Tosh Patterson

Can we talk about something that’s been making me absolutely furious? The bullshit conditioning we’ve all absorbed about sex and intimacy. I’ve been unpacking this stuff lately, and honestly, it’s pissing me off how deep these patterns run and how they show up constantly in my work with clients.

Last week, a woman told me she’d been faking orgasms for three years because she was terrified her boyfriend would think he sucked in bed. As she said this, I felt that familiar rage bubbling up—like, how did we get here? How are we still protecting men’s egos at the expense of our own pleasure?

Listen, as someone who’s been doing sex coaching for years, I see the same patterns over and over. Women come to me wanting better orgasms, more desire, deeper intimacy—all totally reasonable things to want. But when we start digging into what’s actually blocking them, it’s almost always this cultural garbage we’ve been fed since we were kids.

So I wanted to share what I’m seeing, because maybe you’ll recognize some of this stuff in your own life. And before you ask—yes, I’m talking specifically about women dating men here, and yes, this is generalized. Not every woman experiences this, but enough of us do that it’s worth talking about. This is the conditioning that’s screwing with our sex lives:

Women Owe Men Sex/ Sex is a Transaction

God, this one makes me want to scream. Even in 2026, we’re still operating like sex is something we give and they take. Like our bodies are some kind of vending machine that dispenses sex in exchange for dinner or nice behavior.

I had one client who hadn’t had an orgasm in five years of marriage but felt guilty asking for what she needed because “he works so hard.” Girl! You’re literally putting his stress relief above your sexual satisfaction. That’s not love—that’s conditioning.

Male Sexual Desire is a Priority

You know how we’re told men “need” sex and women just… don’t? That men’s desire is urgent and ours is optional? Yeah, that’s garbage, but so many of us have internalized it.

I’ve had women tell me they give blow jobs when they’re not in the mood “because men need it more.” But when I ask if they’ve ever asked their partner to go down on them when he’s not feeling it? Blank stares. The idea literally doesn’t compute.

Penis-in-Vagina is the Only “Real” Sex

Can we please stop pretending that penetration is the holy grail of sexual experiences? Most of us need clitoral stimulation to come, but we’ve been told that anything that’s not a penis going into a vagina doesn’t count as “real sex.”

I’ve worked with so many women who think they’re broken because they don’t orgasm from penetration alone. One woman felt ashamed for needing her vibrator during sex with her partner. Ashamed! For wanting to actually feel good!

Female Discomfort & Pain is Normal

This one really gets me. We’re taught that losing our virginity will hurt, that some positions are just uncomfortable for women, that a little tearing is normal. No. Just no.

I had a 28-year-old client who suffered through painful sex for two years because she thought that’s just how it was supposed to be. She never said anything to her partner because she believed pain was her burden to bear silently.

Pleasure is a “Bonus” for Women

How many times have you heard women call themselves “selfish” for wanting oral sex? Or “high maintenance” for asking for what they need? We’ve been taught that our pleasure is the cherry on top, not the main event.

Meanwhile, male orgasm is treated like the obvious goal of every sexual encounter. When’s the last time you heard a guy worry about being “too demanding” for wanting to come?

Faking Orgasms is Normal

When we fake it, we’re telling men that whatever they’re doing works, even when it doesn’t. It’s lying to yourself and screwing over other women too.

I had one client who’d been faking it so long she literally forgot what her real arousal felt like. She was performing instead of experiencing, and her body had completely checked out.

So What Do We Do About This?

Look, I’m not saying you need to have some dramatic confrontation with every guy you’ve ever slept with. But maybe we start paying attention to these thoughts when they pop up?

Next time you catch yourself thinking “I should probably have sex with him because…” or “I don’t want to seem high maintenance by asking for…”, just notice it. Don’t judge yourself for having the thought—we all do. Just notice how often it happens.

Think about this: What would you actually want sexually if nobody else’s needs mattered? Not your partner’s ego, not what you think you “should” want, not what would make you seem like a “good” girlfriend. What would YOU want?

Your Pleasure Isn’t Optional

I want you to know that your sexual satisfaction isn’t a luxury. Also your comfort during sex isn’t negotiable. Your orgasm isn’t some bonus prize you get if you’re lucky. This conditioning exists because it serves a system that was never designed with our pleasure in mind. But we don’t have to keep playing by those rules.

The women I work with who start questioning this stuff? They don’t just have better orgasms—though they definitely do. They have more honest relationships, stronger boundaries, and they actually enjoy sex instead of enduring it. That could be you too. You just have to decide you’re worth it.

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