Getting Your Mojo Back: Excerpt from The Ultimate Guide to Sex after 50

Getting Your Mojo Back

Excerpt from 

The Ultimate Guide to Sex after 50: 

How to Maintain - or Regain - a Spicy, Satisfying Sex Life 

by Joan Price  

I used to be eager for sex, easily aroused. My desire dipped after menopause and now barely exists. I can go weeks or more without desiring sex or thinking much about it. The funny thing is, if I get started, I like it, but it’s so hard to get in the mood. 

 The number one sex problem that I hear from women is the lack of desire for sex. They do still enjoy sex once they get started, they tell me, but they’re seldom in the mood ahead of time. It isn’t just a problem for women—many men also report decreased desire—but for women, it’s the primary complaint. The problem is that if we wait for the mood and don’t make sexual pleasure a priority, we’ll rarely have sex.

There are lots of reasons that you may be feeling decreased desire, but let’s cut to a solution that works first, and figure out the reasons afterward:

 Instead of waiting for the mood, start getting yourself sexually aroused—on your own, with a partner, or with a vibrator. Just do it. The physiological arousal will trigger the emotional desire.

That’s the opposite of the way it used to work! When we were younger, our hormone-induced sex drive bombarded our brain and body with desire—especially during our most fertile times. This was simple biology. A glance, a thought, a murmur, a fantasy, or a touch sparked the mood. Once in the mood, we opened ourselves to the pleasures of physiological arousal. We got turned on, our arousal built, and we crashed joyously into orgasm.

 But now, this all works the other way around. Instead of waiting forever for the mood to strike, we can induce the mood by letting ourselves get physiologically aroused as the first step. Arousal will lead to mood and desire, instead of vice versa. Here are your new mantras:

• Desire follows action. 
• Use it, don’t lose it. 
• Just do it. 

“You may have just saved my marriage,” a woman told me after I gave this suggestion at a presentation. Try it—you may feel the same!

 What to Do Instead of Waiting to Be in the Mood 

I can’t emphasize enough how important it is to approach our sexuality in this new way: Relax, start getting physically aroused, emotional arousal will happen, and voila, we’ll be in the mood. So the key is to commit to regular sexual pleasure, partnered or solo. How does this translate to real life? Here are some tips:

• Schedule sex dates with your partner and/or with yourself at least weekly, more is even better. 
• Exercise before sex for faster arousal and easier orgasms.
• Create rituals with your partner that signal sex would be welcome. 
• Allow plenty of arousal time -- no rushing, no goals except pleasure. 
• Make sexual arousal and orgasm a habit, whether you're partnered or on your own. 

Make sexual pleasure a habit. Give yourself sexual pleasure frequently, and you'll find that you'll become aroused more easily and enjoy sex more! 

Learn more about 

The Ultimate Guide to Sex after 50.

Order here for an autographed copy, purchase from your local independent bookstore, or order from Amazon.

Female Desire Pill, interview with Ellen Barnard

2/27/15 update: I interviewed Ellen Barnard about the female desire pill on 2/2/14. I'm bringing this post to the top because of the attention that "Nothing Is Wrong With Your Sex Drive" (published today in the New York Times) is getting. 

I plan to write more about this myself, and there's a good section already in The Ultimate Guide to Sex After 50: How to Maintain – or Regain! – a Spicy, Satisfying Sex Life which I hope you'll want to read. -- Joan 

Desire in a pill? 

(originally published 2/2/14)

Researchers are working on drugs to treat low desire in women. Could a desire pill really work? Do we even want it? 

To learn more, I interviewed one of the top sex educators, Ellen Barnard, co-owner of A Woman’s Touch Sexuality Resource Center.

JP: What’s the state of current research into a female desire drug?

EB: A variety of drugs are being investigated in clinical trials, most in phase 2 trials. No drug has been approved for the treatment of low desire for women, also known as Hypoactive Sexual Desire Disorder (HSDD).  See this summary of the current state of the research.

JP: How are these drugs supposed to work?

EB: Some of these drugs work on brain chemicals; some are sex hormone-based (testosterone); others primarily work to increase physical arousal through an increase in blood to the clitoris. Most of the medications that are being investigated are designed to either overcome inhibition or lack of motivation, or flood the person with such strong physical sensations that she cannot ignore them easily. Or they manipulate the reward system of the brain in ways that increase the drive toward that sexual jackpot.

The question is whether a drug that pushes a woman into being more interested in sex is safe, healthy, or would even be effective over the long term. Many of the drugs being investigated have a variety of side effects, and some are quite undesirable. Testosterone can cause excess hair growth, acne, lowering of the voice, and a decrease in good cholesterol, for example. Other drugs show the potential for abuse, either by the woman herself or by a partner who hopes to have a more willing lover.

JP:  Why is sexual desire so complicated for women and seemingly so easy for men?

EB: It isn't, actually. Men have troubles with desire too, and their issues have many of the same origins as women's do. However, we live in a culture that reinforces men for a high interest in sex, and generally does not see a high interest in sex to be a positive thing in women, unless a woman is less interested in sex than her partner, and that lower interest causes tension between them or distress in her. But even with culture condoning high desire for men, approximately 20% experience low desire. For more info, here isa good overview. 

JP: How does female desire work?

EB: Desire is the cognitive recognition of sexual interest. So it's an idea, not a physiologic process, though it results in a combination of brain and body responses. Desire may be first recognized as a thought, or it may be a thought in response to a physical feeling. Many women believe that we should feel something first, that sex starts with a twinge in the vulva or elsewhere in the body, that she interprets as sexual interest and then allows to blossom into more sexual interest and then maybe into sexual activity. If physiologic signal is not as obvious because of aging, health, or stress, she may no longer get the signal, and so she does not notice the thought.

Women who have experienced sex as painful have a feedback loop that tells them that sex will hurt, and so they shut off any thought of sex to avoid the pain. If a woman is able to get rid of the pain, she will still have to convince her subconscious that sex is safe. Once she does that, her thoughts of sexual interest often become more frequent.

The same would be true of relationship health. For a woman in a healthy, rewarding relationship, the thought of sex is a safe thought and is likely to mean that she will experience pleasure if she acts on that thought, so she pursues sexual activity. Sex requires the feeling of safety. When there is tension, distrust, fear, anger, etc., the mind does not perceive sex as safe or pleasurable, so will not express desire.

When you think about how complicated desire is for women (and men as well), you can see that it's pretty complicated to consider a medication to address the root causes of most of these issues.

JP: What’s the bottom line?

EB: The bottom line is that drugs do best when there is a single, knowable cause for a symptom and the drug directly addresses that cause by reducing or removing it. Sexual desire is complicated, varies a lot from person to person, and has many moving parts. The idea that a drug could be developed to change desire is pretty far-fetched once you understand it that way, and one of our biggest fears is that you end up with a drug that has pretty wide effects and some nasty, unintended side effects.

We would prefer to address desire issues in ways that give individuals more control and more understanding of their mind and body connections so that they can do their own problem-solving and not be reliant on a pill or a doctor. Most people can increase their experience of desire through a combination of getting healthy, having a good body image, having a safe and trusting intimate relationship, getting enough sleep, lowering stress and distractions, reducing pain, and learning how to have pleasurable sexual experiences on a regular basis.

A Woman’s Touch Sexuality Resource Center

When the man no longer wants sex: guest post by Jason Kae-Smith

I often hear from readers of both genders who are unhappy about the lack of sex in their long-time relationships. Does sex have to go when we get older? What if it goes for one person, but not the other? 

We hear frequently about women losing the desire for sex in their relationships. Though not as commonly voiced, sometimes it's the man who stops wanting sex with his partner. 

When I read sex therapist Jason Kae-Smith's article in Contemporary Sexuality on this topic, I emailed him immediately to ask for permission to excerpt it for you here. Your comments are welcome!

-- Joan

He’s Just Not That Into It 

By Jason Kae-Smith, LMSW, CST 

Jason Kae-Smith

After months of his wife’s pleading and an eventual ultimatum, “Ted” (not his real name) found himself sitting somewhere he’d never imagined—the office of a sex therapist. The three-year journey leading up to this day was painful; a strained effort along a cumbersome path littered with resentments, accusations, and much confusion.

As Ted told his therapist, “I just don’t get it. I love my wife. She’s intelligent, she’s compassionate. She’s a wonderful mother to our children. She’s my best friend and I love hanging out with her. I just don’t want to have sex with her anymore.”

It turns out Ted isn’t alone. In the United States, there are an estimated 10 million men in sexless, heterosexual marriages. And while many would assume that women’s lack of desire is the main culprit, recent trends indicate that it is just as likely the men who have lost that loving feeling. Many sex therapists are seeing an increase in heterosexual men coming to them for problems with desire, some noting that the percentage of men with low desire now outweighs the percentage of women.

Calgary sex therapist David Hersh, EdD, observes, “When I first started and I would see couples with discordant desire, it was mostly the woman who wasn’t interested. Now about 55% of these couples are seeing me because the man has lost interest.” Several therapists queried confirmed a similar trend in their practices.

It’s not clear if there are actually more men experiencing low desire or if it’s just that more men are now seeking help. Hersh says he believes the latter is the case. “Now, men are more informed about the condition. Traditionally there was a double standard where ‘real men’ always wanted to have sex. But you’re not so strange anymore if you don’t want it.”

Ricky Siegel

Sex therapist Ricky Siegel agrees, stating, “I think there's little doubt that the most obvious factor to the issue of low desire in men is that ‘Real men are not supposed to have low desire!’ So where it has become an acceptable script for women, it’s one of the things that men suffered about in quiet shame.”

In 2008, Bob Berkowitz and Susan Yager-Berkowitz published the results of their survey of over 1300 men who identified as no longer having sex with their spouses. The respondents listed several reasons for their loss of interest in sex, some of which included emotional struggles with things like depression and anger. Others reported they began avoiding sex because of problems with sexual functioning and eventually lost interest in sex altogether. And while many men initially suspect their loss of libido might be a result of low testosterone, research findings, such as those reported by Sari van Anders in the May, 2012 issue of Archives of Sexual Behavior, continue to suggest this is more often not the case.

Despite his assertion that everything was okay, “Derek” told his therapist that he reluctantly agreed to a session because, “I love my wife and I will do this if she feels it is important.” Derek’s wife “Cindy” was concerned because recently Derek had stopped initiating sex with her, something that she said was “unusual” for him.

Derek said was likely due to stress or perhaps “getting a little older” but when Cindy was invited to talk about experiencing her own sexuality, a different kind of narrative began to emerge. Cindy stated that in the beginning of her relationship with Derek, “Sex was okay but I was never all that into it.” But she added, “Lately, something happened. And now it’s like I can’t wait to jump on this man.”

 It turns out that “something” was her reading the best-selling 50 Shades trilogy. Cindy’s sister had turned her onto the books and to Cindy’s surprise the books turned her on, prompting her to embrace and embody her sexuality like never before. After some contemplation, Derek finally conceded that Cindy’s sudden interest in sex had a surprising blanketing effect on his desire for her. “I don’t get it,” he said. “I mean, this is what I always wanted. But when it happened, and all of a sudden she’s wanting to go to the sex store and buy toys and try new things—I don’t know, I guess it kind of turned me off.”

When it comes to treatment, experts often recommend a physical examination (just to be sure) and then consultation with a sex therapist. But what can therapists do to help men get their mojo back? Fortunately, those who practice and write about clinical sexology are continually developing ways for therapists to think about and respond to requests for help. The traditional model is to look at problems in the relationship first. One of the current trends in therapy is to go right to the sex.

As for Ted, the specific course of his future sessions will be guided by the choices he and his therapist make as their therapy conversations unfold. Today’s session marks a turning point in his journey, a change of direction toward the possibility of getting out from underneath the weight of low desire.

“This was good,” he told his therapist at the conclusion of their meeting. “It feels good to get this off my chest.” He added, “I guess I feel a lot more hopeful, like this isn’t just the way it has to be when you get married and are with someone for a long time.”

 Jason Kae-Smith is a certified sex therapist with a practice in Grand Rapids, MI. Among other things, he is interested in ways people are able to give value to sexual pleasure throughout their lifetimes. The article from which this is excerpted first appeared in Contemporary Sexuality, the journal of American Association of Sexuality Educators Counselors & Therapists (AASECT).