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Like all living things, we are inherently sexual beings. Our sexuality is rooted in how
we understand and define ourselves, how we perceive others, and how we see the world.
emotional, and psychological factors. It's important for us to reflect on all these aspects of
ourselves and the role they play, as the relationship we have with our sexuality reflects our
sexual self-esteem. And just as we talk about the value of developing healthy self-esteem, so
therapist, this is one of the things that I am most often asked about. So, here are some key
When I talk about sexual self-esteem, I'm referring to the feelings you have about your body,
and your confidence level in how you relate intimately to someone else. It's what you bring of
yourself, both emotionally and physically, to sex and relationships -- what you do with that and
how you share that with someone else. Sexual self-esteem affects every sexual choice you
make -- who you choose to have sex with and when, whether you limit yourself sexually and
1. Feelings about your body: How you feel about your body affects your ability to
Our bodies house our sexuality -- it is through the body, essentially, that sexuality finds
expression. So being aware of just how we feel about our bodies, is revealing. A client once
described her anxiety about how her stomach looked when she sat on top of her partner. She
shared that she would either suck in her stomach or try to reposition herself so that it appeared
flat. The focus on her stomach took her out of the sexual moment and instead of the pleasure
and connection she wanted with her partner, she instead felt like a spectator to her sexual
experience. Her partner sensed that she was disconnected and interpreted it as a lack of
attraction to him and a lack of interest in sex. As a result, both gradually stopped initiating sex
and they began to lose their sexual connection. So, clearly, our internal voice about our body,
echoes loudly. Of course, the way we see our body is highly influenced by magazines,
billboards, TV and web ads that offer us idealized images of what our bodies 'should' look like,
even though these images have little relationship to what most of us actually do look like.
Do a body scan: It's worth taking time to reflect on how you feel about your body --
every part of it. Think about what parts you like and dislike. Are there parts that you feel
ashamed of? Reflect on all of it, as a lack of confidence can show up in subtle ways. Don't
forget your genitals. How do you feel about them? My experience as a sex therapist has shown
me how influenced people are today by the mainstreaming of porn, so that both men and
women compare themselves to what they see -- comparing labia, breasts, penis size. Is this
And then ask yourself: Who gets to decide how you feel about your body? Cosmopolitan?
Your co-worker, the stranger at the gym? Who owns your body? Does that billboard you drive
past every day challenge your self-acceptance. This kind of self-awareness gives you the
opportunity to think about these fixed ideas you may have about your body, and with that,
We all have sexual stories that begin in early childhood, and these stories influence our later
sexuality. The stories come out of the way sex was spoken about (or not) in the family; the
religious or cultural ideas about sex in communities; how your caregivers felt about their bodies
and showed affection to one another; the experience of touch; first experiences of
masturbation, etc. Some sexual stories generate feelings such as shame, guilt and anxiety. Is
Get to know your sexual story: Did you talk about sex in your family or community?
When you were growing up, what attitude was communicated to you about the different parts
of your body? For example, when you were a baby and naming parts -- eye, nose etc. -- were
your genitals given a cute name or simply called "privates" and were you told that they were
not to be spoken about or touched? What kind of relationship could you expect to have with a
nameless, often ignored or just shameful body part? What kind of effect did these experiences
have on you?
Form new narratives: Challenge your ideas and beliefs about your sexuality. (Do they
continue to work for you? Are they helpful?) Becoming aware of what has influenced you,
gives you the power to develop new ways to tell your sexual story
We spend a lot of time worrying about technique -- we read books and magazine articles that
promise all sorts of results if only you do this or that. And then we spend most of our time in
bed worrying about whether we remembered the "right" move. People come in to my office
and ask how they can improve technique. My response is to say that they shouldn't worry
about what they think their partner thinks of their sexual skills, and should rather just
communicate! Talk to your partner. Ask, 'Does what I'm doing feel good?' or say 'I like it when
you do ...'. Because we are unique individuals, each of us has a unique sense of what feels
good for us. So you won't know for sure unless you ask! And don't assume that your partner
will know what feels good for you either. You need to communicate what you like or what turns
you on. Your primary sexual relationship is with yourself. It is not your partner's responsibility
Reflect on your feelings about sharing your sexual preferences: How do you feel about
communicating what you like or want? Do you judge yourself for what you like? Withholding
that information can certainly lead to a dissatisfying sexual experience. You may feel more
vulnerable talking about sex in bed, so it's worth having conversations outside of the bedroom.
And when you do, be sure to make eye contact, listen without judgement, acknowledge what
Lastly, there's sex and meaning. What does sex mean to you? Sex itself is just a body part
doing something to another body part -- perhaps it's a finger doing something to an anus or
lips doing something or a tongue or maybe it's just a penis into a vagina -- there's no intrinsic
meaning to these actions, just the physical mechanism of movement. But as humans, we are
meaning makers-we make meaning out of everything and we attach a LOT of meaning
particularly to sex. Sex can mean power, connection, physical pleasure, a declaration that now
we're a couple. It can be a bargaining point or the symbol of a contract - in short, it can mean
as many different things as there are people in the world. And so of course, sex can mean
completely different things to the two people in a relationship, and people rarely discuss their
usually had sex with men on the second date. She often didn't hear back from the men she
had just slept with and this confused her. For her, sex was an expression of emotional intimacy
and she assumed it was for her sexual partner as well. It often feels too difficult or simply
doesn't occur to a couple to discuss what sex means to each of them before having it.
Take a moment to think about what sex means to you. Be clear with both yourself and
a partner before a sexual encounter, about just what exactly you're about to do, means to both
of you. It's okay to have different meanings, it's just helpful to have the information in order to
What I've offered you here are some key points to consider and reflect on. They are the
fundamental ideas that repeatedly show up in my work with clients. I encourage you to use
them to really think about the way you relate to your body, your internal dialogue about sex,
and how you express your sexual needs. The more self-acceptance you have about your
sexuality -- the whole thing, every stretch mark, dimple and saggy buttocks, every fantasy and
desire -- the more engaged your sexual experience and sexual satisfaction.