I think that it is very hard to have a healthy, satisfying sex life if you have a negative body image. Woman who don't value themselves, will often do things (have sex) with people they are not attracted to or have no personal connection to just because they think they can do "no better". Or they may be forced into doing something they are not really interested in doing (different position, oral sex, mixing partners) because they fear that if they do not do as their partner requests, then their partner will leave them or cheat on them. Also, if you are not comfortable with your body, then instead of relaxing and enjoying yourself and your partner, you are concerned and distracted with other thoughts (are the lights on, what is he thinking about, is he wishing he was with someone else, etc). You will hinder your own pleasure with your inability to relax and just enjoy the physicality of what you and your partner are doing. Often these women question what and why they did what they did, or worse they regret doing it because they think that they were "no good" at it or that their partner wasn't really attracted to them. If you are insecure in your body image, you will question others attractions to you and that will play on your mind when you are involved in sex. How can you relax and enjoy with all that dialog and insecurity running through your head?
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