Saturday, February 13, 2010

Frequently asked sexual health questions answered by the experts: Debby Herbenick and Patty Brisben

DO ALL WOMEN HAVE A G-SPOT?

Patty: I think this is a great question and one I get asked often by women! I do believe that all women have the capabilities to experience g-spot stimulation; it is just whether or not they will respond to it in a pleasurable way. I encourage women to explore their bodies to find out which areas provide them with the most pleasure. Some women may find that after stimulating the g-spot, sometimes over an extended period of time that they may feel pleasure or even orgasm. When exploring the g-spot for the first time, I recommend that women do this alone and with the help of a curved bedroom accessory. Just remember that for most women exploring, it may take several tries to find out whether or not the g-spot is a pleasurable area for you. So the question really isn’t whether or not all women have a g-spot, but whether or not all women respond to g-spot stimulation!

Debby: The G spot is not an actual body part like a nose or a pancreas. Instead, we use the phrase “G spot” to refer to an area inside the vagina, about one or two inches inside the body, on the front wall of the vagina. In that sense, yes, every woman who has a vagina also has this area called the “G spot”. Whether stimulation of the G spot area feels pleasurable or orgasmic is another story. Some – but not all – women enjoy G spot stimulation and the only way to tell is for a woman to explore her body alone or with a partner, using her fingers or a G spot bedroom toy. For more information about the G spot, I recommend reading The G Spot and Other Discoveries About Human Sexuality by Dr. Beverly Whipple, Dr. John Perry and Dr. Alice Ladras.

CAN THINGS GET LOST IN THE VAGINA, LIKE THE BEN WA BALLS?

Patty: This is another great question! If you were to ask several of my customers if this was true, they would definitely say yes! With a little education, however, I was able to reassure them that Ben Wa Balls will not get lost in their vagina! Usually what happens when a woman feels like something is “lost” inside of her, she begins to become tense, which in turn starts to tighten her muscles, making it virtually impossible to allow gravity to work the missing object out! In a sense, things can get stuck in the vagina, but they definitely aren’t lost! Something I like to recommend to these nervous women is to first relax. After they have relaxed, I encourage them to sit on the edge of their toilet with each foot propped up on a trash cans. This position should start to look familiar! I have them bear down as if they were trying to have a bowel movement and while they are relaxed and in this position, use their fingers to reach inside and remove the missing tampon, condom or Ben Wa Ball. If for some reason this method doesn’t work, or the woman doesn’t feel comfortable touching herself, I suggest having a partner try. Otherwise, her health care provider will be happy to help! Just remember, the key is to relax!!

Debby: No. Here’s why: The vagina is a relatively small space and it ends at the cervix (the opening to the uterus). The cervix is an extremely tiny opening and most objects (like ben wa balls, sex toys, and tampons) are too big to fit through this opening. The vagina is about 3 or 4 inches long when a woman is not aroused. When a woman feels sexually excited the vagina grows slightly wider and longer. Even though the vagina gets bigger, it doesn’t get huge. If a woman feels like she has “lost” a ben wa ball inside her vagina (or if she cannot find a tampon she inserted, or a condom that slipped off during sex), she can be reassured that with a little time and patience, she or her partner can gently insert their fingers, retrieve the object and pull it back out. If she feels too nervous to do this herself or with her partner, she should ask her doctor to remove the object as soon as possible (it happens to other women, too, and she doesn’t have to feel embarrassed, but she does need to have it removed to prevent bacterial growth).

HOW CAN I GIVE MY SEX DRIVE A BOOST?

Patty: The million dollar question! There are a lot of different things you can try to help you improve your sex drive. I always encourage women to try a variety of things and to not become discouraged if something doesn’t work right away! Take this opportunity to enjoy discovering and exploring your body again! You may find that it is as simple as changing some small part of your routine, such as the way you initiate sex or how you engage in foreplay. Play some new games; try new positions… challenge your routine! I also encourage women to take care of themselves. Eat well, exercise, get a good nights sleep and visit your doctor regularly! If improving your sex drive isn’t as simple as changing your routine, your health care provider can help you find what will work best for you! It has to start with you and your desire to give it a boost!

Debby: A woman’s sex drive can decrease for any number of reasons including medical conditions, medication side effects, stress, anxiety, depression, feeling tired, relationship problems, eating patterns and more. The best place to start is with a check-up with one’s healthcare provider to rule out medical conditions or medication side effects.A healthy lifestyle is important to sexual desire and interest too. Get plenty of sleep. If you smoke, consider quitting (there are a variety of smoking cessation classes as well as medications available to help you quit). Try to eat better (e.g., more fruits, vegetables, whole grains, lean proteins) and move more (e.g., try to walk, run, play with your kids or otherwise move your body for more minutes of the day, and on most days of the week). Ask your doctor, nurse, dietician or physical therapist for advice and information about sleep, nutrition and physical exercise. If a woman is unhappy with her relationship or simply wants to re-connect with her partner, suggest that she read For Each Other: Sharing Sexual Intimacy by Dr. Lonnie Barbach or meet with a sex therapist (she can visit www.aasect.org to locate one nearby).

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