Thursday, February 26, 2009

Science?

I'm spending my afternoon immersed in 'sex research'. I'm a member of the New View listserve which is a group of people who are interested in women's sexual health and are concerned about attempts to over-medicalize it. Through this wonderful listerve with all of these fabulous, and very knowledgeable people, I'm learning a lot about research on sex and sexuality and how it's conducted. Every few days, one of the members will send out a link to an article in a popular magazine, journal, or newspaper about some new sex research. At first glance, these articles seem like simple lifestyle news pieces - just quoting some new study that's come out. But I'm learning to take a much closer look at what these articles are really saying and the effect they might be having on us.

If we think that newspapers and magazines are really there to inform us, we are kidding ourselves. Most mainstream newspapers and magazines are there to sell ad space and they do that by getting readers. They get readers by finding content that will grab reader's attention. And believe it or not, a lot of sex researchers want the media's attention so they want to present their findings in a way that will appeal to the readers of the media. So guess what happens? A study that may have shown some interesting findings, that are complex and nuanced, and certainly cause for further research, gets boiled down to a 10 word headline and a 500 word article that's easy to digest. Why? Because the media don't think their readers want the whole, complex, nuanced story. They think they want something they can read on the toilet in 10 minutes and feel like they learned something valuable.

So a study that looked at 30 women and found that many of them reported greater sensitivity in a certain area in their vagina under certain circumstances becomes 'Sex Researchers Find the G-spot'. And in the case of this last one I read, a study which looked at physical and psychological arousal in both men and women, and resulted in rather complex results needing much study and interpretation, got boiled down to 'What Do Women Want?'. And even though the article was rather long, it focused mostly on what the researcher looks like and what she personally thinks, rather than what she actually found. So much more interesting to read than a bunch of data. The story concludes that we can never know what women want. Then why the study and why the article about it?

The problem here is that for most of us, mainstream media is the only regular access we have to sex research. Most of don't actively seek this stuff out. We don't read medical journals. The only time we see anything about sex research is when some study makes it into the papers. When we see it there, the study and the researcher, and usually the university s/he works for is cited. It makes the conclusions seem ever so scientific and authoritative. But those conclusions often don't appear in the actual study at all. They are simply headlines and sound bites put together by the person who sent out the press release, or by the person who wrote the story. You have to go and find the actual study to find out what it was really all about. A newspaper article might say that a given study showed that 40% of women can't have a vaginal orgasm (there have been several studies that have been reported as finding such a result). What the article doesn't say is that the study only surveyed 40 women. It doesn't tell you that those 40 women were just given a self-report survey to fill out. It doesn't tell you that the survey did not ask them detailed questions about what they considered the term 'vaginal orgasm' to mean. It doesn't tell you that the women were never given any kind of physical exam and never underwent any clinical testing to see if they were having orgasms. So really, what the study tell us is that 16 out of 40 women who took a survey we know nothing about said that they believed they didn't have vaginal orgasms. And yet women everywhere read that only 40% of women can have vaginal orgasms. Now we all start thinking that we have a problem just like these women and we need to do something about it. Inevitably, the story will include, or be followed up by, possible remedies for this problem that 40% of us are now deemed to have.

We have to be so very careful about what we accept as 'science' and 'fact'. Whenever I see these types of headlines in the news, I try my best to find the original study and find out what it was really all about. There are so many agendas going on in the field of sexual health research, especially when it relates to women and their behavior. We have to be very careful that what's presented to us in the media isn't simply a convoluted attempt to make us buy a drug, or a product, or a cosmetic procedure, or to try to make us act in a certain way. We are constantly being told that there is something wrong with us. And there is always someone waiting there with the cure.

Monday, February 2, 2009

Doctor Prescribes Warm Water for Orgasms

So last week I watched 'The Doctors' for the first time. If you're not familiar, this is a show that features several physicians (one of which was on the bachelor and, in my opinion, made the worst choice in bachelor history - but that's another story) talking about health related issues. It's produced by Dr. Phil McGraw and his son Jay - so that should give you a clue. I have heard many people in the last few months rave about 'The Doctors' and I got a message from Dorrie Lane, the maker of the Wondrous Vulva Puppet, that the puppet was going to be featured on last Monday's show. So I watched. But I was only able to catch the last half so either I missed the Vulva Puppet or I got the wrong day. What I did catch was very strange and very confusing.

The 30 minutes that I saw was a segment on 'The Most Shocking Health Care Trends'. One of them was the growing trend of taking children for beauty spa treatments. Clearly, years of selling sex toys for a living has upped the ante on what I consider shocking. Who really cares if someone takes their kid to the spa? It's their money to waste. What was weird to me was that this 'shocking' trend was obviously included so as to plug the spa for kids - which was featured very prominently. In fact, there were no less than 6 blatant ads for products or companies in this 30 minutes portion of the show. It's not an informational show, it's an infomercial.

I digress, the point here is that they did talk about something 'shocking' related to sex. Number one of the most shocking healthcare trends was the 'Orgasmatron'. This is a device that is surgically implanted into the back and sends electrical impulses into the sacral nerve, thereby creating the sensation of having an orgasm. 'The Doctors' talked about this for about 45 seconds - just long enough to make several lame jokes. They did not explain much at all about what the orgasmatron is, how it was developed and who it is best for. One of 'The Doctors' said that it is only for women who are able to have an orgasm. WTF? That made no sense. I think what he meant was that women who have severe nerve damage will not benefit from the device. But that's not what he said. His comment makes it sound like there are women who are just flat out not able to have an orgasm and this this orgasmatron that makes you have an orgasm will only work for women who already can have them. He also said it was a last resort option. At $23,000 a pop, I would guess so.

The second doctor (Travis, the bachelor) said that there are many options to try before doing something like this. Good point Travis! His solution. 'There are lots of stimulating creams available on the market'. Great idea Travis! Do you really think that if you have such trouble with sexual response that you're considering surgically implanting a device, a tingling lube is going to do the trick instead? These doctors clearly don't have the slightest clue what orgasm really is and how it works. Warming or tingling lubes don't make you have orgasms, they just make you feel all warm and tingly.

The third doctor's idea was the best. She suggested warm water. I can't, for the life of me, figure out what you're supposed to do with that water. My co-worker, Amber, thought perhaps she meant warm water shooting out of a handheld shower head directly onto the clitoris. In that case I can understand. That can definitely cause an orgasm.

I went and googled the 'Orgasmatron' and here's what I found out:
- it is, indeed, a device that was invented to help restore feeling for those with nerve damage and spinal cord injury
- the stimulation of sexual pleasure was a side effect found by many recipients and now the makers of the thing are looking at marketing it for that purpose
- the device does not allow to you have orgasms when you're having sex, rather, when it's turned on, it emits eletrcial impulses into the sacracal nerve and this can send a signal to the brain that's the same as the sensation of having an orgasm - this is not at all a device that will help you have an orgasm during sex, it does it all on it's own

I don't think there's anything wrong with what essentially amounts to an extremely expensive sex toy. Obviously, I'm all for sex toys. It's just that 'The Doctors' made it sound like something very different than what it actually is. And that's the problem with most of these shows. When they have to boil everything down to 45 second sound bites, the information is invariably ripe for misinterpretation.

If you think the Orgasmatron might be right for you, you'll need to google it like I did. It's not a toy we'll be carrying in the store.

Monday, January 5, 2009

John Gray is from Mars, or some other planet than Earth.

I'm reading a great book about the self-help movement that devotes a chapter to the illustrious John Gray. It contained some excerpts from his book 'Mars and Venus in the Bedroom' which I thought were so laughable, I had to check them out.

So here, for entertainment purposes only, are some great quotes that I've pulled from 'Mars and Venus in the Bedroom' (which you can read vast excerpts of at harpercollins.com).

"Men need sex. Women need romance."

"For a woman to grow in sexual fulfillment, she primarily needs to feel emotionally supported in the relationship."

"Women enjoy conversation most when they are not required to get to the point right away...this is a perfect metaphor for how women enjoy sex."

"A woman is turned on when she feels her partner is confident that he knows how to fulfill her. A man is turned on when he feels a woman has confidence as well, but in a different way.....If a woman seems to confident that she knows how what to do him, it can possibly be intimidating....her greatest ability to fulfill him is through helping him be successful in fulfilling her."

"In polarity sex partners take turns consciously using these polarities to increase desire and pleasure. One partner gives while the other receives." guess who gets to go first? according to Gray, it's always the man receiving first

"A man wants to find a formula that will work each time so that he can relax in sex, feeling confident that he knows what he's doing."

"Trust is essential for a woman to continue getting turned on by her partner. "

"At the south end of the labia is the vagina which is the canal where the man enters her body. (because that's the only thing it's for). At the north end of the labia is the clitoris. Because it is so small and because he does not have one, a man doesn't realize how important it is for a woman to touch her there. As a general rule, it is very important for a man to remember to go north before he goes south." (better hope he can tell north from south - what if she's standing on her head?)

"When she wears silky pink or lace, she is ready to surrender to sex as a romantic expression of loving vulnerability......A cotton T-shirt with matching panties may mean she doesn't need a lot of foreplay."

I have go now, I think I just peed myself laughing.

Tuesday, December 30, 2008

I'm a Sex Expert!

I was just doing an innocent little search on the web for the name of a woman a had heard was now the newest sex expert. Two hours later, I've surfaced from a sex-advice surfing session that took me through an absolutely crazy array of 'sex experts'. I know that everyone thinks that they have something to say about sex but are you really someone that should be giving out advice on the net? My search marooned me in AOL's 'coaches' section where I did not find any mention of the woman I was searching for but found no less than 12 love and sex experts and even more relationship experts. Do we really need this much advice? How could you possibly decide who's advice to take? The experts range from people who actually have education and professional experience in human sexuality such a Yvonne Fullbright, to people who have some counselling experience and seem to think that makes them sex experts like John Gray, to Star Jones who, for the life of me, I cannot figure out why she's there. Star Jones is a lawyer and a talk show host. Why on earth does she qualify as a sex expert?

So after sampling some of the pearls of wisdom from these 'coaches', I have some expert advice - on how to choose a sex expert.

1. Read their bios. What is their educational and professional background. Have they actually studied sexuality in the area that they claim to be an expert on? Do they have professional experience in sexual health research, counselling or sex therapy? Personal experience does not qualify you to give advice. Most of have had sex - are we all experts?
2. Do they give real, thoughtful answers rather than soundbites? It's hard to find good information in the sex advice world because most of the articles, particularly on the internet are very short and to the point. A soundbite is not going to tell you anything that will really help you.
3. Do they allow for differences in individuals or do they focus on generalizations and sexual stereotypes? John Gray has built an empire based on sexual stereotyping and people eat it right up. There is always a sliver of truth in a generalization but not all women are from venus and not all men are from Mars. A really good sex expert understands that people are unique and advice should either focus on the individual, or, when that's not possible, allow for individual differences amongst the generalizations.
4. Is their advice based on research and fact or personal values? Dr. Laura anyone? For some sex and love 'experts' their job as an expert serves no other purpose than to allow them to push their personal agendas. If an expert is constantly telling people what is right or wrong, they are more interested in their own opinion than on actually helping. Good sex advice offers suggestions, not moral imperatives.
5. Do their values and focus fit with yours? It's impossible to be free of values when you talk about sex. Every expert has their values around what sex means and what is and is not healthy sexuality. Some experts believe that open marriage is synonymous with infidelity, some think that internet porn is dangerous and leads to addiction, some actually believe that homosexuality is a mental illness. If you're going to go surfing for advice on the net, you need to realize that all of these experts have values around sex and you just need to pick out what those are. Don't take advice from someone who's values are not consistent with yours - you'll only end up frustrated.
6. Are they selling you something? Watch for subtle or not so subtle attempts to get you to buy something. Are they sponsored by a drug company or toy company? Are they pushing their latest book? It's not such a bad thing to buy books or toys to enhance your sex life but posing as a sex expert just so you can push a product is dishonest.
For more information on how to choose an expert, buy my book, 'Sexperts: How to Find the Best Bang for Your Sex Advice Buck!' ........ just kidding!

Monday, December 1, 2008

Blended Orgasms are the New Black

Ladies, we have a winner! It appears a we have a new greatest sex thing that you simply must try. A few years ago it was female ejaculation. That's old news now. Now we have......the blended orgasm! I've heard this term several times in the last few months. Lots of women at my parties have been asking me about the blended orgasm and how to have one. I've heard that term in reference to a lot of different things so I didn't really think much of it and just talked about orgasms in general. But it appears that the Blended Orgasm has now been deemed by the popular media as a very specific thing, that being a combined G-spot and clitoral orgasm. Laura Berman was talking about it on Oprah about a month ago and today I found an article in Cosmo all about this latest greatest new orgasm. According to certified sex therapist Dr. Ava Cadell, quoted in the Cosmo article, "By simultaneously having your clitoris and G-spot stroked, you mix the unique sensations of each peak into one, resulting in a longer, deeper experience." Wow, who wouldn't want that?

So really, I have to admit, the article isn't so bad. For many women, rubbing the clitoris while stimulating the G-spot is very pleasurable - and they gives some good ideas for how to do that. My problem is this, the article and this 'blended orgasm' trend in general make women think we are all the same, and we just aren't. I have talked to hundreds of women in my eight years of work in this field and I have met women who have never had an orgasm, women who don't orgasm with partners, women who don't orgasm when they masturbate, women who only orgasm through oral sex, women who hate oral sex, women who have ejaculated, women who hate G-spot play, women who hate vibrators, women who love vibrators, women who have their strongest orgasms during anal play, women who can only have orgasms during penetration, and women who can have orgasms by just thinking about it. So how in the world can we describe one very specific sexual act and say that every woman will have a shattering orgasm from it? What happens then is that the women who try this and find it doesn't work for them think they are either doing it wrong or there's something wrong with them. It's just not a fair and accurate description of sexuality. I wouldn't have a problem with it if it was framed as 'something to try' but these things never are. They are always presented as the very latest and greatest way to have sex that you simply must try now.

And just to be little picky here, trying to reach the G-spot with a penis is definitely possible but not easy. The fancy position described in the Cosmo article in which the woman dangles her legs off the bed and he stands between her legs can work, but usually only if maintains some distance and does not insert his penis all the way, or if he is careful to go more slowly so that there is movement of the head across the G-spot. The article doesn't mention the fact that this spot is located close to the opening of the vagina.

I'm not even going to get into the fact that this article assumes that all women have male partners. That's an entirely other issue.