Building Arousal

Building Arousal

Book Pleasure & Intimacy
Chapter 4 of 11

Here’s the thing about playing with another human: there is no universal remote. What melted one person into a puddle might make the next person feel bored, ticklish, or vaguely concerned about their grocery list. This section isn’t a playbook. It’s a spice rack. The magic comes from having options and paying attention to who you’re with, today, in this body. 

There are two big ideas worth dethroning:

1) The idea that it’s the giver’s responsibility to pleasure the receiver. While it can be good to take time to just give and to just receive… really pleasure is always your responsibility for yourself. How much can you feel? How much can you communicate your needs? How much can you set clear boundaries? 

2) The idea that someone sexually experienced knows exactly what their partner wants even if they just met. In reality, the sign of someone sexually experienced is their willingness and humility to ask good questions that uncover the pleasure map for that specific person on that specific day. Talk to each other. Stay present. Breathe. And remember to play. Don’t take any of it too seriously. 

Two reminders: 

1) When it comes to risk, abstinence (not having sex) is the safest option — and there’s a lot of fun to be had without involving genitals at all. After that, mutual masturbation — either side-by-side doing your own thing or helping each other out without exchanging fluids — is one of the safest ways to be sexual together. If you want intimacy while limiting risk, don’t have protection on hand, or don’t have recent STI testing, this can be a really solid option. Go check out the Essential Functional Knowledge chapter for more details if you haven’t already.

2) Remember that some of the best ambiance you can create is putting sex on the calendar on par with (or above!) all the other things you value spending your time doing. Anticipation is foreplay. Knowing you won’t be interrupted is foreplay. Making space at reasonable hours of the day is foreplay. Show up curious, imperfect, and willing to play and explore. 

Note:

Most of the topics in this chapter build on everything else in this course. If you skipped to this section without checking everything else out, you’ll be getting only part of the picture. In particular, the Hands chapter builds on top of the Solo and Extended Solo Play chapters. For instance, if you want to learn how to give a great vulva massage… lots of that info is actually in the vulva self pleasure section, even though it’s framed there from the perspective of masturbation.

A quick myth we’re gently tossing: Virginity is not a thing you “lose.” It’s not a before-and-after photo. Nothing mystical happens the first time you have sex that suddenly makes you wiser, hotter, or more adult. And because we’re just tossing the whole thing… there’s then also no need to delineate what counts as sex and what doesn’t (you get to decide for yourself). What does matter is readiness. Emotional, physical, logistical, nervous-system-level readiness. You don’t get points for rushing. You don’t fall behind for waiting. Go when your body gives a clear yes — not when your friends or some imaginary scoreboard tells you to.

1. Decide what “first time” means to you
Virginity is a social story, not a bodily event. Your “first” can be penetration, oral, hands, toys — whatever you consider meaningful. You’re not “losing” anything. You’re choosing an experience. You’re the author.

2. Pick someone who’s good when things get real
Choose the person who stays kind when you’re nervous, who doesn’t sulk when you slow down, who treats your body sweetly — not like it’s a goal.

3. Do it because you want to — not because you’re “behind” or because you’re being pressured
If the main motivation is “I should”…  wait. The best first times start with a clean, personal yes — not a scoreboard or someone trying to convince you. Usually the sense that “everyone else has done it” is simply inaccurate. 

4. Schedule it
Put it on the calendar like you’re booking a date. Time + privacy + no rushing = better sex. Anticipation counts.

5. Skim the earlier chapters first
Not as homework. As a confidence boost. Even a quick overview of the basics (Anatomy, Pleasure, Consent, Communication) makes this feel less like improv with no rehearsal.

6. Talk before anything’s happening
Hit the basics: what you want to try, what’s a no, protection plan, and how to pause. If you can’t talk about it clothed, it’s going to be chaos naked. Or check out the rBDSMA convo acronym and get more in depth. 

7. Make consent obvious and ongoing
Aim for enthusiastic yeses. Keep checking in. You can always change your mind mid-kiss, mid-clothes-off, mid-anything. 

8. Stay sober enough to actually be there
If you choose to drink or get high, keep it light. The goal is clear memory, clear consent, and clear body signals. 

9. If penetration is on the menu: go slower than you think, and choose the easy position
Wait until the receiving person is really ready — not “fine,” not “I guess.” And if you’re the one penetrating and you think it’s time? Give it another 10 minutes of unhurried arousal. For PinV, missionary is a great first-time position because it’s easy to communicate, adjust, and stop. Cowgirl and doggy can be amazing later, but they’re often chaotic and clumsy when you’re new. Anal isn’t a great first-time activity, but if you’re going to, spooning is the place to start. 

10. Protection = peace of mind
Condoms/dams/birth control plan. Nothing kills a first time like pregnancy or STI panic. Also use lube! It makes pleasure better and protection more effective. Be on the same page about all of this. 

11. Stay present, not impressive
First times can be tender, funny, clumsy, holy, underwhelming, hot, disappointing or all of the above. The win is not “perfect performance.” The win is connection + listening + adjusting. Remember… nobody was a basketball legend on day one. You’re allowed to giggle. Laughing doesn’t ruin intimacy. Sometimes it’s the door into it.

12. Plan the landing
Don’t just roll over into emotional freefall. Have a tiny landing: cuddling, snack, “how was that?” Even a simple check-in can turn “weird” into “sweet.”


Crowdsourced wisdom from people who learned the hard way.

If you want some more ideas… Here are the 10 most common “I wish I’d done this differently” refrains that show up again and again when people talk about their first time (pulled and compiled from Reddit threads).

1. I wish I hadn’t rushed / done it to prove something / done it for the “status.” People describe doing it to feel grown, to catch up with friends, to stop feeling “behind,” or to quiet insecurity — then feeling hollow after.

2. I wish I’d chosen a better partner (kindness > hotness > convenience). A huge theme: “I wish it had been someone who cared about me,” “someone I trusted,” “someone who didn’t treat me like a story to tell.”

3. I wish I’d listened to my gut and said no (or not been pressured).
So many accounts boil down to: “I didn’t fully want it, but I got talked into it / guilted / coerced / manipulated.”

4. I wish I’d communicated more — before, during, and after.
People repeatedly say they wish they’d talked about what they wanted, what they were nervous about, what to do if it hurt, how to slow down, and (big one) what the vibe was emotionally.

5. I wish I hadn’t expected it to be magical (or that it would “fix” something). A lot of folks describe expecting a fireworks moment — or expecting sex to cure loneliness, sadness, or self-doubt — then realizing it’s… just sex, and feelings don’t get deleted like browser history.

6. I wish we’d slowed down, warmed up, and made it physically comfortable. This shows up constantly: not aroused enough, too fast, too cold/awkward, pain, cervix-bashing, pressure to “just push through.”

7. I wish I’d been smarter about protection (condoms/birth control/STI risk). People describe real consequences, real fear, and real “why didn’t we just… prepare?” moments.

8. I wish I hadn’t been drunk/high (or I wish I’d been more present).
People talk about being so intoxicated they barely remember it, feeling sore/bruised, or realizing later they couldn’t track consent or comfort clearly.

9. I wish the setting had been better (privacy, time, not an “embarrassing place”). A very practical regret: the location was stressful, rushed, or shamey — parents nearby, weird bed, awkward timing, too many risks of interruption.

10. I wish I’d handled the aftermath better (feelings, expectations, ghosting, self-talk). A lot of people wish they’d checked in, set expectations, or not pretended they didn’t care. Some describe the emotional whiplash of being ignored afterward.

If you can’t talk about it clothed, it’s going to be chaos naked.

Great sex is more like spaghetti than a straight line.

Graphic titled **“Society’s Blueprint.”** An oval path illustrates a common cultural script for sex: kissing, foreplay, oral sex, penetration, men’s climax, roll over, and bed, returning to kissing. The diagram suggests a predictable sequence that centers penetration and ends after male orgasm. A faded illustration of a couple embracing appears in the background.
Society's blueprint
Graphic titled **“Great Sex Blueprint.”** Instead of a fixed sequence, a looping, overlapping path connects many forms of intimacy, including kissing, foreplay, oral sex, penetration, climax, cuddling, and rest. The tangled pathway illustrates that great sex is flexible and non-linear, with partners moving naturally between different activities rather than following a single predetermined order. A faded illustration of a couple embracing appears in the background.
Great sex blueprint

This is just one possible blueprint for great sex. Yours might look totally different. That doesn’t mean the so-called “standard flow” can’t be great. It just means there are no rules about a correct order.

Which is a little awkward because we did lay out the curriculum below in something close to that standard flow. Not because it’s the “right” way — just because it’s a familiar map.

Arousal topography

Sex is different for everyone. This landscape isn’t linear. People bounce forward/back. Arousal can stall, restart, spike, vanish, loop. Orgasm can happen or not. Erections can happen or not. These maps can help orient, but they’re not a “should” or “if you don’t fit this you’re broken or abnormal.” Experiment and see what’s true for you. 

Female landscape

Turn On
Responsive desire is the norm. Build a sexy context. Turn off the offs, turn on the ons. Stress, fear, resentment, exhaustion = brakes. Play, novelty, safety, feeling wanted = gas. Kiss. Slowness. Light touch. Start in the non-erotic zones. Sweet / spicy texts through the day. Show up like a good partner / person outside the bedroom. Compliments go a long way.

Warming
Foreplay time. Blood moving to the genitals. Heart rate and perspiration increase. Breasts may become fuller. Vulva getting puffier, clitoris getting erect. Kiss all over the body. Touch on the inner thighs. Ask if they want breast / chest play (varies person to person and also through their menstrual cycle.) No entry yet. Oral sex ≠ foreplay, it’s more like a main dish. Clit touch can feel painful, “too much” or just weird right now.

Opening
More direct genital touch. Mix featherlight + firm. The clit may still be sensitive. As arousal increases, the clit often tucks into the hood. Stimulating through the underwear, surrounding skin, and hood is great. Touch from above the clit is protected by the hood (usually a safer bet). From below = more exposed (more risk of “ow nope”). Petting the vulva top to bottom is great. Passing over the clit, not parking there. Wetness ≠ arousal. Lube’s a great tool. Still no entry unless it’s specifically requested. The whole clitoris is erect. Compliments go a long way. Explore. Wander. Leave the vulva and come back. Curiosity is hot.

Building
More arousal = more direct clit touch can be great. Keep kissing and loving the whole body too. After lots of external warm-up you might ask if they want you inside. G-region touch before now is often uncomfortable or neutral… around now it can be very yes. Small shifts in angles can change everything. Penetration can be great. Penetration + clit touch (your hand or theirs or a toy) is often where the magic is. Ejaculation is possible. Tantric perspective says no entry until they’re begging you for it. Find what feels right for both of you. 

Cresting
Orgasm is within sight, but still doesn’t have to be the goal. Don’t change what you’re doing. Consistency is the whole game. This is not the time to debut a new trick. If your jaw / tongue / wrists are dying, take one for the team and persevere… or switch it up (toys?) but match the sensation as closely as possible. Don’t speed up as orgasm crests. Same pace, pressure, rhythm. Don’t say “are you close?” (it’s like asking someone mid-sneeze if they’re about to sneeze). Avoid asking questions that pull them into their head. The outer part of the vagina can swell and feel more snug near peak. Orgasm usually comes with rhythmic contractions in the vagina and anus (sometimes uterus too). Hormones and neurotransmitters like oxytocin and endorphins can flood the system — sometimes leaving people feeling floaty, bonded, or calm. Sometimes orgasm isn’t on the table and that’s 100% okay. Pleasure doesn’t need orgasm. 

Softening
Ease off intensity but stay present. Don’t disappear right when their nervous system is wide open. After orgasm, everything is sensitive. Clit and nipples often want no touch. Most people want to be held. Some want round two. Follow the cues. Don’t switch to penetration immediately after orgasm unless asked. Slow down your touch, remove direct clit contact, but stay with the body. Removing touch matters too — do it with patient intention, not like it’s 5pm and you finally get to go home. 

Afterglow
Most people want cuddles, holding, closeness. Don’t just roll over and leave. Keep kissing. Share a couple frames from the moment: “That was so hot” / “I loved when you…” Or let silence be beautiful. It’s a good idea to pee after sex to avoid UTIs. The clit can stay sensitive for a while. If you want a second orgasm, there’s usually a rebuilding phase. Avoid direct clit touch and go back to what worked in warm up. Or cuddle, make some tea, laugh a bit… whatever aftercare y’all need.

Male landscape

Turn On
Context matters.  Less so than in women but still a thing. Stress, pressure, resentment, fatigue = brakes. Feeling wanted, ease, play = gas. Flirt. Kiss. Make them know they’re wanted, chosen, desired. Early genital touch can be great, but ask — everyone’s different. 

Warming
Blood moving into the penis. Erection may start… or not. Both good. Kiss. Whole-body touch. You don’t need to wait for an erection to have a good time. Soft penises still feel pleasure. Erections can come and go. Don’t make it mean something. The penis is not a gun, treat it gently. Too hard / too dry can feel painful. Pre-ejaculate may show up with arousal. If pregnancy or STIs matter, condom once erect.

Building
More direct penis touch. Lube is underrated here. Head is usually more sensitive. If the head is too sensitive, focus on shaft/base and come back. Underside (frenulum) can be high-sensation. Testicles may pull up closer to the body as orgasm gets nearer. Prostate play can be great in this zone of arousal if that’s what y’all are exploring. 

Cresting
Close to orgasm = don’t switch it up. Most penises like steady rhythm more than constant novelty. Pressure to ‘perform’ is a boner-killer. Stay playful, not evaluative. If you change tools (mouth/hand/toy/penetration), match the sensation. If trying to last longer: slow down, pause, reduce stimulation. As orgasm nears the testicles draw up and the scrotum tightens. 

Softening
After orgasm sensitivity spikes, especially in the head of the penis. Ease off direct touch but stay present. Going soft quickly is normal. After ejaculation there’s usually a refractory period — sometimes minutes, sometimes hours (often longer with age). Round two might happen or not. Multiple orgasms can happen, but they’re less common and usually require practice and a rebuild.

Afterglow
Cuddle / closeness. “That was hot” and “I loved when you…” land. If there was lots of arousal but no ejaculation, you might get “blue balls” soreness — harmless, temporary; cool down or masturbate if you want. If round two: be patient, go pee (a lot of people find it helps them reset), then rebuild — whole-body touch before direct penis focus.

Liking Spring?

What would make it even better.

Foreplay

(AKA the part most people rush, and then wonder why the sex feels mid.)

“Foreplay” is kind of a trash word. It implies the real sex starts later. Nah. You can have wildly good sex that’s all kissing, touch, grinding, breath, mouths, hands, teasing, toys, laughter, eye contact — and never “graduate” to anything.

That said, the quickest move for better sex is more foreplay. We know… not exactly groundbreaking. But true nonetheless. 

And no: a quick boob honk + 12 seconds of double-clicking the clit does not count as foreplay. 

A lot of people (see: men) treat foreplay like charity work: Fine, I’ll warm you up so we can get to the main event. That mindset makes foreplay feel goal-y and weirdly boring… because you’re not actually in it.

Foreplay works best when it’s for you too. Not “How do I get them ready?” But: “How do I want to touch, taste, tease, and play right now?” When both people are getting something out of it, it stops being a pit stop and starts being… the whole point.

Also: Oral sex isn’t foreplay, it’s sex 🙂

Here’s a frame that unlocks a lot:

Many people with penises tend to arouse from the inside out. Touch the genitals (when it’s wanted), and arousal spreads from there. 

Many people with vulvas tend to arouse from the outside in. They often need warm-up — context, slowness, whole-body touch — before their genitals want to be the center of attention.

For a lot of people with vulvas, arousal builds best with whole-body touch, safety, and time before direct genital focus feels good. Jumping straight to the vulva often skips the warm-up.

For a lot of people with penises, direct genital touch (when it’s wanted) can actually kickstart arousal and help it spread through the rest of the body. These are patterns, not rules. Bodies vary. Context matters . When in doubt: start broad, pay attention, and let the body tell you where to go next.

If you learn anything from this chapter, it’s that shifting your mindset about the purpose of foreplay can open up a whole new world of pleasure. Instead of thinking about foreplay as the process of getting wet or hard enough to “proceed,” try thinking of it as an integral part of the sexual experience; the act of creating safety, presence, wanting, and anticipation. 

Think of it like this:

Layer 1: Nervous system (Do I feel safe? Seen? Wanted? Unrushed? Turning on the Ons and Turning off the Offs)

Layer 2: Skin + whole body (Do I feel turned on in more than one square inch?)

Layer 3: Genitals (Now the genitals usually join the party way more easily.)

Most people skip to Layer 3 and then act confused when the body’s like: 😴 or 😠 or 🤬

1) Kissing is a whole skill (and most people abandon it too early)
Make kissing last. Change speeds. Pull back and hover.
Kiss like you’re not trying to get somewhere. 

2) Start farther away than you think
If you go straight for nipples/clit/cock, you spike pressure fast. Try:
+ neck + jaw + scalp
+ back of the arms
+ inner thighs (without “arriving”)
+ hips, belly, lower back
+ hands + wrists (weirdly underrated)

3) Make it 3x slower than your first instinct
Most people touch like they’re trying to start a fire. Try one long exhale while you do a single stroke. Then another.

4) Teasing is not cruelty. It’s signal-building.
Teasing = “I want you, and I’m not in a rush.”
Examples:
+ kiss them… stop… look at them… smile… go back in
+ hover your hand almost where they want it
+ press your body against theirs and grind without “doing more”

5) Touch variety beats “more pressure”
Nervous systems wakes up from contrast:
feather-light → firm
stillness → movement
nails → palms
mouth warm + wet → breath cool + dry
fast for five seconds → slow for 20

6) Use foreplay to remove pressure, not build it
Foreplay is not a loading screen for penetration. It’s a place where you can say with your whole energy: “We can stay here as long as we want.”

7) Grind more. Seriously.
Grinding is the bridge between “cute” and “feral.”
clothed grinding
thigh grinding
hip-to-hip grinding
slow circles, no agenda

8) “Foreplay” can be 10 minutes… or it can be the whole night
Sometimes the hottest sex is:
+ kissing + grinding + hands + laughing
+ oral
+ mutual masturbation
+ massage + slow build
+ one orgasm, or none, and still feeling wrecked (in a good way)
Foreplay isn’t the appetizer. It’s the whole damn feast.

Feel your feet on the ground. Notice what you’re feeling.
(Take a breath)

For 15 minutes, you’re allowed to do everything except the main hotspot (clit/cock).

It builds anticipation like crazy — and teaches your body to enjoy the whole journey.

Skill: teasing • presence • playful frustration • desire without rushing

How to play:
Set a timer for 3 minutes.
For the entire three minutes:
No hands. For either person.
No touching the main hotspots (clit / cock).
If a hand sneaks in or someone “accidentally” lands on a hotspot, restart the timer. (Yes. Really.)

What you can use:
Mouths, breath, hips, shoulders, thighs, forehead, nose, cheeks, chin.
Grinding, hovering, pressing, melting.

Guidelines:
Go slow. Slower than you want to.
Tease. Hover. Almost-touch is the point.
Eye contact encouraged. Laughing absolutely allowed.
This is not about being sexy. It’s about wanting.

What might happen:
It starts silly.
Then frustrating.
Then strangely intimate.
And by the end? People are very ready… in a focused, grounded, delicious way.

Rough sex

Rough sex can be fun as hell. For some people it’s hot, freeing, playful, intense, delicious. No issue there. The main question worth asking is whether you actually want it, or whether you absorbed the desire from porn, from culture, from some weird collective assumption that sex always has to be getting more extreme to count.

There’s a lot of pressure to be having increasingly wild sex. More intense. More performative. More “did you even have sex if nobody was upside down.” But you don’t owe anyone acrobatics. “Vanilla” sex is not inferior licking a vanilla ice scream cone. Vanilla done well can be slow, connected, filthy, and absolutely wreck you in the best way.

So before getting into rough play, figure out what’s actually true for you. Maybe you love it. Maybe you’re curious. Maybe you like the fantasy more than the reality. Maybe you only like one very specific version of it. Great. That’s useful information. The goal is not to be the kind of person who likes rough sex. The goal is to know what’s true for you.

A few pointers: 

  • Not everyone likes it. Ask first. “Do you like spanking / choking / biting / hair pulling / etc?” is hotter than guessing wrong.
  • Rough does not mean reckless. Pounding into someone’s cervix isn’t edgy — it’s just painful. 
  • Use safewords. Clear limits make it safer to go deeper. Red, yellow, green is classic, but make sure you agree on what those colors mean. Some folks add in blue for disassociating and beige for a bratty “that’s all you got?”
  • If you’re doing anything with restraints or rope, make sure you understand the risk of nerve damage and have safety shears nearby.

Choking

Choking has gotten super mainstream. A lot of people are into it. No judgment. It can sound hot, look hot, feel hot, all of that. But it’s just one of those things that really isn’t worth the risk.

Part of the confusion is porn. Sometimes what you’re seeing is not actual choking, so much as the performance of it. A hand on the neck. Good acting. Camera angles. But people watching may not know that, and then they go try to recreate it with real force.

The problem isn’t just “the neck is delicate.” The problem is that pressure on the neck can reduce blood flow to the brain. And your brain is, understandably, extremely picky about getting a steady supply of blood and oxygen. That’s why choking can be dangerous so fast. This is also why the whole “just do the sides” thing is not a safety trick. The sides of the neck are part of the danger.

And what makes this extra sneaky is that harm doesn’t always feel dramatic in the moment. Sometimes there’s no obvious signs right away. That does not mean everything is fine. It just means the body is not always loud about it immediately.

None of this is meant to send anybody into a panic spiral if it’s happened before. Even if it happened a lot. It just means: now you know. Choking is one of those things that can absolutely be hot for some people and still not be worth doing.

If what someone wants is the feeling of intensity, dominance, or that hand-on-the-throat moment, there’s an easy substitute right there: put a hand on the neck without squeezing. For a lot of people, that gives plenty of the charge without turning the whole thing into a blood-flow-to-the-brain situation.

A lot of people have spent their whole lives being handed the same depressing script: sex is for the young. Youth is erotic. Aging is decline. So by the time people reach their 50s, 60s, and beyond, they’re often dealing with much more than a changing body. They’re dealing with a culture that has been quietly telling them for years: you’re past your sexual prime now. You’re no longer the one being looked at. No longer the one being wanted. Maybe it’s time to retire this part of yourself and be mature about it.

That story does damage. It teaches people to disappear before they’re gone. To cover up. To brace. To apologize for their bodies. To feel self-conscious instead of sensual. To think, maybe sex is just not for people like me anymore. You can’t feed people that story for fifty years and then act surprised when desire gets quieter.

Yes, bodies change. Arousal may take longer. Erections may be less predictable. Orgasms may arrive differently. Some bodies need more time, more touch, more lube, more patience, more care. But that’s not the same thing as the end of erotic life. That’s just a body asking for a different kind of conversation.

What actually shuts desire down is usually much more complex than “hormones”: Pain that never gets addressed. Medications that affect sensation. Stress. Depression. Sleep problems. Grief. Caregiving. Resentment. Shame. Feeling undesirable. Feeling rusty. Feeling like your body has become a source of inconvenience instead of pleasure.

Sometimes the issue isn’t aging at all. Sometimes it’s 20 years of sex that was rushed, predictable, or for someone else, and finally being too old and too wise to keep pretending that is enough.

And sometimes later-life sex is shaped by real loss. Divorce. Widowhood. Illness. Disability. Surgery. Fatigue. Starting over. Dating again after decades. Learning a new body. Learning your own body again. That can be tender. It can be awkward. It can be lonely. It can also be the beginning of something far more honest.

Because this is the part our culture barely knows how to say: for a lot of people, sex gets much better with age. Not because their bodies become easier. But because they stop abandoning themselves inside the experience.

They know more. They ask for more. They pretend less. They’re often less interested in performing sex and more interested in actually feeling it. Less attached to looking perfect. Less willing to waste a perfectly good evening on bad sex. Less convinced that intercourse is the thing that makes sex real. More open to slowness, honesty, humor, creativity, and touch that is actually rooted in the body instead of some old script about what sex is supposed to be. That’s not settling. That’s growing up.

The research from Peggy Kleinplatz makes it exceedingly clear: many people in their 50s, 60s, 70s, and beyond are having some of the best sex of their lives. Not “still sexually active.” Not “good for their age.”
Magnificent sex.
And that makes sense. Because magnificent sex was never really about youth. It was never just about frictionless bodies or instant arousal or performing desirability on cue. It was about presence. Freedom. Honesty. Feeling safe enough to be real. Feeling skilled enough to say what you want. Feeling unrushed enough to let pleasure build. Feeling unashamed enough to stop treating your body like a failing machine.

So yes, aging can bring grief. It can be real to miss the body you had. Real to miss what came easily. Real to feel tender about time. But that’s not the whole story.

The whole story is that many people get older and finally stop confusing sexuality with performance. They stop trying to do sex correctly and start having sex that is actually worth having.

Less proving. Less pretending. Less nonsense.
More permission. More creativity. More truth.
More sex that feels like it belongs to you.

For a lot of people with vulvas, the biggest change is not desire. It’s comfort. Estrogen changes can make the vaginal walls thinner, drier, and less elastic. That can make penetration feel irritating, sharp, or weirdly fragile, even when the person wants sex and is mentally turned on. This is where people get confused and start telling the old hormone story about desire disappearing, when the real issue is often friction.

The first solution is simple. More time. More arousal. More warm-up before penetration. Arousal increases blood flow and helps the tissue become fuller, softer, and more ready. That matters more now, not less. Also: use lube!

And sometimes lube is not enough. If the tissue itself has gotten thinner, drier, or more fragile, vaginal estrogen can make a huge difference. Estrogen cream, tablets, or rings are common medical options for genitourinary syndrome of menopause, and for many people they help the tissue feel healthier, more comfortable, and more responsive again. 

The most important thing here is simple: painful penetration is not something to push through. Not grit your teeth through. Not “just relax” through. Not “maybe it’ll get better in a minute” through. Pain is information. It means something needs to change: more arousal, more lube, a different pace, a different angle, a medical conversation, or sometimes all of the above.

A lot of people with vulvas get told that penetration after 50 is just supposed to hurt a little. That is nonsense. Bodies may need different conditions than they used to. That is not the same thing as being broken. Usually it means less rushing, better support, and updating the technique.

Testosterone peaks in women in their late teens and early 20s, then gradually declines over time — by around age 60, levels are roughly half of what they once were.

Testosterone plays a role in sexual motivation and arousal. With less of it, some people notice fewer erotic thoughts, less drive to initiate sex, or a slightly dimmer “pull” toward pleasure. Some of the underlying physiology shifts too, like blood flow and sensitivity.

But this is where things get misinterpreted. Lower testosterone does not reliably predict low libido. Some people with very low levels have a strong sex drive. Others with higher levels don’t. Desire is shaped by sleep, stress, relationship context, body image, and a dozen other factors. Hormones are one piece of the system, not the whole system.

That said, for some people — especially postmenopausal folks with persistent low desire — testosterone therapy can help. When prescribed in appropriate doses (usually restoring levels to something like late-30s baseline), research shows it can meaningfully increase sexual desire. It’s not universal and it doesn’t work for everyone. Placebo effects are real and higher doses come with real side effects.

Those side effects can include acne, hair changes, irritability or aggression, deepening of the voice, and enlargement of the clitoris — sometimes subtle, sometimes not. Long-term high levels can also increase certain health risks.

There’s also a quieter dynamic happening underneath all of this:
Testosterone often makes desire feel more spontaneous. And because our culture treats spontaneous desire as the “right” kind — the kind that means you’re really into your partner, really sexual, really alive — that shift can feel like getting your sex drive back.

But what’s often happening is probably not simply that desire is higher — it’s that it’s showing up in a way we’ve been taught to recognize and value.
Responsive desire — the kind that emerges after touch, connection, or context — is still just as real. It just requires a different kind of attention.

One last note: many experts recommend avoiding high-dose delivery methods like testosterone pellets. They can push levels far beyond the intended range, and once they’re in, they can’t be removed. If side effects show up, you’re often stuck waiting them out.

For more info, check out this amazing NYT article by Susan Dominus.

For people with penises, the shift is often less about whether penetration is possible and more about how predictably the body cooperates. Erections may take longer. They may be less automatic, less rigid, or less eager to perform on command. Recovery time can get longer too. None of that means desire is gone. It means the body may need a different rhythm now.

That usually means less pressure, not more. More arousal before penetration. More whole-body touch. More time. Anxiety is terrible for erections, and a lot of people make things worse by monitoring themselves every six seconds like nervous middle management.

It also helps to get practical. Review medications. SSRIs, blood pressure meds, some prostate treatments, and other common drugs can affect erection quality, orgasm, and arousal. Alcohol, stress, sleep problems, and health conditions like diabetes or cardiovascular disease can also play a role. People love to blame age in some vague, doomed way when the actual story is often much more specific.

And of course, there are medical options. ED medications can be helpful.

The key point is this: slower erections are not a failure. Needing more stimulation is not humiliation. And sex doesn’t become bad just because the penis no longer behaves like it’s 22 and fueled by one beer and bad judgment. Usually the better move is the same one as everywhere else in adult sex: less panic, more skill, more honesty, and less worship of penetration as the only thing that counts.

Quiz

What’s true?

Building Arousal

1 / 2

What’s true?

The woman in the relationship doesn’t really want to have sex. They’ve been having the same mediocre sex for two years. Not terrible. Just deeply, consistently, beige. The kind that always ends at his climax. Now it’s 2 am and after another night of refusing sex she’s googling whether something is hormonally wrong with her.

2 / 2

What’s true?

They’ve been together three years. She wants sex all the time. He would genuinely rather finish the episode. This has become A Thing. She feels unwanted. He feels pressured. They’ve both started assuming this must mean something is wrong with him.

Your score is

TL; DR

Foreplay is not the appetizer. It’s often the whole meal. Oral sex is sex, and wildly good sex does not need to “graduate” to penetration to count.

There is no universal remote. Great lovers are not mind readers; they’re curious, humble, and willing to ask what this specific body wants today.

Pleasure is collaborative. Not in a blamey “figure it out yourself” way — in the grown, sexy sense that your pleasure is partly your job too: to notice, communicate, guide, and set boundaries.

Foreplay starts long before touch. Anticipation, privacy, safety, time, flirtation, and not being rushed are all part of arousal. 

A lot of disappointing sex is simply rushed. Start broader, go slower, and treat foreplay as something to savor, not something to hurry through.

Take a breath
Feel your feet on the ground. Notice what you're feeling.
When, and if, you're ready...
Chapter 5 of 11
Hands