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Question:
I am 43 and have always heard that I should be at my sexual peak. Unfortunately, I prefer cuddling & kissing to actual intercourse. Are there ways to adjust the "mind" to help the "body" perform?

Answer:
by Cynthia Ruberg:
(05/06/2004)
Thank you for the question. Women often reach their sexual peaks in their forties, so maybe you are indeed there. However, even if you are "there," that does not mean that you should suddenly start to prefer intercourse over cuddling and kissing. Many people believe that a woman's sexual focus changes to vaginal stimulation at maturity. But this belief (started by Freud) is false! Women may become more sexually responsive and/or be more interested in sex at their sexual peak, but general sexual preferences usually do not radically change over time. Many women report (as you do) that they prefer kissing and cuddling and other parts of "foreplay" to actual intercourse. This is not at all unusual! (By the way, I do not even like to use the term foreplay because it wrongly connotes that intercourse is the ultimate sexual experience and the rest of the experience is just play!)

Kissing and cuddling are as important as intercourse...especially for women! The feelings of emotional intimacy and bonding, that come from kissing and cuddling, are usually necessary to intimately connect with one's partner and get turned on sensually and/or sexually. Intercourse provides the perfect stimulation for men, but it doesn't "do it" for many women. Women are capable of experiencing erotic sensations all over their bodies, since they are not as genitally focused as most men. I am finding it difficult to give you definitive answers to your question because I am not sure what your issues really entail. I am assuming that you prefer kissing and cuddling and also other aspects of foreplay. But maybe not! Perhaps you are saying that you just like kissing and cuddling and nothing else?

Here are some starting suggestions that might be helpful in both situations.

1) If your preference is just for kissing and cuddling and you experience little desire for sexual contact or have little sexual pleasure: I suggest that you start by calling your gynecologist for a hormone profile. For one thing, you may be low on the hormone testosterone (which is often thought of as a male hormone but is also present in women in smaller amounts), which fuels sexual desire. You may also be low on your female hormones or have a hormone imbalance. If these are issues for you, having your hormone levels adjusted could greatly help your desire and/or sexual response.

I also don't know if you are on medications or drugs or have any disease processes. Any of these could potentially affect your sexual interest and expression in a negative way. You may also have experiences in your life-history and/or in your relationship which could be causing you to back-off from sexual contact and sexual pleasure. If these are valid issues for you, I suggest that you also consider seeking help from a relationship and sex therapist. This professional can help you (and your partner) work through issues that may be impacting your ability to be a fully sexual woman. Contact the American Association of Sexuality Educators, Counselors, and Therapists for a list of therapists in your area.

2) Last but not least, if you do like other aspects of foreplay and can become sexually aroused: I suggest that you first try to give up your sexual "shoulds." This is the best way that I know to "adjust your mind to help your body perform" no matter what your sexual/sensual tastes are. These "shoulds" create sexual expectations that are hard to meet and seem to be adding to your self-frustration and sexual disillusionment. You probably would begin to feel more content if you would accept how your body works and take what ever pleasure it provides you, any way you can get it. That, at least, would be a good place to start if you choose to further explore your sexual potential. If you want to know more about female sexuality, I also suggest that you purchase the book For Yourself, by Lonnie Barbach, Ph D.

Sincerely, Cynthia Lief Ruberg, MS Ed, LPCC, FAACS

Reviewed by: Kathleen VanKirk DHS

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