Which Comes First? Desire? Or Sex?
      Efforts to pique desire may put the erotic cart before the horse.   
        For most men, libido is a “drive” that propels them toward 
sex. They want it and they go after it. But recent studies show that 
when many women, perhaps most, begin sexual encounters, they feel 
erotically neutral. Then, according to Rosemary Basson, M.D., a clinical
 professor of psychiatry at the University of British Columbia in 
Vancouver, if they enjoy the sex, they eventually experience desire. In 
other words, for many women, possibly a majority, desire is not the cause of sex, but its result.
The idea that desire follows good sex turns conventional notions of libido upside down. But Basson’s insight also provides perspectives that can help men and women better understand each other and enjoy greater sexual satisfaction.
Women Really NEED Extended Warm-Up Time
Many supplements claim to boost women’s libido, and since Viagra, drug companies have been hot to develop drugs that pique desire in women. But if Basson is correct—and all the sexologists I’ve interviewed think she is—then drugs and supplements may be putting the erotic cart before the horse.
The question is not: What provokes women’s desire? The real question is: What kind of lovemaking allows women to feel relaxed, protected, and cherished enough to enjoy sex and eventually experience desire?
      
The idea that desire follows good sex turns conventional notions of libido upside down. But Basson’s insight also provides perspectives that can help men and women better understand each other and enjoy greater sexual satisfaction.
Women Really NEED Extended Warm-Up Time
Many supplements claim to boost women’s libido, and since Viagra, drug companies have been hot to develop drugs that pique desire in women. But if Basson is correct—and all the sexologists I’ve interviewed think she is—then drugs and supplements may be putting the erotic cart before the horse.
The question is not: What provokes women’s desire? The real question is: What kind of lovemaking allows women to feel relaxed, protected, and cherished enough to enjoy sex and eventually experience desire?
That’s easy. In dozens of sex surveys over the past 40 years,
 women say they prefer leisurely, playful, sensual lovemaking based on 
whole-body mutual massage that eventually (after 30 to 45 minutes) leads
 to genital caresses. Women’s top erotic complaint is that men are too 
rushed and too focused on female breasts and genitals, that men are all 
finished before women have even become interested. Viewed through the 
lens of Basson’s work, this makes perfect sense.
 The classic, porn-inspired male “wham, bam” style of sex doesn’t allow 
women the warm-up time they really need to feel sufficiently relaxed and
 valued so they can experience desire.
So, ladies, if you feel 
sexually neutral as an erotic interlude begins, you’re normal. If you’re
 “slow” to become aroused, you’re normal. If you like lots of kissing 
and cuddling and massage before things progress to genital sex, you’re 
normal.
And gentlemen, if you want her to feel turned on, if you 
want her to want you, then slow down, then slow down more. Kiss her, 
hold her close, and gently caress every square inch of her body from her
 scalp to her feet for at least 30 minutes before you touch her breasts 
or genitals.
“I’m Not In the Mood”
Basson’s
 discovery also sheds light on desire differences. After relationships’ 
initial hot-and-heavy period (six months to a year), desire cools, and 
one person—usually, but not always, the man—wants sex more than the 
other—typically the woman. Desire differences are virtually inevitable 
in long-term relationships, and often become festering sores. This joke 
always gets a grim rise out of men: What’s foreplay to a man married 10 
years? An hour of pleading. Today, desire differences are a leading 
reason why couples consult sex therapists.
Therapy is a good 
choice. Sex therapists have developed a deceptively simple yet 
remarkably effective program for resolving desire differences: Negotiate
 how often you’d like to make love, then pull out your calendars and 
schedule it in advance.
Of course, this opens a can of worms. Many
 people have strong feelings about sexual frequency, and many 
lower-desire folks cringe at scheduling, saying, “What if I’m not in the
 mood?”
There’s no “normal” sexual frequency, but for the record, 
the University of Chicago’s landmark “Sex in America” survey showed that
 from age 20 to 60, most couples make love from twice a week to twice a 
month, with lovers under 40 typically reporting four to six times a 
month and those over 40 doing it on average three times a month.
As
 for reluctance to schedule sex, women who feel that way are probably in
 the large group Basson has identified, those who don’t experience 
desire until they’re well into good sex. Sex therapists urge 
lower-desire lovers to temporarily shelve their doubts and try 
scheduling for a few months. If they don’t like it, they’re free to 
stop. But typically, initial reluctance yields to a pleasantly surprised
 admission that scheduling works quite well. It also improves things out
 of bed. It reduces resentments and contributes to a happier 
relationship.
Basson’s research focuses only on women. But 
therapists say that in serious desire differences, about one-third of 
the time, the lower-desire partner is the man. It’s possible that these 
men are like so many women, not very interested in sex until things heat
 up.
If you want to resolve a long-term desire difference, start by reading my article, “’You’re Insatiable!’ ‘You Never Want To!’ The Sex Therapy Program That Treats Desire Differences.”
If
 the article does not provide sufficient resolution, I’d urge a few 
months of sex therapy. To find a sex therapist near you, visit the American Association of Sex Educators, Counselors, and Therapists, the Society for Sex Therapy and Research, or the American Board of Sexology
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