Top experts discuss sex, sharing bold, fun, and enlightening tips!

Dr. B Ooha Sumita graduated with MBBS from the prestigious Armed Forces Medical College (AFMC) and obtained her MD in Psychiatry from NTR University of Health Sciences. She has over 9 years of clinical experience and now practices as a neuropsychiatrist. She has experience in dealing with varied mental health issues such as depression and anxiety, schizophrenia, OCD, bipolar disorder, ADHD and autism, and addictions. She has also completed specialized courses in reproductive mental health and sexual medicine. Dr. Ooha is an intuitive practitioner and prefers a patient-centric approach to treatment. Her patients usually recommend her for patient listening and clear explanations.

Did you know that over 50% of individuals diagnosed with depression report a noticeable decrease in their sex drive? In the year 2022, this fascinating statistic was published in “Nature”. The connection that this statistic establishes between mental health and sexual desire is something that I have observed in my practice as well. To truly understand sex drive, we also have to consider the holistic impact of stress, anxiety, and depression on their sexual health.

<h4 class="post__heading mt__heading">
What is Sex Drive? 
</h4>

Sex drive, also known as libido, refers to the overall desire for sexual activity, whether having sex with a partner or through masturbation. Several factors can influence it, including biological elements like hormones (testosterone, oxytocin) and neurotransmitters (dopamine, noradrenaline), along with psychosocial factors such as age, gender, living conditions, stress, and anxiety.


Libido naturally differs greatly from one individual to another, depending on factors like age, life situations, and personal preferences. There is no universally accepted &#8220;normal&#8221; level of libido or a &#8220;correct&#8221; frequency for sexual activity.


Low libido is a common problem presenting in sexual health clinics, with a prevalence ranging from 20-30% of the population. Women, particularly those in the post-menopausal stage of life, have a higher incidence of this condition than men of senior age groups. Several factors can contribute to low libidos, such as relationship issues, medical conditions, mental health problems, certain medications, and ageing.


&#8220;Understanding libido is crucial as various factors, including stress, anxiety, and depression, can significantly alter it.&#8221;


In this blog, you are going to explore the impact of stress, anxiety, and depression on libido, the underlying biological mechanisms, and practical strategies to manage these effects.

<h4 class="post__heading mt__heading">
Understanding the Impact of Stress on Sex Drive 
</h4>

Consider the case study of a 35-year-old woman under immense work pressure. Over time, she noticed herself losing interest in her hobbies, in spending time with her husband and also in any sexual activity at all. The couple consulted a healthcare professional, wondering if there was a hormonal reason for the change. The panel only showed an elevation in cortisol and a decline in testosterone levels, and that&#8217;s how she learnt that it was her stress levels causing her decreased libido.


Stress is the body&#8217;s response to perceived threats, triggering the nervous system and activating coping mechanisms. While short-term stress is manageable and doesn&#8217;t leave an impact on the body, prolonged stress can lead to significant health issues. Most of these are a direct or indirect effect of the stress hormone &#8220;cortisol&#8221;.


Every little stress induces the body to release cortisol, which enables it to cope with the fight or flight response. In cases of chronic stress, cortisol remains persistently elevated. This may result in a decrease in testosterone levels, a hormone vital for sexual desire in both men and women. As a result, this hormonal imbalance may cause a lowered libido or sex drive, causing a decreased interest in sexual activities.

<h4 class="post__heading mt__heading">
 The Role of Anxiety in Sexual Health 
</h4>

A ubiquitous presentation in my clinic is patients who walk in, anxious about their performance during intimate moments. This performance anxiety creates a vicious cycle, where their fear of not performing well leads to sexual dysfunction during critical moments, which results in further anxiety, eventually resulting in a complete loss of interest in any sexual activity.


Anxiety can manifest in various forms, all of which exacerbate feelings of inadequacy. Anxiety also triggers physiological responses, such as increased heart rate and muscle tension, which can hinder sexual arousal and performance. For instance, men may experience erectile dysfunction or delayed ejaculation due to anxiety, while women may struggle with lubrication or orgasm. Such performance issues can cause sex to become an unsatisfactory or, sometimes, unpleasant experience for the person, and naturally, the brain starts rejecting such occurrences, leading to a lack of sexual desire and decreased sex drive.

<h4 class="post__heading mt__heading">
 Depression and Its Effects on Libido 
</h4>

Depression is a medical condition marked by prolonged feelings of sadness, a loss of interest in previously enjoyable activities (including sex), and a persistent lack of energy. Many of these symptoms are due to neurotransmitter imbalances in the brain, including serotonin, dopamine, and noradrenaline.


These very neurotransmitters also regulate sex drive. Change in sex drive is a crucial diagnostic symptom for depression, which mental health practitioners look at. Fatigue, negative self-perception, and relationship strain can also diminish sexual interest.


A key point to remember is any mental health issue, such as depression and anxiety, triggers a stress response in the body. Along with the neurotransmitter inefficacy, there are elevated levels of cortisol circulating in the body for the duration of the mental illness, which further contributes to sexual dysfunction.

<h4 class="post__heading mt__heading">
 Tips for Managing Stress, Anxiety, and Depression 
</h4>

1. Prioritize self-care: Participate in activities that encourage relaxation and overall well-being, such as exercise, yoga, meditation, or pursuing hobbies.


2. Open communication: Open dialogue within the relationship about each others&#8217; needs and concerns can strengthen intimacy, reduce performance anxiety and help overcome many barriers to a healthy sex life.


3. Maintain a balanced lifestyle: A healthy diet, regular exercise, 6-8 hours of sleep, and work-life balance. All of these, play a major role in recovery from stress and depression.


4. Educate Yourself: Education about sex, sexual behaviours, and sexual responses may help overcome anxieties about sexual function.


5. Seek professional help: Consult with a mental health professional to address underlying issues and explore treatment options, including lifestyle modifications, therapy, and medication. Explore the role of couple therapy in addressing sexual dysfunction related to mental health issues.

<h4 class="post__heading mt__heading">
Common Myths and Misconceptions 
</h4>

Myth: Men should always be interested in sex.


Fact: Multiple biopsychosocial factors affect male libido- such as age, life circumstances, stress levels and health conditions. While low desire conditions are more commonly seen in women, men are also equally susceptible and can benefit from lifestyle modifications, therapy and medication.


Myth: (A fixed weekly frequency indicates normal libido)


Fact: Libido is a subjective feature and varies widely from person to person. There are no &#8220;normal&#8221; levels of libido, nor can it be measured by the frequency of sexual practices.


<h4 class="post__heading mt__heading">
Conclusion 
</h4>


In summary, stress, anxiety, and depression can significantly impact sexual desire, creating a complex interplay that affects both mental and sexual health. Understanding these connections is vital for individuals seeking to improve their quality of life. If you or someone you know is struggling with these issues, consider consulting a healthcare professional for support and guidance. Proactively improving mental well-being can lead to healthier relationships and a more fulfilling sex life. Keep in mind that sexual health is a vital component of overall wellness.

Stress, Anxiety & Depression – How Can They Affect Your Sex Life

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Dr Tanya Prasad is an Orthodontist and a medical health writer with a work experience of 4+ years. 
She has several Patents, Copyrights and scientific publications credited to her name. Along with being a literature enthusiast she enjoys reading fiction in her free time.

Have you found yourself stressing more about `performing’ sex than actually enjoying intimacy in the moment? If you identify with this statement, find your mind racing with thoughts and feel the fun slipping away during sex, then this blog is for you.


Welcome anxiety, the direct nemesis of sexual arousal and in turn the scoundrel of your sexual life. Sexual performance anxiety and premature ejaculation are common but overlooked challenges that can quickly dampen intimacy and confidence in men. Studies report that sexual performance anxiety (SPA) affects 9-25% of men with premature ejaculation affecting 20-30% of the world&#8217;s population (1).


Addressing the root cause of the problems is a vital part of any treatment. Practices such as mindfulness and meditation help in focusing your thoughts and centring yourself in the moment. This blog will explore how these powerful tools can help manage performance anxiety, and premature ejaculation and what research backs these claims.

<h4 class="post__heading mt__heading">
Understanding the challenges: Sexual performance anxiety and Premature Ejaculation 
</h4>

Sexual performance anxiety is a psychological condition where anxiety about one&#8217;s sexual performance overwhelms the mind, leading to difficulties in achieving or maintaining an erection. This can create a mental barrier, preventing a man from engaging in the moment and shifting the focus from physical sensations to a cycle of self-critical thoughts and worries.


Performance anxiety arises from a person’s constant worrying about their ability to `perform well’ during a sexual act. This creates a negative feedback loop where initial anxiety about sex can lead to an unsatisfactory sexual experience, which can then increase anxiety about further encounters.


This feeling of inadequacy and low self-esteem can lead to physical symptoms such as erectile dysfunction. Simply put, stress and anxiety about not being able to please your partner results in a negative state of mind. This can further lead to the development of sexual dysfunction in men and affect their ability to perform sexually.

<h4 class="post__heading mt__heading">
Premature Ejaculation 
</h4>

Ejaculation refers to the release of sperm from a man&#8217;s body. Premature ejaculation occurs when a man ‘finishes’ or ejaculates sooner than a man would want during sex. Premature ejaculation isn&#8217;t a cause for concern if it happens once in a while. However, when it becomes a common occurrence that starts affecting your relationship with your partner, it becomes crucial to understand the root cause.


Men suffering from anxiety-induced PE find themselves stuck in a loop of constant worrying which disconnects them from the sexual experience. This can be challenging, making it difficult to control the rhythm of sex leading to premature ejaculation.

<h4 class="post__heading mt__heading">
The science behind Mindfulness and Meditation 
</h4>

The practice of mindfulness has been around for more than 2500 years and was later incorporated in the West to wield it as a tool of intervention. This meditative practice from Buddhism refers to the “ability to become aware of the present and develop an awareness of sensation through thought or practice, without judgement.”


Mindfulness is centred on focusing and occupying oneself with the immediate experience. It helps in recognizing the present external or internal experience within the moment itself. Research indicates that practising mindfulness develops patience and a series of capacities such as stress reduction and pain management.

<h4 class="post__heading mt__heading">
Mindfulness for Sexual Performance Anxiety and Premature Ejaculation 
</h4>

Sexual problems can stem from anxiety, self-criticism, inhibitions, distractions and judgements. As a result, techniques related to meditation and mindfulness can be introduced in sexual therapy aimed towards improving attention and concentration. Mindfulness aims at improving the quality of life of people who practice it and enables them to experience the present without judgments and feelings of guilt.


Studies indicate that incorporating mindfulness in a couple&#8217;s sexual therapy increases satisfaction with their sexual experience and relationship (2). Other research revealed that practising mindfulness effectively improved sexual desire while decreasing the level of performance anxiety in men (3).


In fact, practising m
editation and mindfulness has also shown a positive effect in men with erectile dysfunction. The results could be attributed to the fact that mindfulness directs attention towards sexual stimulation and reduces distraction.

<h4 class="post__heading mt__heading">
How to Practice sexual mindfulness and guided meditation 
</h4>

Okay, so you know the theory, but how do you implement it in your daily life? Let’s talk about some tips to get you started.


1. Consistency: Staying consistent might be the biggest hurdle you face during your journey. Meditation and focusing on centring your thoughts can be difficult in the beginning. With a million thoughts running through one&#8217;s head, the idea of just having a centred thought focused on breathing might sound daunting. However, that is where consistency comes into play. It&#8217;s important to remain consistent and practice mindfulness every day. After all, even Rome wasn&#8217;t built in a single day.


2. Practice outside of sex: Start practicing meditation in your non-sexual life in the beginning. Take out some time from the daily grind, centre yourself and practice mindfulness. Taking a yoga class or practising mindfulness breathing exercises can work as a springboard towards your journey.


3. Work on your ambience: Yes, you read that right. Even men can benefit by creating an ambience that uplifts their spirits and helps them centre their thoughts. Indulge in self-care by setting up that mood lighting, choosing a quiet time, the right music and engaging all your senses. Take a moment and focus on not just getting off but on each sensation you experience.


4. Turn off the devices: An important part of incorporating mindfulness is turning off the sources of your distractions. Turn down the TV, put your phone on silent and create a focused space around you and your partner where you both can feel every moment without distractions.


5. Take the pressure off: Mindfulness focuses on accepting your present moment and relieving yourself from judgements. Being kind to yourself is a stepping stone towards letting go of your anxieties. Understand that sex is so much more than just reaching an orgasm. Great sex can be about connecting with your partner emotionally and pleasuring each other. Taking off orgasms from the table can help you focus on just the pleasure itself rather than the constant worry about climaxing.


6. Practice mindfulness during masturbation: Focus on loosening your body and enjoy the sensation running through your body. Instead of rushing through, centre yourself in the moment and let yourself feel all the pleasurable sensations as you build up your climax. While doing so, set aside any negative thoughts and tune them into background noise.


7. Learn to recognise your peak: Another great practice for men suffering from premature ejaculation is recognising their body responses. Understand when your body is reaching climax and alter your touches to lessen the sensation to your penis. This helps in gaining better control of your body and helps ground all your thoughts towards feeling sensual pleasure.


8. Guided imagery: Men can be visual creatures and if you are one of them then guided imagery can help. Walk yourself through a specific scenario and focus your thoughts on that image. If you find your mind wandering then recognise those distractions, breathe and gently bring your attention back towards your visualisation.

<h4 class="post__heading mt__heading">
Conclusion 
</h4>

The benefits of mindfulness and meditation can stretch beyond sex. Consistency and kindness to yourself can help you evolve your sexual intimacy. Recognising the problem and the root cause can help you distil your issue and recentre your approach. Commit to slowing down, practice mindfulness in your intimate life and you may see the results within a few weeks.

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Have you ever stood in front of the mirror, feeling a pang of self-doubt and wishing for a stronger sense of confidence? If so, you&#8217;re not alone. The journey to embracing our sensuality and unlocking a more fulfilling life often starts with overcoming these everyday struggles with body image and self-doubt.


Sensuality is a powerful tool, not just for physical attraction, but for self-appreciation and empowerment. It&#8217;s about embracing your desires and expressing yourself authentically. When you tap into your sensuality, you ignite a sense of confidence that can transform every aspect of your life.

<h4 class="post__heading mt__heading">
Confidence: The Key to a Fulfilling Life 
</h4>

Confidence is that inner knowing that you are worthy and capable. It&#8217;s the belief and unwavering courage that you can achieve your goals and live a life you love. When you feel confident, you&#8217;re more likely to:


1. Take risks: Confidence empowers you to step outside your comfort zone and try new things.


2. Set boundaries: You feel comfortable saying no to things that don&#8217;t serve you and advocating for your needs.


3. Pursue your passions: Confidence gives you the courage to pursue what you truly desire in life.


4. Connect with others: You feel comfortable putting yourself out and building meaningful relationships.

<h4 class="post__heading mt__heading">
How Embracing Sensuality Boosts Confidence 
</h4>

So, how does embracing your sensuality lead to greater confidence? Here are a few ways:


1. Self-appreciation: It crucial to building confidence. By focusing on your body&#8217;s unique beauty and capabilities, you foster self-love and acceptance. This self-appreciation forms the bedrock of true confidence, empowering you to embrace your sensuality and live a more fulfilling life.


2. Empowered Exploration: Sensuality encourages exploring one&#8217;s desires and discovering what feels good. This self-discovery empowers one to take control of one&#8217;s pleasure and well-being.


3. Inner Radiance: It shows when you feel comfortable and confident in your skin. You radiate a magnetic energy that is undeniably attractive.

<h4 class="post__heading mt__heading">
Taking Charge of Your Experience 
</h4>

Confidence and sensuality are not innate traits, but skills that can be honed and developed. This means that regardless of where you are on your journey, you have the power to cultivate these qualities. Here are a few practical tips to help you get started on your path to self-discovery and empowerment.


1. Challenge negative thoughts: Notice your self-talk and challenge negative thoughts about your body or yourself.


2. Celebrate your body: Focus on what you love about your body and appreciate its strength and resilience.


3. Practice self-care: Taking care of your emotional state more than physical being while showing your body respect and love it deserves.


4. Explore your sensuality: This could involve anything from trying new things in the bedroom to simply taking a long, luxurious bath.


5. Wear what makes you feel good: When you feel confident in your clothes, it shows!

<h4 class="post__heading mt__heading">
InYou: Your Partner on Your Journey 
</h4>

At InYou, we believe that sexual wellness is an essential part of overall well-being. When you feel confident and comfortable in your skin, it leads to a more fulfilling sex life. Our line of natural, science-backed products can help address common sexual concerns and enhance your sexual pleasure.


We are committed to providing the resources and support you need to feel your most confident and sensual self. Explore our blog for articles on sexual health, communication, and self-love.


Unleash your confidence and embrace your sensuality. You deserve a life filled with passion and pleasure. Let InYou be your partner on this journey of self-discovery.

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Stress, Anxiety & Depression – How Can They Affect Your Sex Life

The Role of Mindfulness in Managing Performance Anxiety and Premature ejaculation

Unleashing Confidence: Embracing Your Sensuality for a Fulfilling Life

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