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