Healthy Sexual Function
This information This pamphlet is intended to provide a brief introduction to healthy sexual function. Although there
are many aspects of sexual function not mentioned, this does not decrease the importance of such topics, but only
emphasizes the vast array of issues involving sexuality.
COMMUNICATION
Sometimes, in a relationship, we avoid certain topics because we don’t want to bring up something that could ruin the
relationship. It can be especially hard to talk about sex and sexual issues; however, there are some important topics
to discuss with a potential or current sexual partner.
How do I find the right words to use?
To begin with, finding words that you and your partner are comfortable with is often a challenge. The clinical, “proper”
words sound official and distant, but some slang terms sound crude and base. It is important for you and your partner
to use terms that are comfortable for both of you. It is also important to define ambiguous terms so that you both
know the definition when using the word. For example the word abstinence, for some individuals, means no vaginalpenile intercourse but does include “outercourse” where one engages in everything but penetration. For others,
abstinence means no genital contact. If one partner was using abstinence in a sentence, such as “I think we should
practice abstinence,” the meaning would be unclear unless they discussed the definition of abstinence.
How can I communicate intimate thoughts to my partner?
Discussing what is sensual or erotic to you is also important. When things are getting hot and heavy, saying what
really turns you on or what you don’t like may be difficult. However, telling your partner what does and does not feel
good will make the sexual experience more pleasurable for both of you.
Talking about what you find pleasurable may be easier during a time when you’re not physically involved because
neither of you is distracted. Sometimes, describing what we like may be difficult, so saying "Why don’t you try this?"
and "I like it when…" and showing your partner may be the easiest way. You know your body better than anyone
else, so it just makes sense to share your knowledge about your sexual pleasures.
In today’s age of sexually transmitted infections, it is extremely important to communicate about the sexual history of
you and your partner. Although both of you may be uncomfortable discussing such experiences, being understanding
and nonjudgmental can help ease the tension.
Communication is not always the easiest thing, and sometimes it can be downright difficult. However, communication
is an intimate aspect of any relationship, especially a sexual one.
ORGASM
Orgasm, the Big O, climax, come, whatever the word, it is often thought of as the pinnacle of sex, the sole purpose of
a sexual experience. This type of thinking can lead to expectations that are difficult or even impossible to achieve.
There is more to sexual activity than just orgasm. As a society, we have been conditioned to think of sex as vaginalpenile intercourse with orgasm as the goal. In reality, there are many enjoyable sexual activities besides intercourse,
some of which may result in orgasm, some of which may not.
So what is an orgasm, anyway?
An orgasm involves involuntary muscle contractions that release the built-up tension or pressure within the pelvic
area. Describing how an orgasm feels is difficult because an orgasm is as individual as the way someone talks or the
color of one’s eyes. Even for the same individual, an orgasm may vary with a different partner or a different type of
stimulation (penis, finger, vibrator). Some women say that they feel contractions in their vagina, uterus and rectum,
while others experience tightness. A male orgasm is usually simultaneous with ejaculation and feels like a great
release of tension and built-up pressure.
What else should I know about orgasm?
Many women do not have an orgasm every time they have sexual relations, and many women achieve orgasm more
easily during oral or manual stimulation than vaginal penetration because the clitoris is more easily stimulated in this
way. Some women may have two or more orgasms in a short period of time, something most men cannot do. Both
women and men need to remember that an orgasm, like any sexual experience, is unique and that each individual
needs to do what feels best for them. Being comfortable with yourself and not trying to live up to standards is
important. Worrying about your orgasm can make your body tense and actually prevent you from having one.
An orgasm myth is that a couple should achieve orgasm simultaneously. This is often a difficult accomplishment
because of the varying needs of partners. Some individuals require more time to become aroused and therefore more
time to achieve orgasm. Like many other sexual ideas, having an orgasm at the same time has become another
“goal” in a sexual experience. With sexual experiences, it is not the destination, but the trip itself. Enjoy it.
For any sexual experience, how you feel after its completion is important. If you feel happy and content, then it was a
good experience. If you feel miserable and regret the encounter, then you need to think about the relationship as a
whole, as well as its sexual aspect.
LIBIDO
What is libido?
This is a word we hear often, but what does it mean? Libido means sexual urge or instinct. You might also think of it
as your sex drive.
What is a normal amount of libido?
Sexual urge, sex drive, or libido is different for everyone. There is no "right" or recommended amount of libido. Like
many other aspects of your sexuality, your libido should be the amount of sexual urges and sex drive that feels right
for you.
What affects a person’s libido or sex drive?
There are a number of things that can affect someone’s libido. Visually, we all experience turn-ons and turn-offs. For
example, for some individuals seeing a partner partially naked may do more to impact sex drive than seeing a partner
fully nude. It is also suggested that body chemistry or pheromones (body chemicals) may impact your libido, but we
do not know the extent to which they influence sexual attraction or behavior in humans. The meanings of specific
words or phrases along with hearing certain sounds, voices, and songs may result in an increase or decrease in
sexual urges. Touch also plays a big role in libido as it has the most direct effect on sexual arousal and response. In
addition to what we have included here, there may be a number of other situations, objects, scenarios, tastes, smells,
etc. that you notice as affecting your libido. Also, there is a lot of variation within and between individuals in terms of
the factors that influence libido.
What can I do about decreased sex drive?
It might be worthwhile to initially consider any life changes that could have led to a decrease in libido. Decreased
libido might simply be the result of a busy time at school or work, added stress, hormonal changes, illness, or
relationship troubles. If after considering these possible factors, you are still concerned, you could talk to a
professional counselor, therapist or medical professional.
MASTURBATION
Most of us do not sit around discussing masturbation. Let’s face it, masturbation is one of those topics that people
rarely discuss. When it is mentioned, the remark often causes nervous laughter.
Why don’t we talk about masturbation?
One of the most obvious reasons no one discusses masturbation is that many of us have been brought up to believe
that it is something dirty and that “nice” people don’t touch themselves that way. Society has ingrained such thoughts
in us, and consequently we don’t try it or if we do, we don’t talk about it. All smirks and snide comments aside, let’s
talk briefly about masturbation or self-pleasuring.
Think of it this way: it may be easier to tell someone else what feels good to us if we have taken the time to
explore our own bodies and sexual potential.
Self-pleasuring is one way that we can get in touch with our bodies. It is a way to explore our bodies without having to
worry about the needs and demands of a partner. Masturbation gives us time to discover what feels good to us.
What is masturbation?
Some people spend time touching their bodies or genitalia with their fingers; others may lie still and contract the
muscles around their genitalia. Still others don’t touch themselves at all and engage in mental stimulation- fantasies
about locations, partners, positions. This is an individual process; what may be pleasuring to one person may not be
gratifying to another. Once you’ve discovered what feels good, you can tell (or show) your partner. By knowing what
turns you on, other sexual experiences can be even more satisfying. Just like everything else, some people
don’t find masturbation enjoyable. Like other sexual activities, if it doesn’t feel good to you – mentally or physically –
trust your feelings and don’t do it.
COMMON SEXUAL CONCERNS AND QUESTIONS
Many people have questions and concerns regarding their sexual health and activity. They wonder if they and their
desires are normal or if their partner’s desires are normal. They wonder what is considered normal frequency for
having sex. They wonder if their body works right.
We are all born with normal sexual responses and desires. Sometimes, due to the environment, physical problems or
negative sexual experiences, sexual functioning can go wrong and professional help is needed to correct problems.
Generally, all sexual activity is “OK” if between two consenting adults.
What is consent?
Consent is an unmistakable, often verbal, positive response to participate in sexual activity. It is uncoerced and freely
given. (A person under the influence of alcohol or drugs is NOT consenting.) Remember NO person has the right to
use or abuse another individual.
Some of the more common concerns we hear at the Health Center include:
1. I’m not sure if I have had an orgasm (climax, come). My partner thinks there is something wrong because I
don’t come every time we have sex.
An orgasm is the point at which all the tension in your body is suddenly released in a series of involuntary and
pleasurable muscle contractions. Although the definition seems clear, an orgasm is a unique experience for each
individual. It can even feel different for the same individual, if the stimulation, partner or position is different. It is
important that you feel comfortable with yourself and not worry about what your friends have told you or what you
think you are supposed to feel. Sometimes, worrying about whether or not you are going to orgasm makes your body
more tense and actually prevents you from having an orgasm.
2. My partner never comes during (vaginal) intercourse – what’s wrong with her?
There is nothing wrong with your partner. Fewer than 50 percent of women reach orgasm during vaginal intercourse.
Sometimes, the man reaches orgasm more quickly than his female partner and the couple may end intercourse
before the woman has had an opportunity to orgasm. Another possibility is that a thrusting penis or other object may
not be enough stimulation and more direct stimulation of the clitoris may be needed. Alternate positions and activities,
such as manual or oral stimulation, may be pleasurable to the point of orgasm.
3. I can orgasm more easily when I masturbate.
Sometimes, it is easier for an individual to have an orgasm while masturbating. First, you may feel more relaxed
when masturbating than when you are with a partner. We often feel a lot of pressure to act a certain way or to do a
certain thing when we are with someone else. This pressure can cause the body to become so tense that achieving
orgasm would be extremely difficult, perhaps even impossible. Or perhaps you are concentrating too hard on your
partner’s pleasure and are not focusing on your pleasure as much. Finally, when you masturbate, you may be
touching yourself in a way that your partner does not or cannot duplicate.
4. Is masturbation harmful?
There is no danger in masturbating. Masturbation can be an excellent source of sexual relief and does not thwart
your ability to engage in other sexual activities.
5. It sometimes hurts when I have sex.
Almost all individuals experience pain with sex at some point in their life. For women, some common causes of pain
include insufficient lubrication – the vagina is not wet enough to be able to handle the insertion of the penis or finger.
A local condition, such as a yeast infection, may become irritated by the penis or a finger also causing discomfort.
Sometimes spermicides cause irritation. A tightness around the vaginal opening may be caused by tension or lack of
arousal.
During or around ovulation, the area surrounding the ovaries may be sensitive causing painful intercourse. A pain
deep in the pelvis could also be caused by several physical reasons, such as endometriosis, cysts on the ovaries or
an infection in the cervix, uterus or fallopian tube. All of the conditions listed above are treatable.
There is a condition called vaginismus, the involuntary tightening of vaginal muscles near the opening, that makes
any form of penetration difficult or impossible. Such a condition is usually a physical response to a fear of penetration
and is treatable.
Men can also experience pain during sex; it usually occurs with ejaculation and sometimes with erection. If his
partner is dry, he could also experience skin irritations. Any of these difficulties should be discussed with his health
care provider.
6. Are all skin irritations due to Sexually Transmitted Infections?
No; sometimes an individual can get skin irritations during masturbation or sex with a partner, particularly if the skin is
dry. However, any unexplained bumps, sores, or breaks in the skin should be examined by a medical professional.
An appointment should be made while the area is sore or irritated.
7. I am a male who wants to extend the length of time from erection to ejaculation.
Here are some suggestions to increase this time:
1.
2.
3.
Increase the frequency of ejaculation through masturbation. Abstinence often causes a man to ejaculate
quickly.
Sometimes, especially with a younger individual, the male can ejaculate quickly, be restimulated and
continue intercourse to second orgasm, usually taking longer to achieve.
Using a condom can also increase the time of erection to ejaculation because it decreases the sensitivity of
the penis.
There are other, more specific techniques, which can be used. All require good communication with your partner. A
common one is the start-stop method. The penis is manually stimulated, but stopped before ejaculation until the
feeling subsides. The stimulation is started again and continued until just before ejaculation and again stopped. After
three times, the penis can be stimulated to the point of ejaculation.
Resources
There are many excellent books written for people who are interested in learning more about sexuality or improving
their sex life; some of the better ones are included below. The books are available for in-house reading at the Health
and Wellness Education Center.
Becoming Orgasmic. Julia Heiman, Prentice Hall, 1988
Doing it: Real People Having Real Good Sex. Isadora Alman, Conari Press, 2001
For Yourself: the Fulfillment of Female Sexuality. Lonnie Garfield Barbach, Signet Books, 1975
The Good Vibrations Guide to Sex. Cathy Winks and Anne Semans, Cleis Press, 1994
The Guide to Getting it On. Paul Joannides, The Goofy Foot Press, 1996
The New Joy of Gay Sex. Charles Silverstein and Felice Picano, Harper Collins, 1992
The New Our Bodies, Ourselves. Boston Women’s Health Collective, Simon & Shuster, 1992
Sexual Awareness: Enhancing Sexual Pleasure. Barry and Emily McCarthy, Carol and Grof Publishers, 1993
The Whole Lesbian Sex Book. Felice Newman, Cleis Press, 1999
Kinsey Confidential- Kinsey Institute Sexuality Information Service – www.kinseyconfidential.org
Go Ask Alice, Columbia University’s Health Question and Answer Internet Service – www.goaskalice.com