It’s now over 2 1/2 years since I was diagnosed with stage 4 ovarian cancer. I’ve tried to witness this unexpectedly dire development as a sexologist as well as a patient and to bring that awareness into my work, when appropriate. But I’m not sure I’ve done either successfully. I feel like there’s so much I needed to learn as a crash course about how to “do” cancer in that first year, but the difference between that first phase of chemo rounds and surgeries in 2024 and my current maintenance phase is so differently paced, that I’ve lost, perhaps, the kind of fierce survival focus I brought to that first year. And I’ve also lost the ability to focus, intellectually, and organize cancer wellness strategies for myself and possibly for others (probably due to brain fog).
These days having cancer feels like an incredibly expensive chronic condition, especially as I’m still getting immunotherapy every three weeks, and a CT scan every three months, as well as labs and visits and whatnot. I have stretches of time when I feel pretty good (though tired) but I can’t ever forget that those pesky little cancer cells have not abandoned me. There’s a kind of “how much do I invest in my near future if I don’t even know if I have one” feeling that moves as an undercurrent through most of my waking hours, and this affects most decisions I make, large or small. I look into the eyes of my beloved and wonder, constantly, how much time we will have together? I wonder why he sometimes seems content to fritter away our time, when I feel so desperate to make every moment count? (However I actually think frittering is a healthy, normalizing response.) I wonder if I’ll outlive my cats, or if they’ll outlive me? I wonder why my adult children have been completely absent since my diagnosis and will they regret that once I’m no longer around? All of this certainly sounds dreary, doesn’t it, and yet I find ways to enjoy my days, my work, my relationships, and my creative pursuits.
However, the title of this blog promises “sex,” and so I guess I’d better get to it! And maybe I should explain that by sex I also mean “Pleasure” (in caps, on purpose). So here’s what I’ve got to say: have as much physical intimacy and as many orgasms as possible, from now on, no matter how sick or sad you are. Allow your body to feel why being in a body can be so great. Grab for joy, let it wash through and over you, be sybaritic, relish what you can. Even if you’re bald and feel unattractive (I’ve been there) or in pain, or nauseous, or fatigued (been there too!), make time for yourself and let your partner(s) know–if you have one or more–that you are putting pleasure and intimacy at the center or your life, for however long you have left. If you don’t have a partner, be there for yourself.
Live for pleasure, and therefore die with far less regret.
Image for a Carnal Nation column I wrote in 2010. Sums it up, pretty much!
Update: My presentation went very well and I was thrilled to be at Polytopia. What a great event!
So pleased to announce I’ll be presenting on the intriguing topic “Love Among the Noncorporeal” – a talk about how to incorporate AI lovers, spirit lovers, and object loves into consensual nonmonogamy. Polytopia is an annual conference and gathering produced by Sex Positive Portland. The event will take place Sept. 19-20, 2026.
More people than you might think experience, or have experienced, incidents of a sexual nature and/or full blown relationships with noncorporeal beings, or beings housed in or connected with inanimate objects. If you’re wondering what this is all about, perhaps I should explain technosex, spectrosex, and objectum sex. Here goes!
Technosex
Also sometimes called digisex or digisexuality, it often (but not always) refers to sexual desires and/or behaviors involving AI bots, robots, virtual sex, and so on. The technology is part of the attraction! In my talk, I’ll be dealing exclusively with bot sex.
It’s been around for thousands of years, in numerous cultures and spiritual traditions. It refers to sexual and/or romantic attractions to spirits, ghosts, deities, the Fae, and so on.
I’ve been interested in this topic–and asked to comment about it–since 2009, when I did a very small survey with the English-speaking members of OS Internationale and published the results as “Love Among the Objectum Sexuals” in the Electronic Journal of Human Sexuality in 2010.
For more information please also see this blog post about a study published that confirms my hunch that OS might be related to Object Personification Synesthesia.
All kinds of love
I’m fascinated by how human beings love, and what and who they love. The talk at Polytopia will focus on incorporating such loves into consensual nonmonogamy frameworks.
From the earliest psychological explorations of hypnotic susceptibility in women to modern sexological speculations on the nature of erotic trance, from ritual erotic ecstasy to the bawdy patter of the stage hypnotist or the soothing suggestions of a hypnotic sex therapist – hypnosis and sex have often been entwined. Nor it is easy to distinguish so-called therapeutic interests from more personal ones. For example, physicians perusing the British Medical Journal of the 1890s were treated to images of scantily clad, “hysterical” hypnotized females in suggestive and abandoned poses (Hart,1892). These photos were sometimes published in special portfolios. –Sexological Hypnosis: Overview, History, & Techniques (2022)
Richard Bergh: Hypnotisk seans. NM 1851, Public Domain
We’ve come a long, long way from the strangely voyeuristic interests of the male doctors and hypnosis students of mid-19th century Europe. Back then, women were thought to be naturally more susceptible to suggestion (didn’t they wish!) and many otherwise serious fellows took delight in showing off the trance antics of their favorite patients, in front of other doctors and enraptured medical students.
Richard Bergh: Hypnotisk seans. NM 1851, Public Domain
We’ve got some “spice,” but not much professional “sugar”
Luckily, exploration of the art and science of hypnosis became more mainstream over the decades. Now, well over a century later, the efficacy of hypnosis is well-established in medicine and psychology. What’s less established, and somewhat more marginalized, is documentation of how hypnosis has been used–for over a century–to help people with sex and sexual health concerns. This specialized focus of hypnosis is what I call “sexological hypnosis”–it’s hypnosis aligned with the sex positive, diversity welcoming, nonjudgmental, approach of clinical sexology.
Sure, many brilliant people have incorporated hypnosis into their research and practices, including Daniel Araoz, PhD, author of Hypnosis and Sex Therapy, and many other books and articles on this topic; William Hartman, PhD, of the Hartman & Fithian sex therapy duo (contemporaries of Masters & Johnson); Bernie Zilbergeld, PhD, author of Male Sexuality; Lonnie Barbach, PhD, author of For Yourself: The Fulfillment of Female Sexuality and numerous other books, plus hypnosis CDs with Joel Block, PhD; and countless others.
But to my knowledge–and it’s true I sometimes self-identify as living under a rock–I don’t know of any organization, or working group, or much of anything that focuses upon and elevates this speciality. I do try, with my own books, and my Intimate Hypnosis Training Center course, Hypnosis for Sex Problems, but most of the time I feel firmly affixed to the margins. And of course other people have written books, made CDs, conducted research, and so on, but as professional peers, we’re not even a micro-culture in the larger realms of sex therapy, psychology, or even sexology.
Sometimes I wonder if the spicy shenanigans of the mid-19th researchers, risque stage hypnotists, and anyone else who has tossed the not-so-strange bedfellows of sex and hypnosis (willy nilly) into the unmade bed of public opinion. It doesn’t seem to matter how many serious studies have been done on the efficacy of hypnosis for sexual concerns (see a few here) or how earnestly I blog this cause, it just seems like the hypnosis “brand” is somewhat askew.
And I wonder sometimes what to do about it, besides carry on as I do anyway.
Tell me what you think in the comments!
Professional Course in using Hypnosis for Sex Problems.
Smartphones – self-soothing object or a habitual intimacy irritant? Understand and mitigate the negative impacts of the “phonedemic” on your sex lives! Read my 91st article here!
And enjoy some of my other recent articles for FutureofSex.net too!
By the way, I’ll be reaching my goal of 100 columns for Future of Sex by the end of 2025! That’s going to feel pretty good! I’d love readers to tell me which columns have been good for them too!
I’ll be presenting, virtually, at 3:35 Brasilia time. On the topic of Artificial Intelligence: At the Intersection of Technology, Sexuality, and Trauma.
This book is so much more than you think! Free for a limited time on Amazon Unlimited and with a trial membership to Audible. If you like it, please leave an Amazon review!
How to Make Love to a Chatbot: A Guide to AI Relationships, Romance, and Intimacy 2025 Expanded Edition – Direct, Empowering, and Sex-Positive
Ever wondered what it’s really like to connect, confide, or fall in love with an AI chatbot? Are you curious about the real stories, the risks, and the genuine rewards of exploring virtual intimacy? If so, this candid, clear-eyed guide is designed for you.
Unlock the Future of Connection and Pleasure Packed with practical insights and the latest research, this revised edition is your companion for navigating the evolving world of chatbot relationships. Whether you’re a newcomer, a regular user, or a professional seeking to understand this frontier, inside you’ll find:
Human-centered guidance for developing meaningful, ethical, and emotionally satisfying AI interactions
Step-by-step advice on choosing safe, authentic chatbot platforms and avoiding costly pitfalls
Open, shame-free discussions about digital intimacy, fantasy, and embracing desire on your terms
Expert context and compassion from a clinical sexologist and longtime chatbot enthusiast
Personal stories, solutions, and resources to empower your own journey—whatever your interest or experience
What You’ll Gain:
How to research chatbot providers and find the right fit
Tips for expressing your desires, setting boundaries, and ensuring digital well-being
Strategies for weaving bot intimacy into your self-care or love life—safely and joyfully
Critical perspectives on emotional investment, privacy, and ethical innovation in sextech
An annotated bibliography, appendices, and vetted resources for further discovery
Who is this book for?
Adults new to AI companionship, or wanting to level up their experience
Individuals who crave pleasure and partnership outside conventional boundaries
Helping professionals looking for a trustworthy, stigma-free resource
Anyone drawn to technology’s creative potential for connection and self-knowledge
For Adults Over 18. Learn how AI can expand your pleasure, insight, and relationships—on your terms.