Tips for a Stress-Free Holiday (Really!)

Yeah, I know. The last thing you need right now is another list of ways to avoid stress during the holidays. The mere thought of another list is stressful all by itself.

Pay attention to what you're doing this moment.I don’t cotton to holiday de-stress lists, either. That’s why I combed through dozens of tips from experts and ordinary folks to winnow out what I think are the best, most truly helpful holiday reminders. I’m betting that something on this list will truly make your life easier and your spirit more joyous. Most of the suggestions even have some science behind them, which always makes me happy.

For the mind and emotions
  1. Cultivate gratitude. If you develop an attitude of gratitude (as they say), you’ll find yourself in a happier place. This is more substantial than simply counting your blessings (although that works, too). You can be generous; you can be large of spirit. This is necessary soul-work and deserves attention at any time of year, but this season of hyper-consumption is a good time for a reality check. Do a shift in a soup kitchen or a food pantry. Be a Salvation Army bell-ringer. Deliver Christmas baskets to the less fortunate. Giving money is important, too, but it doesn’t pack the life-affirming power of face-to-face contact.  
  2. Be non-judgmental. Before Uncle Bob begins his NRA rant or Aunt Millie makes not-so-sotto-voce comments about your grandchildren, prepare your mind. These are the people with whom you share the planet and your DNA. You aren’t going to change them, so you might as well adjust yourself. Practice a benign attitude of acceptance. A glass of wine also helps.
  3. Visualize. What one word describes what you hope for this holiday season? Peace? Serenity? Acceptance? Love? Write it on a card (or several) and tape it to the bathroom mirror. This is your holiday guide and mantra.
  4. Be mindful. We wrote about this in a previous post, but its impact on stress-reduction can’t be overstated. Pay attention to what you’re doing this moment. When you get to a holiday task you enjoy, decorating cookies or the tree, maybe, tackle it with focused attention and just enjoy the heck out of it.
  5. Smell citrus. The lemon-y scent of citrus smells clean, but it also increases norepinephrine—a mood stabilizer and stress-reducing hormone. Rub some lemon or orange essential oil under your nose or carry a hankie dabbed with the scent for a dose of feel-better. Use it as aroma therapy during the holidays.
For the body.
  1. Exercise. Holidays are a black hole for shrugging off daily routines. Who has time to exercise? That’s exactly why it’s so important. Exercise is critical during stressful times because it gooses our system with feel-good endorphins and increases energy levels. Getting outdoors for a walk or jog amplifies the effect.
  2. Go natural. Research shows that patients with a view of the outdoors heal faster. It also reduces stress. So, open the curtains; flood your house with natural light; and bring the outdoors in with pine boughs, holly berries, and essential oils. Go outside and gather your own for a double exposure.
  3. Eat moderately. You can certainly enjoy every morsel of holiday fare—just don’t get carried away. You know how you’ll feel after a night or several of overindulgence—and the morning of January 2 will be very, very bleak indeed. Once again, practice mindfulness. Pay attention to the colors, tastes, and delicious holiday smells. You’ll be less likely to blindly put things in your mouth, and you’ll enjoy what you do put there a lot more.   
  4. Sleep. It’s hard to turn off the mental hamster wheel that you’ve been running on all day. But good sleep is essential to good functioning, and bad sleep is a total killjoy, as we all know. There’s a well-developed science of sleep hygiene. Here are a couple of safe natural sleep aids: Chamomile has been used to aid sleep aid for hundreds of years. What is more soothing that a hot mug of chamomile tea before bed? Melatonin is a hormone that helps regulate your sleep/wake cycles. Some people find that 5 mg. of melatonin before bed helps them feel sleepy and fall asleep faster. It’s safe, inexpensive, and easily found in pharmacies.
  5. Touch. What is it about loving touch? Research shows that touch releases dopamine and oxytocin—both soothing, mood-altering hormones. You don’t have to go all the way to home base (but if you do, sex is a great stress-reliever as well); just a gentle hug, shoulder massage; quick kiss helps put the moment in perspective. Don’t neglect the power of touch this season.
For your sanity
  1. Clean house. No, not you. Get your house deep-cleaned early in December. You’ll love knowing that the dust bunnies no longer live under the beds and that you’re ready for drop-in guests and family overnights at any moment.
  2. Simplify. Ditch fussy traditions. Lower your expectations. Spend less. The point is to enjoy the time with family and friends and to savor the sensual beauty of the holiday. The contemporary focus on fancy gifts and decorations and a whirlwind of parties is distracting and exhausting. Just say “no” to the distractions from the true spirit of the holidays.
  3. Watch a Christmas classic. For an enjoyable break, gather whatever family is available and settle in with hot chocolate and popcorn to watch your favorite Christmas movie, whether it’s Charlie Brown or Miracle on 34th Street. You can’t go wrong with an easy and heartwarming evening like this.



November 21, 2016

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gratitude ›   mindfulness ›   stress ›  

A Side of Mindfulness for the Holidays

Many of us are very goal-oriented. We like to make lists and to tick items off those lists. We like order; we don’t like chaos.

Unfortunately, life is messy and sometimes chaotic.

At no time is this truer than during the holidays. All the demands of the holidays—the shopping, cooking, partying and gathering—will simply be heaped on top of our already overflowing schedule. We know that the price we pay will inevitably be snappishness, exhaustion, maybe the scratching of old scabs and regurgitation of old hurt.

In the interest of helping all of us not only to survive, but maybe even to enjoy the holidays, I offer you a mini-tutorial on a practice that has been known to help everyone from cancer patients to Fortune 500 executives. It’s even known to improve our sex lives, which is why we highly recommend the practice of mindfulness on our website.

Mindfulness is a straightforward concept. It’s developing the ability to pay attention to the moment—not to zone out, but to develop a facility of focused attention, without judgment or emotion, on the present. Mindfulness was a Buddhist concept, but in 1979 Jon Kabat-Zinn, a psychiatrist at the University of Massachusetts Medical Center, adapted and developed it into a formal eight-week program for patients “who weren’t being helped” by traditional medicine. His program incorporates meditation, mindfulness exercises, and yoga.

The results were impressive. Patients experienced less pain, and they healed faster. The practice relieved stress and improved the immune response. The concept of mindfulness meditation quickly seeped into the broader zeitgeist.

Now, I know that it’s one thing to read about a spiritual practice, helpful as it may be, and entirely another to actually incorporate it into daily life, especially in the midst of holiday frenzy. The essence of mindfulness, however, is simple and almost intuitive. Best of all, it takes almost no time. You can practice mindfulness while you’re rolling out pie crust or brushing your teeth. It quiets our “monkey mind” and brings us back to the moment, which, after all, is the only moment we really have.

“Life is available in the here and now, and it is our true home,” writes Thich Nhat Hanh, a Buddhist monk and globally famous spokesperson for mindfulness meditation.

Mindfulness practice doesn’t take effort, and it doesn’t take time. It just requires a focusing of thought and awareness. The basic meditation is to focus on your breath: Just paying attention to breathing in and breathing out. Your breath doesn’t have to be long or short. You just have to follow your in-breath and your out-breath.

You can think, Breathing in, I’m aware of my body; breathing out, I release tension in my body. You mentally pay attention to any parts of your body that are tensed—your lips, your neck, your back—and consciously relax that part. When you wait in line or stop for a light, you have a bit of time to practice this focus and release. And then smile, says Thich Nhat Hanh.

I can't get enough of gratitude and gracefulness.This principle can be applied to whatever you’re doing: cooking, cleaning, taking a shower, taking a walk. You bring your attention lightly but completely to the activity you’re engaged in. You don’t think about the next thing you have to do or the fight you had with your spouse this morning. Those thoughts are like the clouds crossing a bright, blue sky. You observe them without emotion or judgment and let them go, returning to your focus on your breath or your walk or the pie crust.

As you practice mindfulness, you may become conscious of the moment before you react to something.   When you are aware of that moment, the moment before you react, then you have a choice about how you will react, whether in anger or kindness, fear or trust, passion or forbearance. If you’re aware, then you have a choice.

"Between stimulus and response there's a space, in that space lies our power to choose our response, in our response lies our growth and our freedom," writes Victor Frankl, Holocaust survivor and author of Man’s Search for Meaning.

I’m thinking that if ever there was a good tool for avoiding those uncomfortable confrontations during the holidays, this might be it. If you’re aware of the moment of stimulus, when your brother makes a snarky remark about your son’s tattoos, for example, then you are given a moment of choice about how you’ll respond. And a moment to breathe in, breathe out without tension or judgment.

Even though it’s effortless, developing this practice isn’t easy. I guess that’s why it’s called a “practice.” I do know that improvement, however incremental, helps me to live with gratitude and gracefulness.

And during the holidays, I simply can’t get enough of either.

As Thich Nhat Hanh writes: “The real miracle is not to fly or walk on fire. The real miracle is to walk on the Earth, and you can perform that miracle at any time. Just bring your mind home to your body, become alive, and perform the miracle of walking on Earth.”

Amen to that!



Mindfulness: Brain Retraining for Your Sex Life

In the last post, we talked about the placebo effect and the surprising ways that it may create the very brain changes that drugs like painkillers or antidepressants are meant to mimic. In this post, I’d like to focus on a way to more consciously harness that brain-power.

We’ve talked before about mindfulness meditation and how it can improve the experience of sex by enhancing your ability to pay attention to the present moment and reduce mental distractions. Studies have shown that when you practice mindfulness over a period of time, it actually creates observable, measurable change in the brain.

By the same token, observable, measurable change to a different part of the brain also accompanies prolonged periods of stress and depression.

Here’s how the process works:

The amygdala is a specific part of your brain is programmed to respond to stress. It’s a nut-shaped structure deep in the primal area of your brain, which is intended to quickly mobilize your body’s resources to respond to an emergency. You breathe faster to pump more oxygen into your blood; your heart beats faster; adrenaline floods your system; vision narrows and attention focuses.

All good stuff for an emergency.

Unfortunately, the amygdala is activated, and your body responds in the exact same way to stress, whether it’s trouble at work or difficulty at home or ongoing financial problems—you know, modern life. Chronic stress keeps your body on “high alert,” in emergency mode. Neither the body nor the mind is equipped to handle chronic stress.

Beyond the physical toxicity of chronic stress, it trains the brain in specific ways in a kind of biofeedback loop. By continually reinforcing certain neural pathways, the amygdala actually grows measurably larger. The neural pathways that you reinforce tend to become the default, habitual way that you respond to life’s challenges. And you lose the ability to more easily respond with higher-brain functions, like cultivating a sense of well-being or contentment. It’s just not the default.

Conversely, meditation, prayer, positive thinking, activate the prefrontal cortex and hippocampus areas in the brain. Over time, for people who do those things regularly, those neural pathways become stronger and those parts of the brain become larger. “You shape [your brain] by your thoughts and behaviors,” says Jo Marchant, author of Cure: a Journey Into the Science of Mind Over Body, in an interview on NPR.

“Studies show that if a group of people meditates, the amygdala then becomes smaller and the hippocampus and prefrontal cortex become larger,” says Marchant, “and that's probably not anything specific to meditation, but it's just that reducing stress and changing patterns of thinking over a period of time then is reflected in the structure of the brain.”

The critical point is that we have the capacity to actually shape our brain, but that it happens with regular practice, like an athlete training for a race. Developing either the stress-related amygdala or the higher-thinking prefrontal cortex takes time and conscious effort.

The implication for your sex life, not to mention your overall quality of life, is significant, to say the least. Not only does the practice of mindfulness work to lessen stress, but a 2014 study found that “mindfulness-based group therapy significantly improved sexual desire and other indices of sexual response, and should be considered in the treatment of women's sexual dysfunction.”

Mindfulness works especially well for sex because it involves simply experiencing each moment with complete presence and lack of judgment or anticipation. (Not so easy to achieve; that’s why it take practice.) Mindfulness guru, Jon Kabat-Zinn, calls it “presence of heart,” and what better place for a heartful presence than the bedroom? Especially, considering the tsunami of distractions that you probably bring to that sanctum—yesterday’s tepid performance review, the extra pounds around your waist, the sharp comment from your grown daughter, and whether you’ll orgasm this time. And on and on… you know, monkey mind.

With the truly significant benefits of developing a habit of mindfulness, why continue to trudge down that neural pathway of stress and unhappiness? (Because it’s so darned familiar, that’s why.)

Now that you know there’s a better way, why not start a new brain-training regimen? We’re so convinced of the merits that we offer Thich Nhat Hanh’s wonderful book, The Miracle of Mindfulness, and Kabat-Zinn’s CD set, Mindfulness for Beginners.




Q: Can I regain my desire?

I wish there were a "secret sauce" that worked for all of us to restore libido. Not surprisingly, it's more complicated than that.

It's somewhat unusual to have an abrupt change to libido; for most women, it's a "slow drift." The first thing to consider with a dramatic change is any new or different medications. There are quite a few that have effects on desire: blood pressure, pain, and mood medications (antidepressants) to name a few. If you have had a change, you can work with your doctor to experiment with dosage or medications; let him or her know of this unintended side effect.

You ask about Cialis and similar products. They can help with orgasm (as they do for men), by arousing blood supply to the genitals, but they don't have an effect on libido or desire.

One option to consider is testosterone. While it's thought of as a male hormone, it's also present in women and is linked to libido. Some physicians aren't willing to prescribe it for women because it's an "off-label" use, but 60 percent of women report significant improvement in libido with testosterone replacement, and 20 percent of U.S. prescriptions for testosterone are now for women.

The other factor important to consider is mindfulness--which we might also call intentionality. While you may not feel desire that motivates you to be sexual right now, you know your long-time partner does. You can make the decision (together) that you will continue this activity together, including foreplay. (And I note a recent study that linked frequency of sexual activity with the quality of relationships, which confirmed my intuition.) When you make that decision, sex is a "mindful" activity: You anticipate and plan it and prepare physically and emotionally for an optimal experience with your partner.

Many women grieve the loss of a part of their lives that was once so important and fulfilling. It's most often an unnecessary loss, and staying sexually active has many health benefits as well as giving us feelings of both individual wholeness and connection to our partners.

Making the Most of Time

I once knew a crusty old farmer who refused to acknowledge the existence of daylight savings time. Ask him the time during spring or summer, and he’d respond, “Do you want the real time?” To Robert, daylight savings time was just some misguided newfangled invention.

This weekend, we return to “real” time.

While we gain an hour of sleep early on Sunday morning, we give up an hour of evening sunlight for a whole season. There’s something primeval about these fall and winter twilights. Something that makes you want to draw near the fire. Huddle together for warmth and protection. Share tall tales and drink something bracing.

We can ignore this ancient urge. We can fill the evening hours with activity. We can turn on lights, and stay up late.

But we may be ignoring something important in this seasonal cycle. Perhaps the shortening days and waning light are also reminders. I know they are for me. Our own time is becoming short as well. It’s a bittersweet truth that can’t be altered no matter how busy we keep ourselves.

Rather than avoiding this natural cycle, wouldn’t it be better to savor these twilit evenings, this waning light, with awareness and gratitude—in the same way we ought to experience this season of our lives? Wouldn’t this time be the richer for living it with greater compassion and attention? And doesn’t it make sense to begin with those closest to us?

This year, why not celebrate the return of real time? Why not set aside that hour or two of fading light to reaffirm love and life with the person you share it with now? This can be a quiet thing—the spirit of this season isn’t bombastic or overblown. Its colors are muted—ochre rather than fuchsia; the tone is subdued—Bach rather than Wagner.

Maybe walk together as evening falls. Crunch the leaves; smell the musty crispness. Hold hands.

Maybe sit together in the twilight. Drink mulled wine. Light candles.

Watch a special movie that moves you both. Read aloud—poetry or a book you love.

Mostly, experience this transition with your spiritual senses. Life is moving on. You are acknowledging the passing of time with someone you love. That’s something to be done with care and attention.

When he was 81, my friend Robert moved out of the farmhouse he had shared for his entire life with his bachelor-farmer brother. He moved out to marry Paula, who had outlived three husbands. This was his first marriage. I was the “flower girl” for the marriage of two octogenarians.

Robert wept as he said his vows. When he kissed the bride, it may have been for the first time. You can bet he rejoices in every moment of real time he has with his love.

We should do no less.

Yoga for Cancer Survivors

“I cannot give you another regimen that has as many good health benefits as exercise. Hands down. Exercise improves life energy and sexual energy; your body image will improve. I can’t give you a better, free intervention.” So said psychologist Helen Coons to breast cancer survivors.

Any gentle exercise regimen during recovery is good. It helps ease many of the distressing symptoms of cancer treatment: insomnia, fatigue, weight gain, depression, poor body image, sexual dysfunction.

Yet, one of the best forms of exercise, according to several recent studies, is yoga.

Yoga combines gentle stretching and holding of various positions, which helps with balance, flexibility, and muscle tone. But it also involves a meditative component. The breath work in yoga “stimulates the parasympathetic nervous system and causes the body to relax and the blood pressure to drop,” says Maureen Ryan, sex therapist and nurse practitioner.

Yoga also encourages a sense of mindfulness—being aware of the moment and present to it. When the recent past is full of pain and the future is full of fear, “mindfulness brings people back to the present moment,” says Ms. Ryan. In one study of women with gynecological cancers who were experiencing difficulty with sex, the most helpful component of the experimental program was the practice of mindfulness.

Yoga is so effective because it exercises the body and calms the mind.

A small but significant study found that several weeks of Restorative Yoga, which involves gentle poses, usually with support from pillows and other props, reduced depression by 50 percent in women with cancer. (All had breast cancer; about one-third were still in treatment.)

Another larger study focused on the effect of two types of yoga—Hatha Yoga and Restorative Yoga—on cancer survivors who were having difficulty sleeping, a common problem for survivors and one that isn’t easily alleviated with medication.

Half the group attended 75-minute yoga classes twice a week and also practiced yoga at home. At the end of a month, this group was sleeping better with less medication than the control group. The group also reported less fatigue during the day.

In yet another study, breast cancer survivors reported better body image and less self-consciousness. After doing yoga for two months both at home and in group sessions, these women also had less pain, better muscle tone, more flexibility, and greater weight loss than a control group that had just exercised minimally for 30 minutes a week.

In fact, yoga is seen to be so effective in recovery that several top cancer centers, such as Memorial Sloan-Kettering and Stanford Cancer Center, provide their own yoga classes to patients.

Any form of exercise is helpful, but evidence suggests that the kind of mind-body regimen that yoga offers is particularly effective. Yoga classes are also easy to find—most communities offer them, and they are affordable.

Besides, anything that reduces depression, increases energy, improves body image, and reduces pain has to be good for sex, too.

Harnessing the Power of Your Mind

“Your most powerful sex organ doesn’t lie between your legs,” the famous sex researcher Alfred Kinsey is reported to have said. “It lies between your ears.” (Or, of course, as Dumbledore said to Harry Potter, "Of course it is happening inside your head, Harry, but why on earth should that mean that it is not real?") This has some interesting implications for sex—and for everything else in life. Your brain is your personal Grand Central Station with gazillions of nerve impulses arriving and departing, docking, disconnecting, and releasing armies of little chemical messengers, like dopamine, oxytocin, and serotonin, into your system. In fact, these neurochemicals are what makes sex—or drugs or food—so irresistible.Stop saying I wish and start saying I will... Yet, you are more than your neurochemical impulses. You make choices; you can direct the course of your thoughts and actions. And therein lies the potential for harnessing that big brain power to improve not only the quality of sex you have, but also the quality of your life.

Begin with thoughts. “As you think, so you shall become,” goes the adage, so begin training your mind to think positively. Happy thoughts, sexy thoughts, visualizing yourself as a powerful, confident, attractive woman, actually recreate the circuitry in your brain. You can become happier and more powerful and confident, simply by rewiring your brain with a different kind of thinking. On the other hand, “when you’re immersed in swarms of negative inner dialogue about yourself and how you think and feel about sex, you’re grinding your sensory responses down to nubs,” writes Natalie Geld in her blog. So the first mental exercise—and it isn’t easy—is to harness the power of your thoughts.

Practice mindfulness. We’ve written about this a lot because it’s so important. We all experience the nonstop nattering of our chatty left brain; we’re all familiar with the distractions of tomorrow’s deadline or yesterday’s meeting that intrude on sex, sleep, and quiet evenings at home. Distraction is built into our fast-paced, multi-tasking, fragmented culture. MiddlesexMD_DickinsonMindfulness, on the other hand, is the mental practice of being fully present in the present moment, of installing an off switch in your left brain. It’s a discipline rooted in Eastern spirituality that immerses you in the present without distraction or judgment. You can practice mindfulness anywhere, but what better place to begin than when you’re making love? For one thing, nothing is sexier than someone who is completely focused on you; for another, it encourages your partner to respond in kind. In one study conducted by researchers Lori Brotto and Julie Heiman with the Kinsey Institute, women who had been treated for gynecological cancer were given a “phychoeducational intervention” to help them reestablish sexual desire and arousal. One component of the intervention included mindfulness training. “In particular, the women reported the mindfulness component to be most helpful,” write the researchers in their report. Paying attention to the present moment engages all the senses: the smell of your partner’s breath, the flecks of color in his eyes, how his skin feels against yours. Relaxed attention allows to you to release stress, which in itself can make sex more pleasurable. “Distracting thoughts, stress and worry are enemies of orgasm,” writes Debby Herbenick, a researcher with the Kinsey Institute. Some ways to develop a more attentive, mindful approach to life:

  • Do yoga. Besides developing strength and balance, yoga is all about clearing the mind of distractions.
  • Practice meditation. Whether a religious exercise or simply a way to relax and relieve stress, the purpose of meditation is to develop the ability to focus on the moment.
  • Pay attention to everyday activities. Next time you walk, wash dishes, eat a meal or perform any simple, repetitive task, don’t turn on the iPod or television. Don’t multi-task. Simply pay attention. Focus on the taste, sights, and sounds around you.
While sexual problems often have physical origins, don’t discount the power of the mind in contributing to their resolution. Positive thoughts and mindful activity can make sex better, and they can make life better. “Our ability to achieve an erection or ability to attain orgasm is far less important than our thoughts about those abilities,” writes psychotherapist Elisha Goldstein, PhD. “More often than not, unsatisfying sex is caused by the mind.”

Sex on the Brain

We’ve talked before about mindfulness – making a conscious effort to become more fully aware of something and thinking more deeply about it – and how being more mindful of sex can help increase your desire for it.

Because like many things in our busy lives, it’s easy to put sex on the back burner, along with items like haircuts and ironing. And if that burner’s not turned on, things can cool down pretty quickly.

And let’s face it, as we get older, our sex drive can diminish as hormone levels drop after entering menopause. So unlike when we were young and our hormones were raging, sex isn’t always “on the brain,” as it used to be. And unless you’re pro-active about putting it there, it might go away. Which would not be a good thing because sex and intimacy are such important parts of a well-balanced, healthy relationship.

But once you make the decision to become more mindful about sex, you’ll find many opportunities to incorporate sexual thoughts into your life. And it starts in places other than the bedroom.

Like the kitchen, for example. There’s always been a great relationship between food and sensuality (remember the movie Tom Jones?). You might want to check out The New InterCourses: An Aphrodisiac Cookbook. It explores the history of aphrodisiacs and offers a guide for pairing dishes with relationship stages and different times of year. It also includes easy recipes for massage and bath oils. Why not give it a try? It might just lead to a romantic encounter.

Speaking of baths, next time you’re in the tub, put out some candles and invite your mate to come in and chat while you soak. It’s a peaceful and relaxing setting (no phones allowed) that’s ideal for conversations about intimate topics like… your sex life!

Remember, too, that we women are much more responsive when we’ve received sexual stimuli — thoughts, sights, smells, and sounds — than we are to just diving into sex spontaneously. Getting in the mood might just be a matter of giving some thought to what turns you on – and telling your mate about it

. As the old saying goes, “Sex starts between the ears,” and that means in your head. So if you want to keep your sex life active – or get it cooking again – start thinking about it more. And watch what happens.

The Big O (And We Don’t Mean Oprah!)

Orgasm. Such a complicated topic; so many questions, so few answers. But let’s focus on the most important point, which is, that for women, the biggest obstacle to experiencing orgasm is anxiety. How can anyone relax while having sex if she’s thinking, “Will it happen this time or won’t it?”

As you can imagine, research on this topic is somewhat limited. But the renowned sex researchers William Masters and Virginia Johnson, who were the first to describe the four-step process of experiencing orgasm (during intercourse) many decades ago, said there are four steps involved:

1) Excitement. During foreplay, blood begins to engorge the clitoris, vagina, and nipples, and creates a full body sexual blush. Heart rate and blood pressure increase.

2) Plateau. Sexual tension builds as a precursor to orgasm. The outer one-third of the vagina becomes particularly engorged with blood, creating what’s called "the orgasmic platform."  Heart rate, blood pressure, and respiration continue to increase.

3) Orgasm. A series of rhythmic contractions occur in the uterus, vagina, and the pelvic floor muscles. Sexual tension releases, and muscles throughout the body may contract. A feeling of warmth usually emanates from the pelvis and spreads throughout the entire body.

4) Resolution. The body relaxes, with blood flowing away from the engorged sexual organs. Heart rate, blood pressure, and respiration return to normal.

(For another model of sexual arousal, remember Rosemary Basson's, which takes into account women's more complicated reality.)

Another good thing to know is that experiencing orgasm during intercourse takes time. In one study of 1,000 women, the “mean duration” was about 13 minutes. So trying to hurry it along or time it to coincide with your partner’s is probably not going to help.

It all gets back to the whole idea of relaxing—of letting go and focusing on the moment, enjoying the closeness and intimacy itself without worrying about what the outcome will be every time you have sex.

And, too, most women—two thirds of us—never experience orgasm at all during intercourse; some say the only way they ever get there it is through hand stimulation (their own or their partner’s) or with a vibrator, which often is the quickest route.

If you’re having trouble experiencing orgasm, try some things on your own to see what works and what doesn’t, not just physically, but mentally. Some women, for example, find that fantasizing puts them in a “zone” where they can escape the distractions of life. (Imagine yourself on a desert island with the one you love!)

This is one of those things that can only get better with honest, open communication. Talk with your partner about your feelings, your reactions—everything—so that you both have a good understanding of what’s going on and why.

Let us know your questions about experiencing orgasm; we’ll do our best to answer them (if you’d rather not post them here, use the “Ask Dr. Barb” button on our site). And in the meantime, relax and enjoy the journey.


The Third Component of Great Sex: Deep Sexual and Erotic Intimacy

What's the difference between "connection" (number two of the "eight components of optimal sexuality") and "deep sexual and erotic intimacy" (number three)? That stumped me for a bit while I was digesting the study published last year in The Canadian Journal of Human Sexuality.

Then I read this quote from one of the study’s participants, describing a type of intimacy that goes beyond intense connection in the moment: “It’s part of the way you act with each other long before you’re actually engaged in any kind of, you know, technical sex.”

I like that. I think that “the way you act with each other” before, after, and during “technical sex” is essential to deep erotic and emotional intimacy. Trust, respect, and real admiration and acceptance build the foundation for a truly intimate relationship. These are things that take time, that come with knowing each other in a profound way.

And, in my experience, you can tell if a couple has this kind of intimacy just by observing the way they interact at the grocery store or a dinner party. Do they laugh at each other’s jokes? Do they exchange quick touches and knowing glances? Do they refrain from criticizing each others’ tastes in breakfast cereal?

According to study participants, a deep sense of caring for one’s partner is a key characteristic of sexual intimacy. One woman mentioned that her need to feel solicitude and concern had become more important to her with age: “I don’t know that I’m capable of having great sex anymore without really caring about a partner.”

The study’s authors noted that “almost every participant identified a deep and penetrating sense of trust as characteristic of the intimacy that was part of great sex for them.” They needed to trust that their partners cared for them and that the relationship was secure.

This kind of trust and intimacy doesn’t just happen. It takes time and openness and communication. Especially at midlife, when our bodies and needs are changing, it’s important for partners to talk with each other, to stay up-to-date on feelings and desires. Honest and caring talk about sex can be erotic in itself, and can go a long way toward creating and maintaining the deep intimacy that makes for sex that is “better than good.”

More on this next week, when we look at component number four: Extraordinary Communication!