Feeling Sad After Sex? Here Are A Few Ways to Manage Postcoital Dysphoria

Postcoital dysphoria (PCD), sometimes colloquially referred to as post-sex blues, is the name for feelings of sadness or agitation that may come up after consensual sex, regardless of how satisfying, loving, and/or enjoyable it was. People of any gender or sexuality can experience PCD with varying levels of frequency. If you do experience PCD, it can feel frustrating to have an emotional reaction that doesn’t necessarily align with your true feelings regarding the sex. Though the cause of PCD will vary from person to person, there are a few potential causes to consider including insufficient aftercare, expectations being unfulfilled, and underlying trauma or shame. Here are a few ways you might consider managing your PCD. 

Evaluate if your sexual aftercare routine is serving you effectively

Aftercare is “a way for you and your partner(s) to communicate, debrief, and love on each other after the session is finished in however way feels most fulfilling to your specific needs.” Though it started as a BDSM practice, anyone and everyone can utilize aftercare to regulate post-sex emotions. Aftercare can look like anything from cuddling to verbal validation to eating chocolate, and you might have to do some trial and error to figure out what works for you. Practicing post-sex rituals like this help transition from the emotional and physical intensity of a sexual encounter back into reality.

Journaling

Journaling about your PCD feelings can help process them and get to the root of the issue. This Well and Good article offers some important prompting questions to guide your journaling: 

• Was it before, during, and/or after sex that you started feeling something distressing?

• Is this feeling familiar to anything you've felt at another time in your life?

• Did your behavior work in alignment with your values?

• Are you satisfied with how you were treated?

• Is there anything you regret about the experience?

Be kind to yourself 

As frustrating as PCD is, it’s important not to blame yourself. There is nothing wrong with you, nor did you do anything wrong by experiencing it. Unkind thoughts only fuel the fire and may worsen the emotional distress. 

These tips may help lessen your distress, but to truly address it, you may need to seek professional help. If you’re consistently struggling and your sex life is challenging as a result, or if trauma is at the root of your PCD, or even if you just feel like you can’t deal with this alone, it might be time to check in with a sex therapist like the providers at Embrace Sexual Wellness.

3 Reasons to Seek Sex Therapy

Sex therapy is a therapeutic niche that addresses a wide range of sexuality-related concerns. Sexuality is a central part of being human so it makes sense that there is a need for professionals to guide us through issues pertaining to such a personal and important subject. Even the most knowledgable people about sexuality and relationships can benefit from having a neutral third party to work through internalized biases and judgments, relationship issues, sexual and gender identity, and more. Here are some reasons why you may seek a sex therapist:

You’re processing sexual trauma

Did you know that every 68 seconds, an American is sexually assaulted? Sexual assault is probably the first thing that comes to mind when you think of sexual trauma and while sexual trauma does include assault, it encapsulates more than that. It also includes issues such as chronic objectification and sexual shaming, sexual harassment like being catcalled, and both physical and emotional incest. These are complex, damaging traumas that left untreated can lead to depression and anxiety, among other issues. Sex therapists can help you work through your sexual trauma and any associated issues.

You’re unsatisfied with the state of your sex life and/or relationship as a whole

Sex therapy is a great resource for both individuals and people in a relationship working through sex and relationship issues. Humans are imperfect and therefore so are our relationships. Sometimes relationship and/or sex life tension start feeling insurmountable, which is where a sex therapist comes in. They can help individuals identify their wants and needs and work through sexual dissatisfaction. For people in relationships seeking treatment together, a therapist can mediate a discussion where all partners can have a say and be heard, facilitating a hopefully effective and kind dialogue.

You have difficulty achieving orgasm or arousal

There is nothing wrong with struggling to achieve orgasm or arousal. That being said, if it bothers you, you might consider seeking out a sex therapist after identifying or ruling out any physical causes. A therapist can help you pinpoint the source of the difficulty and work through it with you. Even if you are unable to “fix” the issue, a good therapist can hopefully help you find ways to have a healthy, fulfilling sex life.

These are just a few examples of what sex therapy can be helpful for. If you’re unsure if sex therapy is right for you or where to start, reach out to ESW team to see if we may be a fit for you.

4 Ways We Blame Ourselves for Our Sexuality

The topic of sexuality is complex and shrouded in shame, fueled by a complete lack of comprehensive sex education in the United States. This leaves many of us struggling to understand our own sexuality independently which can be messy and frustrating. Furthermore, experiencing sexual shame on an independent level means it’s difficult to internalize that you aren’t the only one struggling with a certain issue. The first step to unlearning this shame is by acknowledging that it exists and then you can begin to unpack it. Let’s address some common sources of sexual shame together.

Not being able to achieve orgasm in a specific way or at all

This is more commonly spoken about as an issue that women struggle with (an estimated 10-15% of women experience orgasmic dysfunction) but anyone can experience difficulty attaining orgasm. There are many potential roots of the problem including, but not limited to sexual trauma, age, hormones, mental and chronic illness, and certain medications. Whether or not there is a clear root of the problem, there is nothing wrong with you for experiencing difficulty attaining orgasm. Societal expectations and misinformation is the source of the shame, your body is not inherently shameful and you did not do anything “wrong” to “deserve” this. Most important to remember, you do not need to be able to orgasm in order to enjoy sex and masturbation.

Not being interested in intercourse, but interested in other sexual/sensual activities

Heteronormative expectations of sex center around penetrative sex; it is posited as the goal of sex. Unfortunately, this is exclusionary to many people like queer people, people who experience sexual dysfunction, or just anyone who does not derive pleasure from penetrative sex. Aside from being exclusionary, it’s limiting for everyone who has internalized that expectation. Once we are able to unlearn heteronormative expectations of sex (easier said than done!), so many doors open in terms of sexual possibility. Intercourse is just one of many ways to enjoy sex and it is not the sole “right” way to have sex.

Having responsive desire rather than spontaneous desire

Generally speaking there are two main types of how people experience a desire to have sex. Responsive desire means someone often needs to experience physical arousal before experiencing mental desire while spontaneous desire means someone often feels mental desire before physical arousal. Mainstream media and societal expectations posit spontaneous desire as the “norm,” leaving those with responsive desire to feel like something is wrong with them. Neither is superior, they are simply different. If you are struggling with your desire type being compatible with your partner(s), check out this Embrace Sexual Wellness blog post on desire discrepancy.

Experiencing sexual dysfunction or pain

Similarly to orgasmic dysfunction, it’s hard not to feel “broken” for experiencing sexual dysfunction or pain, especially if it prohibits you from having the kind of sex you want to have. It makes sense to grieve the fact that your body cannot do something that you wish that it could. At the same time, it’s integral to remember that you still deserve to have enjoyable sex and that it is still possible, even if that means it won’t look the way you expected.

The source of the shame related to the reasons above is because of the limiting societal expectations and beliefs about sex. The problem does not lie in the individual, but in the inaccurate and exclusionary ways we learn and talk about sex. You are not alone in your challenges. If you find yourself struggling to address your sexual shame alone, consider reaching out to Embrace Sexual Wellness and one of our sexuality professionals will happily help guide you through it.