Volume 5, Issue 3, March 2006

Letter From the Editor

Hello Subscribers! This month's newsletter features a Hot Topic I have never seen addressed anywhere - testosterone (T) for women, as a libido enhancer. Read below to find out what testosterone will and will not help with. Also make sure to check out all the news and research from this past month.

Some of you may have visited the Teletherapy page on the site. Trial runs of our old system proved a bit finicky and I am pleased to announce that we have streamlined the process, so if you have wanted to have a session with Dr. Ren but live too far away for an office visit, you may want to take a look at this new option.

~ Editor

Hot Topic: Testosterone for Women

Testosterone (T) for women is generating a lot of interest recently.  As our knowledge of the function of the human body increases, our questions become more sophisticated as well.  We know that testosterone drives sexual appetite.  That said, if a man desires more sex than his female partner, wouldn’t giving her a dollop of testosterone remedy the situation?

Testosterone can be a magic elixir for women.  However, to benefit from the libido-boosting effect of T, women must be deficient, which is rare.  Our bodies maintain a small but essential level.  Testosterone and its related androgens make estrogen, and we have storage facilities for it throughout our bodies.  We produce T in the ovaries and indirectly through the adrenal glands.  We even cleverly store it in fat cells, especially after menopause.  If we are testosterone-deficient, we may experience lessened sexual desire and responsiveness and loss of energy and wellbeing.  In other words, we are not much interested in anything, including sex, but those symptoms can have many causes.  It is worth investigating for women who have had their ovaries surgically removed or who experience a precipitous drop in energy and libido that cannot be otherwise explained.    Check with your health care professional.  For the few women who are deficient, there are tests to determine it, effective treatments to correct the condition, and fun activities to celebrate the ‘cure’.  Former sexual appetite is restored, as is energy.

If you find, however, that your lack of sexual interest is not hormonally based, you have a number of other leads to follow.  Many women complain that we lack agency over our sex lives.  Raised to be receptive to men’s advances, we did not learn initiation skills and therefore forfeit the privilege of asking for sex when we want it.  Instead we must use charm and flirtation to manipulate our lover to invite us to make love.  The result is that women are always figuratively, if not literally, on the bottom. 

Articles of the Month

Great news for parents!  A researcher at Simon Fraser University has compiled a list of resources appropriate for teaching sexuality to children.  Take a look.

Dan Savage, now editor of Seattle’s newspaper The Stranger, makes a good point in this thoughtful and well-written piece about gay Hollywood, the ex-gay movement, and ‘traditional family values’.

"Naughty Mommy" strikes a chord for new mothers in book about semi-taboo subject: lost libido after childbirth.

Sometimes we need those way out on the fringes to remind us of where sanity ends and lunacy begins.  Unfortunately, those reminders are sometimes in places of power.  This article would be funny if not so chillingly real.


Research of the Month

Good news for post-traumatic stress disorder victims.  Common drug may help.

What a surprise... comprehensive sex education helps teens make good choices.  See this research from Britain.

Eventually this lack of control robs us of our entitlement to our own sexiness.  We lose our sense of ownership of our lust and begin to feel like objects rather than subjects.  In the angry years of the Feminist revolution we blamed this on men; it has taken a long time to understand our own complicity in this counter-productive dance.

All these factors—lower testosterone levels, social and cultural expectations of submissive role posturing, lack of assertiveness skills—keep women from exploring their full sexual potential.  Having sex only when he wants it, how he wants it, on his terms eventually erases a woman’s unique contributions.  She loses interest because she no longer feels involved.  Sex has little to do with her.  As surely as these factors affect heterosexual women, they shape the sexual responses of lesbians as well, though the dynamics are a bit different.  I will address these in a separate column.

It is by boldly embracing sexuality as our own that we become fully involved in the action, equal partners and peers with our men.  This requires us to confront the messages we learned as children about how women—and men—are supposed to behave.  We need to question our belief systems and critically analyze our media and everyday speech.  We need to have deep conversations with our lovers about the roles of sex and power between us and how we can equalize them.  We need to negotiate and renegotiate the rewards and costs of redefining our relationship dance. 

The pay-off, of course, is improved sex in a peer relationship with someone you like who respects and honours you.  Oh, yeah, and having your mojo running, too.

© Pega Ren. 2006. All Rights Reserved.


Obituaries

Again this month we mark the passing of another icon on America's social landscape.  Betty Friedan pioneered the women's movement with her book, The Feminist Mystique.  Things were never again the same. Read her obituary.


Case Study: Pitfall of Make-Up Sex?

Gina and her husband Paul hoped sex therapy could help them.  They had always had great sex, but that was changing.  They were both so angry now that even the make-up sex was paling.

Gina and Paul met in their early twenties.  Both were from Italian Catholic families and each had been their family’s rebel.  They had a dynamic but stormy fifteen-year relationship and were firmly committed to each other and their two children. Love was unquestioned.  When they disagreed, they fought explosively, retreated in stony silence, and then reconnected with aggressive and passionate make-up sex.  Then they would return to the rhythm of their lives. 

The piece missing was any resolution of the source of their arguments.  The pitfall of make-up sex is that it can substitute for communication.  Such was the case with Paul and Gina.  Although the sex relieved their emotional tension, their anger remained and leaked out sideways.  By the time they came to see me, subterranean resentments and grudges marred their marriage.  There was a lot of air to clear.

Through therapy, we identified this destructive anger pattern and each agreed to approach resolving issues differently.  I gave them homework centering on active listening and negotiation but time and again one or the other of the pair would sabotage the success of the exercises.  To determine what was stalling our progress, I met with Paul and Gina separately. 

In that safe environment, Gina confessed her doubt that Paul really wanted to hear about her feelings.  She was fearful that if she showed her truly vulnerable side, he would find her weak and ultimately ridicule her.  She believed he loved her for her strength and fighting spirit and she dared not expose her vulnerable side.  I countered that this was precisely what Paul needed to experience of her to break through their impasse.  I asked her if she would lose respect for Paul if he were soft.  On the contrary, she protested, she longed for that safe harbour.  They always seemed a bit on guard with each other. 

When Paul came in, he shared virtually the same story, though in different words.  Shackled by machismo stereotypes, he hesitated to apologize even when he knew he was wrong or to back down from a stubborn but silly position.  He was weary from being manly.  He longed for comfort and compassion, yet feared it would cost him respect.  I asked if he thought Gina might well be feeling the same way he was.  “Oh, no,” he was sure, “Gina’s much stronger inside than I am.”  I looked forward to our next conjoint session.

When next we met together, I told Paul and Gina my impressions of what had stalled their progress.  I advised them they both felt the same things.  This knowledge neutralized their mutual fear and got each of them curious about what the other had hidden behind their defenses.  I sent them home with exercises that would enable them to share their feelings safely.  They learned to become authentic with each other and discovered a deeper respect and intimacy than they had known was possible.   This allowed them to separate sex from negotiation.  They still have spats, of course, and Paul and Gina continue to enjoy their hot make up sex, but they now add a significant new step.  After the sex, they go out for coffee.  (Moving to a neutral and public environment refocuses perspective.)  Then they return to their home office (or living room, but not back to the bedroom—that is for sex and intimacy) where they discuss and resolve their disagreement.

Learning this new step took time and work.  Neither Paul nor Gina knew how to resolve anger effectively.  To negotiate mutually beneficial decisions, they had to risk being vulnerable, appearing foolish, and being rejected.  And they did.  They are closer now than ever and their household reflects their happiness.  A significant added benefit is that they will model these negotiation skills for their children.

Without intervention and their hard work, this destructive pattern may well have eroded their otherwise strong bond.  Now this couple continue to enjoy the passion of make-up sex (they still have fiery disagreements) as well as the soul-gazing intimate lovemaking of lovers in harmony.

This case study reports in a few paragraphs what in reality represents a great deal of introspection, honesty, dialogue, and willingness to risk change during a therapeutic intervention.  Some of it is difficult; some of it comes as a huge relief.  Usually the results are welcome and exciting.  It is quite natural to fear change, for we do not know what that change will bring.  Remember, though, that a change from unhappy and unworkable is generally one in the right direction.

© Pega Ren. 2006. All Rights Reserved.


Entertainment Announcement: The Good Body

Eve Ensler's first triumph, The Vagina Monologues, ignited a movement that has exploded
into a global phenomenon.

Now she's back, with a show both uproarious and insightful. In The Good Body, Eve takes
an inside look at the outside, exploring the cultures of beauty, food and desire through
the eyes of women around the world.

After a critically acclaimed run on Broadway, she's bringing this provocative, hilarious and
profoundly moving performance to you. It's the theatrical event you've been craving! Don't
miss The Good Body, starring Eve Ensler.



Sites of the Month: Santorum, Santorum, Everywhere...

Senator Rick Santorum is proposing to introduce the "Marriage Protection Act" in the States in March. Sign this petition from the Human Rights Campaign to add your voice to the opposition. Pass it on.

Rick Santorum has been busy: Learn about his proposed Workplace Religious Freedom Act, and what you can do about it, from the ACLU.

Dan Savage of Savage Love fame along with his readers, memorialized the right-wing Senator by redefining the word "santorum". Visit the Wikipedia entry and the Santorum site to learn more.


Humour

A man walks into a restaurant, followed by a full-grown ostrich. The waitress asks them for their orders. The man says, "A hamburger, fries & a coke," and turns to the ostrich, "What's yours?" "I'll have the same," says the ostrich. A short time later the waitress returns with the order. "That will be $9.40 please," and the man reaches into his pocket and pulls out the exact change for payment.

The two visit frequently, ordering the same, and each time the man pays with exact change. One Friday night the two enter again. "The usual?" asks the waitress. "No, tonight I will have a steak, baked potato and a salad," says the man. "Same," says the ostrich. Shortly the waitress brings the order & says, "That will be $32.62." Once again the man pulls the exact change out of his pocket and places it on the table.

Curious, the waitress says "Excuse me, sir. How do you manage to come up with the exact change in your pocket every time?"

"Well," replies the man, "several years ago I was cleaning the attic and found an old lamp. When I rubbed it, a Genie appeared and offered me two wishes. My first wish was that I could just put my hand in my pocket and the right amount of money would always be there."

"That's brilliant!" says the waitress. "Most people would ask for a million dollars, but you'll always be as rich as you want for as long as you live!"

"That's right! Whether it's a gallon of milk or a Rolls Royce, the exact money is always there," says the man.

"But what's with the ostrich?" asks the waitress.

The man sighs and answers, "My second wish was for a tall chick with a big ass and long legs who agrees with everything I say."

~

Clever JavaScripting allows visitors to experience sex as either gender at this humour site.

~

The success of Brokeback Mountain has everyone looking through their queer eye. MadTV enters the gay fray with this skit.

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© 2005. Pega Ren, Ed.D. All Rights Reserved.