Desire and pleasure

What brings desire about, what keeps it going, and what gives pleasure. Seven pages on the enjoyable side of sexuality — the side least often discussed seriously, although it can be worked on like the rest.

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Where to start

These pages are not meant to be read in order. Open the situation closest to yours: it leads to the two or three pages that answer it.

Desire has gone, on one side or both
We have just had a child and nothing happens any more
It hurts
The erection no longer follows
I do not know what I like, or how to say it

The pages in this section

Aphrodisiacs

What the chocolate study really said, the one plant that beats placebo and what it costs, and what sends people to the emergency department.

Viagra and its equivalents

What they do and do not do, the nitrate combination that can kill, and the four countries where they are sold without a prescription.

Ozempic, Wegovy, Mounjaro: what effect on sex drive?

Desire rises for some and falls for others: a self-reported survey, hormones, hypotheses, and when to talk to your doctor.

Desire and orgasm

Desire is not a switch you flip. It varies with life stage, tiredness, stress and the state of the relationship — and knowing that stops a lot of needless worry.

Understanding female pleasure

The clitoris remains poorly understood — including by many women. Understanding it better makes sex easier, alone or with someone.

Erogenous zones

An erogenous zone is simply an area whose stimulation can produce pleasure. Location and sensitivity vary hugely between people: this is a starting point, not a manual.

Kissing, touch and massage

Foreplay is not a formality before the real thing: for many women and men it is a central part of the pleasure.

Oral and anal sex

Two common practices that are rarely discussed openly. Neither is compulsory, and neither is a stage a relationship is supposed to reach.

Desire after a birth

Not six weeks, not the first period, not the night the baby finally sleeps: there is no date. What actually happens, on both sides of the couple.

Choosing a lubricant

Lubricant is not only for dryness: it simply makes sex more comfortable, at any age and in any practice.

Low desire: understanding it, and finding the wish again

Spontaneous and responsive desire, the frequent causes — hormones, medicines, tiredness, the couple —, desire discrepancy, and what brings the wish back.

Why some cultures practise female genital cutting

Control of desire, marriageability, rite of passage, false religious prescription: the reasons communities give, what women experience, and how the practice is declining.

The Kama Sutra: what it really contains

Who wrote it, what its seven books contain — only one is about positions —, the translations that distorted it, and how to use it today.

Making love with a transgender partner: what changes, what does not

What hormones and surgery change, the words to avoid, consent, contraception still needed and prevention: a sexual-health page, without clichés.

Three things these pages share

Desire is not always spontaneous. For a good many people, and more often for women, it does not appear out of nowhere but in response to a situation that is already pleasant. Waiting for an urge that arrives unprompted means waiting for something that does not work that way — and wrongly concluding that something is wrong.

The pleasure gap is not about biology. Women reach orgasm markedly less often in heterosexual encounters, and markedly more often in other configurations. What the gap measures is practices, not bodies.

What changes things most is talking about it. That is the most regular finding in the research on sexual satisfaction, and the least spectacular. No technique makes up for a conversation that never happens.

Sources

  1. What Is Responsive Sexual Desire? — issm.info, 2022
  2. An Overview of Hypoactive Sexual Desire Disorder: Physiology, Assessment, Diagnosis, and Treatment — pmc.ncbi.nlm.nih.gov, 2021
  3. Differences in Orgasm Frequency Among Gay, Lesbian, Bisexual, and Heterosexual Men and Women in a U.S. National Sample — link.springer.com, 2018
  4. Couples' sexual communication and dimensions of sexual function: A meta-analysis — pmc.ncbi.nlm.nih.gov, 2019

Official or institutional documents this page relies on, consulted on 12 October 2026. Links open in a new tab.

Content updated in . The instruments cited can change: if in doubt, confirm with the official source given.

Text written with the help of AI, under the editorial responsibility of CAPIT; human reviews are occasional (method and sources: About). This content does not replace medical or legal advice. Spotted an error? Write to us.

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