Cannabis + Sex = More Pleasure

Dr. Jordan Tishler, MD, is a cannabis specialist with a practice in Boston. Dr. Tishler graduated from both Harvard College and Harvard Medical School. Now he helps patients around the world. All of his appointments are virtual.

His website has lots of helpful information. Soon Dr. Tishler will publish his randomized, controlled study with one thousand females, looking at situational orgasmic disorders. Most women can bring themselves to orgasm by masturbating, especially using a vibrating toy. Orgasms with a partner are more difficult for many women. Cannabis helps with orgasms!

“Evidence Mounts: Cannabis Enhances Lovemaking for Most” is the title of Michael Castleman’s Psychology Today Blog post (Oct. 15, 2022). Dr. Diana and Dr. Tishler spoke about the key points:

• As cannabis becomes increasingly legal, many studies show that most users report better sex.
• A 2020 report from Stanford researchers revealed that cannabis increases desire and arousal for most women and improves orgasm and satisfaction, and for most men, cannabis improves their erections and increases orgasms and satisfaction.
• Cannabis doesn’t improve sex for everyone, but the research shows that two-thirds of users report sexual benefits.

Cannabis helps with pain and healing. Dr. Diana shared about her abdominal surgery in February. Cannabis helped with the pain … much better than the opioids! Two weeks after the surgery, she felt ready to resume sex with her husband. Smoking pot made a difference! More healing ensued! (Dr. Tishler also commented on the problem with opioids is that they can cause constipation; in some cases, addiction.)

Another cannabis benefit is that with lowered inhibitions, laughter and play may be more accessible! A good laugh—like a good cry or good sex—is a natural tranquilizer. Turns out, laughter is a natural stress-buster! Plus, remember that couples who laugh together, last together!

On the topic of cannabis vs alcohol, Dr. Tishler observed that alcohol is essentially yeast poop … it’s been through fermentation. It is waste.  The phytocannabinoids in cannabis come from a plant and work on the human body’s own endocannabinoid system. Dr. T. points out that alcohol is toxic to neurons, to the liver, heart and even bone marrow.

Dr. Tishler is a superb guest because he’s so articulate and dispenses excellent information! Spend some time on his website.

Dr. Diana also has more details available in her bonus chapter, “Cannabis for Couples.” Download it free from DearDrDiana.com.

Click below to listen to the interview (approx. one hour):

VALENTINE’S DAY is coming soon – LET’S TALK ROMANCE!

 Dr. Ashley Mader (www.Ourshine.org) joined Dr. Diana to talk about love and romance. After all, love is a topic central to our lives and our search for meaning; alas, mystery and myth still cling.

The two sex therapists explored three areas:

They first targeted singles with the question: Who is my perfect romantic partner? A study in Proceedings of the National Academy of Science in 2020 addressed this topic. Sorting through a massive data-set of 11,196 couples, they tried to figure out what makes some romantic relationships happier than others. The academics came to one central conclusion – that relationships are unpredictable. But while data analysis appears unable to point people to their ideal mates, it can tell us why our gut instincts are often wrong. When people choose partners, they tend to favor those who are physically attractive as well as people in certain height ranges. For daters, a potential strategy is to seek out people other daters tend to overlook. He or she may not be your type – but give them a chance! And, find a partner who is already happy, someone who is satisfied with their life and free from depression.

How to reignite passion in a long-time relationship. Passion usually changes over the course of a relationship. The feelings haven’t gone away. They’re just not prioritized; perhaps assumed instead of actionized. When you started dating, everything was about being together. Then life takes over. There are external and internal distractions everywhere. To name a few: cell phone, computer, kids, negative self-talk, worrying, judging, stressing, fatigue, inhibitions, unrealistic expectations, and lack of time. Couples often suffer from skin hunger because there is so little touching. According to research by Johns Hopkins, human fingertips have about 3,000 touch receptors, each! So, spend the night with your hands all over each other! Massaging is great foreplay.

How to truly express love to your partner on Valentine’s Day – or any day, really. To begin with, think about what you want: to be closer, happier, more loving and feeling more loved. This may help push you past your fears. You might open with, “I want to be more expressive, but I haven’t always had the words.” An Adoration List works — five non-material things that make you feel special and loved, and share your list. Also, take turns saying what I love and appreciate about you. Appreciation begets appreciation. It builds a reservoir of good will.

Click below to listen to the show for lots more details (approx. one hour):

Dr. Ashley Mader

GOALS FOR 2023: Integrating More Intimacy and Avoiding Bad Sex

To help Dr. Diana explore these goals for 2023, she welcomed back Dr. Ashley Mader to Love, Lust and Laughter. Dr. Ashely is a sex therapist, educator, and consultant (www.ourshine.org).

We two sex therapists talked about “How to Have Bad Sex” and how to turn those negatives into positives.

Having bad sex requires that you:

• Compare Yourself to Others. Sexuality may be the most subjective aspect of human experience. Forget the magazine quizzes and the six-step sex books! If you want to do something useful for your sex life, focus on yourself and anyone you’re having sex with – and don’t turn away. Be fully present.

• Ignore Your Body: The idea of a perfect body is fiction. You may be ignoring your body at the expense of genuine sexual pleasure and empowerment. It’s not easy, but working with the body you’ve got is a crucial part of improving your sex life. Get out of your head and into your body! Lots of sex surveys reveal that guys are not complaining about the size of their partner’s rear end. By the time a man wants to sleep with a woman, he finds her attractive. People struggle to get fully in their bodies. Some have trouble relaxing enough to enjoy what is being shared sexually. Learn to massage and be massaged. (You can find several sensual touch exercises in Chapter 4 of Dr. Diana’s book Love in the Time of Corona: Advice from a Sex Therapist for Couples in Quarantine).  This kind of touching can help the body put down its armor.

• Grow Up, Get Serious:  Sex is the closest thing adults have to the kind of play we engaged in when we were kids. (Innuits of Alaska call sex “laughing time”!) If you make sex just one more thing that’s serious and routine, you lose much of the power and the magic of sex! Remember to occasionally use eye contact as you pleasure each other.

• Let Fear be Your Guide: Sex can be scary … in part because sex demands that we give up control and expose ourselves. Thus, many don’t talk about their desires, don’t tell their partners what they really want to do. If you’re in a safe relationship where there is trust, fear doesn’t have to be your guide.

Dr. Ashley is interesting and fun! She plans to return on the 7th of February to talk about putting more romance into your relationship! Stay tuned.

Click below to listen to the interview (approx. one hour):

JOY & STRESS – IT’S THE HOLIDAYS!   Dr. Carol Queen’s Good Vibrations platform allows her to focus on sex education and women’s pleasure. There is an abundance of sex education in The Sex & Pleasure Book: Good Vibrations Guide to Great Sex for Everyone. Dr. Diana and Dr. Carol enjoyed a conversation about joys and stressors over the holidays. To have more joy, we need to manage our stress better!

The mind-body approach – the brain is locked in an intricate embrace with the body. It turns out the body has a big say in what we do and who we are. Information flows into the brain not only through all our senses but also from the vagus nerve as it snakes past all our organs, especially the gut. The vagus offers a pathway for healing the mind through the body.

Deep breathing practices of mindfulness can create an inner state of calm. Like most organs, our lungs are on autopilot, but we can take the wheel. Deep breathing for a minute or so recruits the vagus to send an all-clear signal to the brain. In doing so, the heart slows, the blood vessels relax, and the gut contractions smooth out. The gut, sometimes called the “second brain,” is home to trillions of microbes (composing the microbiome). An unbalanced gut microbiome, often a consequence of the standard American diet, is a potent source of inflammation and this can lead to major depression and anxiety.

Self-Compassion is better than self-esteem! An analysis of 14 studies found that people high in self-compassion were less vulnerable to depression, anxiety, and stress. When you see yourself clearly – both positive and negative traits – you can more easily cope with setbacks and mistakes. Self-compassion means treating yourself in the same way you would treat a treasured friend. Some people feel they need self-criticism to motivate themselves. Rather than motivating, it makes people feel anxious, incompetent, and depressed.

Relieving stress through sex.  Sex toys can be fun and can spice up a relationship! Dr. Carol has talked to men wanting to buy a sex toy for a partner. Dr. Carol will ask, “Have you talked to your lover?”  The answer is often, “No.” Communication is essential!

Buying a gift card at Good Vibrations or Babeland is a safe bet. Then you can make it part of a Date Night. Visit the store together and ask questions of a well-informed staff member. Dr. Carol and Dr. Diana had a lively discussion about clit-sucking toys, mutual masturbation, and reading erotica.

It’s always fun to talk about relationships and sex! Dr. Carol is a wonderful, informed guest who will return in 2023.  Stay tuned!  And, Merry, Merry!  ~  Dr. Diana

Click below to listen to the interview (approx. one hour):

Dr. Carol Queen Is a “Cultural Sexologist” – Politically And Socially

 She is the Staff Sexologist at Good Vibrations, a nationwide chain of sex toy stores. Since 1990 Dr. Carol has enjoyed a unique platform to focus on sex education and women’s pleasure. Her sex education is published in The Sex & Pleasure Book: Good Vibrations Guide to Great Sex for Everyone.

 The midterms revealed notable pro-choice outcomes. Abortion is healthcare and bodily autonomy is a human right! There is a long history of criminalizing bodily autonomy, especially for Black, Indigenous, working class, and trans people. Dr. Carol and Dr. Diana discussed the various culture war issues.

Bay Area activist Carol Leigh (1951-2022), also known as The Scarlot Harlot, died earlier this month. Her legacy in the area of sex work activism is substantial. She defined sex work as a labor issue, not a crime, not a sin. The job is done by a million people in this country who are stigmatized and criminalized by working to support their families. Carol Leigh coined the term “sex work” and said, “I wanted to create an atmosphere of tolerance within and outside the women’s movement for women working in the sex industry.”

The Holidays are coming … Will you gift sex toys? Tune in to hear Dr. Diana and Dr. Carol discuss guidelines for appropriate gift selections.

Dr. Carol will return to “Love, Lust and Laughter” December 13, 2022. Tune in then – and listen to today’s show – a provocative, informative broadcast!

Click below to listen to the interview (approx. one hour):

LOVE AFTER LOSS – Becoming Capable of Intimacy and Laughter Again

Dr. Lori Buckley, my friend and colleague of nearly 20 years, is the perfect guest to explore this topic. She and I have some parallels on our life paths. We are both Sex Therapists who have narrated sex education videos for The Sinclair Institute – including Great Sex for a Lifetime. We’ve both been divorced and widowed and remarried – me four+ years ago, she in 19 days! We both moved out of L.A. – hoping for a more simpatico male dating pool, among other reasons. Big surprise – Los Angeles has more than its share of narcissistic men!

(Note: although the following stories are written from the perspective of women dating men, the advice is generally applicable to any gender dating any gender.) Beware of the man who doesn’t ask any questions about you on the first date. These guys are probably very narcissistic. Me. Me. Me. But it can’t be all about him when it comes to relationships. Besides, he may hold idea that I will find someone who makes me happy. Since happiness is an inside job, the relationship fails. If your new date is only talking about himself, you may be watching him talk about the only person who interests him: himself.

After loss, Dr. Lori asks the question, How do I move forward? First, it’s important to figure out what you really want. How do I navigate relationships and love? How do I navigate my sexuality after losing a beloved partner?

To figure out what you really want, you may need to give it three dates. If you don’t feel “chemistry” at first, please remember that chemistry doesn’t (usually) last. Attraction is important, but if someone meets your needs, you may find the attraction follows.

It helps to know your deal-breakers — for example, smoking. Most people focus on wants: hot, funny. You may find the right one when you focus on needs: communication, mutual respect.

Dr. Lori and Dr. Diana discussed common fears in dating the second time around. One fear is that first dates will be awkward. Sure, they can be – but they can also be interesting and fun! In addition to talking about mutual interests, ask lighthearted questions that delve beneath the surface. Examples: What was your favorite toy when growing up? What would you love to do if there were no constraints? What’s the best advice anyone ever gave you? If your house were on fire, what’s the first thing you would grab to save?

Another fear is that there will be a lot of losers out there. The reality is that your attitude has the biggest impact on your satisfaction with dating and your ability to meet compatible people. Often promoted by popular media is the idea that single men are inept or self-centered and that women are confused or impossible to please. Of course, the truth is that many men are capable and loving. Many women are straightforward and agreeable.

You can assess a person’s character by paying attention to the person’s actions as well as words. Look for evidence of kindness, respect, integrity, emotional generosity, and responsibility. Does he show up on time? How does he treat the staff at a café? Does he put away his cell phone during dates and give you full attention? When the subject of past relationships comes up, does he dwell on his ex’s negative traits? What did he learn from his last relationship?

Will he want sex right away is another fear. Plenty of people don’t mind waiting — and someone who is right for you will respect your boundaries. You might say, “I’m attracted to you, but I want to slow this down” … “I don’t have sex with someone this soon, so for now why don’t we just kiss and cuddle?”

Perhaps the biggest obstacle to finding love in midlife and beyond is staying home. Move those fears aside, and get out there and date!

Both Dr. Lori and I are similar in this way, too: we’ve danced our dreams awake with a special man. She has Harry, I have Bryan. I can honestly say my connection with my husband is one of fun, sizzle, and ever-deepening intimacy. We are two experienced people who have a past, yet everything is still possible! Dr. Lori agrees with me. Tune in for some fascinating details.

Also check out Dr. Lori’s product web site Stuff of Love.

Click below to listen to the interview (approx. one hour):

Parenting, Anxiety and Differentiation of Self: What does Sex Have to Do With It?

 Dr. Diana and her guest, Dr. Ashley Mader, reflected on the anxious times we are living in, where stress can either be an accelerator for sexual intimacy or a brake for it. The better differentiated each partner is, the better they can communicate their desires (or lack thereof). Differentiation involves learning to balance your individuality (separateness) with your emotional connection to someone else (togetherness). For some, there is a loss of self – especially in anxious times. “Me Time” is essential. You can’t feel sexy with someone else if you don’t feel sensual and relaxed alone. For one client, a way to hold onto herself was to go to a hotel alone for 24 hours to decompress and sooth her anxiety. This was a time for enlightened selfishness!

NOTE: Dr. Ashley Mader will discuss this topic at the upcoming conference PARENTING DURING ANXIOUS TIMES (www.TheBowenCenter.org) September 30,2022, 9:30-3:30 EDT.

Most women with low sexual desire want to want. Female sexuality is often contextual. Women can lose desire quickly when they don’t feel the right motivation. But because female desire is highly responsive to environment, it can also be ignited. As sex therapists, both Dr. Ashley and Dr. Diana hear couples say, “We love each other very much, but we have no sex. There is too much stress.” They feel like they’re living with a roommate and they start to desexualize each other.

Dr. Ashley says how important it is to create Sexy Time. Be sensuous with all your senses: seeing, hearing, feelings, and smelling keep us alive. They also feed and nourish romance and eroticism! Watch some sexy films, play sexy games, read erotica to each other. Schedule a Date Night, ending early enough to get home and have sex. Buy some pretty lingerie … Sometimes the hardest person to seduce is yourself.

What about parenting in these anxious times? It’s common for anxiety to be projected onto the child. A depressive marriage is grim for both adults and children. Children with a depressed parent are, on average, more likely to have behavioral and academic problems (even lower IQs!). To survive happily as couples, they need to place a higher priority on sex and erect boundaries to protect their intimacy.

Click below to listen to the interview (approx. one hour):

Dr. Ashley Mader

NRE – New Relationship Energy. How To Keep It Going!

 Therapist Dr. Ashley Mader – www.OurShine.org – sees clients who experiencing the euphoria of new relationship energy—NRE—as well as clients in the process of separation or divorce and wondering how they got there. Dr. Ashley and Dr. Diana have similar cases in their practices; so, a lively conversation ensued!

As with many things, the brain is involved, providing a biological reaction. In the early days of the relationship, the brain is pumping out dopamine, which plays a role in arousal and seeking out rewards. You’re focused on your partner and it builds the infatuation. Over time, oxytocin takes over, which promotes bonding and feelings of comfort. In the early days couples may feel like they’re on speed – later it may feel like they’re on an anti-depressant.

Michael Castleman, author and Psychology Today contributor, writes about dopamine, saying, “Novelty is a nutrient that nourishes relationships and enhances sex.” Couples that want to keep the NRE high need to trick the brain in producing more dopamine. Play out sexual fantasies – taking on new roles. Go to a hotel. It hits a lot of the stimuli checklist – new, different, a little danger/taboo if there’s a semi-private balcony. At its most basic, it’s away from home. There’s no pile of laundry that can highjack a partner’s mind. Good sex requires a person to be present; removing distractions gives that a chance.

Being fully present can be assisted by breathing. Dr. Ashley suggests putting your hands on the top of your head, fingers interlaced, eyes closed and breathing in and out slowly.

Other times a “thoughtful distance” is necessary: a time-out, a girls’ trip, maybe time to contemplate, Who am I?

Let there be spaces in your togetherness. This is accomplished with L.A.T. – Living Apart Together. Many couples who begin relationships later in life are keeping separate homes because they cherish private space and financial independence. This gives dopamine a chance to be in play because the couple can anticipate the emotional and physical intimacy! Building anticipation is its own aphrodisiac … which keeps the NRE freely flowing!

In therapy often couples discover hidden issues with control. This usually means that they need to feel more cared for and loved. Rather than getting involved in a power struggle, they can ask for what they need in a positive way. Partners who learn to say “yes” more often begin to see things from their partner’s point of view, as a result, are happier. Listening with curiosity is always a good idea!

NRE depends on having sex with your spouse! We want one who wants to have sex with us. The need to be desired is as important as the sex itself. Talk to your partner about sex and share how your needs may have changed over time. Be open and vulnerable when communicating – as well as kind and forgiving when misunderstandings occur.

Finally, consider this if you are contemplating a separation or divorce: “Remember, you had what it took to fall in love; it’s entirely possible you have what it takes to stay there!”

Click below to listen to the interview (approx. one hour):