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Sex Surrogates – Prostitution in Disguise?

Definition: Sexual surrogacy is a therapeutic practice designed to help a person become more comfortable with sex, their body, and/or the emotional and physical skills they need for intimacy.

In other terms. The client works together with a licensed sex therapist and a sex surrogate.

Sexual surrogacy is a controversial and commonly misunderstood form of therapy. Due to its potential ethical and legal complications, there is a lack of published research on sexual surrogacy.

Would you consider having sex with a surrogate under supervision of a sex therapist as a form of legal prostitution?

The client will be charged by the therapist and perhaps the sex surrogate to perform a sexual act that is basically not free of charge and thus cannot be considered as being “normal”.

What is your view on this controversial topic?
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laurieluvsit · 26-30, F Best Comment
So sorry I just found this post. Not sure why I didn't see it before, please forgive me :(

I don't think prostitution would fit because that is for the money only from one party and pleasure only for the other whereas what you describe is for education purposes. There seems to be a big difference, you think? :)

There is definitely a place for this, yes.

I mean what is it when a female receives artificial insemination? That is payment as well for a specific purpose.

Great Question as always Ms Steph!
Stephie · F
@laurieluvsit I asked this question because of the conflict potential from people seeing it as a form of prostitution since obviously, some money will have to be paid by the patient, albeit in an environment that is controlled by a therapist. This money paid for a form of sexual service could be seen by some as a form of prostitution even though the final aim is therapy rather than pure sexual pleasure for the purpose of financial enrichment.

Thanks Laurie for having taken your time to voice your opinion.

Docdon23 · M
I am familiar with some of this work, and am now dating someone who actually did some work related to this. Why make it illegal? Why do we shame sex, a natural act that is how we all got here? People should have the opportunity to learn skills, and if needed to also get some basic needs met, in my opinion...sadly, many [people in our culture end up with less than satisfactory sex or relationships because we shame and guilt so much of this and make it taboo or even illegal...the Puritans would be proud...
Stephie · F
@Docdon23 In this case, the gap between legal prostitution and medical assistance is very narrow and also the US legal system, although tolerating sex surrogacy, does not promote it. It is also a conflicting topic among therapists.
Docdon23 · M
@Stephie I live near New York City. For over the last 12 years I have been going to tantra teachers in NYC, women who do things once considered illegal but now accepted in the city, even though some of their work does technically cross legal boundaries.
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Stephie · F
@emmayoung unfortunately, it is not how it is perceived by the majority of sexual therapists that fear to lose their licenses over an irregularity and that is the exact reason why there are so few of them offering those services.
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Stephie · F
@emmayoung society is is quick to judge and to condemn what may have therapeutic benefits but conflicts with morals and preconceived ideas.
Captain · 61-69, M
Never even heard of it but it sounds like a good excuse to make money out of sex as you say. Also to give opportunity for voyerism for one of the people. Arte these organisations private businesses in which case 100% cons or government sponsored, in which case I would suspect the resutlt of a "bung" to obtain public funding. There are enough people out there with real medical and psychological Icindlucing sex related) problems without this !!
Stephie · F
@Captain That is indeed the danger that someone might want to get free sex on the cost of the state or the tax payer.
Captain · 61-69, M
@Stephie Well given my situation if I was offered the chance it would be a no brainer - which means its defintiely wrong
JustScott · M
@Stephie I don’t think it’s comparable to prostitution. I think if more information was available it could be a common form of therapy.
Stephie · F
@JustScott it could but I see that there is a huge potential for fraud because some people might want to get free sex, paid by the state and tax payers
JustScott · M
@Stephie well there is that possibility. It would be nice for the people who have problems with sex and intimacy.
newstu · M
personally I thank God for the few darling pros who have gotten me through the last twenty years
Stephie · F
@newstu Sad and happy for you at the same time. Hope that your wife is free from cancer or whatever she had that required chemotherapy. She must have suffered emotionally just as much as physically.
Canicu69 · 70-79, M
@newstu I was never with a bad girl. Some were just better than other's
newstu · M
@Canicu69 yeah.. pretty much. 😁
JustScott · M
I haven’t heard of this before but it sounds like it could help some people that struggle with sex.
Stephie · F
@JustScott That's basically what it is all about. It is a controversial form of therapy even among therapists.
ByEmily · 26-30, F
My view is what consenting adults choose to do is should be between those people and no one else's business :)
Stephie · F
@ByEmily Unfortunately, I think it is not as easy as that. People will always be judgmental of others, either because of jealousy or because they fail to understand the issue.

Yes, it is true that consenting adults should always have the choice to do whatever they want as long as no one gets harmed or is an unvoluntary witness to their activities.
Alex51 · 61-69, M
@ByEmily yes no one's business
DearAmbellina2113 · 41-45, F
Sex is a basic, normal, healthy part of life, and some people who may have trauma centered around sex need therapy in order to live a normal healthy life. Why shouldn't there be sex therapsists??? Seems like common sense to me.
DearAmbellina2113 · 41-45, F
@Stephie I don't subscribe to religion
Stephie · F
@DearAmbellina2113 of course not but it impacts our daily lives nevertheless and not always In a positive way. Most wars were initiated by religious beliefs.
ArtieKat · M
@Stephie
Most wars were initiated by religious beliefs.
Very true!
JimboSaturn · 56-60, M
I think there is a difference but I don't have any problems with prostitution.
nudistsueaz · 61-69, F
If it works and helps, I'm fine with it.
BlackPetals · 18-21, F
Well, I am pretty unknowledgeable in this area, since I've never really heard about it. To me, it sounds kind of gross. It sure sounds like some type of prostitution.
Stephie · F
@BlackPetals It is a very conflicting topic and not many people actually know that this type of therapy actually exists. It is true that it could be seen as prostitution but I presume that those that do have an emotional challenge and are anxious could see it as a way to try to overcome that issue.
That sounds pretty interesting! So if a guy has a sexual issue, like being nervous and not able to come, a sex surrogate could jerk him off and make him come in front of a sex therapist??
@Stephie I had that experience where a guy was very aroused but could not come after a very long and teasing hand job..,
Stephie · F
@shelleyb There are multiple possible causes for that lack of ejaculation. I am not a doctor but the excitement or the shyness to be "in good hands" could lead for an ED or other psychological blockage.
Docdon23 · M
@shelleyb Or sometimes even show him how to arouse a woman, and help him learn to relax or even have intercourse...
Alex51 · 61-69, M
Nothing is free
Canicu69 · 70-79, M
I am ready. Maybe have a threesome
Canicu69 · 70-79, M
@Stephie well, surprise following your post. Good luck. I’ve seen stars but that was because I got into a fight. What do you think of Musk returning his spaceship back to the launch. Pretty cool huh
Stephie · F
@Canicu69 I would not want to travel on that one yet as long as you have something like 30% failure 🚀💣
Canicu69 · 70-79, M
@Stephie I didn’t know his stats were that low. I think I will wait awhile
GoddessLinaStardust · 31-35, F
I think all Sex work should be legalized as long as it's consensual adults.
Should there be sales tax? @GoddessLinaStardust
markinkansas · 61-69, M
i think it should be legal.. Prostitution is a job doing labor like any ones else..
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Stephie · F
@Hassanovic007 Thanks. It was just a topic that has been trotting around in my mind for a while but I am not going to write a thesis about it.
Hassanovic007 · 36-40, M
@Stephie Got it! It's good to explore different topics to gain perspective. If there's anything else on your mind or another topic you want to discuss, feel free to share!
Stephie · F
@Hassanovic007 No problem. Thanks
ViciDraco · 41-45, M
As a caveat, I'm not particularly against prostitution.

However, the merits of sexual therapy to overcome anxiety seems like it could be beneficial for those who seek to do so. Having a therapist included would be important though. Exposure therapy can help in some individuals but it can make it much worse in others, so having licensed experts to ensure that the process is beneficial rather than harmful for the individual seems like it would be very important.

I believe there is also room for educational purpose here. It's very hard to build sex as a skill when you are not having it. And sometimes being bad at sex can ruin otherwise great relationships in their infancy. Having a route to learn such skills in a safe, non-judgemental environment could be beneficial for people as well.
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Stephie · F
@SomeMichGuy Sexual surrogacy has been a source of conflict even among professionals therapists. I personally have no issues with it as long as it serves to help someone with a problem but where I question the method is when the same person is always performing the act with his/her patients. Then it becomes obviously some kind of prostitution because every patient has different issues that need to be addressed differently.
@Stephie The scenario you posit would seem to violate the ethics of therapy; it's my understanding that actual sex therapists doing this will use others as their surrogates. The therapist is too busy trying to take it all in, etc.
Stephie · F
@SomeMichGuy I am not aware of the procedures in the US but apparently it is one that is tolerated by the authorities and not subject to penal consequences.
ArtieKat · M
I’ve arrived rather belatedly at this post, @Stephie but would like to make a contribution nonetheless. The joky response would be that, many years ago, a group of friends and I went to a late night cinema screening, having spent the evening in the pub. One of the films showing was called “The Anatomy Of Love” – a piece of badly-dubbed Swedish porn purporting to show a sex therapist at work with a couple having it away in every conceivable position (and some inconceivable ones too! Indeed, at some point one of my female friends shrieked “Ooooh! It must be L-shaped!” Titters throughout the whole cinema! And all of this to a soundtrack of Ravel’s Bolero – a piece of music I used to love but can no longer listen to with a straight face….

The more measured response is to begin by declaring a personal interest: my late father was a Freudian-influenced Consultant Child Psychiatrist, so my sisters and I grew up surrounded by a wide range of textbooks, including the psychology of sex ones. My own degree was in Sociology with Social Psychology and Philosophy.

I hadn’t encountered Sexual Surrogacy until now but the concept has me quite fascinated. What I am struggling to get my head round though is how a person who already has issues about sex could perform with a surrogate therapist - under the close professional scrutiny of a “talk therapist”…..
Stephie · F
@ArtieKat I am a lover of classical music and the Bolero by Maurice Ravel is a favorite of mine but I don't think that I will ever be able to have another face than an emotional one because those drums and the rhythmic crescendo of the music starting very softly and ending in an apotheosis with the final rolling of the drums could be associated with the climax of a couple ending their surrogacy session...

It is true that it could present an additional emotional trauma to have not only to face your physical challenge of being intimate with a partner but also the close supervision of one or more people ensuring that you can overcome two very distinctive and separate challenges; the physical and the addition of the emotional one.

I was not present in the 70's but perhaps I could ask my grandfather if he happened to have seen that "Anatomy of Love" as well and if he would disclose his views on this piece of erotic Scandinavian art.
ArtieKat · M
@Stephie I don't think it was on general release! I have since remembered that the other film on the bill was called "Wild, Willing and Sexy". The Bolero was also used in big box office hit called "10" starring Dudley Moore (great jazz pianist in addition to being a comedian and actor) and Bo Derek who spawned a huge fashion for "corn-rows".

Perhaps I knew your grandfather if he's in the SW19 area lol. That would be funny!
Richard65 · M
A coal miner utilises his body to earn a living, as does a prostitute. The only difference is society's moral reaction to those two trades. Prostitution is often performed by desperate people who are exploited because they are vulnerable. However, some enjoy sex, are intelligent and informed and have decided to make a living from their bodies. I don't see any issue with that. Sex surrogacy is a new thing to me, I wasn't aware of it. But if all parties are adult, healthy, and willing to engage of their own free will, without exploitative issues, then I don't see any harm. They're providing a service under a controlled environment to someone who needs it and is happy to pay.
Stephie · F
@Richard65 Thanks for your insight. I am aware that topic may seem conflicting to most of us because of the definition of the term "prostitution".
Therapy in every form is good as it helps us to eork through whatever is not healthy for us. The right therapist can help us breakdown barriers (physical and mental) through communication and touching.

Proper mental health is important and celebrated. Im a believer in everyone needs to talk to a profession for a mental health tune-up every year or so . Thats acceptable and covered by insurance where I live.

Sex therapy is just as, if not more important for physical and mental health and should be seen as so without judgement. Imagine the adult that has some relationship trauma and they cant seem to function properly bc they cant get passed it? Or should they have the proper help so they can enjoy sex as they should? Maybe they need reassurance that only physical touch provides. And yes, it should be covered by insurance also.
@Stephie Health insurance doesnt cover sex surrogacy unfortunately.

Tetraplegic? Absolutely they would be helped.
What about people that suffer from severe depression? Its debilitating. Wouid this therapy bring them out of it? Yes, and without medication that has sideffects.
Stephie · F
@TallMtnMedic Listen, I am not a doctor nor do I have a degree in psychology but I can see that there might be a potential risk for misuse as a number would see such kind of therapy as free sex with a person of the opposite gender that will be reimbursed by the health insurance. It is a very tricky subject.
@Stephie Absolutely there would be a risk for misuse. Except the surrogate would be certified, working under a licensed sex therapist, and need a referral from a sex therapist, or psychologist. The patient would also need a complete physical with lab work, and what not. Labs must be clean / negative also.

The patient would then have a set schedule with the sex therapist and surrogate that they must adhere to.

These would minimize misuse and protect everyone involved.
Justausualguy41 · 31-35, M
Its a good topic, personally I wouldn't have any problem with it, will be willing to pay for it if it's in my budget or else I will keep out.

All, the participants in my view must be willing for the session and no one must be forced against their will. Its good for those who are shy towards expressing their sexuality or never had it. So that they open up and explore this frontier of their life.
in10RjFox · M
I am already a proponent and a therapist offering and administering sex as a therapy. Sex by itself is a therapy and it was monogamy that became a unnatural restrictive practice imposed on humans, when sex should have been free.

There would have been no need for prostitution or people suffering from sex related psychological conditions. So when one door gets closed other doors start opening.
Stephie · F
@in10RjFox Humans have that property to impose limitations and sanctions on things that seem natural and are an intrinsic part of the human nature. Sex and procreation is what bonds human beings. Imposing restrictions and laws on a natural process only results in abuse.

I am not an American but your country is full of conflicts at time. It prohibits a number of acts that may be seen as natural but does not act upon the pornographic industry. Why? Because the government profits from it.
in10RjFox · M
@Stephie you assumed I am an American? ,😀😀
in10RjFox · M
@Stephie
Sex and procreation is what bonds human beings. Imposing restrictions and laws on a natural process only results in abuse.

👏👏👏👏. That's the divide & rule policy for which we are the worst affected and no idiot who promulgated this is around to recall this.

I am in the process of bringing about an organisation to bring about a movement to change the future. We have been on purpose made to antagonise ourselves using gender.
SW-User
I saw a documentary on British TV on this subject. I felt that the female therapist was genuine, sensitive and over the course of a couple of months really helped the male client overcome all sorts of issues.
A lot of people seem to have no idea how (not) to approach sex respectfully or what do exactly when a woman goes along with their advances, so sex therapy should probably be done a lot more.
SW-User
I think what sets this apart from prostitution is that it's therapeutic, meant to help with a condition, and not purely for lust.
Stephie · F
@Hinckley agreed but it leaves the door open for misuse
mrh1972 · MVIP
I wish this type of therapy was real. Some people have to live very lonely lives
Stephie · F
@mrh1972 It is real but very controversial
mrh1972 · MVIP
@Stephie would love to find access to it
Stephie · F
@mrh1972 you would probably have to go through a licensed sex therapist
Heartlander · 80-89, M
Interesting questions.

I don't think sex therapy or surrogacy fit into the general definition of prostitution, nor meet the reasons why prostitution is illegal in so many jurisdictions, and I would suspect prosecutorial discretion would have the police or prosecutors shrug their shoulders even if the legal definition for prostitution were narrowly defined as sex for money.

Laws against prostitution exist, in general, much like laws governing alcohol consumption and gambling. Uncontrolled, they can become public nuisances, exploitive, and threatening to social stability and order. In general, prostitution gets ignored by the police until complaints are filed, or there are other associated illegal behaviors that are a greater concern. Like prostitution gets attention in today's world because of human trafficking, predators, drugs, or because they invite criminal elements to cruise the streets late at night, making citizens feel threatened.

Therapy and surrogacy fit none of the above and there is no reason for the police or prosecutor to give it a second look, much like a church bingo game would unlikely be raided by the police in jurisdictions where gambling is illegal.
Stephie · F
@Heartlander Thanks for your point of view. Interesting answer.
Adogslife · 61-69, M
You mentioned, “licensed” sex therapist. So what’s the verifiable potential for improvement if there’s no way to test the outcome? Wouldn’t a surrogate be advisable in some instances?

The only real hurdle might be insurance coverage. 😂
Stephie · F
@Adogslife That is an excellent question for which I do not have an answer. It would be interesting to have the opinion of a sex therapist here. Perhaps that someone can shed some light that was indeed confronted with that issue.

As for the insurance coverage, my best guess is that those that need that kind of therapy would not even want to involve their insurance.
Tman123 · M
First off I don't agree with the framing, that the practice of prostitution is some sort of illegal behaviour that must be frowned upon or banned. Sex is one of the most natural and normal pleasurable experiences of being human. Sex between consenting adults with or without money exchanged is perfectly okay in my books. The only part that the law has to do with it, is to ensure no one is being physically hurt or abused in the process. Just like any other crime.

So if you one want to seek assistance from a therapist that involves a sexual surrogate nothing wrong with that at all. Call it prostitution call it therapy who cares, no conflict at all, unless you subscribe to some narrow minded outdated way of thinking to the situation. Usually occurs by over religious zealots practicing their ancient dumb ass belief systems.

Personally can't imagine what healing someone would get out of a sexual surrogate, besides some pleasure. Similar to a great massage. Feels great in the moment, but hardly any lasting effects.
Stephie · F
@Tman123 I disagree with your point of view because the patient will have to settle the fee with the therapist for his session(s) and thus, he/she will be assimilated to having to pay for having sex, even if that payment is within the frame of therapy.

It can indeed and is actually seen as a form of prostitution since the therapist that is performing the sexual act will receive compensation for his or her "services".
Tman123 · M
@Stephie Yes I agree that is the definition of prostitution and I have no problem recognizing that the person receiving the therapy is indeed paying for sex directly or indirectly. My point is that so what if they pay. Why should that matter to us or society in general. It's only narrow minded law makers that make it in to something wrong. Morality surrounding sex should be a personal choice not subject to other's opinion or beliefs. It's no different than woman having the right to abortion. It's their body their choice! I see no issue with prostitution or any consenting sexual activity that does not involve someone being hurt.
Nitedoc · 51-55, M
Well. I see it in a grey area. Maybe it is but but does it do more good than harm? I think it's a good idea in some cases. Laws can be changed as society evolves.
SWUser123987 · 51-55, M
I guess for some it is needed, but if I had to guess those people who say they need this can’t get laid in the first place.
Stephie · F
@SWUser123987 There is a large spectrum for the reasons why a person cannot have intimate relationships, not only shyness but perhaps medical conditions as well.
SWUser123987 · 51-55, M
@Stephie and probably premature ejaculation or erectile dysfunction issues. Work on both of those
goodlil666 · 51-55, M
I have been doing that for years for free for ladies. No therapist watching , just usually their hubbies. It's amazing how quick they come out of their shells and let go.
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Far to many big words and intelligent people on here making points so I'm not going to bother , great reading al the same 👀
LuciliaLucyfer · 18-21, T
The nuances of these things are that there probably is not a correct answer to this; things are definitional and dynamic. Im not against prostitution, sex work is work to me (in all the worst ways, of course). Obviously there are some differences between ordinary and traditional prostitution and that of sex surrogacy, but the similarity in the process of paying / being paid for some kind of sexual service remains.
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Teslin · M
Will my insurance cover the cost?
I am willing to pay the deductible.
Stephie · F
@Teslin Most likely not. This is not something that is considered to be a medical problem just like breast augmentation is nothing essential.
ronisme1 · 61-69, M
Whatever works for all
ronisme1 · 61-69, M
@ronisme1 thanks for the heart
Stephie · F
@ronisme1 no problem.
DeWayfarer · 61-69, M
Think you need some more in that definition. It's incomplete and totally misrepresentative.

There is sexual intimacy and there is the sexual act.

Would you consider anyone hugging another prostitution? Would you consider being having seen anyone and being comfortable with being nude, prostitution?

Then you're ALL guilty of prostitution.
The fact that there is money involved is nothing more than like going to a topless bar or strip club.

Would you have women wear burkas? 🤷🏻‍♂️
DeWayfarer · 61-69, M
@Stephie sorry to inform you, yes "the sexual act" for pay in any form IS illegal everywhere ACCEPT certain counties and even cities of Nevada.

Nevada is the only state that doesn't have prostitution laws.

EVERYWHERE else prostitution is defined on the state level.
Stephie · F
@DeWayfarer So, how would you call Sexual therapy involving having to pay for sexual intercourse?
DeWayfarer · 61-69, M
@Stephie it is by forty nine states.

What I think doesn't matter. The sexual act itself is defined in those states.

Now do I think that's right is a totally different matter.

Yet being intimate is a grey area in many states just by itself. In some states even living for some time with another is considered being married. Common law marriage!

And yes I absolutely do believe that is wrong. I'm certain guilty of that!
cd4259 · 61-69, M
If it helps the client come to terms with their own sexuality and learn to control urges and desires and find out how to please their sexual partner then why not.
DownTheStreet · 56-60, M
I think there should be licensed legal sex coaches
Heartlander · 80-89, M
This kind of reminds me of a public discussion a few years ago when someone pointed out that using a suppository was against the sexual deviance laws under the sodomy part unless administered by a licensed physician.

There were suggestions that housecleaning was long overdue in laws relating to sex but no one in the state legislature wanted to talk about sex in open session, so they just tabled it.
Stephie · F
@Heartlander A lot of laws are long overdue and have no reason to be anymore or are not implemented even though legally still fully or partially applicable.

Such an example would be the Comstock Act of 1873, which made it illegal to send “obscene, lewd or lascivious” materials by mail.
Bumbles · 51-55, M
It’s prostitution with a purpose!
1490wayb · 56-60, M
some of us REALLY need this kind of help, we are completely clueless...not widely available and expensive im sure
Stephie · F
@1490wayb Most sex therapist will not even address that issue by fear of possible consequences even if that procedure has been approved as a therapy method.
Between consenting adults I’m ok with it
Tracos · 51-55, M
I see no problems with it.

If it helps its good, and I can imagine various situations where it would definitely help
eMortal · M
Some people hire escorts just to talk. Some have sex and pour their heart out to the escort like in a therapy session. So maybe sex with the right person is a legit form of therapy. It's just fair to pay for session. Sexual surrogacy is even more organized, planned. I don't see it as prostitution.
Some man take care of all financial needs of the girlfriend. They have sex quite often. She may not even love him. If she is not a prostitute then sex surrogates are not either.
SW-User
Rather have a nice cookie 🍪 dipped in milk 🥛 😌

[image/video deleted]
Stephie · F
@SW-User yes, love goes through the stomach.
SW-User
@Stephie Yes it’s one of the ways to my indeed 😋😉
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Stephie · F
@Bang5luts I believe you are the only one among those that answered that got it right

 
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