Posts by Joan Price
Changes after Prostate Surgery: Tina Tessina
Many of you have been reading and asking about prostate cancer, how it affects sexuality, how spouses/lovers can communicate and keep their love strong while living with it. Some of the most widely read posts on this blog have been those dealing with prostate cancer, such as “A man asks about sex after prostate cancer” and “Grace Period: a novel about living with prostate cancer.”
In response to your interest, I’ve asked Tina Tessina, Ph.D. to comment on this subject. Besides being a psychotherapist and author, Tina writes from experience: her husband is living with prostate cancer. Here are her comments:
The changes that come after prostate surgery are, like all changes, not easy. We don’t like to have to deal with changes, especially those that confront us with our mortality. But, I can happily report, with some encouragement and enthusiasm from me, my wonderful husband is quite functional sexually. His surgery was in 2002, he just got another ‘undetectable’ PSA test, so we are blessed.
For us, the blessing is in how heightened our love and appreciation (which was pretty good before) has been by the threat of terminal illness. Richard is lucky — they got it early, it has not spread, the surgery went well. His second surgery to have an artificial sphincter put on his urethra, also went well.
Others, I know, have a more difficult time. But, as Gerald Haslam wrote in Grace Period, “Live for the moment, since that may be all you have.” Richard and I decided to do that in 2002, and we’ve been making the most of our moments ever since. Every day is a gift, another cup of sweetness, and we drain it to the last drop. One of our joke lines is “I’d like another one of them there drinks,” from Scrooge, referring to the Cup of Human Kindness given to him by the Ghost of Christmas Present.
For some couples, the tension of serious illness creates crabbiness and bickering. Richard and I have never wanted to waste time arguing, and we haven’t for a long time. I don’t believe it helps anything that’s going on. In my newest book, Money, Sex and Kids: Stop Squabbling About the Three Things That Can Destroy Your Marriage out from Adams Media spring 2007, I help couples who are fighting learn new methods of getting along so they can enjoy their time together.
For more, see Tina Tessina’s Dr. Romance Blog. Dr. Tessina is a psychotherapist, author of several books including It Ends With You: Grow Up and Out of Dysfunction, How To Be a Couple and Still Be Free, and The Unofficial Guide to Dating Again. She writes the “Dating Dr.” column on www.CouplesCompany.com and “Dr. Romance” on Yahoo! Personals.
Why so hard to talk about sex?
Why is it so hard for couples to talk about sex? Does it get any easier with age?
A year ago, I would have said that yes, with the experience, self-knowledge, and communications skills that come with age, it does get easier to talk about all intimate matters, including sex. That’s certainly true for me.
And yet, in the past year since my book came out, I’ve heard from dozens of readers or workshop attendees who tell me about the difficulties they have communicating their sexual needs, desires, and worries to their partners, either long-term or new.
What do you think? What reasons hold us back from communicating fully about sex to a partner? I’ll start the list, and I invite you to join in with your ideas.
1. We’re afraid of being judged. 2. We’re afraid that our partner will think that he or she is being judged. 3. Our upbringing rears its ugly head: we shouldn’t be feeling/ saying/ doing this. 4. We’re embarrassed about the changes in our sexual response due to aging and/or our medical challenges. 5. We’re afraid our partner will misunderstand or say no to our request. 6. We worry, “What if my partner does what I’m asking, and it still doesn’t work?” 7. We don’t know what to ask for, we just know something could be better.
Please comment on any of these that resonate with you, and feel free to add your own ideas. You can click on “comments” below, or email me with your comments.
Thanks for helping me figure this out!
Unsafe Sex Toys & Practices
“Sex toys are an awesome gateway to an incredible sex life,” says sex educator/author/blogger Violet Blue. “These silly, bizarre little (or big) things can lead to hours of orgasmic exploration, self-discovery, sexual self-reliance and even deeper intimacy between couples (or a hilarious comedy of errors, depending).”
But not all sex toys are safe, says Violet in her article, “Unsafe Sex Products,” also available as a podcast. For example, some sex toys labeled “for novelty use only” are made poorly and cheaply, may break easily, and/or may contain chemical materials that you don’t want in contact with your delicate parts.
Fortunately, many high-quality sex toy manufacturers and vendors take your pleasure and sexual health seriously. (The woman-friendly sex shops I recommend in Better Than I Ever Expected: Straight Talk about Sex After Sixty care about your health and your pleasure, and are careful to carry quality products.)
I’ve paraphrased some of Violet’s tips here, with her permission, about a few products and practices to avoid:
* Nonoxynol-9: an agent that is supposed to kill HIV/AIDS, but can cause cervical abrasions and strip away rectal lining.
* Numbing lubricants and desensitizing creams such as Anal-Eze: If something you’re doing hurts, you want to know it and back off, or injury or infection can occur. “When you can’t feel pain, you are getting injured, period,” says Violet.
* Sugar/ glycerin: Avoid lubricants with sugar, colorings and flavors in them. Glycerin/glycerol is a sugar. Sugar feeds yeast, causing vaginal irritation. (That also means no whipped cream or chocolate as “dessert” during oral sex — keep sex and food separate!
* No Back to Front: Never go from anus to vagina with body parts or sex toys. Even if you’re squeaky clean from the shower, internal fecal bacteria can transfer. If you like anal stimulation with a sex toy, cover it with a condom.
(Violet Blue is the author and editor of over a dozen books on sex and sexuality, a sex educator who lectures at UC’s and community teaching institutions and writes about erotica, pornography, sexual pleasure and health. Her books include Best Women’s Erotica 2007, The Adventurous Couple’s Guide to Sex Toys, and Lust: Erotic Fantasies for Women. Caution: if you’re not used to in-your-face, graphic sex writing and photos, tread carefully when you visit Violet’s blog!)
Aging and Sexuality: Recommended Books for Geriatric Intimacy
In Better Than I Ever Expected: Straight Talk about Sex after Sixty, I recommended an assortment of helpful books for women and men interested in having great sex and geriatric intimacy. I thought it would be useful to reprint this resource here. I’ll divide the books by category, and I’ll add new books that have crossed my path since Better Than I Ever Expected was published. Let me know about a special book you’ve enjoyed that belongs here. (Keep checking back — this list is just the beginning!)
I’ve included links to these books on Amazon.com for your convenience and to read more customer reviews, although I encourage you to purchase from your local independent bookstore when possible.
And of course, if you don’t already have it, I hope you’ll read Better Than I Ever Expected: Straight Talk about Sex After Sixty! Order a personally autographed copy directly from the author here, or order from Amazon here.
Better Than Ever: Love and Sex at Midlife by Bernie Zilbergeld, Ph.D., (Crown, 2005). A guide to sexual enjoyment in the second half of life, including overcoming health challenges and staying sexy in long-term relationships, based on 145 interviews with men and women ages 45 to 87. This is an excellent book from the male point of view. Unfortunately, Zilbergeld died before this book could be published. We are fortunate to have his last work.
Dr. Ruth’s Sex After 50: Revving Up Your Romance, Passion & Excitement! by Dr. Ruth Westheimer (Quill Driver, 2005). Smart advice from Dr. Ruth about health issues, physical changes, and keeping your sex life with your partner interesting and fun, with stories of real couples.
The New Love and Sex After 60 by Robert N. Butler and Myrna I. Lewis (Ballantine, 2002). A geriatric physician and a psychotherapist discuss how sexuality is affected by physical aging changes, medical conditions, medications, emotional issues, and relationship changes. Rather dry writing style, but it covers the ground.
Sex Over 50 by Joel D. Block, Ph.D, with Susan Crain Bakos (Parker, 1999). Frank self-help book aimed mostly at couples, with tips (“sizzlers”) galore for recapturing romance and passion and dealing with the sexual challenges of midlife and older, plus anecdotes of geriatric intimacy.
Still Doing It: Men & Women over 60 write about their sexuality, ed. Joani Blank (Down There Press, 2000) Real people 60-plus to 80-plus tell bluntly and in graphic detail (and graphic language) what they do and what they like, including an array of sexual styles.
Rescue Me, He’s Wearing a Moose Hat: And 40 Other Dates After 50 by Sherry Halperin (Seal Press, 2005). Fifty-plus widow’s adventures with online dating mismatches. Fabulously funny and often poignant. With dating catastrophes like these, single life doesn’t look so bad.
Revolution in the Garden: The Memoirs of the Garden Keeper by Dell Williams and Lynn Vannucci, autobiography of founder of Eve’s Garden, New York women’s sex shop, written at age eighty-two. Her reminiscences include losing her virginity in date rape in 1940 and attending Betty Dodson’s masturbation workshop in 1970.
A Round-Heeled Woman: My Late-Life Adventures in Sex and Romance by Jane Juska (Villard, 2003). Sixty-six-year-old woman overcomes a restrictive sexual upbringing and places personal ad: “I would like to have a lot of sex with a man I like.” She gets plenty of responses and trysts, but the results mostly aren’t very satisfying.
Still Sexy After All These Years? The 9 Unspoken Truth about Women’s Desire Beyond 50 by Leah Kliger and Deborah Nedelman (Perigee/Penguin, 2006). Empowering self-help guide to understanding your changing sexual desire after fifty, with excerpts from interviews.
Unaccompanied Women: Late-Life Adventures in Love, Sex, and Real Estate
by Jane Juska (Villard, 2006)). Juska chronicles how her life, dating and otherwise, has changed since publication of Round-Heeled Woman. If you enjoyed RHW, you’ll enjoy this one, too.
All Night Long: How to Make Love to a Man Over 50 by Barbara Keesling, Ph.D. (Harper Collins, 2000). A sex therapist and former sex surrogate explains what a woman should understand about an aging man’s sexuality, his “temperamental penis,” and how to keep the focus on “lovemaking, not erections–partnership, not performance.” Practical, frank, and helpful.
Great Sex: A Man’s Guide to the Secrets of Total-Body Sex by Michael Castleman (Rodale, 2004). Castleman writes with warmth and honesty about issues that concern men at any age: their own and their partner’s sexuality and pleasure. An excellent book for the man in your life.
Intimacy with Impotence: the Couple’s Guide to Better Sex after Prostate Disease by Ralph & Barbara Alterowitz (Da Capo/ Lifelong Books, 2004). A frank, practical guidebook to satisfying, sensual intimacy whether or not the male partner can have erections. An array of self-help strategies, from communication and creativity to medical therapies.
I hope this helps you to age vibrantly and your senior sex life! Geriatric intimacy is something to be celebrated.