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Question:
My wife and I have been married for two years and only had sex after getting married. The problem is that my wife's clitoris and vagina go numb very quickly when we are making love. I have used both manual stimulation and oral stimulation in addition to intercourse. I am aware that the clitoris is sensitive, so I try to stimulate the area nearby rather than directly. However, she doesn't report much stimulation. She prefers the missionary posture. I would expect that she would feel at least some pleasure/sensation when her clitoris and vagina are being stimulated. She does, but not for long. She has never experienced an orgasm and 2/3 of the time she begins to feel numb in her vagina after only about 3 minutes of intercourse. She is not very aware of her own body and does not really stimulate herself at all. She is in her early 30s, healthy, not taking any medications, and is not breast-feeding. The doctor says nothing is wrong with her. She is comfortable with her body appearance and says she doesn't have any feelings of guilt about having sex, but often she thinks of tasks that need to get done later while we have sex. I am a little overweight. She would like me to become leaner and put on more muscle. Any advice you can give us would be appreciated.

Answer:
by Yvonne Fulbright:
(05/15/2004)
It would be most productive if you can get your wife to give her perspective directly to a certified sex therapist. Only she can fully describe her perspective and assure the feedback we are providing is accurate. We can only supply you educated guesses based on your perception of your wife's situation. This is often not the most reliable information in a therapeutic setting. So based on the information you have provided us, it is does not seem that your wife's genital numbness when stimulated is physiologically based. However, if she hasn't been checked out by a gynecologist (versus a general practitioner) to see if there is anything hormonal or neurological going on, you may want to suggest she do so. It seems as though the anesthesia-type of response your wife is experiencing is psychologically rooted. While your wife may not be feeling guilty about having sex, she may -- unknowingly -- feel fear, anxiety, or shame over the fact that she is now sexually active or disappointed sex isn't what she imagined. We all absorb many cultural taboos and expectations about sex we are unaware of. Based on your description of her not being very aware of her own body and not having allowed herself the opportunity to explore it and effectively stimulate it may partially explain why she may be sexually inhibited. Furthermore, instead of focusing on sexual feelings, your wife allows her mind to wander and focus on other things essentially detaching her from what is occurring when you make love. All of this could be occurring because of negative messages about sexual pleasure she has received over the years, a low priority in her life for sex, or because there is something different she needs that she cannot communicate. Whatever, the result is she is now having difficulty enjoying genital stimulation (and is going numb), and is unable to achieve orgasm. So what can you do? It seems as though you have been attentive as far as how to stimulate her. You may want to try direct stimulation, since some women do get more out of it. While she prefers the traditional missionary position, you may want to suggest trying other positions -- ones that give the woman more control and that allow for more clitoral stimulation, for example the woman-on-top position, or allow for more G Spot stimulation from behind. What else can she do? Your wife could spend some time with herself exploring her body, becoming better familiar and more accepting of it, and experimenting with different techniques either one of you could use during lovemaking. There is a video Becoming Orgasmic that can guide her through this process. Best wishes to you both, Yvonne Fulbright and Mitch Tepper

Reviewed by Sexual Health Editorial Team

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