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Love and Sex Prescription

By Anju Mulchandani and Ron Bailey

QUESTION
I have a really great boyfriend. He’s smart, funny and treats me like a princess. It’s just that—objectively speaking—he’s not very attractive. I hate myself for thinking that, and even more, I hate that when we are out together, I sometimes feel a little embarrassed. I know I shouldn’t care what others think—and I really try hard not to—but I’m ashamed to admit that I can’t help it. Any suggestions?

ANSWER by Anju Mulchandani
It sounds like your boyfriend doesn’t exactly fit the “tall, slim, wheatish complexion” mold. But to some degree, you have been able to look beyond this—you wouldn’t be with him otherwise. As for the rest of what you are feeling, it is quite human and very complex.


Photo by Rodrigo Torres

A part of the problem is that we are engulfed in popular culture, which is obsessed with physical appearance. Our daily lives are saturated with images of idealized, air-brushed and unattainable physical beauty. This makes it difficult not to feel insecure, whether about your own beauty or that of the person you are with.

What you may not realize is that the embarrassment you feel towards your boyfriend stems from a deeper place within you and reflects your own self-esteem. But it is important for you to know that you are the one who holds the power to decide how to perceive your boyfriend. You have already said that he is smart, funny and treats you like a princess. If you can hold on to these thoughts and project them onto the world with confidence, you will find that people will be receptive. You will also be able to hold your head up high—and maybe even clutch him a little closer to you.

QUESTION (This is a question ABCDlady has received many times, so we decided to print our answer again)
I have been in three serious relationships and have yet to have an orgasm. I have read that you need to be comfortable with your partner and yourself. I feel I’m comfortable in every way. Do you think this could be a result of my upbringing, that somehow, in the back of my mind, I feel that what I’m doing is wrong and can’t allow myself to let loose completely?

ANSWER by Ron Bailey
A lack of orgasmic response can be either psychological or physical. You refer to "a result of my upbringing", which infers some history of problems that may be contributing to a lack of enjoyment of the overall sexual experience. If this is the case, then some type of psychological therapy would be helpful in determining the root cause of the problem which, when defined, would then lead to the appropriate therapy to help resolve.

Physically, a lack of orgasm in women is generally due to improper vaginal and clitoral stimulation. Unlike men, who derive pleasure from the entire penile shaft (albeit the penile head is far more sensitive), most of a woman's vaginal sensory stimulation nerve endings are found in the lower 1/3rd of the vagina. So, armed with this fact, the sexual partner must be patient when exploring this area until he/she finds the right type of pressure/sensation that created arousal in the subject. Once this area and combination of movements are found, it is simply a matter of recreating these sensations in the total context of lovemaking. Particular areas of arousal are the nipples, clitoris, back of the knees, ears, antecubital space (forearm, in front of the elbow), and (of course) the lips.

My suggestion would be to do this: Set an appropriate mood (area, music, candles, whatever) to show your lover what type of environment you like. I would also suggest having your lover simply touch you, with no intercourse, letting your lover gently and unhurriedly find your arousal areas and where you like to be touched. You can minimize any pressure by simply providing gentle guidance during this exploration in the form of feedback ("that feels good" or "that feels REALLY good right there, baby") and assisting your lover in "mapping" the hot zones. This exploration also serves to map the "off limits" areas, if appropriate, which is just as important as the free-for-all zones.

Lovemaking should be mutually enjoyable, whatever your upbringing. If there are things you do not enjoy, it is important to discuss those things with your partner. I would suggest this type of conversation take place outside of an intimate moment so there is no emotional or sexual "let-down" for either party—with the resultant heartache—when one party is primed to try something that the other party finds not to be so intriguing (to put it politely).


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Anju Mulchandani is a graduate of the Columbia School of Social Work. Her clinical experience has focused on providing counseling for individuals with a variety of emotional problems.

Ron Bailey is a physician assistant certified by the National Commission for the Certification of Physician Assistants. He has a Bachelor's degree in Physician Assistant Studies and a Master's Degree in Family Practice.

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