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The following email was sent to us by Henry, a 54 year old man:

 

My wife and I have been married for over 25 years. We both are in good health and we both are deeply in love with each other. Up to about ten years ago we enjoyed occasional sexual intercourse and she "allowed" me to go down on her for about 30 seconds before she was so turned on that she wanted me to stop and have intercourse with her.

 

When I married my wife, all she knew about sex was doing the "missionary" position - not much touching, no sexual fondling or caressing, and definitely no cunnilingus or fellatio. Well, we did somewhat progress over the years and she found out to her delight that she liked many things I showed her, including love-kissing and oral sex. Of her own initiative she also got down on me and sucked me once in a while - which she loved. Those experiences were fulfilling and satisfying for us both. It took many years to get to that point. We both enjoy romance, long kisses and soft, loving embraces. She never wanted to openly talk about our sexual desires and what would make us happy and give each other joy and fulfillment. Many times, however, I have felt unfulfilled. So, I wrote her a number of letters over the years explaining exactly what I liked and how I wanted to go down on her and love her because it was the ultimate turn-on for me and hoped that it would do the same for her. Well, I knew kissing and oral sex greatly aroused her which she liked very much. But I think she was afraid that it would bring on an orgasm and she didn’t want to loose control before having “regular” intercourse. As for me, a man, during sexual foreplay and arousal, I can let myself completely go and let her do to me what her heart desires - I completely give myself to it. But I have never experienced her doing that. When I try to go between her legs to kiss her and lick her, for example, she remains flat on the bed with her legs just barely spread a bit. Makes it hard to get to her even when I gently try to coax her to open herself to my tongue!

 

In my letters I have explained how much I enjoy cunnilingus and that it turns me on like nothing else. I’ve even told her that she could meet me sometime at the door when I get home without wearing panties and just a short skirt - or sitting across from me with her legs slightly apart wearing no underwear. Now that would be a turn-on for me which I could not refuse! I wanted her to take the initiative once in a while like that. But she has never done that. Maybe my expectations are out of bounds. I know she enjoys what we do together but she makes it so hard for me unless it’s in bed and the lights are turned off.

 

Since having had high blood pressure for many years, it finally did its job on me so that I no longer can have a full erection (ED). I tried Viagra, but all that did for me was to make my face hot and flushed. Since then, we both gave up having sex altogether. She doesn’t want to arouse me sexually because she knows that I can’t have intercourse and so any sex play is completely out. As much as I enjoy cunnilingus, if she could give herself to that and go ahead and have an orgasm, wouldn’t that be a joy and fulfillment for her since she does like it? (I catch myself looking at other women’s legs and thighs and wondering what it would be like going down on them and the enjoyment it would bring…). We sleep together but we might as well be in twin beds. There is no caressing any more or sexual touching.

 

Maybe my thinking is all wrong and I’m just a pervert or whatever. But I enjoy sex, especially cunnilingus, and it would satisfy us both I’m sure. Am I wrong here or should I just go on as is and forget the whole thing. I love my wife and would not consider to cheat on her. If my thinking on this is legitimate, what can I do? Can our sex life be rekindled? And if yes, how can I breach this with her? For her, any explicit reading material or video would be considered crude and repulsive.

 

 

Anna's response:

 

Thank you for writing to me and being willing to describe your experiences and feelings openly in an email. I am very sorry to hear about the situation you are in, both with respect to the loss of your erections and the "stuckness" you are experiencing with your wife around sex. I think it is a great loss when people find that the person they love and are committed to isn't up for being sexual in the same way as they are.

 

I can only fully and wholeheartedly support you in NOT giving up on your sexuality and a fulfilling sex life just because your erections aren't hard enough for penetrative intercourse (or happening at all) any more. Your erectile problems will not have changed you into an asexual being or even dented your libido. Sexuality is still a part of you. Also, men can have a lot of fun sexually without an erect penis. It's important to fight back against this myth that partner-sex must involve penetrative sex and therefore sex can only happen with a complete hard-on. This is not what sex is about! If one sees sex as playing, sensuality, emotional connection, physical pleasure, sexual arousal, then all of these experiences are still open to you. There isn't any reason why you couldn't enjoy sex, especially giving and receiving oral sex even though your penis doesn't respond with a visible erection. It seems that you still have a desire for sex, for the excitement and the intimacy of sex, which is great.

 

Please don't give up on having sexual experiences just because your wife isn't quite on the same wavelength just now. Please allow yourself to continue to be a sexual person and to explore sex, sexual touch and sexual fantasy by yourself if necessary to get a sense for what kind of stimulation is pleasurable to you now. It may also make sense to learn more about erectile dysfunction and the various strategies to deal with it (for example, read Bernie Zilbergeld, 1999, The New Male Sexuality, Bantam Press). Erectile dysfunction (ED) is often a matter of degrees and you may find that your difficulty isn't as complete as you expect it to be.

 

Additionally, if Viagra didn't work for you the first time round, it may be useful to consider whether the reason it didn't work was more psychological, more about your relationship, than physiological. The use of Viagra needs to be supported by a partner otherwise it often 'doesn't work', i.e. doesn't lead to a fulfilling sexual experience. Also, when taking any new drug one's body and mind often have to learn how to interpret what is happening properly. For example, with alcohol a person slowly gets socialized into having an experience of being drunk. It looks as if it's simply the inevitable effects of the drug, but there is a lot of social construction and learning of how to respond in there as well. It may be worth persevering with Viagra for a while, maybe by experimenting with it by yourself to get used to all the sensations and possibilities involved in taking it, i.e. to learn how to use it and enjoy its possibilities. Of course, you will need a proper medical assessment to do so to make sure you are not damaging your health further.

 

As to how to negotiate this issue with your wife, I think your strategy of writing letters is an excellent one. It takes the pressure out of communicating, pressure which might be there if you tried to talk about a difficult issue in a face-to-face conversation. It gives both of you space and time to consider what to write or reflect on what has been said, rather than responding with defensiveness. I would suggest you keep going with this strategy and tell her honestly what is going on for you. You didn't mention in your email whether she ever responded in kind, i.e. whether she wrote letters in reply to yours and openly talked about her feelings in response to what you said to her. This would be an important part of the process in that you need to find out more about what exactly is going on for her and, if she is willing to share it with you, to find out what is inhibiting her sexual expression. The letters are working if both of you are able to learn new things about yourselves and each other in the process of writing, and you're both able to get closer even though it might be upsetting or create conflict at the start.

 

To get back to having a  physical and sexual relationship you could consider the Sensate Focus exercises. This is the classic, psychosexual behavioral treatment program for ED and some female sexual problems, such as anorgasmia. It involves taking turns at touching one's partner in increasingly sexual ways, but you remove any urgency about progressing to intercourse, thereby taking away any pressure to perform. The Sensate Focus exercises might be very useful for your wife so that she could explore her body's sensations and sexuality in a safe, non-pressurized way. As with Viagra, Sensate Focus is a powerful treatment option, but it needs to be fully endorsed by both partners. If one of you isn't fully on board it is easy for the process to become sabotaged by 'not having enough time' or 'forgetting to do the exercises'. Both of you need to be willing to take risks with each other and to communicate about what is coming up for you psychologically when doing the exercises. Letters could be an easier (and contained) way to feed back to your partner what was happening for you on the inside during the exercises if it is too difficult to talk about it.

 

Finally, if you find that things stay stuck with your wife and you are not sure how to move forward I would strongly suggest that you find a suitably qualified couples' or psychosexual psychotherapist. A third person may be able to support you as a couple as you move beyond a stuck place, or may give you extra exercises, challenges or view points which help to move things forward. I believe that your sex life is too important to just allow it to fizzle out and die, no matter what the quality of your erections! Moreover, although it must be sad and frustrating to lose your erections, this challenge means you do need to actively negotiate sex with your wife again and through this process you may get to know each other in a much more intimate way. Maybe some good will come out of the ED!

 

If you find that your partner does not want to talk about sex or doesn't want to hear what you have to say about wanting sex despite your erectile difficulties, I would suggest the issue really lies with your relationship and not with your ED. I believe you have every right to push your partner to talk about the issues involved and/or to suggest and insist on couple therapy. Of course this will rock the boat of your normal and possibly quite comfortable co-existence, but it also means that through taking new risks with each other you will get to know yourself and your partner better. You are doing your best to keep love and passion alive and not let it die in familiarity and avoidance.

 

Written by Anna 07.08.09

How Viagra works
Treatment for erectile dysfunction
Effect of impotence on men
Erection problems - one man's story
Erectile problems in gay men
Erectile dysfunction and women
ED - advice for women - how to support a man with ED
ED - What to do when Viagra doesn't work

 

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