WebMD Blogs
Icon

Sexual Health: Sex Matters

Louanne Cole Weston, PhD, shares information and advice on men's and women's sexual health issues from masturbation to erectile dysfunction.

background

WebMD Health News

Friday, September 29, 2006

When Masturbation Replaces Partnered Sex
AddThis Social Bookmark Button

Should a man masturbate when he is in a partnered sexual relationship? Nearly everyone has opinions on this question and many of them are very strongly held.

I don't think that it's within a sexual partner's "right" to forbid a partner to masturbate. Not even when it leads to disappointment. My reluctance centers on the concept of it being a "right." Are there times when a man is substituting masturbation for partnered sex? Is it always a problem? No. Is is sometimes a problem? Yes.

Masturbation while in a relationship has its place. It's up to the couple to determine what that place is. One obvious place is when the other person is ill. Another may be during the time of recovery after the birth of a baby. Another possible time is when the two people are geographically apart. Most folks don't seem to have a problem with these instances of masturbation.

Many would go the next step and add: When one partner's sexual desire frequency is much higher than their partner's. It fills the gap.

Where it gets sticky is when there is a willing sexual partner who is at times turned down sexually and feels replaced by the masturbation of her/his mate. It's easy to offer an ironclad rule that this type of masturbation should stop, but it's not always that simple.

It's true, sometimes there are negative motivations underlying this choice. He wishes to anger or punish his partner over some conflict in their relationship. Sometimes he holds skewed expectations about sex with a partner: Perfectionistic images of what his partner's body should be, seeking acceptance of any level of his self-centered sexual behavior, and unrealistic ideas about the ease and intensity of his partner's sexual response.

Masturbation to two dimensional images both fosters and fulfills these skewed expectations -- unless the man fully realizes that this is fantasy material with little basis in reality.

Men who like to "visit" this fantasyland and truly "get it" generally have little problem with their expectations of their real life partner. Problems based on masturbation in relationships tend to take hold when a man does not keep the "fantasy land" in its place and allows it to overrun him and his relationship. Or, he cannot handle the intimacy of the relationship and decreases it by avoiding partnered sex. That's often when I'm called in.

My job is to have both members of the couple take an honest look at what mastubation by either of them means in the relationship, that masturbation is not always a tacit rejection of his partner, and that it often can serve a healthy purpose in a relationship. Once these topics have been addressed, many couples can come to a consensus about masturbation that basically works for them both.

Related Topics: Looking for Love: Finding What You Need, The Golden Age of Sex

Technorati Tags: ,

Posted by: Louanne Cole Weston, PhD at 3:33 PM

Thursday, September 21, 2006

Top 10 Reasons Men Don't Want Sex
AddThis Social Bookmark Button

Men always want sex. Right? Wrong. I have often heard the sexual partner of a man say, "My mate doesn't want to have sex. What's wrong with him? Don't all men want sex?" That's a common misunderstanding and it's based on the mistaken belief that men are wired to want sex most times they can get it.

Here's a list of ten common reasons why men may not want sex:
  1. Medications. Antidepressants (SSRI-type) and antihypertensives (blood pressure medication) are often the culprit when a man has a lowered interest in sexual activity. These can also cause sexual dysfunction.
  2. Lack of sleep. When a man is in his teens or twenties, the opportunity to have sex will often overwhelm the desire to sleep. This is often true also when a relationship is brand new. But, as people and relationships age, sex can lose its compelling nature and a good night's rest can be quite tempting.
  3. Hormonal levels. The most important physiological stimulant of sexual desire is testosterone. Many men are mistakenly sent to have a blood test for total testosterone when low libido is the issue. While that information might be interesting to know to have a full picture of a man's hormonal levels, knowing the free testosterone level is much more relevant to how much sex he desires. Also, too much prolactin and SHBG (sex hormone binding globulin) can suppress sexual desire. So when a hormonal reason is suspected, these are the blood tests to have (in order of importance): free testosterone, prolactin, SHBG, and total testosterone.
  4. Identity issues. When men feel uncertain about their role in the world, their desire for sex can dwindle. Depression may be linked to this, but isn't always. Identity issues can crop up when: he has issues at work or is out of work, faces the death of an important family member, becomes disheartened about a formerly held strong belief, and questions his understanding of his own sexual orientation -- to name a few.
  5. Turn-off to aspects of the sex. Some men will turn away from sex rather than have sex that is not fulfilling to them. Lack of fulfillment can be related to specific things that his partner does during sex or how he experiences his partner's body. He may feel criticized or treated unfairly. It may just seem like too much "work." He may have sexual interests that he knows or fears his partner may not share.
  6. Disagreements with one's mate. When there are interpersonal difficulties between the members of a couple, many men will avoid sex or just plain refuse their partner's advances. Some men punish their partner by withholding sex, but for others it's not a matter of punishment, they just cannot muster sexual feelings when there are unresolved conflicts.
  7. Stress. Stress comes in many forms and may stem from: financial difficulties, personal or family member illness, challenges at work, parenting dilemmas, and issues involving extended family members. Of course, there are many more sources of stress.
  8. Masturbation that replaces partnered sex. This is a hot topic since the advent of the Internet. It seems to some researchers in this field that many men who might not have sought out other sources of visual sexual stimulation (magazines, videos, movies) have found their way to locate sexual imagery online. For some couples, this can be a dilemma, particularly when the viewing of the images leads to masturbation, that then leads to less partnered sex. Less partnered sex feels like a blessing to some, but to others it is a frustrating and disappointing outcome.
  9. Fear of intimacy. Some men have relationships with their romantic partner that resemble that of siblings. The contact that they experience in their relationship takes the intimacy level up so high that adding sexual intimacy on top of that feels like an overload. Though it may be difficult to imagine that a person could have too much intimacy, it is the hunch of many sex experts today that this is a very common cause of declining sexual frequency in couples.
  10. Difficulties functioning sexually. Many men who have an erection dysfunction or believe that they ejaculate too soon -- or too late (if at all), will avoid having sex with their partner. Rather than face what feels like another experience of "failure" in our performance-obssessed culture, these men choose to avoid being sexual at all.
When partnered with a man who does not want sex, the optimal path does not include criticism, belittling, or slurs on his manhood. Armed with accurate information and professional help, most of these causes of sexual avoidance can be greatly improved and in many cases removed altogether.

Related Topics: Top 10 Reasons Women Don't Want Sex, WebMD Video: Fight Sex Problems with Exercise

Technorati Tags: , ,

Posted by: Louanne Cole Weston, PhD at 4:59 PM

background