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Sexual healing

Sex advice from Pamela Stephenson Connolly, a US-based psychotherapist specialising in sexual disorders. Each week, Pamela chooses one problem to answer, which will be published online and in print. She regrets that she cannot enter into personal correspondence
  • Composite of an older woman resting her head on an older man’s bare chest

    I’m struggling to enjoy foreplay – but I want more from sex than just penetration

    As a young woman, I had a powerful libido. A lot of inhibitions have surfaced since the menopause
  • A woman wearing a towel and looking towards the floor

    My partner wants me to ejaculate – and I’m not sure it’s possible

    I haven’t even experienced this when orgasming alone and wonder if this is normal for a woman. Does sex need to be more intense?
  • ‘Even with this freedom I feel lost'.

    I want love and intimacy – but I am struggling with my sexual identity

    I came out as gay and set out to explore my sexuality without worrying what other people think. Even with this freedom though, I feel lost
  • Illustration of two pairs of male legs in bed

    I used to be a top, but it no longer works for me. How do I tell my partner I’ve become a side?

    Our old way of having sex doesn’t make me happy and I’m unable to perform. It’s causing a lot of frustration
  • Composite illustration of a man clutching the back of his head, with first aid signs

    My husband and I haven’t had sex for months. I feel undesirable and ugly

    Everything ground to a halt when I injured myself. And although the physical pain has eased, I’m still hurting
  • sexual healing composite image

    I lose interest in sex at the moment of penetration – and it’s puzzling my husband

    When we have sex I get aroused at first, but my mood can change abruptly. I worry about how my lack of desire will affect our relationship
  • ‘Intimacy is difficult.’

    My wife and I used to love sex – but now I’m out of shape and she has painful knees

    We’re both losing interest in sex as it’s not as satisfying as it used to be. How do we make it fun again?
  • ‘I long to get back the dominant top that I married.’

    I married a top – but now he wants to be a bottom

    The man I fell in love with was dominant, but now he is obsessive and jealous. What can I do?
  • Man looking despondently at his watch

    My wife rarely instigates sex – and always wants to schedule it. Why can’t she be more spontaneous?

    She says I think about sex all the time – but her libido has fallen since our third child and I feel shame at being rejected
  • Sexual Healing composite image – my partner won’t go down on me because I refuse to make concessions

    My partner hates my pubic hair but I refuse to shave. What now?

    He’s ashamed and embarrassed at his reaction – but he seems unable to get past it. And I am not going to change
  • ‘I feel so much more sexually confident with him and have a happiness I’ve never felt before.’

    The stress of cheating on my wife is making me ill – but I can no longer suppress who I am

    I love her and my children, but have fallen for another man. What can I do? I’m now suffering from gastrointestinal problems and using alcohol to get to sleep
  • Sexual Healing composite image of a woman, cross-legged, looking pensively to the left

    I used to love sex. But my boyfriend’s premature ejaculation is turning me off it – and him

    We’ve been together for five years, but I’m losing interest. And he won’t talk about it
  • ‘He can’t get past this.’

    My fiance fears intimacy – and we’ve only had sex twice

    We live together and he says he is attracted to me, but his background has led him to be extremely repressed
  • An image of two men embracing

    My husband has suggested we both go on Tinder for fun – but will this open a can of worms?

    I’ve never dated online before and am open to the idea. But I’m worried that what starts with light flirting could lead to big problems
  • ‘I don’t know how to get the spark back.’

    Motherhood has changed my wife’s body – and I’m no longer attracted to her

    I love her very much, and think she is beautiful, but I sometimes struggle to get an erection when we’re making love. What can I do? I worry for our marriage
  • Sexual Healing: design composite of young man with a young woman's arms around him with her back to the camer

    I’m not attracted to my girlfriend – but I want to spend the rest of my life with her

    I love her and don’t want to lose her, but she desires sex more than I do and I find myself criticising her eating and exercise habits. What should I do?
  • A man and woman having fun in bed, while in a separate scene a man look glumly into the distance

    My wife refuses to end her affair because she enjoys the sex too much. What should I do?

    She says everything in our relationship is perfect – except that she’s no longer attracted to me
  • Sexual Healing: My boyfriend is too vanilla for me

    I love my boyfriend but I’m losing interest in sex. He’s too vanilla!

    I don’t want to leave him. Must I suppress my own desire?
  • Young man and woman in bed; she is kissing his cheek while he lies on his back with his eyes closed

    My partner and I still have sex. But is she only doing it out of kindness?

    Things were great at the start. Less than two years on, she seems to be losing interest
  • ‘I only feel aroused when I have chemistry with a man’ (posed by model).

    I’m 70 and have never been able to bring myself to orgasm

    I am able to climax during intercourse – but touching myself does not bring satisfaction, which perplexes me
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