Wanting to Want Sex: How Does Female Libido Work?

Categories: Sex, Love & Relationships, Worrywart

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Wanting to Want Sex: How Does Female Libido Work?">
If you find that your desire for sex isn't what it used to be, take heart -- you're certainly not alone. The New York Times magazine recently ran a feature, written by Daniel Bergner, about women who are desperate to overcome their low sexual desire (or, "hypoactive sexual desire disorder"). Here are some of the article's most interesting points.

1. Studies suggest that around 30 percent of young and middle-aged women go through extended periods of either diminished desire for sex or no desire whatsoever.

2. Psychologist Dr. Lori Brotto, who treats women at the British Columbia Centre for Sexual Medicine in Vancouver, says that the disorder almost exclusively resides in the mind and is not the result of some sort of physical malfunction.

3. While most women seeking treatment claim that they'd be fine never having sex again, Brotto says they actually long "to feel driven, to initiate, to ignite." (Of course, those who have opted to simply live with low desire do not show up in treatment.) An estimated 7 to 15 percent of all young and middle-aged women (from 20 to 60) are distressed by their lack of desire -- however, little research exists on the subject.

4. Women appear more likely to become devoid of desire as they get deeper into middle age -- but little is known about why. In fact, little is known at all about the disorder: the DSM's criteria simply defines it as "persistently or recurrently deficient (or absent) sexual fantasies and desire for sexual activity" -- an assessment Brotto believes inaccurately assumes that the experience of desire is homogeneous and straightforward.

5. Brotto found similarities in the experiences of women with low libido and patients with borderline-personality disorder -- both of whom describe a disconnect from either a particular experience (sex) or life in general -- leading her to suspect that mindfulness practices (an intense and soothing focus on the present moment), which had been successful with the latter, could be applied to treatment for the former.

6. Brotto has assigned a number of exercises to her low-libido patients, including the repetition of mantras (such as "my body is alive and sexual"), the observation and description of their naked bodies using precise, neutral language, and the placement of raisins in their mouth to "notice where the tongue is, notice the saliva building up in your mouth....notice the trajectory of the flavor as it bursts forth, the flood of saliva, how the flavor changes from your body's chemistry."

7. The mindfulness exercises are part of an effort to get patients to reconnect with physical sensation and diminish distractions like work and children, worries about their physical appearance, and fears that their libidos are dead.

8. Researchers are beginning to suspect that women's desire might operate on a different plane than previously assumed: first, a conscious decision (rather than a drive) to have sex, then a decision to be receptive, then physical touch by a partner, then arousal, then the "responsive desire," and finally the emotional and physical payoffs that sex provides. This pattern is known to sex therapists as "desire follows arousal." Some women feel a strong sexual drive some of the time -- at the start of an exciting new relationship or during certain points in the menstrual cycle -- but for most women, sexual encounters begin with, at best, "slight warmth or flat neutrality."

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