153 Sexologist Chantelle Otten Breaks Down Sex Myths The Impact Of Porn Common Mistakes
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For someone who has a vulva, they need to be pleasured for at least 25 to 30 minutes. And I'm not just saying it's like jackhammering, pumping someone away.
Not for 25 minutes.
No, you need to be.
Is there a rule of thumb about the number of times a week an individual should have sex? Like, is there a cadence that's healthy?
For a penis owner, you should be masturbating because it does reduce your risk of prostate cancer. So definitely like once or twice a week would be really great.
Move past your own ego and thinking that you're going to be the best lover that they ever had because they're their own best lover.
And they're going to be able to coach you to be an even better lover.
Because I actually have a friend. That sounds a bit weird, I have a friend, but it's not me.
Yes, right.
Chantelle Otten, welcome to Spray Talk.
Thank you.
You are a sexologist.
I am, yeah.
First, could you just tell me, apart from that you're an author and you've got your own podcast too.
We'll talk about that in a moment, but can you explain to me what a sexologist is?
It's a fancy word for a sex therapist.
But what's a sex therapist?
Yes, so as a sexologist, I help individuals, couples, groups, anyone and everyone who has like a question or a concern or something that they want to learn about sexuality and relationships.
I like to approach sex from a real like biological, psychological, interpersonal and sociocultural kind of perspective.
So I like to look from a holistic perspective at an individual.
And then find out why things might be going wrong.
And then find out why things might be going off track.
And so I like to think of myself more of a sex detective.
What's happening for this individual in terms of their overall life and why is that impacting on their sex life?
So, sex therapist, sexologist, why would, I mean, because I think what you described to me is how you go about it.
But why does someone come and see you?
Like, give me an example, maybe a couple of, I'm sure there's hundreds of examples why.
But give me a couple of examples.
Why does someone consult you?
They go to the GP.
They go to the GP and they say to the GP, or is it they go to a marriage counselor, like, our sex life's fucked, I want out.
Does the marriage therapist perhaps say, well, maybe let's go and get some, go see a sexologist, go see Chantel and have a chat to her.
Maybe she could help you through this process.
Is that what we're talking about?
I mean, that's like worst case scenario, right?
Yeah, yeah.
Like, I think, you know, you can come if you just want to improve on your sex life.
You might be having a lot of fun, but you want to have more fun.
So then you can come talk to.
Someone like myself who can make a few suggestions or, you know, I can refer you to someone who might be able to help you in terms of other things and techniques.
Or if you want to get into Tantra, that's not my kind of forte.
So I can work with someone who does that.
But I would say in general, I do tend to see people who have problems.
And that could be erectile dysfunction, premature ejaculation, painful sex, desire discrepancies, so low desire matched with someone who's got high desire.
So I see a lot of people with health care, chronic conditions, trauma backgrounds, disabilities, you know, anything and everything really.
So if I could just, my brain was going crazy thinking about all the various questions you could ask or I could ask.
Let's talk about dysfunction, erectile dysfunction for a man.
For a penis owner.
Someone who has a penis.
Yeah, a penis owner, exactly.
Well, then we can talk about sort of pain in sex on the, someone who's got a vagina.
Or anyone can have pain with sex.
Yeah, true.
It doesn't have to be in the vagina, I guess.
So, but let's just talk about dysfunction.
If someone comes into you with sexual, with penile dysfunction, how much of it is about the way they're thinking?
You know, neurodysfunction.
Yeah.
So you can think of it as a physiological sense versus, say, a physiological sense.
So it could be a chemical reason.
In other words, if it's a biochemical reason, they just take one of these pills because it might improve your blood flow or stop the blood from evacuating from your penis too early, for example.
How do you work that process out?
It's quite easy.
So usually when I have a patient in front of me, I ask them if they still get morning erections or not, or nightly erections.
Morning erection means what though?
Yeah.
Yeah.
Yeah.
Yeah.
Yeah.
Yeah.
Yeah.
Mm-hmm.
Yeah.
with erection? Yeah, they might have it during the night or they have it in the morning if they
notice that they're having them and they haven't noticed that dropping off, then usually it's a
psychological thing that we're working with. A lot of the time they come to me after they've
tried Viagra or Cialis, for example. And I often ask my patients who do have erectile dysfunction
to try using Viagra and Cialis in conjunction with psychological therapy as well. Because
erectile dysfunction is usually a bit of a self-fulfilling prophecy. You have it once,
you get nervous the next time I'm going to lose my erection again, then I'm going to be embarrassed
and I'm not going to satisfy my sexual partner. And it also taps into masculinity and how I am
as a man or how I am as a sexual performer, for example.
And then the performance anxiety kicks in and then you lose your erection again.
So a lot of it is coaching someone through the performance anxiety aspect of erectile dysfunction
alongside checking their medications, their health, whether they have a lot of fat around
their stomach, for example, because that can make it difficult for blood flow down to the
genital area. Are they doing enough exercise?
You know, what is going on for them that's making them have difficulty? So that's why I like to look
at it from a whole body and mind perspective. And is erectile dysfunction, let's call it for
blokes for the moment, is that a predominant reason they would come and see you for, say,
an individual, one guy, one person, one owner of a penis, as opposed to coming in as a couple?
Mm-hmm.
Is that like a...
Mm-hmm.
Is that a predominant reason people would see you as, for example, as a sex therapist?
Yeah.
Is that... It's a big deal? Like in terms of statistical numbers of people coming in?
I was in the majority of people I see in my clinic.
Yeah, yeah, yeah.
Yeah, I would say.
Is that a thing, like a big thing?
Yeah, I would say.
Because men talk about it all the time.
Yeah.
Blokes, I know. Blokes are always talking about it.
Yeah.
And is part of the reason then, for example, do you ask questions like, do you take too
much Coke? Do you snort too much Coke? I mean, you get into that sort of territory.
Yeah, of course. I ask everything. I ask about drug use, alcohol use.
Um, lifestyle. When are they having sex? Because if they're having sex after lots of
drugs, lots of alcohol, of course you might lose your erection. And then you're getting
nervous about it next time. But you have to look at the context of your sexual experiences
as well. And the timing. I ask a lot about stress levels. I ask about self-esteem, how
they're feeling about themselves. I also ask about the communication between them and their
sexual partner. Because if they've lost their erection and then their partner's gone, is
it me? You know, what's wrong?
Yeah.
What's going on with you? Um, you can't perform or look, you've lost it. Critical kind of
narratives around how your body is functioning, especially when it's outside of your control,
is going to lead you to feel more anxious about it the next time.
In a physiological sense, um, when it's because of the way your blood flow is working, you
might have a big fat tummy or just not exercising properly or you're getting older, things are
deteriorated.
Um, would you be able to explain to me at least in a sort of a, from a health point
of view, why the blood is not staying or not either, either not flowing into the penis
fully or not staying in there? I mean, what's the reason? Is there some nerve down there
that's been damaged or, you know, is the blood vessels got thick or, you know, what's going
on?
Yeah, it could be quite a few reasons to be honest. So there's not kind of, you know,
a one size fits all, but essentially if you're not getting enough blood pumping through your
body or if you're getting it pulling, for example, down the bottom of your legs, because
you're not doing enough exercise for it to come back up your legs into your genital area
or vice versa, if it's kind of getting stuck around your mid part and it's not going down
into the, you know, like it's not impacting the genital area like you want it to, or it's
going into the penis and then coming out, being drawn out quite quickly so it can get
back up to the heart.
So that's when we would use like a penis pump and maybe like a cock ring to make it
stay in the penis for a while.
Trap the blood.
Yes.
Yeah.
And, and, and, and cock rings, for example, I mean, I've never used one, but I've seen
them.
You can get some really fun ones. They vibrate.
Because we had a lady on, on the mentor show who actually, that was her business and she
had cock rings. The, is there any danger associated with these things? Like, like trapping the
blood and you know, the next thing you know, blood, blood, blood, blood, blood, blood,
blood, blood, blood, blood.
Yeah.
And you've got to go to hospital or something like that.
It's not going to be, it's rarely going to get to the point where it's going to be dangerous.
Right.
But I definitely have had, actually, if you listen to this season of my Audible series,
cause we're doing sessions with people who volunteer to be on the podcast. So it's a,
it's a live therapy session.
Yeah. Like real deal.
Yeah. It's a real deal. You get to listen to people talking about their, their concerns
or their challenges. We did have one participant who is getting into kink porn.
He's getting into kink practices. And he was using a penis pump quite regularly to the
point that he actually, his penis discolored because he had brought so much blood down
into the penis.
Like bruised.
Yeah. So it was almost like when you get a hickey or a bruise, because there's so much
sucking on that area that he had bruised his penis and it had gone quite a dark shade that
he was concerned about.
Are these things like popular, like, I mean,
It will disappear by the way.
But, but are these things popular, like cock rings, pumps, do, do they, do they, do they,
like if someone comes to see you, you think that's maybe something they should be trying
to do, like, do you sell it to them or how do they find this stuff? Like how do they
know?
I show them where to get it. Yeah, for sure. So I'm going to recommend the product that
I think is relevant for their individual needs.
Right.
Yeah. So I think for myself, I, I'm very, very particular about how I go about my work
and I, I'm very much focused on the individual and then their overall quality of life and
then their relational and sexual quality of life as well.
Yeah.
So I do bring the partner. If one person has a problem, it is also a couple's problem
as well. So I do bring the partner in, but I want to make sure they're getting very specific
recommendations for their individual needs.
And do you, do you, I mean, how important is the follow-up process? I mean, do you sort
of say, okay, go and try this. I would like to know tomorrow morning the result of what
you tried the night before, or do you just make another appointment? Like what, what's
the process and how is it, how do you encourage people to be really open?
Yeah.
How do you encourage people to be really open with you? Like, and, and, and honest.
You listen to the podcast, you'll find that people are very open and honest with me. Now
I'm, I'm very good at my job at making people feel extremely comfortable. It's a very safe
situation. It's a nonjudgmental space. My job is to hear all of their questions and
I don't have a bias. I'm just there to help them. And I want them to feel seen, heard,
understood, and supported. It's me and them against whatever problems that they have.
Um,
In regards to the follow-up process, I'll generally see someone for a 50 minute appointment
and then I'll see them maybe three weeks later because they have to have enough time to implement
some of the strategies that I give them.
Effectively homework.
Home play. I like to call it home play.
Home play.
Yes.
Yeah. It's better than work. Yes. Home play.
Yeah. We've got enough work going on, don't we? We're all a little bit stressed. So I
try and, and it might be simple things like, you know, change up the time in which you're
trying to have playtime. So maybe 10 PM, maybe 10 PM, maybe 10 PM, maybe 10 PM, maybe 10 PM,
maybe 10 PM.
Maybe 10 PM on a weeknight is not the right time for you because you're absolutely cooked
and your partner's cooked. And then it's kind of robotic. Why don't you try Sunday morning?
So you've had a day off to rest. You might've done something that has filled your cup and
made you feel really good. And then Sunday mornings you can sleep in and then just have
a relaxing time where you can engage with each other. Or if it's an individual, I'll
say, you know what?
Maybe you should try going out and not having so many drinks when you go out or forming
a connection with someone instead of one night stands. And so we talk through the dating
process or, you know, how to feel confident in their chat game, for example. So sometimes
sex is the last thing I talk about in my sessions.
Why is, why is sexual health so important? Why is it important to any one individual?
What's the reason? Is it because of the chemistry releases of all the various hormones, et cetera,
that come about as a result of having it? Or is it about just about intimacy?
Yeah.
What's the reason why it's so important?
The World Health Organization sees it as a fundamental part of our quality of life and
our health. Not only for the way that it impacts our body in various positive ways. So the
endorphins that get released, the dopamine responses, the oxytocin, the bonding, the
love hormones. But also it's great for cardiovascular health. It's great for stress relief. It's
great for sleep. There are so many physical benefits of it, but from an intimate emotional
point of view, you know, the way that you can connect with yourself is very important. So how
you feel about yourself, especially as an erotic being, because sex and eroticism is really, it's
somewhere that you go. It's not just something that you do, right? It's a place that you can go
with your mind, with the way that you touch. It's a sensory experience. And it can be really
incredibly beautiful if we don't lose, I guess, the goal of making it beautiful. I think a lot
people get into this rhythm where they go, I have to be doing this because it means that,
you know, A, I'm successful. They, they start looking at the goal of sex. So penetration and
orgasm, if we're talking about cis hetero relationships, they lose the fact that sex
is about pleasure and connection and feeling into someone or into yourself with your body,
with your mind. It's such a beautiful experience. I just think that we grew up,
or I definitely grew up with a lot of
movies that kind of showed it as a bit of a novelty or a silly thing or something that we
have to be ashamed about. I mean, I grew up with the American pie era. So that was when my guys
were fucking pies. Like it doesn't make it look that sexy, right? And it was all about, you know,
the penis and all about the pleasure of the penis or like, I don't know, it was kind of
just dumb and silly. And I think as a female, as a feminine person,
I never learned that pleasure was a pleasure. I never learned that pleasure was a pleasure.
And a lot of my friends, I went to an all-girl school, a Catholic school. A lot of them didn't
know that pleasure was for them. And I see the difficulties that they've had over the years
thinking, A, should I be doing this? Because there's a lot of shame that when you come from
like a different religion background. But also the fact that you never get asked about consent,
or we never learned about consent or boundaries or how to ask for what we want. So my job is to
really make people feel empowered in their sexual experiences, but also within themselves
and their boundaries and their pleasure, asking for what they want, saying no, setting boundaries
around even like timings when you're dating someone new and going, you don't have to rush
into anything. We had an event last night for my Audible series. And there was a woman there who
was like, how do you ask someone? She would have been in her forties, I think,
she's like, what do you mean you prioritize yourself? How do you prioritize yourself as a
woman? I'm meant to be doing the washing, the cleaning, cooking food. How am I meant to ask
for what I want in the bedroom? And she's like, I listened to half an episode of your sex therapy
series. And I had to stop because it was so confronting for me because I've never learned
that I'm allowed to ask for pleasure or I'm allowed to ask for what I want. So,
that was a really interesting experience. And I hope to see her in my clinic maybe one day.
But the fact is, if you can feel empowered in your erotic experiences and in yourself and
your self-worth, then you can really conquer a lot of other domains of your life as well.
It's something very interesting a moment ago, when we're talking about,
I guess I've got to be careful saying how I delineate this, but just by way of example,
a woman, you said,
you have to know how to put out boundaries, like things I don't want you to do.
But you also have to open up a door to get things that you do want someone to do or things that you
do want to do. So, you go sort of putting up a fence, but you're also putting up a gate as well.
Yeah. So, you can look at it as like, if you're driving like a car in your sexual experiences,
you have a green light, all the things that I say yes to, I do want to do them.
I've told you I'm so comfortable with these experiences. And then we have the amber light.
This is a maybe.
Proceed with caution. You have to ask quite regularly, ongoing, enthusiastic consent.
Do I want this? Or maybe today we don't try this. So, it's an amber light. And then there's a red
light. This stuff is off the table. I don't want to try this stuff. Don't even go there.
It might, if we create a safe space together, and I feel really, really comfortable and safe with you,
we might move some of those things that are in the red light zone into the amber zone
and see if we can try them. But they're a no for now.
When someone sets that process up, let's say it's the female, for example,
in a heterosexual couple, that's the female. How do you sort of reconcile that process with,
say, being sexually adventurous? So, how does that individual indicate to the other side,
the other person in the relationship, that they're,
they're prepared to be sexually adventurous? And how important is it to be sexually adventurous
in terms of sex, in terms of the advice that you give to someone as a therapist?
It's individualized. You don't have to. You can be vanilla. Vanilla is great as well.
Depends on who you are and what relationship you're in. I think that probably because of the society
that we have, we view adventure as something that we should be kind of aiming towards.
But if you're happy and satisfied,
and it's, it's good, it's great for you, then that's absolutely okay. I think in regards to
setting up boundaries and then trying new things, these are things that you can discuss outside the
bedroom, right? So, you never want to be in a situation with someone where they're like,
okay, well, now I want to try, if we say something that's kind of extreme,
that is happening quite a lot at the moment, I want to try choking. And you're like, well,
okay, we've never talked about this before. Now I'm here. I'm naked.
I mean, your bed, I feel really uncomfortable. You can go into fight, flight or freeze and often
people freeze. And that's when you have people crossing over the boundaries of consent. And
that's when you have either coercion or you can have assault. And it can be as small as asking
someone to do something that they don't want to do. And then not having the ability within their
body or their mind to problem solve because they've become so shocked that they end up doing
something that makes them feel really uncomfortable or potentially traumatized.
Yeah, that's really interesting. So, when would you,
suggest someone like, when do they discuss that? Like outside of the bedroom?
For sure.
Over a cup of coffee or something?
I don't think it has to be over a cup of coffee. I think for, and you know,
I might be stereotyping a little bit here, but I think for men, masculine people,
usually like driving a car works for like when you're driving, when you're having like a long
trip together or you're going for a walk. Often when there's other things that you can be focusing
on, so you can kind of just talk about it more freely and not be looking each other in the eyes
and being like, how do you feel?
About A, B, C, and D. It doesn't have to be.
Oh, by the way, that topic is like a by the way type conversation.
Yeah. I was listening to Chantel's podcast the other day and then one of the guys on there,
he was trying, you know, blah, blah, blah. And I thought that was like kind of cool. I'd love to
know what your thoughts about it are. Maybe we should give that a try. Or, you know, I read this
article about low desire and high desire. And I think, you know, I would think I would be more
excited about that. I think I would be more excited about that. I think I would be more excited about
that. I think I would be more excited about that. I think I would be more excited about that. I think
I would be more excited about trying some new things if we were to create more of a safe space
in our relationship. And that means I, you know, maybe talking about sex a little bit more. I know
it's a bit weird and uncomfortable, but I think the more we do it, the more we practice, the easier
it will become. It's funny, generationally, like my generation, you would never talk about that.
It's like, oh my God, like it's just not something you talk about. Can I just flip the conversation
just a little bit? Yeah.
Where does the prevalence of porn sit today, particularly with young people?
Yes.
Because I was, where was I listening to something the other day, talking about how
people between 20 and 30 are consuming more porn than everybody over 30. Everybody over 30 is
consumed in their whole lives. So that between 20 and 30, they're just, and of course, this all
as a result of smart devices and smart devices, not only that they know when you like porn and
they just keep feeding you stuff.
Right and center. In fact, I have a guy on my podcast who set up Pornhub and they own most of
the sites. So, and they, so pretty much all the sites that everyone thinks are going to different
ones are all owned by the same group as it, as it turns out. And, but they know that different
characteristics of different people algorithmically go into this various places and then they will
just keep feeding you. But what is, what have porn sites done to sexual health?
It's very complex.
Yeah.
I think it's like, it's, yeah, this is a layered topic. Porn in general, I'm not anti-porn. Let's
be clear. I think porn can be there for entertainment. It's not meant to be for education
though. I think the fact of the matter is we didn't get good sex education growing up. Still,
you know, it's getting there, but it's still a struggle to get good sex education. I certainly
got none and I learned a lot about sex from porn. So, but I always knew that it was not real life.
You know, I think some,
someone had told me, maybe my parents had said, you know what? It is for entertainment. It's not
a real life scenario. And if you think about sex with someone else, it's going to be messy. It's
going to be sticky. It's not always going to be about the penis owner and their pleasure.
In fact, in most pornography, you don't see condom use. You don't see vulva owners, their pleasure,
the clitoris. You see just a lot of kind of very sexualized behaviors that are aimed towards
the penis owner.
And look, that's fine for some people. I wouldn't say that it is healthy for, you know, learning
about sexuality and learning about real life experiences, nor is it healthy in regards to
discussing consent and pleasuring like a woman or knowing what a real orgasm is as opposed to
a fake orgasm. Because I think a lot of people are expecting orgasms from pornography to be these