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

"How we write about love depends on how old we are"

Brian Rea for The New York Times

"How we write about love depends on how old we are," observes Daniel Jones in his Modern Love column in The New York Times, Feb. 5, 2015. He explains:

The young overwhelmingly write with a mixture of anxiety and hope. Their stories ask: What is it going to be for me?

Those in midlife are more often driven to their keyboards by feelings of malaise and disillusionment. Their stories ask: Is this really what it is for me?

And older people almost always write from a place of appreciation, regardless of how difficult things may be. Their message: All things considered, I feel pretty lucky.

This last point hit home with me. As a sex educator, I hear people's problems all the time. But I also hear the good parts -- the humor and joy and sweetness of what happens when we love at our age. Those of us who are lucky enough to have found love at this time of our lives are radiant with joy telling our love stories -- even if that joy is tempered with the sadness of loss.

I know I feel that way. On this Valentine's Day, I'm remembering how my dear Robert made Feb. 14 a true celebration of love for seven years with gifts, cards, whispered endearments, languid lovemaking, and lots of laughter.

As sad as I am that I will never hold Robert again on Valentine's Day or any other day, that feeling has nowhere near the power of the joy I feel that this love was in my life. It feels like a miracle that we ever found each at all, let alone so late in life.

Joan and Robert 2001

What if he had never wandered into my line dance class that eventful night? We might never have met, never have crossed paths.

What if I hadn't been assertive (aggressive?) about making the first moves? He was content to see me as his dance teacher (which in itself is bizarre, since he had formal training as a dancer since the age of two, and I had no formal training at all), and he thought that was an uncrossable boundary.

What if I hadn't dared to proposition him? (You didn't know that part of our story? Read it in Better Than I Ever Expected: Straight Talk about Sex After Sixty!)

What if we had never realized one of the most important themes of our love story: that the ways we were the most different were the ways we most wanted to grow.

You see, at first, we saw our personality clashes and independence as proof that we were too different to ever come together as a couple -- it would be too much work, too many compromises, and besides, we were satisfied with the way we were, thank you very much.

Robert and Joan 2006

But over the few years we had together, this attitude changed. The closer we got, the more we came to respect our differences -- even laugh about them -- and the less we felt we needed to resist change. In fact, we discovered that compromise led to change in directions we each wanted to grow.

Once we saw our differences as an opportunity to grow in ways that would be as good for us individually as they were good for us as a couple, we stopped resisting, reframed what we were willing to do for each other, and we blossomed together and apart.


What did you learn about love and about yourself in later life? I hope you'll share your experiences.

Lelo's Mona Wave wiggles hello to your G-spot

Are you old enough to remember the ad for the Yellow Pages that started, "Let your fingers do the walking"? Then you'll understand me if I say, "Let your Mona Wave do the waving." This delightful and lovely penetrative vibrator does more than vibrate -- it gently wiggles forward and back to wave hello to your G-spot.

If  moving fingers in your vagina are your idea of a fine time, this vibrator from Lelo comes close. The "waving" is supposed to simulate the "come hither" motion recommended to stimulate the G-spot. It sort of does that.

I like a lot about this sex toy:

Pros:

• Beautiful design, well-made, curved for ease of G-spot stimulation.
• 10 patterns with adjustable intensity. You can get the vibrations + the wave, or the wave without vibrations, or the vibrations without wave. The patterns use different rhythms, from tap-tap to roller coaster.
• Smooth, body-safe silicone materials.
• Waterproof and rechargeable.
• Waving motion feels darned good.

That's not to say it's perfect, though.

Cons:

• Just try to see the controls without your reading glasses. You can tell by feeling the recessed area how to turn it off and on, but if you want to explore patterns or increase intensity, your lubed fingers will have no idea where to press. You'll have to turn it off, pull it out, put on your bifocals, and either change the setting or memorize where it is. I know that the lack of raised buttons and easy-to-feel markings make it easier to clean, but the trade-off is that it's harder to vary settings once you've started.
• The vibrations are in the handle as well as in the insertable part. Holding it can irritate an arthritic wrist. Solution, once you have it where you wanted, let go. It will likely stay where it belongs, hands-free or at least hands-minimal. 
• If you clench your vagina, the waving transfers from the vibrator to the handle. Neither our vagina nor our hand wants that! 
• Lelo is overselling it by claiming that it gives "the orgasm to end all orgasms." First of all, it doesn't deliver that. Second, who'd want to "end all orgasms" anyway?

For me personally, the pros far outweigh the cons. I'll be enjoying this toy often!

Note: The diameter of the widest part is about 1.5". If you have discomfort with penetration and you prefer a slim toy, it may feel too large. If your vaginal entrance is tight, which is true for many women of our age, the abrupt size change and lack of tapering may be a problem.

You can purchase Mona Wave from Good Vibrations in the US, or for international sales, visit Lelo. Lelo also puts the wave technology into a rabbit vibrator -- the Ina Wave -- which I haven't tried yet.

Simply Aware: STI Testing at Your Convenience

https://simplyaware.co/

Have you wished for an easy, confidential way to get tested for sexually transmitted infections?

Now that huge numbers of sexually active seniors are engaging in relationships with new or multiple partners, shouldn't there be a way to get private testing without telling your family doctor or risking running into your grandson's girlfriend or boyfriend in the clinic waiting room?

Simply Aware saw a need and filled it. They provide a confidential service that tests for gonorrhea and chlamydia ($99 includes both) with a mail-in urine sample and an at-home kit that tests for HIV ($39). There's also as much support as you need -- you can phone with your questions, or get an online followup consultation with a licensed physician, or simply ask for help and hand-holding while you take the tests.

"We started this business because unfortunately there is a stigma attached to STD testing that can make the process awkward and uncomfortable," Tom Peacock emailed me, introducing Simply Aware and offering to let me try it myself. I did. Here was my experience:

Gonorrhea and chlamydia test:

I signed up, and within just a few days received the test kit, along with a code which I would need to receive my results. Included was a sterile urine sample container, a biohazard bag, and a prepaid thermal shipping envelope.

All I had to do was pee into the container first thing in the morning (or, in my case, pee all over the container -- maybe you didn't want to know that), screw on the cap (extra step just for me: wash off the outside of the container), put the container in the bag and the bag in the shipping envelope, and pop it in a mailbox. Very simple.

A few days later, I checked in with my code and my results were ready. So easy!

HIV test:

At first glance, this test seemed complicated. There was a Rolodex-like collection of instruction cards and a tray that contained more information, a swab test stick, a capped test tube with liquid in it, and a pencil for marking down start and read times. I got nervous, especially with all the warnings in the instruction cards that if I didn't follow directions exactly, I would not get accurate results.

It turned out, though, once I started, that the directions were very simple and explained so clearly that making a mistake would be difficult indeed. I was to wait 30 minutes after eating, drinking, or using any oral hygiene products, swab my gums, put the swab stick in the test tube, and wait at least 20 and less than 40 minutes to view the results.

I was impressed that everything that was included -- even little holders for the test liquid and the swab.

I set a timer for 20 minutes, then checked my results: One line next to the "C" and no line next to the "T" means negative. One line next to the "C" and another next to the "T" means positive.

Mine was negative, but I wondered what the support phone line would tell me if it was positive. I phoned, explaining that I was writing a review of the service. The man who took my call said that in case of a positive result, he would explain the need to follow up with a blood test in a medical setting. A positive result on this test, in other words, means more testing is needed -- it doesn't mean that you're definitely HIV+. The instructions say this several times, too.

I was very impressed with every stage of this service, from the initial sign-up through the testing, the results, the support, and especially the ease of understanding everything.

Here's a video showing what's in the HIV test kit and how it works:




Please understand that these tests show your status as of three months ago, and that a negative result is only meaningful if you're using barrier protection with any partner other than someone with whom you've been in a long-term, sexually exclusive relationship.

So use safer sex precautions with new partners,  non-exclusive partners, and partners whose other relationships or STI status you're not sure of.  Not convinced? Please read the safer sex chapter in The Ultimate Guide to Sex after 50!

Note: I welcome Simply Aware as a new advertiser on my blog. That does NOT mean that this review was a sponsored post in any way -- my review is completely honest (as all my reviews are). If I had not been impressed with the service, I not only would have said so, I also would have refused to accept Simply Aware as an advertiser. I only accept ads from companies that I endorse and recommend to you, and your trust is most important to me.

Ultimate Guide to Sex After 50 by Joan Price available now!

I am happy to announce that The Ultimate Guide to Sex After 50: How to Maintain – or Regain! – a Spicy, Satisfying Sex Life (Cleis Press) is available now!

That means that you can start 2015 with the most comprehensive and up-to-date guide to sex after 50, 60, 70, 80 and beyond.

You'll learn immediately useful information and tips about medical challenges, loss of libido, loss of intimacy, dating, elusive orgasms, erectile dysfunction, vaginal pain, self-pleasuring, sex toys, kink, and more.

If you want information about the sexual changes, questions, and concerns you’re experiencing. The Ultimate Guide to Sex after Fifty offers straightforward, nonjudgmental information and immediately useful tips, spiced with comments from my readers.

The Ultimate Guide to Sex After Fifty delivers solid, practical information in a friendly, accessible style to help you -- whatever your gender or orientation, partnered or unpartnered -- enjoy your sexuality for the rest of your life. 


Do you want your copy of The Ultimate Guide to Sex After 50 now? Here are three ways to get it:

1. Order directly from Joan for an autographed copy with this PayPal button:
   
   

   Autograph to [name]:

   
2. Buy from your local bookstore. They probably have it in stock; if not, ask them to order it.
3. Order from Amazon with this link.

What's inside the covers? Check out the Table of Contents:

Chapter 1: Busting the Myths about Sex and Aging 

Chapter 2: What’s Happening to My Body? 

Chapter 3: Getting Your Mojo Back 

Chapter 4: Sex with Yourself and Toys 

Chapter 5: Sex with a Longtime Partner 

Chapter 6: Stretching Boundaries 

Chapter 7: When Intimacy Ends 

Chapter 8: You and Your Doctor 

Chapter 9: When Sex Is Painful 

Chapter 10: Cancer, Cancer Treatment, and Sex 

Chapter 11: Heart, Brain, Joints, and Sex 

Chapter 12: Sex without Erections 

Chapter 13: Single after All These Years 

Chapter 14: The New Rules of Dating 

Chapter 15: Sex with a New Partner 

Chapter 16: Safer Sex: Always 

Chapter 17: Sexy Aging Going Forward 

Chapter 18: Conclusion 

Recommended Resources

Joan with Brenda Knight

I was so excited about the arrival of my books that I drove an hour and a half in gusty winds to the Cleis office to pick up the copies I ordered, rather than wait for shipping. I arrived to find Brenda Knight, the queen of Cleis Press, and the whole staff as excited as I was!

Loving Our Own Aging Bodies

Lauren Marie Fleming's email to me began,

I'm putting together the final touches for the launch of my BawdyLove program and I wanted to ask if you'd be interested in sharing what I'm calling your "Bawdy Love origin story", or the moment(s) where you decided you were done hating yourself and ready to work towards loving yourself fully.

I didn't ever "hate" my body, but I didn't see it as beautiful or sexy through most of my teenage and adult years. I looked good in clothes, but naked, my body was far from the media's image of what a sexy female body should look like. My breasts have never been perky, not even as a teenager. They always flopped, and the older I get, the flatter and floppier they become.

But here's the strange thing: I love my body now more than I ever have. OK, you can tease me about my eyesight, but honestly, it isn't about what I look like -- it's what I feel like. and I feel like a beautiful, sensual, sexy woman at age 71. Here's how I got here:

1. When my great love Robert and I fell in love, he truly found me beautiful and told me so often. He and I had a morning routine, where he brought me coffee in bed, I let the covers slip from my breasts, he covered his eyes and stepped back as if dazzled by my beauty. This didn't just go one way -- I would drink in his body with my eyes and tell him, "You're the handsomest man in my world." Take-away point: If you're lucky enough to have a lover in your life, let each other know how sexy/ beautiful you find each other.

2. I discovered shaper bras that can give me the uplift and cleavage that my breasts don't have on their own, and that makes me feel confident in sexy, revealing clothing. Take-away point: Shop for underwear and outerwear that show off your body to the best advantage. Put the accent on revealing rather than covering up.

3. I did a lingerie shoot with a photographer at age 65, and I enjoyed it so much that I repeated the experience at age 68. (Hmm, I'm due for another!) I learned so much from the experience of posing in lingerie and seeing the photos afterwards. Take-away point: Pose in lingerie if this intrigues you -- you'll discover that the camera reveals how sexy you are in ways you never saw on your own.

4. I realized that this body, whatever its age, is capable of giving me great sensual and sexual pleasure. What's sexier than that? I celebrate my body because of the sensations and the pleasure I get from it. I encourage you to do the same. Take-away point: Whether you're partnered or not, experience, enjoy and love your body's sexy gifts to you. 


I asked followers of my Naked at Our Age Facebook page to comment about their own body image challenges. Here's what they said:

• I turned 62 yesterday and of course never appreciated my young self's body. While I try to appreciate my current body, sagging breasts, stretch marks, and loose skin make my newly single sex life a challenge. The lights are out before sex and I don't dress or undress in front of him. He likes my body but I'm still not comfortable being naked in front of him.
• I'm 55. I have been severely limited in expressing myself freely because I think I should be a smaller size. A friend who was heavier than me once said, "Men don't care what size you are as long as they can get it in there!" Too funny! I guess she could sense my fear was holding me back from meeting anyone. I have never been able to be that uninhibited about not being my ideal size. Hence, I have been alone a while now. I say I'll meet someone when I trim down.
•  How about also addressing the challenge of explaining scars from injuries and surgeries to a person not yet familiar with what adventures and misadventures you have survived? Along with the ethical quandary of a cancer survivor (with the scars to prove it) dating a person who lost their mate to cancer?
• The most insecure I have been is after surgeries. Explaining your scars and exposing them is nerve wracking. Plus your body has been through a trauma and getting intimate after these events takes time from healing and a patient lover.
• [from a therapist:] I frequently counsel with gorgeous women from 30-65+ who look at their body in the mirror and all they see is the tummy roll from child-bearing or their less than 34D bust. What I see is a woman who is physically, spiritually and emotionally beautiful, but just doesn't look like the Victoria's Secret models. You must love yourself before you can love others, and that includes your body.

To everyone of my age or any age: Please stop putting your life on hold. This is your body. Rejoice in its capacity to give you pleasure. If you're partnered, let your lover(s) see you fully enjoying your own body. If you're solo, celebrate your body's sensations. Sexy is an attitude.

Lauren Marie Fleming

I hope you'll comment with your own experience and viewpoint. 

I encourage you to learn more about  Lauren Marie Fleming's 10-week Bawdy Love program to help you "kick the habit of negative self-doubt and replace it with the practice of radical self-love." I know Lauren personally, and I encourage you to explore what she's offering. 

Transparent and Still Mine: highly recommended

I'm always hungry for films that portray aging and relationships insightfully, teaching me something new and unexpected.

Amazon Prime jolted me recently with two stellar offerings -- one series and one film -- that feature aging characters who don't fit any of the stereotypes. Both affected me profoundly, and I recommend them to you:

Transparent

At 68, Mort (played masterfully by Jeffrey Tambor) comes out as a trans woman who wants to be called Maura. In this sweet, smart, and strongly acted ensemble series, we see the strengths and vulnerabilities of Mort/Maura and a family of ex-wife and three adult children -- who make a ton of relationship mistakes of their own.

This 10-episode series resolves many questions and leaves enough unanswered to allow for a second season, which is in the works -- hurray!

Yes, there's lots of sex in Transparent, but (boo) only Maura's children are having it. Maura is more interested in establishing her identity and being accepted by her family than in having sex with anyone -- at least in season 1. Will this change in the second season?

Still Mine

Craig (James Cromwell) is watching Irene (Geneviève Bujold), his wife of 61 years, lose her memory. He loves her fiercely and wants to protect her by building a house that will be easier for her to live in.

Although Craig has been building houses his whole life, he's no match for the bureaucracy that insists on permits and strict adherence to building codes that are irrelevant to Craig  (the plans are in his head; the lumber came from a tree he felled; the knowledge came from his father and a lifetime of craftsmanship and self-sufficiency).

The love and chemistry between Craig and Irene are powerful. The tenderness in their loving looks and caresses will make you applaud or cry or both. And rather than portray this elderly couple as sexless, there's a sexy undressing scene early in the film that includes, "This never gets old. We always did passion well."

This film is based on real people and actual events. Don't miss it.




What films have you watched that portrayed aging and relationships in a non-stereotypical way? I look forward to your recommendations.