Archive for the ‘sex advice’ Category

Dr. Carroll’s Sex Advice #3

Hey, it’s Monday again – and you know what that means!  Time for another blog.  I have another interesting question and response below.  Remember to keep sending your questions about sex.  Ask away!

Dear Dr. Carroll: You said that the female orgasm is the result of direct or indirect clitoral stimulation.  However, my girlfriend claims to be able to have three distinct types of orgasms – clitoral, vaginal, and anal. What’s up with that?

Answer: All women say their orgasms feel differently at different times.  Different stimulation, moods, emotions, and even time of month can influence how an orgasm feels. Some women tell me their orgasms during masturbation feel better than their sex orgasms, while others tell me they like their sex orgasms better.  The bottom line is that the majority of orgasms are triggered by direct or indirect clitoral pressure – so regardless of the actual sexual behavior they are engaging in, an orgasm can “feel” different even though it’s caused by the same thing. Orgasms are the release of built up blood (vasocongestion) in the clitoris and vaginal tissues along with a release of muscle tension (myotonia).   I say the “majority of orgasms” are caused by clitoral stimulation because some women are capable of “thinking themselves off,” or using a sexual fantasy alone to reach orgasm.  This is fairly rare, however.

For a long time people believed that the clitoris was only a small button of erectile tissue at the top of the vulva. However, today we know that the clitoris actually has 18 or more structures, some of which are readily visible, while others are not.  Although the clitoris is much smaller than the penis, it has twice the number of nerve endings (about 8,000) as the penis (about 4,000).  It has a higher concentration of nerve fibers than anywhere else on the body, including the tongue or fingertips!

My guess is that your partner’s head is in a different place during some sexual behaviors and this may affect her experience of orgasm.  Physiologically they are the same, but her emotional responses to them may vary.  In the end, who cares what causes them – if they feel good, do it.

Dr. Carroll’s Sex Advice #1

Q:  I just started being sexually active with my boyfriend.  We’ve only been together for a month and we’ve had intercourse.  Is this wrong?  It still really hurts and I’m wondering if that is normal.  Finally, I still wonder if I should wait to have sex and I’m afraid I’m being a tease by telling my boyfriend I want to wait now.  He always convinces me to do it when I tell him I want to wait.  I don’t know if I’m doing it because of him pressuring me or if I’m doing it because I really want to.

A:  Only you can decide what is best for yourself.  While some people begin sexual relationships earlier than others, it really all depends on what you are comfortable with.  Typically your thoughts about when to become sexual in a relationship revolve around your own personal attitudes and values – and include your religious views, family (there is research that says that teens whose parents talked to them about sex wait longer), and cultural issues (societal expectations).  Religious men and women tend to be more conservative in the expression of their sexuality and it’s not unusual for people who are very religious to feel guilty about certain sexual behaviors (including becoming sexual too early in a relationship).

I personally believe that couples should wait for three things before a relationship becomes sexual.  First, there should be trust and honesty in the relationship.  Secondly, you should have good communication and hopefully a conversation about past sexual activity and possible sexually transmitted diseases.  Thirdly, you should not be pressured in any way, shape, or form.  Wanting to be sexual should be your decision, not something that is forced on you.  All of these things are important in the building of intimate relationships.

Sex can be painful the first couple of times and a woman might bleed a bit.  However, once you are comfortable and relaxed it shouldn’t hurt.  The fact you are unsure about why you are doing it makes me think your body isn’t ready.  If you are tense, the muscles in your vagina will also be tense, making intercourse painful.  I would talk to your boyfriend and tell him what you are thinking.  Maybe it would be best to step back and really figure out if you are ready.  Just because you’ve already started having sex doesn’t mean you have to continue.  You can stop until you’re feeling more comfortable about the decision.  He really shouldn’t be pressuring you into anything.  If he does, he’s not respecting your thoughts and concerns.  My guess is that you’re doing it only to make him happy and you’re not really convinced you want to be doing it.

In the end, however, it all comes down to the fact that decisions about sex and intimacy are deeply personal.  You can only decide what is right for you!

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