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Wendy Maltz - Q & A

by By Wendy Maltz, MSW

Q: I'm 21 year old, and I've been in a committed relationship for a year and a half. We are having problems sexually, and I can't explain to him why I act the way I do.

We're both confused and frustrated. I noticed shortly before we began dating that I felt differently about sex in general -- uncomfortable with it, seeing it as being used, so I wouldn't really instigate it. Then, I began to have no desire, to see sex as a chore or favor to him, and now I try to avoid it. I'm uncomfortable with being touched on sexual areas. I jump at it and feel uneasy. The only way I can have sex without grimacing/hating it is to use a certain tool to relax and enjoy it and/or concentrate on thoughts of anonymous sexual situations I would otherwise find disgusting. I feel my body is being damaged or mistreated or that I will get vaginal infections. When I think about sex away from him, which is rare, it is with some disgust. I wish he would just touch me on my back and face and other comfort areas instead of trying to touch other places like he wants.

When I read your symptoms for sexual abuse survivors, I cried because it described me. The only thing is, I don't know if I was sexually abused. Are there different kinds of sexual abuse than rape? The most traumatic experience I (not fully) recall is a night in high school, probably the most incoherent night of my life, where I feel now that I was very much taken advantage of in the worst way by 1 or 2 people. Right after that night I felt only fear and terrible shame for a long time for what I'd ended up doing.

I'm not sure how I even got into a bed at one time, but I would NEVER have chosen to do those things. It took me nearly two and a half years to talk about and get an HIV test. I certainly tormented over this, often daily, for a long time, and I wondered if this might be the cause of my disgust/avoidance of sex. Also, can sex with very little lubrication cause vaginal irritation/infections? Please help -- I'm confused.

A:It does sound as though you are suffering from sexual symptoms of past sexual abuse. Rape is only one type of sexual abuse. And rape can be orally, anally or vaginally.

Molestation, oral sex, fondling, even watching someone else be abused or having to pose for pornography are all types of abuse. The experience you describe might have been "acquaintance rape or molestation." In my book, The Sexual Healing Journey, I go into detail about the different forms of sexual abuse, how to determine if you were sexually abused, and the steps to sexual recovery. Having sex with your boyfriend now, when you don't want to and when it feels abusive to you, is not a good idea. I recommend you talk with a therapist or a counselor at you local rape crisis center to begin processing what happened to you in high school. You are not alone and the type of reactions you are having are normal for the history you describe. Until you get help and support, this may not be the best time in your life to be involved in a sexual relationship. You don't want to do things that reinforce a negative view of men and sex. Disgust is not an emotion that you can side step. It's a signal that something doesn't feel right and needs to be addressed.

In answer to your specific question about lubrication and infections: a lack of lubrication often results in a feeling of dryness or a burning sensation. Irritation to the vaginal walls can make them more susceptible to infections. Check with your doctor. It's best to get tested and treated for vaginal infections as soon as you think you may have one. Some infections can indicate sexually transmitted diseases, and some sexually transmitted diseases can cause infertility and other serious problems if left untreated.

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