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I n the fall ofI stood in a crowded auditorium as a parade of women described to regulators at the U. Food and Drug Administration how their libidos had been whittled down to a fraction of their former power. For some it was a gradual decline. The women were there to weigh in on whether female sexual dysfunction represents an unmet medical need.

Their testimony, taken collectively, described the personal fallout of low desire which, along with related sexual concerns like difficulty reaching orgasm, experts estimate affect a quarter to a half of American women. Such complaints are commonly chalked up to female biology. However, as a journalist who spent five years talking with women across the United States about their pleasure and desire, I rarely heard anyone say the main culprit was hormones, neurochemical balance or the biased stamp of evolution.

Instead, the women I interviewed described how the greater culture had derailed their desire. Heterosexual women in particular shared that their partners routinely dismissed their pleasure or that they had themselves absorbed the idea that it was a lesser priority. What emerged was that a lack of sexual entitlement—much like the pay gapthe glass ceiling and the countless other ways women are systematically held back—diminished what they received and what they felt they could rightly claim in their lives.

Moreover, they inform how women physically feel. The sole purpose of the clitoris, so far as science can surmise, is to confer pleasure on its owner.

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And yet, possession of this uniquely dedicated organ is no guarantor of delight, or even sensation. Numerous women told me they felt numb and disconnected—a lack of sensation that is especially poignant in an era when the control of their bodies so often comes into question. Among the women I interviewed, direct experience or close knowledge of sexual trauma was a persistent undercurrent, and some women attributed their dimmed sensation to prior episodes of harm or to feeling objectified, inappropriately sexualized and socially unsafe.

Numerous women also relayed that they were too caught up in their he to register what was happening in their bodies. In those encounters, an intimate touch was no more arousing than a tap on the elbow. Contemporary researchers use the term sexual concordance to describe the extent to which mind and body, or subjective report and genitals, are in sync. Studies using graphic sexual images have shown that men react bodily and report that they are most aroused by stimuli that conforms to their sexual orientation.

Queer women also display a specific response, reacting most positively to images of other women. But heterosexual women are all over the place. Physiologically, they react to couples, men, women, even scenes of copulating bonobo apes. One possible explanation, she says, is that reward patterns our behavior: we desire certain things because we associate them with pleasure.

For lesbian women, sexual intercourse is more consistently associated with orgasm and gratification, and so images of other women will activate a clear positive response. But for many heterosexual women, the status quo has left them underwhelmed, and there is no reinforcement of pleasure one way or another. Penetrative sex in orgasm for only a minority of women, and for some, who equate it with, say, pain, guilt or obligation, it may spark outright aversion.

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Anthropologists have similarly observed that in cultures that expect women to enjoy sex as much as men do, women have regular orgasms, whereas cultures that question the propriety of female pleasure are home to greater sexual difficulties. Fortunately, these findings suggest that erotic potential is not etched in stone and women can become proficient in experiencing progressive states of pleasure. Among the women I spoke to, great sex was not a matter of mastering a particular technique or communicative style.

In fact, it was not about what women did so much as how they did it, and for many that required unlearning what they thought sex and love were supposed to look like. Desire lay on the other side of giving up their freighted assumptions. Raised to believe that she should make herself available and pleasing, she came to equate intimacy with allowing her body to be relentlessly accessed.

Through learning to say no, she was able to eventually start saying yes. For the women I interviewed, low desire rarely stemmed from a medical malady or a psychological condition. Rather, it was often a healthy response to quietly unwanted or lusterless sex. My conversations revealed that persistent sexual dissatisfaction is a that many women do not feel free to enjoy their sexuality, or know how to do so, and so engage in activities that are not necessarily inclusive of their pleasure. If women struggle in overwhelming s to inhabit their own bodies, it is a measure of feeling, or being made to feel, undeserving or less than.

As dire as this sounds, it is also cause for hope. While their paths to sexual healing varied, the women I spoke to made plain that satisfaction was rooted in their social power, in being entitled to explore and express their sexuality and in feeling equal to their partners.

Pleasure and its value can be learned, and once learned, are not readily relinquished. at letters time. About Pleasure and Desire. Getty Images. By Katherine Rowland. Be the first to see the new cover of TIME and get our most compelling stories delivered straight to your inbox. Please enter a valid address. Please attempt to up again. Up Now. An unexpected error has occurred with your up. Please try again later. Check the box if you do not wish to receive promotional offers via from TIME. You can unsubscribe at any time.

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TIME Ideas hosts the world's leading voices, providing commentary on events in news, society, and culture. We welcome outside contributions. Opinions expressed do not necessarily reflect the views of TIME editors. Related Stories. Already a print subscriber? Go here to link your subscription.

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