Guest Writers, Power Couples

The Essence of Being: Using Mindfulness to Enhance Romantic Relationships

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*Cover photo by Derick Santos from Pexels

Written by Ellyse Winward of the BYU School of Family Life and Chelom Leavitt, Ph.D.
Autopilot can creep into a fast-paced life. Sometimes we arrive at home and wonder exactly how we got there. Sometimes we even walk in, kiss our loved one hello, and end up in front of the TV before we realize it. Even when we are trying to be intentional, we may have demanding tasks, emails piling up, and deadlines to fill. We seem to have no time to slow down and go on a walk or spend time chatting. Although we have a desire for a close and vulnerable relationship, the connection with our partner seems to stay a bit stagnant. 
Maybe this fast-paced life, sometimes lived on autopilot, is a practical response for desired “success” and we sense the pressure to fit our lives into the equation of doing more to achieve more. Unfortunately, success in our day is often measured in terms of better and faster, rather than quality of presence. To restore the magic and fan the spark in a romantic relationship, we need to slow down and be present. 
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Photo by cottonbro from Pexels
This happens when we set aside our to-do list in order to simply talk with and listen to a spouse—when we choose to be mindful and focus more on the essence of being. 
Mindfulness is an awareness of the present without analyzing the past or anticipating the future (Greater Good Science Center, 2020). In other words—it is the essence of being (Richardson, 2011).  It includes aspects of self-awareness, non-judgment, and presence. It’s slowing down. Letting go of distractions. Looking within.
Choosing to slow down can be challenging, since many of us prefer doing to being. One study showed individuals would rather inflict shock to themselves than be alone with their thoughts for 15 minutes (Wilson, et al., 2014). That’s how uncomfortable being alone with our thoughts can be—some would rather be shocked than quietly meditate. Perhaps our rapidly advancing society is numbing us from personal and relational awareness (Wygant, 2013). As seen in the illustration below, however, we have a choice to be “mind full” or mindful. 
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Image from https://srwc-mb.ca/mindful/
So how exactly can one slow down? And what impact does it have on romantic relationships?

How Do I Slow Down?

Here are some ways to start slowing down:
Just breathe.
Breath is the center of a meditation practice. Our breath is constant, rhythmic, and relaxing. The breath can act like an anchor in the whirlwind of better and faster (Milliken, 2015). Imagine what would happen if we spent time with our partner just sitting and breathing together, noticing how the breath comes in and what it feels like when it goes out. Listening for how our breath aligns with our partner’s breath. Calm, connection, peace—that’s what this practice of just stopping to breathe can bring to the relationship (Pruitt, & McCollum, 2010). 
Practice being mindful in everyday moments.
Just like learning to play the piano or perfecting a family recipe, mindfulness improves with practice. Mindfulness is a practice, not a destination (Pruitt, & McCollum, 2010). The little things in a romantic relationship can be a great start. We can increase awareness when our hand lightly brushes against theirs. We can pay attention when giving our partner a hello kiss. How does it feel to connect after being apart? 
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Photo by fauxels from Pexels
Choose to slow down and pay attention to details (Sommers, 2013). Be present with each other. Remain in a long hug in order to feel their steady breath. Take advantage of simple everyday events to strengthen the ability to be aware and to enjoy the moment. Practicing awareness with the little things allows greater capability for mindfulness and increased enjoyment during high-emotional relational events, such as sex.
Return to a calm state during moments of stress.
The state of being during relational interactions can be more difficult to create than during simple tasks, like brushing our teeth. Actually, heightened emotions are often what encourage us to divert our focus during an intimate moment with our partner (Kimmes, Jaurequi, May, Srivastava, & Fincham, 2018). Negative stresses take their toll and mindfulness can help at those moments. For example, rather than becoming instantly upset when our partner has overspent the monthly budget, we can breathe . . .  calmly expressing feelings and seeking a solution together with both partners relaxed and regulated. 
Mindfulness can draw focus to the present moment. The present contact. The present experience. Letting go of the long to-do list and demands from work and just staying in the current moment with our partner—that could change everything (Pruitt, & McCollum, 2010).

What Benefits Can Result?

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Photo by GUIVERG from Pexels
Although mindfulness is something each partner engages in personally, it has a great impact on the relationship—both for each partner individually and for the couple as a whole. Here’s an amazing fact: Research shows one partner’s mindfulness can impact the relational satisfaction for both partners (Khaddouma, Gordon, & Strand, 2017)! Even though we can be mindful without partner buy-in, our partner will likely notice the change in us and may practice a more mindfulness approach to life as well (Leavitt, Lefkowitz, & Waterman, 2019). 
And remember, this is a practice so keep trying even when distraction creeps in. It’s difficult to attune to one’s partner when thoughts stray beyond the present moment. Distraction comes in many forms, but however it happens, we can take positive action to shift thoughts. 
One idea that may help to sidestep distraction during partner interactions is to embrace the moment and come home to ourself (Richardson, 2011).  Re-center the breath, scan the body for tension, and find an inner connection in the body to anchor to. Choose to honor ourselves first. Diana Richardson shed light on this idea:
“When you honor yourself first, you stoke your own fire. You don’t depend on someone else to do it for you, and neither does your partner. The two individual fires join, they augment and enhance each other, and fueled by awareness, flames rise in splendid unison.” (Richardson, 2011)
Settling into our own body can bring a sense of self-empowerment. By doing so, we choose to be calm and redirect our awareness. Self-direction allows us to bring more to the relationship than simply relying on our partner to calm us (Schnarch, 2009).
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Photo by Andi Risam Triangga from Pexels
A greater connection with one’s partner can be realized through these suggestions since practicing mindfulness shifts the whole approach to daily living (Sommers, 2013). One is less reactive and more calm. Less judgmental and more accepting. Experiencing fewer barriers and feeling more freedom and safety. All of this leads to a greater ability to be who we really are—and accept our partner as they really are (Pruitt, & McCollum, 2010). Might sound too good to be true, but it actually works.
Slowing down and shifting autopilot to awareness could be the next stepping stone on the path to a close and vulnerable relationship. So, start practicing mindfulness. Calm the mind. Calm the heart. Tune into the beautiful connections within the relationship. 
Create a new essence of being for you and your relationship. 
Personal Practice 1This week, choose one way to practice mindfulness in everyday moments.

References

Greater Good Science Center. (2020, March 28). What is mindfulness? Retrieved from https://greatergood.berkeley.edu/topic/mindfulness/definition
Khaddouma, A., Gordon, K. C., & Strand, E. B. (2017). Mindful mates: A pilot study of the relational effects of mindfulness‐based stress reduction on participants and their partners. Family Process, 56, 636-651
Kimmes, J. G., Jaurequi, M. E., May, R. W., Srivastava, S., & Fincham, F. D. (2018). Mindfulness in the context of romantic relationships: Initial development and validation of the relationship mindfulness measure. Journal of Marital and Family Therapy, 44(4), 575.
Leavitt, C. E., Lefkowitz, E. S., & Waterman, E. A. (2019). The role of sexual mindfulness in sexual wellbeing, relational wellbeing, and self-esteem. Journal of Sex & Marital Therapy, 45(6), 497–509. https://doi.org/10.1080/0092623X.2019.1572680
Milliken, C. (2015, June 13). The healing power of anchors. Retrieved from https://www.recoverywarriors.com/the-healing-power-of-anchors/
Pruitt, I. T., & McCollum, E. E. (2010). Voices of experienced meditators: The impact of meditation practice on intimate relationships. Contemporary Family Therapy, 32, 135–154. https://doi.org/10.1007/ s10591-009-9112-8
Richardson, D. (2011). Slow sex: The path to fulfilling and sustainable sexuality. Merrimac, MA: Destiny Books.
Schnarch, D. (2009). Intimacy & desire: Awaken the passion in your relationship. New York, NY: Beaufort Books.
Sommers, F. G. (2013). Mindfulness in love and love making: A way of life. Sexual and Relationship Therapy, 28, 84–91. https://doi.org/10.1080/14681994.2012.756976
Wilson, T. D., Reinhard, D. A., Westgate, E. C., Gilbert, D. T., Ellerbeck, N., Hahn, C., … Shaked, A. (2014). Just think: The challenges of the disengaged mind. US National Library of Medicine, 345(6192), 75–77. https://doi.org/10.1126/science.1250830
Wygant, D. (2013). Social media is a romance contraceptive. New York Times. https://www.nytimes.com/roomfordebate/2012/12/30/has-facebook-ruined-love/social-media-is-a-romance-contraceptive

 

 

Chelom-600x401Chelom Leavitt received her Ph.D. from Penn State. She studies healthy sexuality in committed relationships and focuses on how mindfulness during sex may be associated with positive outcomes for both men and women. Dr. Leavitt’s recent publications include cross-cultural work on sexual mindfulness, women’s sexual response cycles, and a study examining the role of orgasm in sexual and relational satisfaction for men and women.

 

IMG_2700_Original[1]Ellyse Winward is currently studying Elementary Education at BYU with a Family Life minor. In July 2019, she was introduced to the book Sexual Wholeness in Marriage by Drs. Busby, Carroll, and Leavitt which subsequently changed her life. Ellyse has developed a passion for learning and talking about healthy sexuality and mindfulness. She has loved learning from and working with Dr. Chelom Leavitt. Ellyse firmly believes mindfulness has the ability to better connect us with ourselves and the people around us and can really be a small thing that makes all the difference!
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Power Couples

7 Components of Great Sex

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Written by Emma Smith
We’ve all seen the tabloids at the grocery store checkout, “best sex of your life!!!” or “positions that will make him hot” and other variations of the same message that are frequent attention grabbers on the covers of Cosmopolitan magazine and others of the like. What really constitutes great sex though? Sexual positions? Let’s be honest, not all of us are Olympic gymnasts so there are really only so many variations of the same basic, and frankly more comfortable, positions. Is it the number of orgasms? What is it?
Researchers have asked this same question and the results might surprise you. Great sex has only a little to do with orgasm and nothing to do with exotic sex positions. The researchers found that “great sex” is composed of seven major components with two minor components or considerations (Kleinplatz et al., 2009).
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Photo from pexels.com

Component #1: Being Present, Focused, and Embodied

The first and most commonly reported component identified was “being present, focused and embodied” during the sexual experience (Kleinplatz et al., 2009). In other words, don’t be thinking about the pile of dishes in the sink or how the lawn needs to be mowed or about problems at work. Be present. Be mentally there as you engage in the experience of sex with your loved one. 

Component #2: Connection, Alignment, and Being in Synch

This implies a depth of connection. That’s right, hook-ups probably aren’t going to result in truly great sex, but sex in a relationship where you have invested time, energy, and emotion will. In order to create this deep connection, Dr. Sue Johnson has prescribed caregiving and attention to one’s spouse or partner (Johnson & Zucarini, 2010). It may seem simplistic but it rings true; time, investment, and care for one another serve to deepen emotional connections which then intensify the sexual experience.
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Photo from pexels.com

Component #3: Deep Sexual and Erotic Intimacy

While this component may sound a bit more predictable, what does it actually mean though apart from engaging in sex? In the study, one woman described this as feeling “loved and wanted, accepted and cherished” by her husband (Kleinplatz et al., 2009). It is one thing to be “loved and wanted, accepted and cherished” in general and it is another thing to receive that kind of devotion in the sexual sphere. Sex is deeply personal and one of the very most intimate acts we can engage in as human beings, demonstrating acceptance and devotion to one’s partner in sex creates a deeper kind of intimacy.

Component #4: Extraordinary Communication and Heightened Empathy

It might be that you and your partner feel this deep emotional and sexual connection to one another but there is no way of knowing and trusting in that without extraordinary communication and heightened empathy. So what is it that makes communication extraordinary? The study described this superior form of communication as a couple’s “complete sharing of themselves, both verbally and non-verbally, with their partners before, during and after sexual encounters” (Kleinplatz et al., 2009). Emotional intimacy and sexual intimacy and satisfaction have shown to be deeply connected (Yoo et al., 2014); sharing your feelings and personal experiences with your partner are a great way to heighten your emotional connection. It is also important to recognize that this kind of complete sharing also requires a complete form of listening and acceptance.
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Photo from pexels.com

Component #5: Being Authentic, Genuine, Transparent and Uninhibited

While this concept may seem similar to the complete sharing of extraordinary communication, it differs in the way that it is a feeling of freedom to be yourself with your partner rather than an act of communication.  This can come in many forms such as confidence in your partner’s love for you, trust that your partner does find you attractive, or a self-assurance that you are a competent lover. True authenticity in couple and sexual relationships enables the couple to “let go” during the sexual experience and freely enjoy it for what it is.

Component #6: Exploration, Interpersonal Risk-Taking, and Fun

I think that far too often in life we forget to have fun and enjoy the moments we are in. Dr. Sue Johnson once called sex a “safe adventure” (Johnson, 2015) and it’s true; when we have invested time and energy and love into a relationship, we are free to enjoy the safe adventure of sex. Take the time to explore with one another. Is there something that you’ve always wanted to try? Suggest it to your partner! Is there a new position you heard about? Suggest it and try it if your partner is willing. Enjoy the experience and allow yourself to let go and feel comfortable in doing so.

Component #7: Vulnerability and Surrender

In my opinion, being vulnerable is one of the hardest things to do. On vulnerability researcher Brené Brown has said, “Vulnerability is not winning or losing; it’s having the courage to show up and be seen when we have no control of the outcome… it’s not a weakness; it’s the greatest measure of courage.” True vulnerability allows us to let go of ourselves into the hands of another person and creates a couple-focused approach to the sexual experience. 
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Photo from pexels.com
The two minor elements of great sex are orgasm and “chemistry” or physical attraction to one another. So much emphasis is placed on these two factors in the tabloids and in books and movies, but the research has shown that they are barely contributing factors. The good news in all of this is that the most important components of great sex are things we can work to CREATE. We can work as couples to be present in the sexual experience, we can work to become more aligned, we can work to improve our communication and listening skills, we can work on being authentic and being ourselves. We don’t have to wish for better sexual chemistry or hope for an intense orgasm to have a great and bonding sexual experience.
Personal Practice 1Discuss this article with your partner and analyze your sexual relationship. Choose one component of great sex that you can improve on this week with your partner.
Not currently sexually active? Consider choosing a component that you can practice NOW either on your own, or in one of your relationships, such as being present, strengthening communication, or empathy.

References

Johnson, S. (2015, July). Ted Talk. TED Talk. Ottawa. Retrieved from https://www.youtube.com/watch?v=hiVijMLH2-k 
Johnson, S. & Zuccarini, D. (2010). Integrating sex and attachment in emotionally focused couple therapy. Journal of Marital and Family Therapy 36(4), 431-445.
Kleinplatz, P. J., Ménard, D. A., Paquet, M. P., Paradis, N., Campbell, M., Zuccarino, D., & Mehak, L. (2009) The components of optimal sexuality: A portrait of “great sex”. The Canadian Journal of Human Sexuality 18(1-2), 1-13.
Yoo, H., Bartle-Haring, S., Day, R. D., & Gangamma, R. (2014). Couple communication, emotional and sexual intimacy, and relationship satisfaction. Journal of Sex & Marital Therapy, 40(4), 275–293. https://doi.org/10.1080/0092623X.2012.751072

 

 

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Emma Smith is from San Diego, California. Emma is currently a Family Life major with an emphasis in social work at BYU. She met her best friend and husband Dallin at BYU her first semester home from her mission for The Church of Jesus Christ of Latter-day Saints. She enjoys horseback riding, swimming, reading, painting, and anything outdoors. In everything she does, she has one goal: to help others.
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Power Couples

Wedding Nights for Virgins – What Your Mom Won’t Tell You

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Written by Rian Gordon, Updated August, 2021
Wedding night jitters are a REAL THING — especially if you are a virgin. I grew up in a very conservative and highly religious community where most parents encourage their children to wait until marriage to have sex. This is something that I am proud of and very grateful for, since waiting until marriage was exactly the right choice for my husband and I (there are lots of emotional, mental, and physical benefits to waiting for sex) (Abbott, White, & Felix, 2010). However, when parents are concerned about their children waiting to start having sex until they are married, they often unintentionally (or intentionally) create a lot of unnecessary fear and worry in their children about the subject (Brotherson, 2015). I was lucky enough to have parents and teachers who were helpful at educating me about sex in a healthy way, but I know that is not the case for everyone (click here for information on how to have healthy conversations with your kids about sex). In this post, I intend to hopefully take away some of the nerves you may be feeling about your wedding night and empower you to have a wonderful, joyful, and unifying experience with your spouse when you make love for the first time.
Warning: This post will most definitely contain words that might make some people a little uncomfortable. I get pretty candid here, but I promise to avoid being explicit. Just be prepared for some good, honest talk about sex.
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Photo by Brooke Cagle on Unsplash

– Before –

Do Your Research!

Something that can really help when it comes to preparing for your wedding night is doing a little research beforehand. Having regular exams with your doctor can help you be physically ready and identify any potential problems you may encounter (Note: It’s a great idea to get these exams yearly. You do NOT have to be getting married to have a physical with your doctor). Talk with your fiancé and doctor about your expectations about family planning, and make sure you have everything you need if birth control is in your plan (be aware that some methods can take some time before they start working). Books and classes can also be a great resource to help you learn more about how to prepare for sex. If you are in school, check and see what marriage preparation or healthy sexuality classes they might have available. If you are finished with school, or if there aren’t any available at your school, check and see if the community offers any sort of classes or workshops for engaged couples. Online courses are also a great option.
There are all sorts of different books on sex and lovemaking, but here are a few that I have liked, and that have been recommended by marriage and sex therapists:
  • Sexual Wholeness in Marriage: An LDS Perspective on Integrating Sexuality and Spirituality in our Marriages by Dean Busby PhD, Jason Carroll PhD, and Chelom Leavitt JD MS
  • Sheet Music: Uncovering the Secrets of Sexual Intimacy in Marriage by Dr. Kevin Leman
  • You, Me, and We: A Practical Guide to Marital Intimacy by Dr. Anthony Hughes PhD
  • A Celebration of Sex for Newlyweds by Douglas Roseneau
  • What Your Parents Didn’t Tell You about Sex: An LDS Guide to Sexual Intimacy by Dr. Anthony Hughes PhD
  • The Act of Marriage: The Beauty of Sexual Love by Tim and Beverly LaHaye
  • And They Were Not Ashamed: Strengthening Marriage through Sexual Fulfillment by Laura M. Brotherson CFLE

    woman reading a book while sitting on black leather 3-seat couch
    Photo by Seven Shooter on Unsplash
It may be a good idea to read books (especially very descriptive ones) separately before your married, since reading about sex can really turn you on. If this happens to you, just be aware that it’s normal, and it’s good! You want to be excited about being with your spouse! Just be aware of how sexual materials affect you, and make choices that will help you reach your personal and couple sexual goals.
Note: Not all of the information in each of these books may be applicable to you. Take what you need, and run with that.

Talk About Expectations

Expectations can make or break a relationship, and they are particularly important when it comes to having a successful wedding night. Before the day of your wedding (I would recommend the day before, but talk about what will work best for you as a couple), it is a REALLY good idea to talk with your fiancé about how you would like your first night of wedded bliss to go. Talk about timing, what to wear, foreplay, how you would like intercourse to play out, whether or not you would even like to try having intercourse the first night, etc. It sounds counter-intuitive, since Hollywood has really made it look like spontaneity makes for the best sex, but talking about it beforehand can help to get rid of any of the fears or worries that you are both having, and it can help you to work together as a couple to meet each other’s expectations.
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Photo by Sorin Sirbu on Unsplash

Remember There’s a lot more to be Excited About

Despite all of the hype, keep in mind that sex isn’t the only thing to look forward to in marriage! Take some of the pressure off yourself and your partner by focusing on some of the other benefits of tying the knot. Keep dating, keep getting to know each other and having fun together, keep building trust, and keep strengthening your partnership as a couple (remember that great sex isn’t the only thing that makes a great marriage!).

– The Night Of –

Take Your Time

Once you get to the hotel, don’t feel like you have to rush right into things. It’s okay to take some time to get comfortable with the fact that you can do more than just kiss each other. Be open about the expectations that you discussed, and be willing to be flexible with them as feelings or desires may have changed now that the moment is actually here. Foreplay (such as undressing each other, taking a shower together, giving each other a massage, etc.) can be really helpful in helping you both relax and get into the mood. Remember that most women take at least 4x as long as men to get warmed up and ready to go (Busby, Carroll, & Leavitt, 2013)! Because of this, it can be a good idea for the woman to dictate timing — especially since intercourse can be a little painful the first time** (don’t let this scare you! Getting to know your body and talking with a doctor can help you determine what you can personally do to help your body prepare so that pain is minimal. One of them is using lots of lubrication). Also, do not get discouraged if ejaculation happens before you can get to intercourse. That is pretty common, particularly for virgins. Wait a little bit, keep enjoying each other, and try again later, if you like.
You should also realize that although orgasm is most often associated with penetration, it’s actually clitoral stimulation, not penetration, that leads to orgasm for most women (Nagoski, 2021). This is a biological sexual difference that can help husbands and wives attend to one another and practice selflessness and mindfulness in lovemaking. Take the time to discover one another’s preferences, and be patient as you try different things and learn what works best for the both of you.
** Although there may be a small amount of pain the first time penetration occurs, please be aware that sex is not meant to be a painful experience! If the pain persists, and you find that you cannot relax and enjoy intercourse, consider consulting with your OBGYN.

It’s Messy

This is the part of sex that the movies never tell you about. There is often a little bit of blood after first-time intercourse. Semen is also gloopy and dries sticky and, depending on what birth control you are using, it can make a bit of a mess. Be sure to lay out a towel if you want to be able to sleep in your wedding bed sheets. Packing some disposable wipes in your honeymoon luggage is a good idea. It is also a good idea for women to go to the bathroom and urinate after intercourse to help with cleanliness and prevention of urinary tract infections, and to help keep things clean. But don’t feel like you have to do this immediately. Feel free to cuddle first!
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Photo from pexels.com
Also be aware that you or your partner might make weird noises while you’re having sex. Releasing your inhibitions and completely relaxing together may bring on sounds that you didn’t know you could make. This is totally normal, and is all part of the fun. Don’t worry too much about making a silly noise, and if a noise that your partner is making turns you off, or makes you feel uncomfortable, find an appropriate time to kindly talk with them about it (just like you would with any other aspect of your relationship).

It Doesn’t Have To Be Perfect

The goal of your first time is not to end with both of you in simultaneous orgasm. The goal is to express your love for one another, be open with each other, and to explore each other. Don’t feel like your first time having sex together has to be perfect in order for it to be a wonderful and valid experience. Your first time does not determine the health of your future sex life. Be open to helping each other, feeling a little bit vulnerable, and maybe even giggling together as you try something totally new for the both of you. And remember — practice makes perfect!

– After –

Sex is an Ongoing Conversation

The key to having a great sex life is not hot young bods, spontaneity, or forbidden romance — the key is communication and continuing to get to know each other over time (Busby, Carroll, & Leavitt, 2013; Gottman, & Gottman, 2016; Leman, 2008). This is true from your first time making love, all the way through to the end of your life! Don’t ever stop talking with your spouse about your sexual needs and desires. Keep up an honest and open ongoing conversation about what you like or don’t like, how often you’d like to have sex, things you might like to try, whether or not your needs are being met, etc. These needs change over time, and expecting your spouse to read your mind (even after years of being together) is not realistic. Keeping the conversation going will help keep both your emotional and your sexual relationship strong, and will help you to continue to keep the spark alive throughout your marriage.
Personal Practice 1If you aren’t yet married: Write down hopes and expectations that you have for your wedding night.  How would you like things to go?
If you are married: Put into practice the principle that sex is an ongoing conversation. Have fun practicing making love with your spouse, and then talk about it! 🙂

References

Abbott, D., White, J., & Felix, D. (2010). NOT READY FOR SEX: An Endorsement for Adolescent Sexual Abstinence. International Journal of Sociology of the Family, 36(2), 159-179. Retrieved from http://www.jstor.org/stable/23028827
Brotherson, L. M. (2015). And they were not ashamed: Strengthening marriage through sexual fulfillment. Boise, ID: Inspire Book.
Busby, D. M., Carroll, J. S., & Leavitt, C. E. (2013). Sexual wholeness in marriage: An LDS perspective on integrating sexuality and spirituality in our marriages. United States.
Gottman, J. M., & Gottman, J. S. (2016). The man’s guide to women: Scientifically proven secrets from the “love lab” about what women really want. New York City, NY: Rodale Books.
Leman, K. (2008). Sheet music: Uncovering the secrets of sexual intimacy in marriage. Carol Stream, IL: Tyndale House.
Marturana, A. (2018, May 07). Is It Actually That Important To Pee After Sex? Retrieved from https://www.self.com/story/is-it-actually-that-important-to-pee-after-sex
Nagoski, E. (2021). Come as you are: The surprising new science that will transform your sex life. Simon & Schuster Paperbacks.
Sandfort, T. G., Orr, M., Hirsch, J. S., & Santelli, J. (2008). Long-term health correlates of timing of sexual debut: results from a national US study. American journal of public health, 98(1), 155–161. doi:10.2105/AJPH.2006.097444

 

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Rian Nicole Gordon is from Orem, Utah, and graduated from Brigham Young University with a Bachelor of Science in Family Life and Human Development. She has been married to her best friend Mark for five years, and they have two beautiful children, a boy and a girl. Apart from her full-time job as a stay-at-home mom, she works for The Dibble Institute, which specializes in relationship education for youth.
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Love, Me, Power Couples, Project Parent

How to Help Your Loved Ones Cope with Infertility Stress

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Written by Aubrey-Dawn Palmer
Infertility.
The word brings incredibly deep despair, discouragement, pain and heartache. A diagnosis of infertility brings with it a drastic change in identity. Men and women’s identities are biologically, psychologically, socially, and often spiritually entwined in being able to create life. And while 85% of couples are able to get pregnant without extraordinary measures, often “accidentally”, the other 15% of couples are emotionally exhausted, stressed, and lonely.
I want you to understand the stress that your loved ones are facing. The sense of loss is great. The struggle is significant. And if you can understand, then you can really help. And we want you to understand and help.

How bad is the stress?

Turns out, that women undergoing infertility treatment exhibit the same stress levels that cancer patients do. And many cancer survivors who struggled with infertility after their cancer reported that their stress during infertility was higher than when they were undergoing cancer treatment. They reported feeling more isolated, having less support from loved ones, and reported a significant impact on their sense of individuality and identity (Gurevich, 2016). The likelihood of an infertile woman experiencing a severe depressive episode is estimated to be nearly four times higher than for fertile women (Domar, et al., 2005). Men are more likely to receive hurtful comments about their infertility than women are. Many men dealing with infertility experience stress, particularly if they withdraw, do not seek social support, and desire children comparable to the degree their female counterparts do. Men receive less support and are subject to more thoughtless commentary than women, especially in the workplace (Fisher & Hammarberg, 2011).
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Photo from pexels.com
Infertility is a crisis, affecting not only physiology, but also finances and other resources, couple relationships, sexual functioning, social connections, immediate and long term goals and life plans, and family and social relationships (Rubin, 2001).

Finances

Finances are another obvious stressor. Most insurance companies do not cover infertility treatment because it is “elective”. Currently, 35 states do not require insurance companies to provide any kind of fertility coverage. The 15 states that do mandate insurance coverage vary in their requirements, and across the nation, very few companies cover more than testing for the diagnosis of infertility issues. The few companies that do cover IVF (in vitro fertilization) usually have a lifetime cap of $10,000-$25,000. When you consider that one cycle of IVF costs $12,000-$15,000, and that two-thirds of women don’t have a successful birth until after the 6th cycle, the numbers quickly become overwhelming. With these odds, a couple could easily pay $50,000 out of pocket, IF they live in one of 15 states covering IVF, with the very best case scenario of a $25,000 lifetime coverage plan And this doesn’t even include prenatal or postnatal care, by the way. This is just getting the bun in the oven.

Sex

Another contributing factor to infertility-related stress is the dramatic change in sex life. For most people, sex is a fun, and extremely meaningful part of a relationship that helps people connect and bond with one another. It is an expression of love, trust, and vulnerability. But when going through infertility, sex becomes a scheduled medical procedure based on body temperature and ovulation schedule, rather than intimacy and love (Rubin, 2001).
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Photo by Jonathan Borba on Unsplash

Biological Factors and Medical Treatments

Do not even get me started on the hormone levels. That’s a whole other rabbit hole. Imagine your wife having those wild pregnancy hormones and crippling stress….but no baby. Nothing to show for it. Just persistent hormones and mood swings…and an empty uterus. Whether it’s a couple of simple medications, IUI, or IVF, infertility treatment is hard, and every failed attempt restarts the hope-despair cycle, contributing to the increase of severe depressive episodes experienced by those struggling with infertility.

Stigma and Hurtful (even if unintentional) Comments and Actions

Because infertility is not normative, those battling it often feel the need to make excuses or explain their conditions because of the way others treat them, as if the condition is somehow inappropriate or wrong. This helps to explain the social aspects, and not merely physical aspects of infertility, and how the stigmas surrounding it can socially and psychologically damage infertile couples further. Researchers have addressed the social psychology of infertility, explaining further that infertility is an unwanted social status, and therefore carries a stigma (Matthews & Matthews, 1986). Because of stigmas and fear of hurtful or unsupportive treatment, 15% of women and 19% of men do not tell their families when they are undergoing IVF treatment and 23% of couples have not told both sets of parents, only one. (Peters, et al., 2005). The trouble with this is that those who are generally expected and hoped to be closest to a couple are not part of their support system, making them more susceptible to mental illnesses like depression. And men are more likely to receive hurtful comments than women (Fisher & Hammarberg, 2011).
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How to help

Increasing positive self-perception is a critical part of managing the negative impacts of infertility (Raque-Bogdan & Hoffman, 2010). Helping your loved ones to identify their positive qualities and working to refrain from insinuating that they are less of a person because of that infertility (it may sound obvious, but people make comments without meaning to more often than they even realize) is essential.
It is unlikely that people will ask, but when possible and appropriate, helping by contributing financially is incredibly helpful. At the beginning of the year, my husband and I were blessed tremendously. Generous friends sent us a check, which immediately went into an account my husband and I have just for infertility treatments. We certainly have a long way to go, but the amount of stress this relieved was indescribable, and our gratitude matched it.
Please do not attempt to help with the sex life portion of stress. Leave that one to us. Frequently men have suggested sex positions to my husband. Sex positions aiding in fertility are myths, and a couple’s sex life is their own. It is not a conversation for you to initiate.
Ask appropriate questions. Sometimes we need to talk about it. I know it can be awkward for you, but it means a lot when you say, “Hey, how are you doing with the infertility stuff?” And you can even say “stuff” if you don’t know what to say. And if we say, “okay” or “fine”, take it with a grain of salt. A coworker recently approached me and asked how my “infertility journey” was going. She didn’t give advice. She just listened and validated. We only spoke for about five minutes, but I cannot tell you how much that simple conversation meant. Please be mindful that your questions do not become intrusive: “When are you going to take on a more intense form of treatment?”, for example, is a deeply personal question.
We’re going to be okay. We know that. But for now, we press forward. We look for temporary distractions, many of us attend grief and/or marriage counseling, and central to our health is finding other parts of our identity, searching for meaning in other places. It is hard – some days it seems impossible – but we will be okay. And we greatly appreciate all the love, generosity, support and empathy you provide.

Personal Practice 1

Check in with a friend or family member struggling with infertility. Take a moment to be a good friend: an active, empathetic listener.

References

DOMAR, A., PENZIAS, A., DUSEK, J., MAGNA, A., MERARIM, D., NIELSEN, B., & PAUL, D. (2005). The stress and distress of infertility: Does religion help women cope? Sexuality, Reproduction and Menopause, 3(2), 45-51. https://doi.org/10.1016/j.sram.2005.09.007
Gurevich, R. (2016, August 2). What Infertility, Trauma, and Cancer Survivors Have in Common. Retrieved February 16, 2017, from https://www.verywell.com/how-infertility-Cancer-trauma-survivors-are-similar-1959993
Fisher, J. R., & Hammarberg, K. (2011). Psychological and social aspects of infertility in men: An overview of the evidence and implications for psychologically informed clinical care and future research. Asian Journal of Andrology, 14(1), 121-129. https://doi.org/10.1038/aja.2011.72
Matthews, A. M., & Matthews, R. (1986). Beyond the mechanics of infertility: Perspectives on the social psychology of infertility and involuntary childlessness. Family Relations, 35(4), 479. https://doi.org/10.2307/584507
Peters, C., Kantaris, X., Barnes, J., & Sutcliffe, A. (2005). Parental attitudes toward disclosure of the mode of conception to their child conceived by in vitro fertilization. Fertility and Sterility, 83(4), 914-919. https://doi.org/10.1016/j.fertnstert.2004.12.019
Raque-Bogdan, T. L., & Hoffman, M. (2010). Self-Perception, Hope and Well-Being in Women Experiencing Infertility. American Psychological Association 2010 Conference Presentation.
Rubin, H. D. (2001). The impact and meaning of childlessness: an interview study of childless women (Unpublished doctoral dissertation).

 

 

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Aubrey-Dawn Palmer was born and raised in Farmington, New Mexico, and she has a bachelor’s degree in family studies from Brigham Young University. She has two younger brothers and is married to her best friend, Richard. In addition to her research on relationships, human attachment, and healthy sexuality, Aubrey-Dawn volunteers with her husband as a teacher for the Strengthening Families Program, is a research director for a counseling center, and works as a home counselor at a residential treatment center.

 

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Power Couples

6 Scientific Things You Never Learned in Sex Ed

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Written by Aubrey-Dawn Palmer
Heads up – this article was written to benefit adults. What I am about to tell you is academic information about sex, and I have not sugar-coated it. This is helpful and important information, but it may need to be reframed to be more appropriate for children/youth education.
When you were an adolescent, sitting in sex ed class had a completely different purpose than what I want to teach you. This is adult sex ed – what you need to know now that you’re a grown up with sexual needs who has graduated to a bigger bed (and hopefully a hot spouse to go with it!).

1. The “good enough” sex model.

Thanks to the porn industry, media, poor sex education and high school locker rooms, many adults (and adolescents too) think that sexual compatibility is a must for a relationship checklist. And to be sexually compatible, they must be having mind-blowing sex all the time. False. According to a study done in 2007, couples reporting extremely high levels of sexual satisfaction report that they have average to good sex 40-60% of the time, and exceptional sex only 20-25% of the time. And guess what? Even happily married couples report having unsatisfactory or even dysfunctional sex sometimes (Metz & McCarthy, 2007). But it doesn’t matter because, for the committed couple, sex isn’t about the orgasm (as great as that is) so much as connecting with your partner. That’s why it’s called intimacy.
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2. Having an orgasm and being sexually satisfied are not the same things.

Most couples including men reported that having an orgasm was not always necessary to be able to be sexually satisfied (Basson, 2000; Georgiadis & Kringelbach, 2012). So chill out. You don’t need to be a sex god or goddess. Because news flash – it isn’t about you. It’s about the relationship. And if sex doesn’t play out the way you want every time, it doesn’t mean you aren’t compatible. It means you’re human. Having said that, if there is a pattern of dysfunctional or unsatisfying sex, communicate with your partner about the needs each of you has and how you can better meet those needs. If there continue to be problems, consult a therapist or physician.

3. Men and women need sex for biologically different reasons.

Though men and women seek sexual satisfaction differently and have different expectations surrounding sex, they seek the same benefits from intimacy. Men generally pursue emotional intimacy through physical means, while women tend to pursue sexual intimacy through physical means and seek emotional intimacy in other ways. While this sounds oppositional, it is, in fact, complementary (Metz & McCarthy, 2007; Barlow, 1995). Men often use physical means to be able to connect emotionally and women often need to connect emotionally to be able to connect physically (Barlow, 1995). Also bear in mind that women focus on feeling attractive and wanted, while men focus on being “invited” to engage sexually. Men’s sexual confidence lies in functionality, while women’s lies around trust and emotional connection and safety. Again, these are complementary, include much overlap, and evolve over time (Metz & McCarthy, 2007). So ladies, if you are feeling sexually frustrated, make sure you’re inviting your husband to be intimate with you. Men, make sure that emotional connection is part of your intimacy. 
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4. Women take longer to become fully aroused than men do.

Men are much more easily aroused than women, requiring only a few minutes to become fully aroused (Miyagawa, et al. 2007). Women take an average of 19 minutes to become fully aroused (Huberman & Chivers, 2015) and are aroused less by visual means (as men tend to be), and more by context, environment, intensity, and other senses (Fisher, et al., 2012). This is useful information! Understanding the physiology behind your partner’s arousal patterns can help you make sure that both of you are getting what you want and need out of sex. For example, remembering that your wife takes a little longer to become fully aroused and is responding to cues like the environment and context can inspire you to slow down and engage in more foreplay. You may also consider using candles, music, more talking during sex, romantic texts throughout the day, weekend getaways, etc. to increase arousal.

5. Commitment increases sexual pleasure.

Generally, healthy couples have sex for 5 reasons: 1) reproduction, 2) tension and anxiety reduction, 3) sensual enjoyment, 4) confidence, and 5) high relational closeness and satisfaction. Understanding that people have sex for a host of reasons and to fill a variety of needs develops partner congruence which aids relationship and sexual satisfaction (Metz & McCarthy, 2007). But what’s really interesting (at least to me) is that those who focus on themselves during sex experience the least amount of pleasure. Those who focus on the other person experience a deeper level of pleasure. But those who focus on unity or the “us” during sex experience the deepest levels of sexual pleasure and satisfaction (Mosher, 1980). Men and women in committed relationships generally report higher sexual satisfaction than those having casual sex (Birnbaum, et al., 2006).
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6. Expect the sexual relationship to change over time.

Because we as individuals change over time, and because our relationships change over time, we must also expect that our sexual patterns within that relationship will change (Basson, 2000). As life happens, what we need and want from sex is different. Because of these changes, it is crucial that couples communicate consistently about what they like, want and need in intimacy. Communication is necessary for balancing the two people in a relationship (Mikulincer & Shaver, 2007).

Personal Practice 1

Find a way to incorporate one or more of the above principles in a planned intimate night this week!

References

Barlow, B. A. (1995). Worth waiting for: Sexual abstinence before marriage. Salt Lake City, UT: Deseret Book.
Basson, R. (2001). Using a different model for female sexual response to address women’s problematic low sexual desire. Journal of Sex & Marital Therapy, 27(5), 395–403. https://doi-org.erl.lib.byu.edu/10.1080/713846827
Birnbaum, G. E., Reis, H. T., Mikulincer, M., Gillath, O., & Orpaz, A. (2006). When sex is more than just sex: Attachment orientations, sexual experience, and relationship quality. Journal of Personality and Social Psychology, 91(5), 929–943. https://doi-org.erl.lib.byu.edu/10.1037/0022-3514.91.5.929
Fisher, H. E., Aron, A., Mashek, D., Li, H., & Brown, L. L. (2002). Defining the Brain Systems of Lust, Romantic Attraction and  Attachment. Archives of Sexual Behavior,31(5), 413-419.
Georgiadis, J., & Kringelbach, M. (2012). The human sexual response cycle: Brain imaging evidence linking sex to other pleasures. Progress in Neurobiology, 98(1), 49-81. https://doi.org/10.1016/j.pneurobio.2012.05.004
Huberman, J. S., & Chivers, M. L. (2015). Examining gender specificity of sexual response with concurrent thermography and plethysmography. Psychophysiology, 52(10), 1382–1395. https://doi-org.erl.lib.byu.edu/10.1111/psyp.12466
Metz, M. E., & McCarthy, B. W. (2007). The “Good-Enough Sex” model for couple sexual satisfaction. Sexual and Relationship Therapy, 22(3), 351–362. https://doi-org.erl.lib.byu.edu/10.1080/14681990601013492
Mikulincer, M., & Shaver, P. R. (2007). Attachment in adulthood: Structure, dynamics, and change. New York: Guilford.
Miyagawa, Y., Tsujimura, A., Fujita, K., Matsuoka, Y., Takahashi, T., Takao, T., Takada, S., Matsumiya, K., Osaki, Y., Takasawa, M., Oku, N., Hatazawa, J., Kaneko, S., & Okuyama, A. (2007). Differential brain processing of audiovisual sexual stimuli in men: Comparative positron emission tomography study of the initiation and maintenance of penile erection during sexual arousal. NeuroImage, 36(3), 830-842. https://doi.org/10.1016/j.neuroimage.2007.03.055
Mosher, D. L. (1980). Three dimensions of depth of involvement in human sexual response1. The Journal of Sex Research, 16(1), 1-42. https://doi.org/10.1080/00224498009551060

 

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Aubrey-Dawn Palmer was born and raised in Farmington, New Mexico, and she has a bachelor’s degree in family studies from Brigham Young University. She has two younger brothers and is married to her best friend, Richard. In addition to her research on relationships, human attachment, and healthy sexuality, Aubrey-Dawn volunteers with her husband as a teacher for the Strengthening Families Program, is a research director for a counseling center, and works as a home counselor at a residential treatment center.

 

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