Marvin Gaye was right: We want sexual healing.
Low sexual desire is the most common sexual issue women face, according to the Mayo Clinic.
That’s why Katherine Rowland, the author of “The Pleasure Gap: American Women and the Unfinished Sexual Revolution” (Seal Press), spent almost five years interviewing more than 120 women about their experience with declining levels of arousal, pain during sex or inability to achieve orgasm.
Much of the conversation around this issue “shrouds female sexuality in mystery and yet does not take into account the constellation of pressures and actual inequities that contour the way we experience our bodies and the world,” writes Rowland.
While low libido is often rooted in a complex mix of biology, psychology and social pressures, Rowland says the situation’s far from hopeless. With the right treatment, women can reach that big O and enjoy sex again.
Here are six ways the women she interviewed were able to rediscover the joy of sex.
Medication
It’s the pill that thrills. The FDA has approved Addyi and a few other drugs to treat the condition of “hypoactive sexual desire disorder” by toying with the brain chemicals associated with desire.
Rowland tells The Post that she has reservations about medically treating diminished libido, believing it “isolates” the issue. “[It looks] at your low desire as a medical phenomenon and [doesn’t] consider how it relates to trauma, or the multiple kids at home, or your attraction to your partner,” she says.
Nevertheless, some of the women she interviewed who tried the meds reported life-changing results — it was the jump-start they needed. Others, though, not so much.
Mindfulness
Sometimes you have to meditate to be moaning. As Rowland discovered, women who are perfectly capable of being aroused physiologically are sometimes distracted during sex — so much so that they can no longer recognize pleasure. That’s where mindfulness-based therapy comes into play.
One of the biggest proponents of that course of treatment is Canadian sex therapist Lori Brotto. Brotto sometimes guides her patients through the process of eating a raisin: feeling its texture, noting the sensation of biting down, the surge of its taste. Rowland calls such methods “extremely promising.”
Coaching
Unlike sex therapists, who must adhere to a strict code of practice, sex coaches have far more leeway. For better or worse, anyone who leads seminars, workshops or one-on-one sessions can call themselves a sex coach.
Unqualified or not, Rowland says, the fact that so many sex coaches are finding clients shows “how much women’s needs are not being met by medical providers.”
If you do decide to go that route, she suggests interviewing the coach to ensure that their values are in alignment with yours: Find someone who won’t push polyamory on you, for example, if you want to be monogamous.
Extreme bodywork
This is the most hands-on approach — literally — that Rowland explores. An intense form of sex coaching, some practitioners use somatic healing, a form of therapy that relieves trauma through touch, to help those with low sexual desire. And, yes, this sometimes means genital contact.
“It’s a gray area where physical therapy and sex work meet,” says Rowland.
She’s quick to note that the risk of violation with this treatment is high. Even so, the woman she interviewed who sought treatment this way showed Rowland how it can be “a really powerful healing modality.”
Verbal coaching
Rowland notes the work of a New York City-based former dominatrix, Kasia Urbaniak, as a great way to help women learn how to ask for what they want.
In her seminar, Urbaniak gets her students to channel their rage and demand their desires be met, something that goes against the grain of how women are generally expected to act. Rowland says it was “profound” watching the women in the class realize “how small they had made their own desires . . . so that they didn’t come across as needy or bitchy.”
Polyamory
Many of the women Rowland interviewed told her they missed the way they felt before they got married. Sometimes it was about freedom, other times it was about having other sexual partners.
Choosing not to be monogamous can be a “destabilizing” choice, Rowland says. But those women who found ways to consensually explore relations outside their primary partnership were able to honor their own needs while preserving their marriages. Women don’t have to sacrifice their sense of self, she found, for the benefit of a relationship.


