.com/MyBooks.en.html" target="_blank">The Erotic Mind</a>,'
 which helps remove the shame of sexual behaviors and fantasies by 
understanding what they mean in a nonsexual way. Morin addresses where 
fantasies and desires come from and how shame can be removed and 
replaced with healthy acceptance for individuals and couples."</p>

<p class="cnn_storypgraphtxt cnn_storypgraph12"><strong>Amy Levine, sex coach and founder of </strong><strong><a href="http://www.igniteyourpleasure.com/" target="_blank">Ignite Your Pleasure</a></strong><strong>:</strong></p>

<a href="editor-content.html?cs=UTF-8" name="em2"></a><p class="cnn_storypgraphtxt cnn_storypgraph13">" '<a href="http://www.amazon.com/Hot-Sex-Over-Things-Tonight/dp/1616280735" target="_blank">Hot Sex: Over 200 Things You Can Try Tonight</a>'
 by Jamye Waxman and Emily Morse is a fun, sensual, seductive, creative 
and tantalizing book filled with more than 200 ways to tease, play, 
entwine and explore. When I coach couples who are in a sex rut, I 
suggest they use this book as a tool."</p>
<p class="cnn_storypgraphtxt cnn_storypgraph14"><strong><a href="http://www.drlauraberman.com/homepage" target="_blank">Laura Berman</a></strong><strong>, sex educator, researcher and therapist: </strong></p>
<p class="cnn_storypgraphtxt cnn_storypgraph15">"If I had to pick, I would choose either '<a href="http://www.amazon.com/Anatomy-Love-Natural-History-Marriage/dp/0449908976" target="_blank">The Anatomy of Love</a>' by Helen Fisher or '<a href="http://www.5lovelanguages.com/" target="_blank">The 5 Love Languages</a>'
 by Gary Chapman. Both are extremely helpful for couples to understand 
how men and women are wired differently and to learn how to love one 
another in a way that lasts."</p>
<p class="cnn_storypgraphtxt cnn_storypgraph16"><strong><a href="http://lehmiller.socialpsychology.org/" target="_blank">Justin Lehmiller</a></strong><strong>, Harvard University social psychologist and online sex columnist at </strong><strong><a href="http://www.lehmiller.com/blog/" target="_blank">The Psychology of Human Sexuality</a></strong><strong>: </strong></p>
<p class="cnn_storypgraphtxt cnn_storypgraph17">" '<a href="http://www.amazon.com/The-Technology-Orgasm-Hysteria-Satisfaction/dp/0801859417" target="_blank">The Technology of Orgasm</a>'
 by Rachel Maines chronicles the history of 'hysteria,' a bogus female 
medical condition that led to invention of the vibrator. Maines' book is
 a meticulously researched, fascinating and humorous look at the origin 
of hysteria and the birth of the motorized sex toy.</p>
<p class="cnn_storypgraphtxt cnn_storypgraph18">"I also adore '<a href="http://www.maryroach.net/bonk.html" target="_blank">Bonk: The Curious Coupling of Science and Sex</a>'
 by Mary Roach, which traces the history of how scientists have studied 
sexual arousal and orgasm in a very engaging way that refuses to take 
itself too seriously and never gets bogged down in jargon or 
technicalities.</p>
<p class="cnn_storypgraphtxt cnn_storypgraph19">"On a personal level, 
'Bonk' holds a special place in my heart for helping me realize how much
 fun a career in sex research could be."</p>
<p class="cnn_storypgraphtxt cnn_storypgraph20"><strong><a href="http://ohmegan.com/" target="_blank">Megan Andelloux</a></strong><strong>, certified sexuality educator and sexologist:</strong></p>
<p class="cnn_storypgraphtxt cnn_storypgraph21">" '<a href="http://www.waronsex.com/" target="_blank">America's War on Sex</a>'
 by Marty Klein describes ridiculous sex laws and research that 
Americans are led to believe are true. It's a must-read book for anyone 
interested in sociology, psychology, sexuality education, law and 
parenting.</p>
<p class="cnn_storypgraphtxt cnn_storypgraph22">"I'm also a fan of '<a href="http://www.amazon.com/My-Secret-Garden-Womens-Fantasies/dp/0671019872" target="_blank">My Secret Garden</a>' by Nancy Friday, which discussed women's fantasies well before erotica became truly popular."</p>
<p class="cnn_storypgraphtxt cnn_storypgraph23">I've read and recommend 
many of these books myself, and this list is only the beginning of many 
exceptional works worth exploring and learning from.
</p><p class="cnn_storypgraphtxt cnn_storypgraph25">In my opinion, no list would be complete without <a href="http://www.estherperel.com/" target="_blank">Esther Perel's</a> "<a href="http://www.amazon.com/Mating-Captivity-Reconciling-Erotic-Domestic/dp/0060753633" target="_blank">Mating in Captivity</a>," an excellent guide to integrating a sense of sexual mystery into long-term relationships.</p>
<p class="cnn_storypgraphtxt cnn_storypgraph26">And on a personal note, in 10 years of writing sex books, my first, "<a href="http://www.amazon.com/She-Comes-First-Thinking-Pleasuring/dp/0060538252" target="_blank">She Comes First: The Thinking Man's Guide to Pleasuring a Woman</a>," remains my most popular.</p>
<p class="cnn_storypgraphtxt cnn_storypgraph27">At the time, I often 
mused that many men -- through no fault of their own -- knew more about 
what was under the hood of a car than under a woman's clothes or what 
was behind her orgasm.</p>
<p class="cnn_storypgraphtxt cnn_storypgraph28">In writing "She Comes First," I am grateful to the Federation of Feminist Women's Health Centers and their book, "<a href="http://www.amazon.com/A-New-View-Womans-Body/dp/0962994502" target="_blank">A New View of a Woman's Body</a>" (unfortunately now out of print) and to Rebecca Chalker's excellent book, "<a href="http://www.amazon.com/The-Clitoral-Truth-Secret-Fingertips/dp/1583220380" target="_blank">The Clitoral Truth</a>."
 Any man or woman truly interested in deepening their knowledge of a 
woman's full sexual potential should give this book a read.</p>
<p class="cnn_storypgraphtxt cnn_storypgraph29">No matter where your 
sexual interests lie, you're sure to find something new on the shelves 
of your local bookstore. And if you're too embarrassed to shop in person
 -- well, that's the beauty of the Kindle, Nook and other e-readers -- 
no plain brown wrapper necessary!</p>
<p class="cnn_storypgraphtxt cnn_storypgraph30">Any books to add to the 
list that have helped you improve your sex life? Tell me about them in 
the comments below. I'm always looking for a good read.</p> ]]>
        
    </content>
</entry>

<entry>
    <title>When and How Should You Talk to Your Kids About Sex in the Age of Internet Porn?</title>
    <link rel="alternate" type="text/html" href="http://www.goodinbed.com/blogs/sex_doctors/2012/08/when-and-how-should-you-talk-to-your-kids-about-sex-in-the-age-of-internet-porn/" />
    <id>tag:www.goodinbed.com,2012:/blogs/sex_doctors//19.4831</id>

    <published>2012-08-23T21:47:02Z</published>
    <updated>2012-10-30T01:33:48Z</updated>

    <summary>How are adolescent boys learning about sex these days? By pointing, clicking, and streaming through a seemingly endless supply of Internet pornography. That's right, online porn is now the default form of sex education for a growing number of young...</summary>
    <author>
        <name>Justin Lehmiller, Ph.D.</name>
        
    </author>
    
    
    <content type="html" xml:lang="en-us" xml:base="http://www.goodinbed.com/blogs/sex_doctors/">
        <![CDATA[<p>How are adolescent boys learning about sex these days? By pointing, clicking, and streaming through a seemingly endless supply of Internet pornography. That's right, <a href="http://www.telegraph.co.uk/education/educationnews/8961010/Pornography-is-replacing-sex-education.html">online porn is now the default form of sex education for a growing number of young boys</a> because they simply are not getting the information they need elsewhere. Personally, I find this prospect kind of scary. I mean, do you really want your son to learn everything he knows about sex from watching Ron Jeremy? And do you really want him to think that the bodies that he sees in porn are "normal" for men and women, or that the sexual script that plays out in porn videos is how real life relationships actually work (i.e., plumber arrives, clothes are torn off followed by extensive oral sex, pizza deliveryman arrives followed by tag team intercourse and gratuitous money shots, etc.)? I didn't think so. Although it's unlikely that anything you say will prevent your son from eventually searching for porn, what you can do is teach him about sex in a responsible way so that porn does not become his "how-to" guide for sex and relationships.</p>

<p>When it comes to teaching kids about sex, most parents simply don't know what they should say, how they should say it, or <a href="http://www.scienceofrelationships.com/home/2011/11/16/the-birds-and-the-bees-as-early-as-age-3.html">when these conversations should begin.</a> This seems to be especially true for dads, with research finding that fathers are typically far less involved than mothers in their children's sex education.<sup>1</sup> Although there may be any number of reasons for this (e.g., women are more likely to be primary caregivers and are usually seen as the health educators in the home), the fact of the matter is that dads sit on the sidelines far too often in this regard. And when dads do talk to their sons about sex, these "talks" usually involve jokes, awkward silence, and a tendency to keep the more serious issues at a distance.<sup>2</sup> This is a shame because by a wide margin teenage boys report that their parents are the most influential figures in their lives when it comes to making decisions about sex.<sup>3</sup> And a lack of open and honest sexual communication has negative consequences. For instance, most teens report that they would have an easier time postponing sexual activity if they could talk more to their parents about sex.</p>

<p>So, for all of the dads out there, when should you have "the talk" with your son and what should you say? Below are a couple of tips to help get you started on the right foot.</p>

<p>1. Initiate the talk about sex early - ideally by age 10 or 11, if not sooner. Far too many parents want to wait until their kids are older or until the time seems "right" to broach the subject. However, the longer you wait, the less likely it is that the talk will ever happen, or if it does, it may be too little, too late. Admittedly, it is more difficult with boys than it is with girls to determine the "right" age, because with girls menstruation provides a natural segue into talking about sexual development. However, consider the fact that most boys are searching for pornography by the age of 10 or 11. With that social marker in mind, it tells us that boys need a relatively early lesson so that parents do not miss out on a vital opportunity to shape their sons' ideas about sex and relationships.</p>

<p>2. Find out when and what your kids are learning about sex in school - and be prepared to fill in the gaps. If possible, consider attending the sex education program your kids will be exposed to or, at the very least, speak with your son's teacher about what exactly will be covered. The idea here is that you do not simply want to assume that your kids are getting all of the knowledge they need elsewhere. For example, just consider that more than one-third of teenage boys report receiving no formal instruction regarding contraceptive use in school.<sup>4</sup> You need to know what the school is providing so that you can supplement the information and also be prepared to answer any questions that your child might have.</p>

3. Recognize that uncertainty and embarrassment are normal reactions for any parent in this situation. Please do not avoid having the talk because you don't know how or because your parents never had the talk with you. The reality is that no one knows what they are supposed to say in this situation, and there is not one "correct" way to teach your kids about sex. It is also worth acknowledging that the talk will likely be embarrassing, but that there are things you can do to cope with that.<sup>5</sup> For example, remember that kids embarrass their parents all of the time in all kinds of situations--so this should not be a new experience for you! If you are worried that you won't have the right words or be able to describe things well enough, then bring out some pictures and books to help (such as <a href="http://www.amazon.com/dp/1931863180/">Let's Talk About S-E-X</a>), or try to tie the conversation in with things that you see together on television.<p></p>

<p>4. Don't leave all of the hot-button and serious issues off of the table. As I mentioned above, dads have a tendency to keep the more serious issues at bay, but please try to avoid doing this. The talk that you have about sex should include more than just the mechanics of how babies are made, because human sexuality is far more complex and your kid wants (and needs) to know more than just the basics. Topics such as sexual orientation, masturbation, oral sex, and sexual assault should all be addressed too. You might think that teaching your son how to avoid getting a girl pregnant is the only goal here, but keep in mind that vaginal intercourse is just one of many sexual activities boys might pursue and that not all boys are heterosexual. How do you feel about other activities and what should your son know to keep himself (and his partners) safe?</p>

<p>5. Keep the conversation going and be sure to talk about relationships too. Finally, keep in mind that "the talk" isn't just a one-time thing. This is an ongoing conversation you will need to have with your son as he gets older because new questions are bound to come up for him and it's impossible to teach someone everything they should know about sex and sexuality in the span of just one short conversation. Also, keep in mind that your talks should not focus exclusively on sex--it is important to talk about relationships too. Developing healthy relationships is something that most of us learn by trial and error because it is not taught in elementary or high school, and not necessarily even in college. Sex, love, and intimacy all go together, so try as much as you can to relate these to one another over the course of your talks.</p>

<p>On a side note, while the focus of this article was on dads talking to their sons (a common problem area), most of the above tips would be useful for any parent who is trying to figure out how to talk to their child about sex. For more resources on this topic, check out <a href="http://www.talkwithkids.org/local.html#sex">Talking With Kids About Sex.</a></p>

<p>Check more of Dr. Lehmiller's articles on his blog, <a href="http://www.lehmiller.com/" target="blank">The Psychology of Sex.</a></p>

<p><sup>1</sup>Walker, J. L. (2001). A qualitative study of parents' experiences of providing sex education for their children: The implications for health education. Health Education Journal, 60, 132-146.</p>

<p><sup>2</sup>Wight, D. (1994). Boys' thoughts and talk about sex in a working class locality of Glasgow. Sociological Review, 42, 703-737.</p>

<p><sup>3</sup>Albert, B. (2010). <a href="&lt;a href=" http:="" www.thenationalcampaign.org="" resources="" pdf="" pubs="" wov_2010.pdf"="" target="_blank">With one voice 2010: America's adults and teens sound off about teen pregnancy.</a> The National Campaign to Prevent Teen and Unplanned Pregnancy.</p>

<p><sup>4</sup>Martinez, G., Abma, J., &amp; Copen, C. (2010). Educating teenagers about sex in the United States. NCHS Data Brief. Retrieved from: <a href="http://www.cdc.gov/nchs/data/databriefs/db44.pdf" target="_blank">http://www.cdc.gov/nchs/data/databriefs/db44.pdf</a></p>

<p><sup>5</sup>Walker, J. (2004). Parents and sex education--looking beyond 'the birds and the bees.' Sex Education: Sexuality, Society and Learning, 4, 239-254.</p>]]>
        
    </content>
</entry>

<entry>
    <title>What Can A Man's Finger Length Tell You About His Penis?</title>
    <link rel="alternate" type="text/html" href="http://www.goodinbed.com/blogs/sex_doctors/2012/08/what-can-a-mans-finger-length-tell-you-about-his-penis/" />
    <id>tag:www.goodinbed.com,2012:/blogs/sex_doctors//19.4838</id>

    <published>2012-08-22T03:48:37Z</published>
    <updated>2012-10-30T01:34:27Z</updated>

    <summary>Over the past decade, scientists have conducted a boatload of studies correlating finger length ratios with psychological variables. Specifically, they have focused on the ratio of the index finger (the second digit when counting from the thumb) to the ring...</summary>
    <author>
        <name>Justin Lehmiller, Ph.D.</name>
        
    </author>
    
    
    <content type="html" xml:lang="en-us" xml:base="http://www.goodinbed.com/blogs/sex_doctors/">
        <![CDATA[<p>Over the past decade, scientists have conducted a boatload of studies correlating finger length ratios with psychological variables. Specifically, they have focused on the ratio of the index finger (the second digit when counting from the thumb) to the ring finger (the fourth digit). Among the factors associated with this ratio are sexual orientation and romantic jealousy. A new study finds that our fingers may reveal other interesting secrets, including the size of a man's penis.</p>

<p>In a recent study published in the <em>Asian Journal of Andrology</em>, researchers measured the length of men's fingers and penises while they were under anesthesia for an operation.<sup>1</sup> And yes, the researchers did obtain the men's consent first, so you don't need to worry that you might be an unknowing participant in a penis size study the next time you find yourself in an operating room. Different people recorded the penile and finger measurements to ensure that knowledge of one size did not influence measurement of the other. On a side note, I should mention that two different penis measurements were taken for each patient: flaccid and stretched. The reason for this is because flaccid length is not necessarily a good indicator of erect length. The stretched measurement was thus meant to approximate size during sexual arousal.</p>

<p>Results indicated that men with lower finger length ratios had longer stretched penises. What this means is that the shorter a man's index finger is relative to his ring finger, the larger his erect penis is likely to be. This same finger length ratio did not predict flaccid penis size--the only factor that predicted that was height. Thus, taller men tended to have longer flaccid penises. However, height was not related to stretched penis size in this study.</p>

<p>How do we explain the finger length finding? The researchers believe it is a result of prenatal testosterone exposure. Generally speaking, testosterone exposure in utero is linked to having an index finger that is shorter than the ring finger--in fact, men typically show at least some finger length difference of this nature, whereas women usually do not (except for lesbians). We know that testosterone exposure is linked to penile size as well. Thus, it may be that early exposure to high levels of testosterone exaggerates both finger length ratios and penis size.</p>

<p>On a side note, this finding fits well with previous research on sexual orientation and the theory that homosexuality is a product of higher than usual levels of testosterone exposure in the womb. Studies have found that gay men tend to (1) have even lower finger length ratios than heterosexual men<sup>2</sup> and (2) typically report larger penises on average (specifically, about one-third of an inch larger).<sup>3</sup> With all of this converging evidence, it suggests that  there might really be something to this idea. As always, however, keep in mind that almost no findings are universal and there are always exceptions to the rule. In other words, don't judge a man solely by the size of his hands.</p>

<p>Check more of Dr. Lehmiller's articles on his blog, <a href="http://www.lehmiller.com/" target="blank">The Psychology of Sex.</a></p>

<p><sup>1</sup>Choi, I. H., Kim, K. H., Jung, H., Yoon, S. J., Kim, S. W., &amp; Kim, T. B. (2011). Second to fourth digit ratio: A predictor of adult penile length. <em>Asian Journal of Andrology,</em> 13, 710-714.</p>

<p><sup>2</sup>Blanchard, R. (1997). Birth order and sibling sex ratio in homosexual versus heterosexual males and females. <em>Annual Review of Sex Research</em>, 8, 27-67.</p>

<p><sup>3</sup>Bogaert, A. F., &amp; Hershberger, S. (1999). The relation between sexual orientation and penis size. <em>Archives of Sexual Behavior,</em> 28, 213-221.</p>]]>
        
    </content>
</entry>

<entry>
    <title>Is Jumping Into Bed Quickly Harmful to Relationships?</title>
    <link rel="alternate" type="text/html" href="http://www.goodinbed.com/blogs/sex_doctors/2012/08/is-jumping-into-bed-quickly-harmful-to-relationships/" />
    <id>tag:www.goodinbed.com,2012:/blogs/sex_doctors//19.4830</id>

    <published>2012-08-21T21:40:31Z</published>
    <updated>2012-10-30T01:35:11Z</updated>

    <summary>Are couples who start having sex right away not as happy in the long run? A new study has found that heterosexual romantic partners who had sex within the first month of seeing each other reported lower levels of relationship...</summary>
    <author>
        <name>Justin Lehmiller, Ph.D.</name>
        
    </author>
    
    
    <content type="html" xml:lang="en-us" xml:base="http://www.goodinbed.com/blogs/sex_doctors/">
        <![CDATA[<p>Are couples who start having sex right away not as happy in the long run? A new study has found that heterosexual romantic partners who had sex within the first month of seeing each other reported lower levels of relationship satisfaction, communication, and commitment compared to partners who waited six months or longer to begin having sex.<sup>1</sup> However, these effects held only for women, not men, meaning that timing of sexual activity was not related to how men felt about their relationships. The popular media has jumped on this study running headlines such as <a href="http://www.independent.co.uk/news/science/how-leaping-into-bed-harms-relationships-8100740.html">"How Leaping Into Bed Harms Relationships"</a> and <a href="http://www.digitaljournal.com/article/332021">"Sex Before Marriage Adversely Impacts Relationships."</a> These media reports go on to claim that early sex "stunts" relationship development and causes "unhappy" marriages. However, if you look at the actual data, it will become apparent that these reports are sensationalized and that it is far from clear whether early sex is truly "harmful" to our romantic lives.</p>

<p>For starters, keep in mind that this research is correlational in nature, which means that we cannot make any assumptions about cause and effect. Thus, even though there is a statistical association between timing of sex and relationship outcomes, it doesn't mean that those outcomes were caused by how long people waited to have sex. It could just be that people who have sex sooner are different in some way (e.g., in terms of personality) and perhaps those differences are responsible for producing the observed association. Thus, saying that timing of sex "causes" harm or negatively "impacts" relationships is just plain wrong and irresponsible because we cannot conclude that based upon these data.</p>

<p>Second, every single media report has ignored the fact that average levels of satisfaction, communication, and commitment were high for both men and women no matter when they started having sex. For instance, let's look at relationship satisfaction, which was rated on a scale ranging from 0 to 12 in this study. The midpoint for this scale is 6, which means that anything above that represents satisfaction and anything below that represents dissatisfaction. For women, those who had sex in the first month had a satisfaction score of 7.9, while those who waited six or more months had a score of 8.5. For men, the numbers were 8.2 and 8.5, respectively. Thus, average levels of satisfaction were high for all groups, so where is the "harm" and all of the "unhappy" couples? In my view, what we're dealing with here is a question of statistical significance versus practical significance. What I mean by this is that while the scores may be statistically different between groups, is that one-half point difference in relationship satisfaction all that meaningful in real life? That's debatable. Perhaps if the researchers showed that early sex was linked to a higher likelihood of divorce, we could make a case for relationship "harm." But if everyone is reasonably satisfied and committed and the differences are small between groups, it seems disingenuous to claim that early sex is really hurting people's relationships.</p>

<p>Last but not least, this study found that the association between early sex and relationship quality was largely accounted for by whether couples lived together prior to marriage. Let me explain: people who had sex sooner were more likely to cohabitate prior to getting married. Once the researchers took this factor into account, the association between early sex and relationship quality disappeared. Why is that? We know from a variety of studies that cohabitation is linked to having more marital difficulties.<sup>2</sup> We don't know exactly why--it just is. But given that cohabitation seemed to be responsible for the association found in this research, it would appear safe to conclude that this study tells us more about the potential effects of cohabitation on relationship quality than it does about timing of sex.</p>

<p>So will jumping into bed sooner truly hurt your chances at a lifetime of happiness? There's nothing in this study to make me believe that's the case, so don't be swayed by the sensationalized headlines that suggest otherwise.</p>

<p>Check more of Dr. Lehmiller's articles on his blog, <a href="http://www.lehmiller.com/" target="blank">The Psychology of Sex.</a></p>

<p><sup>1</sup>Sassler, S., Addo, F. R., &amp; Lichter, D. T. (2012). The tempo of sexual activity and later relationship quality. Journal of Marriage and Family, 74, 708-725.</p>

<p><sup>2</sup>Jose, A., Daniel O'Leary, K. K., &amp; Moyer, A. (2010). Does premarital cohabitation predict subsequent marital stability and marital quality? A meta-analysis. Journal of Marriage and Family, 72, 105-116.</p>]]>
        
    </content>
</entry>

<entry>
    <title>Too Tired for Sex?</title>
    <link rel="alternate" type="text/html" href="http://www.goodinbed.com/blogs/sex_doctors/2012/08/too-tired-for-sex/" />
    <id>tag:www.goodinbed.com,2012:/blogs/sex_doctors//19.4672</id>

    <published>2012-08-10T15:00:42Z</published>
    <updated>2012-08-10T15:01:50Z</updated>

    <summary>According to a recent study by the National Sleep Foundation, about one in every four married or cohabitating Americans claim they're so sleep-deprived that they're often too tired to have sex. It's not surprising why sleep trumps sex: Between work,...</summary>
    <author>
        <name>Ian Kerner</name>
        
    </author>
    
    
    <content type="html" xml:lang="en-us" xml:base="http://www.goodinbed.com/blogs/sex_doctors/">
        <![CDATA[According to a recent study by the <a href="http://www.sleepfoundation.org/" target="_blank">National Sleep Foundation</a>,
 about one in every four married or cohabitating Americans claim they're
 so sleep-deprived that they're often too tired to have sex.
<p class="cnn_storypgraphtxt cnn_storypgraph2">It's not surprising why sleep trumps sex: Between work, family and social obligations, our need for shuteye often suffers.</p>
<p class="cnn_storypgraphtxt cnn_storypgraph3">Add in problems such as 
financial stress, health issues and relationship woes, and you can see 
why sex tends to drop to the bottom of our "to do" list -- if it's on 
there at all.</p>
<p class="cnn_storypgraphtxt cnn_storypgraph4">And when we do finally 
hit the sheets, many of us are more apt to hold onto our smart phone, 
tablet or other gadget than our partner's hand.</p>

<p class="cnn_storypgraphtxt cnn_storypgraph5">"Many of us are 
multitasking throughout the day for extended periods of time -- constant
 stimulation that can allow for enriching experiences," says Amy Levine,
 sex coach and founder of <a href="http://www.igniteyourpleasure.com/" target="_blank">Ignite Your Pleasure</a>. "However, that can also take its toll on our sex lives."</p>
<p class="cnn_storypgraphtxt cnn_storypgraph6">In some cases, though, simple exhaustion isn't the only reason why sex takes a backseat to sleep.</p>
<p class="cnn_storypgraphtxt cnn_storypgraph7">Unless you've been 
diagnosed with a health condition that saps energy, such as chronic 
fatigue syndrome, it's possible that factors other than a busy lifestyle
 are at play.</p>

<a href="editor-content.html?cs=UTF-8" name="em2"></a><p class="cnn_storypgraphtxt cnn_storypgraph9">"Boredom could be to 
blame," Levine says. "If you think or feel sex is going to be status 
quo, it will feel like a chore rather than something that's satisfying."</p>
<p class="cnn_storypgraphtxt cnn_storypgraph10">Also likely: a low sex drive. According to a <a href="http://archinte.jamanetwork.com/article.aspx?articleid=414363" target="_blank">2008 study</a>
 published in the Archives of Internal Medicine, between one-third and 
one-half of all women will find themselves coping with low sexual desire
 at some point in their lives. And while we're lacking such strong 
statistics for men, I and many other experts believe that low libido is 
increasingly becoming a problem for guys, too.</p>
<p class="cnn_storypgraphtxt cnn_storypgraph11">Although any number of 
factors could be to blame for these dips in desire, many of the same 
triggers that make us exhausted -- like stress, anxiety, worry -- are 
also linked to decreased desire in both men and women. Some people may 
confuse a low libido with being too tired for sex; for others, 
exhaustion itself seems to trigger a lower sex drive.</p>
<p class="cnn_storypgraphtxt cnn_storypgraph12">"A lot of women are 
satisfied with their relationships and enjoy sex once it's under way but
 are just too tired and stressed to feel sexual desire," explains <a href="http://www.psychologytoday.com/experts/laurie-b-mintz-phd" target="_blank">Laurie Mintz</a>, a University of Florida professor of psychology and the author of <a href="http://www.amazon.com/Tired-Womans-Guide-Passionate-Sex/dp/1605501077" target="_blank">"A Tired Woman's Guide to Passionate Sex</a>."</p>
<p class="cnn_storypgraphtxt cnn_storypgraph13">The book was shown in a 
published study of 45 women to significantly increase sexual desire, 
arousal, satisfaction and overall sexual functioning in those who 
followed the book's program.</p>
<p class="cnn_storypgraphtxt cnn_storypgraph14">Fortunately, there's 
much you can do to create both the time and energy to make sex a regular
 part of your routine again. Try these steps to get back on track:</p>
<p class="cnn_storypgraphtxt cnn_storypgraph15"><strong>Get on a regular sleep schedule</strong></p>
<p class="cnn_storypgraphtxt cnn_storypgraph16">It's the end of a long 
day, the kids are finally in bed, and all you and your partner want to 
do is -- well, veg out in front of the TV, or putter around on the 
Internet, or play a few rounds of Words with Friends.</p>
<p class="cnn_storypgraphtxt cnn_storypgraph17">Says <a href="http://www.pattybrisbenfoundation.org/" target="_blank">Patty Brisben</a>, educator and founder of <a href="http://pureromance.com/about-us/our-history/" target="_blank">PureRomance.com</a>, "The average American spends 2.7 hours a day watching TV, according to the <a href="http://www.bls.gov/news.release/atus.nr0.htm" target="_blank">American Time Use Survey</a>. So you have to ask yourself which is more important to you: your relationship or American Idol?"</p>
<p class="cnn_storypgraphtxt cnn_storypgraph18">Try to stick to a 
regular bedtime, and devote the last hour or so of your waking time to 
your partner. Even if you do nothing more than cuddle, you're setting a 
schedule that allows time for more when you're ready. Eventually, your 
mood will follow.</p>

<p class="cnn_storypgraphtxt cnn_storypgraph20"><strong>Think outside the box</strong></p>
<p class="cnn_storypgraphtxt cnn_storypgraph21">It's easy to say, "Let's
 have sex tonight," early in the day when your energy is still high. Yet
 most of us wait until nighttime to get intimate, and by then we're 
often too tired to make a move.</p>
<p class="cnn_storypgraphtxt cnn_storypgraph22">"Some people are more 
aroused during the day than at night," Levine says. "Make your arousal 
pattern work with your schedule and that of your partner so you can 
enjoy physical intimacy." That might mean indulging in morning sex 
before work or a lunchtime quickie -- whatever works for you.</p>
<p class="cnn_storypgraphtxt cnn_storypgraph23"><strong>Make a date</strong></p>
<p class="cnn_storypgraphtxt cnn_storypgraph24">Think scheduled sex is 
boring? Not necessarily. There's a common assumption that spontaneous 
sex is best, but "planned encounters help build anticipation and relieve
 tension within your relationship," Mintz says.</p>
<p class="cnn_storypgraphtxt cnn_storypgraph25">Get a sitter and head 
out for date night, play hooky from work, or make time for sex when the 
kids are at a friend's house, for example.</p>
<p class="cnn_storypgraphtxt cnn_storypgraph26">Adds Brisben, 
"Scheduling sex is great for someone who loves to make a 'to-do' list. 
You know you're not going to sleep until that box is checked off. Plus, 
it'll establish a pattern of healthy sexual behavior. They say it takes 
21 days to form a habit. Once that habit is formed, you won't want to go
 to sleep unless you've had sex."</p>
<p class="cnn_storypgraphtxt cnn_storypgraph27"><strong>Just do it</strong></p>
<p class="cnn_storypgraphtxt cnn_storypgraph28">It can be tough to feel aroused when all you want to do it sleep. But stick with it.</p>
<p class="cnn_storypgraphtxt cnn_storypgraph29">Like other forms of 
exercise, "sex can give you an energetic buzz," Levine says. "You just 
have to be willing to push past the feeling of tiredness to experience 
the pleasure that will ultimately recharge you.</p>
<p class="cnn_storypgraphtxt cnn_storypgraph30">"If you shift your 
schedule so you get enough sleep and reprioritize your day to the 
essentials," Levine says, "being tired doesn't have to be a factor that 
influences your sex life."</p>
<p class="cnn_storypgraphtxt cnn_storypgraph31">And remember, sex begets
 sex. Once you get back into the swing of things, you're likely to start
 wanting to get -- and stay -- intimate more often. When you wake up and
 smell the coffee, it will smell all the better for having had sex the 
night before.</p> ]]>
        
    </content>
</entry>

<entry>
    <title>Let's have a sex-toy party!</title>
    <link rel="alternate" type="text/html" href="http://www.goodinbed.com/blogs/sex_doctors/2012/05/lets-have-a-sex-toy-party/" />
    <id>tag:www.goodinbed.com,2012:/blogs/sex_doctors//19.4086</id>

    <published>2012-05-10T17:46:47Z</published>
    <updated>2012-05-10T17:47:21Z</updated>

    <summary>Picture this: A group of female friends lounge around a living room, noshing on snacks and sipping wine. At the center of the circle, a woman gives a presentation on her wares, sharing bits of knowledge with the hope that...</summary>
    <author>
        <name>Ian Kerner</name>
        
    </author>
    
    
    <content type="html" xml:lang="en-us" xml:base="http://www.goodinbed.com/blogs/sex_doctors/">
        <![CDATA[<p class="cnn_first">Picture this: A group of female friends lounge 
around a living room, noshing on snacks and sipping wine. At the center 
of the circle, a woman gives a presentation on her wares, sharing bits 
of knowledge with the hope that some of the women will choose to 
purchase her products.</p>
<p>I've just described a typical "party plan," a marketing technique 
that melds a social event with direct product sales. Party plans are 
nothing new - Tupperware, Pampered Chef and Mary Kay have been around 
for decades.</p>
<p>What makes this scenario different is that the consultant isn't 
hawking egg slicers or lipstick. Instead, she's sharing the buzz on the 
latest vibrators, lubricants and other bedroom accessories.<br />
<span id="more-38583"></span><br />
It's a creative, blush-free way to bring these products to women who may
 be squeamish or shy. But are the attendees walking away with more than 
just a bag of sex toys?</p>
<p>Sex toy parties have been around since the 1970s, although they 
didn't truly begin to gain popularity until the '80s and '90s. These 
days, such get-togethers have gone mainstream, and most women I know 
have attended at least one, often at bachelorette parties.</p>
<p>It's estimated that there are tens of thousands of consultants in this country, working for <a href="http://pureromance.com/about-us/our-history/" target="_blank">Pure Romance</a>, <a href="http://www.passionparties.com/about/" target="_blank">Passion Parties</a>, <a href="http://www.intimate-expressions.com/17.html" target="_blank">Intimate Expressions</a> or one of the many other franchises.</p>
<p>As with other party plans, consultants give product presentations, 
with the host typically receiving merchandise or a discount in return. 
But that may be where the similarities between sex toy parties and, say,
 Tupperware parties end.</p>
<p>Sex toy parties go beyond simple commercialism and can teach women about their sexuality, according to <a href="http://pattybrisben.wordpress.com/" target="_blank">Patty Brisben</a>, founder of Pure Romance.</p>
<p>"We are not about the sale of a product - we are about the education 
behind it," she says. "Our mission is to provide a very safe environment
 for women to learn about and discuss sex and sexuality. The bottom line
 is that people will not use their products if they don't know how to 
use them or are intimidated."</p>
<p>In fact, party-goers may rely on consultants to expand their knowledge about sexuality in general: A 2009 study by researcher <a href="http://www.amazon.com/Sex-Made-Easy-Questions-Answered-For/dp/0762444061" target="_blank">Debby Herbenick</a> and others at Indiana University's <a href="http://www.sexualhealth.indiana.edu/about.html" target="_blank">Center for Sexual Health Promotion</a>
 found that sex toy party consultants are often asked for accurate sex 
advice and may even have backgrounds in health or sexual education.</p>
<p>Similar research by the same authors, published in the November 2009 issue of <a href="http://www.publish.csiro.au/paper/SH08086.htm" target="_blank">Sexual Health</a>,
 suggests that such parties allow women to learn more about specific 
topics, including increasing desire/arousal, orgasm, erection and 
ejaculation, and vaginal dryness and lubrication.</p>
<p>"Female in-home sex toy party facilitators have the potential to 
provide a diverse group of women with opportunities to access sexuality 
information, products, and communication," they write.</p>
<p>While other party plans might involve testing out a recipe or 
demonstrating a makeover, sex toy parties tend to have greater goals. 
Passion Parties, for example, are primarily geared to women in couples; 
their mission involves fostering "passionate monogamy." <a href="http://www.surpriseparties.com/about/" target="_blank">Surprise Parties</a> seeks to help women achieve sexual fulfillment. And Pure Romance focuses on female empowerment.</p>
<p>"Sex toy parties should be a platform for women who want to be 
responsible for their own sexuality," says Brisben. "We are the place 
for women to start getting a better understanding of their needs, their 
wants, and their desires. And when you understand the mechanics of what 
makes you feel good and why, it allows you to know what to ask for."</p>
<p>Whether you're easily embarrassed or totally comfortable talking 
about your sex life, sex toy parties can be a great opportunity to chat 
with your girlfriends, learn something new, and become a little - or a 
lot - more in tune with your sexuality.</p>
<p>Who knows - you might even leave with a few new treats. Above all, have fun. Isn't that what parties are all about?</p> ]]>
        
    </content>
</entry>

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