Time to make room for sex in our care homes

We need to open up to the significance of love and sexuality in later life

The persistence of romantic love in long-term relationships is, unsurprisingly, associated with higher levels of relationship satisfaction.

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[A]lthough Valentine’s Day is often criticised as a cynical creation by florists and the greeting cards industry, it is a useful focal point for considering love and sexuality as elements of human wellbeing that often escape attention in healthcare.

This neglect is most marked in later life, when popular discourse on late life romance is dominated by simple notions of asexuality or by ribald jokes

There are many reasons why healthcare professionals need to learn more about human love and sexuality, not least of which is a fuller understanding of the nature and meaning of ageing.

exuality is a core element of human nature, encompassing a wide range of aspects over and above those related to genital functions, and the medical literature has rightly been criticised for taking too narrow a vision of sexuality.

We need to open up to the continuing significance of love and sexuality into later life

This narrow vision is paralleled by a steady trend in the neurosciences of “neuroreductionism”, an over-simplistic analysis of which parts of the brain light up in sophisticated scanners on viewing photos of a loved one.

We need to open up to the continuing significance of love and sexuality into later life, understanding that sexuality includes a broad range of attributes, including intimacy, appearance, desirability, physical contact and new possibilities.

Studies

Numerous studies affirm sexual engagement into the extremes of life, with emerging research on the continuing importance of romantic love into late life. There is also reassuring data on the persistence of romantic love in long-term relationships, unsurprisingly associated with higher levels of relationship satisfaction.

A growing literature sheds light on developing new relationships in later life, with a fascinating Australian study on online dating which subverts two clichés – that older people are asexual and computer illiterate.

The challenge in ageing is best reflected in the extent to which we enable and support intimacy and sexuality in nursing homes. Although for many this is their new home, the interaction of institutional life (medication rounds, meals), issues of staff training and lack of attention to design of spaces that foster intimacy can check the ability to foster relationships and express sexuality.

For example, is the resident’s room large enough for a sofa or domestic furnishings that reflects one’s style, personality and sense of the romantic? Are sitting spaces small and domestic rather than large day rooms? Do care routines allow for privacy and intimacy? Is there access to a selection of personal clothes, make-up and hairdressing?

Granted, there can also be complicated issues when residents with dementia enter new relationships and the need to ensure consent in a sensitive manner, but these should be manageable with due training and expertise in gerontological nursing and appropriate specialist advice.

Supports

A medical humanities approach can provide useful supports in education from many sources, ranging from literature ( Love in the Time of Cholera), film ( 45 Years or the remarkable and explicit Cloud 9 from 2009) or opera (Janácek’s Cunning Little Vixen, a musical reflection of the septuagenarian composer’s passion for the younger Kamila Stösslová).

We, as present and future older Irish people, also need to take a step back and consider if we are comfortable with a longer view on romance and sexuality.

The Abbey Theatre did us considerable service in 2015 with a wonderful version of A Midsummer Night’s Dream set in a nursing home. We were struck by a vivid sense of the inner vitality of these older people, suffused with desire, passion and romance.

This contemporary understanding of companionship and sexuality in later life was enhanced by casting Egeus as a son exercised about his mother’s romantic choices instead of a father at odds with his daughter.

We can also take heart from an early pioneer of ageing and sexuality, the late Alex Comfort. Best known for his ground-breaking The Joy of Sex, he was also a gerontologist of distinction, and wrote knowledgeably about the intersection of both subjects with characteristic humour.

He wrote that the things that stop you having sex with age are exactly the same as those that stop you riding a bicycle: bad health, thinking it looks silly or having no bicycle, with the difference being that they happen later for sex than for the bicycle.

His openness and encouragement for our future mirror Thomas Kinsella’s gritty poem on love in later life, Legendary Figures in Old Age, which ends with the line: ‘We cannot renew the Gift but we can drain it to the last drop.’

Complete Article HERE!

The Beginner’s Guide to BDSM

Why are some women never able to orgasm? A gynaecologist explains

Dr Sherry Ross says there has long been a gender bias in the way women’s sexual dysfunction has been treated compared to men’s

 

By Olivia Blair

Despite modern society being able to openly discuss female sexuality, there remains a number of existing taboos.

One of the most glaring is female orgasms. Women are rarely taught about the intricate details of their anatomy and often work these things out through their own experimenting.

What is the best way to get an orgasm? How often should I have one? Should I be able to have one during penetrative intercourse? Why have I never had one? – questions not uncommon to hear among small friendship groups of women over a bottle of wine.

Dr Sherry A Ross, an LA-based gynaecologist with 25 years experience aims to educate with a complete guide to the vagina in her new book She-ology: The Definitive Guide to Women’s Intimate Health. Period.

In the foreword of her book, Dr Sherry notes that “talking about the mighty V outside of doctor’s offices and bedrooms has remained a major taboo” and devoted an entire chapter to the female orgasm. The Independent asked the gynaecologist and obstetrician all the questions about female orgasms that are rarely spoken about.

Why might some women never orgasm?

Attitudes regarding sex, sexuality and gender vary greatly between different cultures and religions. Certain sexual practices, traditions and taboos are passed down through generations, leaving little to the cause of female pleasure or imagination.

For some women, finding and/or enjoying sexual intimacy and sex is difficult, if not impossible. Research suggests that 43% of women report some degree of difficulty and 12% attribute their sexual difficulties to personal distress. Unfortunately, sexual problems worsen with age, peaking in women 45 to 64.  For many of these women the problems of sexual dysfunction are treatable, which is why it is so important for women to share their feelings and concerns with a health care provider.

Unfortunately, there has been a history of “gender injustice” in the bedroom. Women have long been ignored when it comes to finding solutions to sexual dysfunction. In short, there are twenty-six approved medications for male erectile dysfunction and zero for women. Clearly, little attention has been paid to the sexual concerns of women, other than those concerns that involve procreation.

How many women might never orgasm?

During my 25 years in private practice, I’ve met a number of women in their 30s, 40s and 50s who have never even had an orgasm. In fact, 10 to 20% of all women have never experienced one.

Issues related to sex are not talked about enough even with a health care provider. Let’s just start by saying, 65 per cent of women are embarrassed to say the word vagina and 45 per cent of women never talk about their vagina with anyone, not even with their doctor.

Some patients say they have pain with sex, have problems with lubrication, don’t have a sex drive or don’t enjoy sex.  My first question is “Are you having problems in your relationship?”, “Do you like you partner?” , “Are you able to have an orgasm?”, “ Do you masturbate?” These open-ended questions tend to bring out sexual dysfunction including the inability to have an orgasm.

There is a great deal of embarrassment and shame when a woman admits she has never experienced an orgasm.

Is the inability to not orgasm normal?

The inability not to have had an orgasm can reflect women’s inability to know they own anatomy and may not be a disorder at all. In a survey of women aged 16-25, half could not find the vagina on a medical diagram. A test group of university- aged women didn’t fare much better with one third being unable to find the clitoris on a diagram. Clearly, if you can’t find it, how are you going to seek enjoyment from it?

Women must first understand what brings them pleasure and in their pursuit of happiness they have to understand where their clitoris is and how to stimulate it. Masturbation is a skill.  It has to be learned, just as walking, running, singing and brushing your teeth.

What is an orgasm disorder and how would you categorise one? 

The inability to have an orgasm falls under the category of Female Sexual Dysfunction of which there are five main problems: low libido or hypoactive sexual desire disorder, painful sex, sexual arousal disorder, an aversion to sex and the inability to orgasm.

Hypoactive sexual disorder, the most common female sexual dysfunction, is characterised by a complete absence of sexual desire. For the 16 million women who suffer from this, the factors involved may vary since sexual desire in women is much more complicated than it is for men. Unlike men, women’s sexual desire, excitement and energy tend to begin in that great organ above the shoulders, rather than the one below the waist. The daily stresses of work, money, children, relationships and diminished energy are common issues contributing to low libido in women. Other causes may be depression, anxiety, lack of privacy, medication side effects, medical conditions such as endometriosis or arthritis, menopausal symptoms or a history of physical or sexual abuse.

You are the person in charge of your vagina and clitoris. First and foremost, get to know your female parts intimately. Understanding your sexual response is a necessary health and wellness skill. Make mastery of that skill a priority.

Complete Article HERE!

Childhood cancer treatment may hinder later-life sexual relationships

 

[N]eurotoxic treatment for cancer during childhood may influence sexual activity and relationships in adulthood, according to new research.

Study co-author Vicky Lehmann, Ph.D., of Nationwide Children’s Hospital and Ohio State University – both in Columbus, OH – and colleagues found that adults who received high-intensity neurotoxic treatment for cancer as a child were less likely to meet certain sexual and romantic milestones.

However, the team found that childhood cancer treatment did not affect overall satisfaction for sexual and romantic relationships in adulthood.

Lehmann and team recently reported their findings in the journal Cancer.

According to the American Cancer Society, it is estimated that around 10,380 children aged 15 and under were diagnosed with cancer in the United States last year.

Leukemia is the most common form of childhood cancer, accounting for around 30 percent of all cases, followed by brain and spinal cord tumors, which make up around 26 percent of all childhood cancer cases.

Childhood cancer treatment and psychosexual development

While cancer was responsible for more than 1,200 childhood deaths last year, over 80 percent of children diagnosed with the disease will survive for at least 5 years. This is due to significant advances in cancer treatment, which include surgery, chemotherapy, and radiation therapy.

However, such treatment is certainly not without risk. For example, studies have shown that cranial radiation – often used to treat brain tumors – may cause harm to the developing brain, leading to long-term neurocognitive impairment.

Previous research has shown that neurocognitive impairment as a result of childhood cancer treatment may impact social interaction in adulthood, but studies investigating the effects of such treatment on psychosexual development are few and far between.

“Psychosexual development entails reaching certain milestones, such as sexual debut, entering committed relationships, or having children.

It is a normative part of becoming an adolescent or young adult, but only comparing such milestones without taking satisfaction into account falls short. These issues are understudied among survivors of childhood cancer.”

Vicky Lehmann, Ph.D.

To address this gap in research, the team enrolled 144 survivors of childhood cancer aged between 20 and 40. A further 144 participants who were not treated for childhood cancer (the controls) were matched by age and sex.

All participants completed questionnaires on psychosexual development, sexual satisfaction, and relationship satisfaction.

To determine the brain toxicity of cancer treatments in childhood, the researchers used data from the participants’ medical charts.

Neurotoxic cancer treatment might predict later-life psychosexual issues

Overall, the team found that adults who were treated for cancer in childhood did not differ significantly from the controls in terms of psychosexual development, sexual satisfaction, and relationship satisfaction.

However, on analyzing subgroups of childhood cancer survivors, the researchers found that those who previously received treatments high in neurotoxicity were less likely to have had sexual intercourse, be in a relationship, or have had children, compared with controls.

The type of cancer treatment in childhood did not appear to affect sexual satisfaction, the team reports. “This highlights the subjective nature of psychosexual issues, and the importance of addressing any concerns in survivorship care,” notes Lehmann.

The researchers say that their findings indicate that the neurotoxicity of cancer treatment in childhood may predict the likelihood of psychosexual problems in adulthood. They add:

“Additional research is needed to delineate how neurocognitive impairment undermines social outcomes for survivors, as well as other related factors.

Given the findings of the current study, healthcare providers should assess romantic/sexual problems among survivors, especially those who received high-dose neurotoxic treatments. Referrals to psychosocial care could prevent or reduce potential difficulties.”

 
Complete Article HERE!

Multiple Orgasms for Men?

Multiple Orgasms for Men? The Fascinating Technique That Might Open Up Whole New Sexual Experience

 

Women aren’t the only ones capable of a multi-orgasmic experience

By Carrie Weisman

[A]s a society we carry a lot of entrenched ideas about sex. Perhaps one of the most deeply ingrained assumptions is that women can have multiple orgasms, and that men can’t. But is that really true?

In 1986, sex therapists William Hartman and Marilyn Fithian put together the book, Any Man Can. They describe that by withholding ejaculation, men can experience “a number of sexual peaks.”

“The multi-orgasmic men we have studied have chosen to develop that capacity (stopping ejaculation using learned techniques)… The behavior itself (interrupting orgasm via such techniques) appears to be at least four thousand years old,” they wrote,

More than a decade later, sex educator Jack Johnston came out with a training program to help men work towards this experience. Johnston told me over the phone that he’s made it his life’s work to dispel the myth that only women are capable of experiencing multiple orgasms.

“Men and women are physiologically a lot more similar than people realize. Vive la différence, of course, but in terms of the neurological capacity for experiencing the orgasmic impulses, we’re wired in quite a similar manner.”

He added, “I try to help reacquaint people with the idea that orgasm is an energetic event, and that for men, it’s not automatically linked to ejaculation. They’re two separate events. Two separate reflexes.”

In contrast to other “experts,” Johnston avoids conventional “squeeze techniques” that encourage men to stop just short of “the point of no return.” These techniques typically require that men clench pelvic floor muscles, slow their breathing and allow the urge to ejaculate to pass.

As Johnston explained, “That’s not really a whole lot of fun for anybody. You’re constantly monitoring, it’s like ‘Am I there yet? Maybe I can go a little further. Oh shucks, I went too far.’”

“My working hypothesis was that there’s got to be a better way than that. I don’t think our creator was sadistic in that way.”

Johnston’s program is known as The Key Sound Multiple Orgasm (KSMO) training. The “Key Sound” refers to a particular sound one can make while engaging in some light stimulation during solo (or partnered) practice sessions, separate from the act of intercourse. He insists the vibrations brought on by the sound can help “unlock” the key to multiple orgasms.

One satisfied client writes, “As the sensations became stronger, my vocal expressions became deeper and louder. I continued until I was so overwhelmed by this feeling I literally could not move anymore – pleasantly paralyzed by orgasm with no urge to ejaculate.”

But while most men believe penile stimulation to be the primary means by which to experience orgasm, Johnston recommends  guys bypass the penis and head for the perineum (the area between the scrotum and anus) during their solo sessions.

Johnston’s refers to the perineal area as the “the male G-spot.” Part of his training revolves around “helping men locate that area of their body, and then, as part of the ‘Multiple Orgasm Trigger,’ practice to gently massage [the perineal] area just enough to get a little tingle, or a little rush.” Johnston calls these sensations “Echo Effects.”

“How does one increase arousal to orgasmic intensity without using lots and lots of stimulation? For men in particular, more and more stimulation tends to trigger the ejaculation reflex. So the idea is, in a sense, how do you learn to sneak up on the orgasm?”

“Very often, orgasm is centered right in the genital area, whereas the method that I teach tends to occur throughout ones body. One experiences arousal throughout one’s body. Neurologically, it’s all connected throughout the body, so the idea is to become aware of that. To become aware that when someone becomes aroused it’s not just in the genital area, those waves of energy start flowing throughout one’s entire body.”

On the official forum, one of Johnston’s clients reports, “As I am doing my sessions, I am really getting new sensations each time. Presently, I am feeling my prostate pumping (for lack of a better word) and this is causing me to get a slight erection. When my prostate pumps, it is sending pre-cum and I am beginning to leak a little. I have to stay relaxed because I feel that I could cross over and ejaculate. This pumping of my prostate are mini orgasms (I assume) and they feel great. My entire body is hot, shaking, and feeling really amazing. I can do this for about an hour and maybe a little longer.”

Another writes, “Tonight, after doing my 20 minutes and then sort of absent mindedly continuing, I do believe I had my first full body, non-ejaculatory orgasm. It just sort of came on as I was massaging the base of my penis, from out of nowhere–NOT like it came from within my body. It felt like a heat throughout my body, and a sort of giddiness, almost like the light, first rush of MDMA (er…or so I’ve read…).

“And the crazy thing was, instead of feeling like the orgasm was in me, it felt like I was in the orgasm–like it was surrounding and suffusing my whole body like a field of energy. Pretty wild.”

Johnston recommends that his clients practice the technique for 20 minutes every other day. He notes that ejaculation should be avoided on days devoted to practice.

He explained that in contrast to the “traditional” male ejaculatory orgasm, multiple orgasms typically arrive in “waves.” And since they aren’t linked to ejaculation, one’s energy doesn’t dissipate as it does when one ejaculates. He added that after having mastered the technique, most men come to prefer these kind of orgasms.

He continued, “It lasts so much longer. The after glow lasts so much longer too. It’s the kind of energy that can infuse your whole being.” He also notes that, after having completed the training, many men report experiencing more intense ejaculatory orgasms as well.

But mastering the physical technique is only half the battle. As Johnston explained, a good part of his training revolves around teaching men to expand their understanding of sexual pleasure, and open themselves up to the different means by which it can be attained.

He tells me, “There are a lot of people who think that it’s important for intellectual integrity to be really, really skeptical. I think it’s appropriate to have some skepticism, but it’s also really essential not to just be attached to being a skeptic. In the face of evidence to the contrary, one needs to have the intellectual integrity to consider it.”

“Once we learn the facts about our physiology, and what’s really possible. That’s a whole new world.”

Some people have years of sexual experience under their belt. Some don’t. But no matter where you land on the path of sexual self-exploration, it’s never too late to rewrite certain standards, and never too soon to start experimenting with different points of pleasure, no matter how obscure they may seem.

Complete Article HERE!

Have you ever had ‘unjust sex’?

Unthinkable: Examples include ‘women being pressured – not quite to the point of outright coercion – to have sex, or to have sex without contraception’, says philosopher Ann Cahill

“We need to remember that sexual assault is not the only kind of sexual interaction that is ethically problematic,” says author Ann Cahill.

By

[U]ncertainty surrounding the boundaries of ethical sexual activity is not confined to boozed-up young adults or American presidents. Among academics there is discussion about what distinguishes rape and sexual assault from another category of “ethically problematic” sex.

Examples of “unjust sex” include “women being pressured – not quite to the point of outright coercion, but pressured uncomfortably nonetheless – to have sex, or to have sex without contraception,” explains Ann Cahill, author of a number of books on gender issues including Rethinking Rape.

Cahill, professor of philosophy at Elon University in North Carolina who is visiting Dublin this week, says she has tried to “figure out in more detail” what distinguishes sexual assault from “unjust sex”, drawing on the work of New Zealand psychologist Nicola Gavey.

Her analysis has led her to challenge the traditional feminist concern with “objectification”: treating women’s bodies as objects. Instead, she uses “derivatisation” – treating women as “stunted persons, persons whose identity and behaviour is primarily or entirely limited by the desires of another person” – as a standard by which to measure actions.

Cahill says “we need to remember that sexual assault is not the only kind of sexual interaction that is ethically problematic. Too often our approach to sexual ethics is limited by relying solely on the presence of consent, a reliance that obscures other crucial elements in sexual interactions that are ethically relevant”.

How do you distinguish “unjust sex” from rape?

“Briefly, I argue that examples of unjust sex and incidents of sexual assault share an indifference to women’s sexual preferences, desires and wellbeing, and that’s what explains how unjust sex perpetuates and upholds rape culture. In both cases, the specific sexuality of the woman is not participating robustly in the creation of the sexual interaction.

“What distinguishes the two examples, I then argue, is the specific role that the woman’s sexual subjectivity plays. In the case of examples within the grey area of unjust sex, women’s agency plays an important role: if a man repeats a request for or invitation to sex multiple times, for example, that very repetition indicates that the woman’s consent is important.

“However, I also argue that the role that the woman’s agency plays is a problematically stunted one that limits the kind of influence she can have on the quality of the interaction that ensues, and does so to such an extent that it renders the interaction unethical.

“In the case of sexual assault, the woman’s agency is either overcome – by force, or coercion, or other methods – or undone entirely, by use of drugs or alcohol.”

Where does “objectification” come into this, and does sexual attraction always entail some element of it?

“Feminists have long used the notion of objectification as an ethical lens, and specifically, as an ethically pejorative term. And certainly I do think that many of the social and political phenomena that feminists have criticised by using the term ‘objectification’ – dominant forms of pornography, oppressive medical practices, common representations of women’s bodies – are worthy of ethical critique.

“However, I worry about what the term ‘objectification’ implies, and when I dug into the philosophical literature that sought to really unpack the term, my worries only intensified. If objectification means, roughly, to be treated as a thing – a material entity – and if it is virtually always ethically problematic, then it seems we are committed to a metaphysics that places our materiality in opposition to our humanity or moral worth.

“But what if our materiality, our embodiment, is not contrary to our humanity or moral worth, but an essential part of it? If we approach embodiment in this way, then to be treated like a thing is not necessarily degrading or dehumanising. In fact, having one’s body be the object of a sexualising gaze and/or touch could be deeply affirming.

“Getting back to your question: does sexual attraction require objectification? The short answer is yes: sexual attraction requires treating another body as a material entity. But that does not mean that sexual attraction is necessarily ethically problematic.”

You say women “are encouraged, and in some cases required, to take on identities that are reducible to male heterosexual desires”. How do women avoid being so “derivatised” while in a relationship?

“This is a tricky matter, because human beings are intersubjective.

“Equal and just relationships among individuals require the recognition that they have a substantial contribution to make to those relationships, and that no relationship should position one of the individuals involved in it as the raison d’être of the relationship itself.”

Is the power dynamic always working in one direction, however? Women are capable of objectifying men. Should that concern us too?

“As I state above, objectification is not necessarily ethically problematic. And so to the extent that women have the capacity to treat men’s bodies as material entities, yes, they can objectify them.

“However, in our current political and social situation, women’s objectification of men’s bodies is far less common than men’s objectification of women’s bodies; even more importantly, it rarely amounts to derivatisation and does not serve to undermine men’s political, social, and economic equality.

“When I say that it does not amount to derivatisation, I mean that heterosexual men are less likely to view their bodies solely or persistently through the lens of how they appear to heterosexual women, and they rarely see male bodies represented in dominant media as defined primarily or solely through how those bodies appear to heterosexual women.

“While it’s not impossible for women to derivatise men – one can imagine, for example, a woman evaluating a man as a sexual partner solely on the basis of whether he matches her sexual preferences – structurally, those examples of derivatisation don’t add up to the kind of persistent inequality that still tracks along gender lines.

“For example, as political candidates, men don’t suffer for failing to meet the aesthetic ideals of heterosexual women, while women do suffer for failing to meet the aesthetic ideals of heterosexual men. Of course, they also suffer for meeting those ideals too well, because feminine beauty, while allegedly admirable in women, is also associated with shallowness and lack of intellect.

“Although I haven’t written about this before, however, it seems to me that hegemonic masculinity does have a derivatising effect on heterosexual men, to the extent that it requires them to derivatise women. In this sense, the subjectivity of heterosexual men is stunted to the extent that it is required to engage in the kinds of behaviour that demonstrates disrespect of women as moral equals – behaviour that is necessary for other heterosexual male subjects to be confirmed or affirmed in their own forms of masculinity.

“To the extent that heterosexual men can find their standing within homosocial relations threatened or troubled if they refuse to derivatise women, or at least pretend to, then they are also subject to a failure to recognise their own ontological distinctness.”

Complete Article HEREvi!

Swinging offers sexual freedom, but you have to play by the rules

Don’t assume ‘the lifestyle’ does not come with a rulebook. Communication is important, and rules can make relationships better.

Fatima Mechtab, Marketing Supervisor and events coordinator at Oasis Aqualounge, poses at the Toronto adult playground.

[T]oronto’s Oasis Aqualounge, at Carleton and Church Sts., is a pretty open environment. The clothing-optional sex club hosts events each week for people to explore their sexual fantasies. But for such a sexually free venue, there are certainly a lot of rules.

No photos. Certain areas are off limits to men unless accompanied by a woman. No touching of any kind unless given permission. No means no, of course, but the club takes it a step further: only yes means yes. That means there are no sexy times until consent is verbalized, says Fatima Mechtab, the marketing and events co-ordinator at Oasis, which had approximately 16,000 members last year.

The clothing-optional space, where sex is allowed, is by its nature vulnerable, she says. The rules are to make sure everyone feels safe, comfortable and encourage people to talk. “A big problem with consent is people assume it’s something you don’t have to verbalize,” she says. In fact, when it comes to sex, there’s lots that people don’t talk about — but should.

Mechtab, a queer woman who has explored swinging and polyamorous relationships in the past, says these types of strict rules — don’t make assumptions, ask before touching — are common in “the lifestyle,” a term for consensually nonmonogamous couples. And, she says, rules make relationships better.

Couples and the locations they go to play have to create an environment in which all parties feel not only safe, but also heard. These boundaries take away the grey areas, forcing couples to say what they do or don’t want and what they need from sexual encounters. And there’s a lot non-swingers can learn from them about building a healthy (and satisfied) relationship.

A successful swinging relationship is based on constant communication, says Carol Hunt, founder of VenusCouples, a Montreal-based online forum for “sex-positive” exploration of the lifestyle. She and her husband have been swinging for a decade. Before any party or outing, they agree upon a set of boundaries (such as they’ll always be in the same room during sex) and expectations for the evening (be it sex with another person or a night observing others). Afterwards, they always break their experience down: what they liked, what they didn’t like, and what would they like to try in the future?

While it might seem exhausting to always talk about sex, Hunt says it means both parties feel their needs are being heard. If her husband wants to try something new, but she’s not interested, the decision isn’t shut down entirely. Instead, they discuss both points of view and try and find a happy middle ground in which they can explore. No always means no — but that’s only the start of the conversation.

That consensus building trickles out of the bedroom, says Edward Fernandes, a professor of sexuality specializing in swingers, at Barton University in North Carolina. “I’ve had people say, ‘We used to have trouble with our finances — we couldn’t talk about this,’ and once we went into swinging, that (inability to communicate) went away,’” says the Toronto expat. “Now, they’re able to talk about everything.” If you can talk about a taboo topic like sex freely, there’s nothing to stop you from vocalizing issues with the chores, he says.

One 2014 study from the University of Oklahoma, which compared monogamous and consensually nonmonogamous couples, found those in open relationships rated their happiness and health higher than their counterparts. Another study from 2000, found 90 per cent of couples said their marriage became happier after they started swinging.

“People will often avoid talking about things, because they don’t know how (their partner) is going to respond,” says Fernandes. “So we hide. Swinging tends to pull that curtain, and allows them to have direct communications with each other.”

Write your own sexy rule book

  • Hunt suggests couples looking to spice up their bedroom can start small: make it a point to go to a sex shop, for example, to discuss what both parties might enjoy or not. To avoid embarrassment, make it a rule that neither party can wander off on their own: you’re in it together and that can decrease the awkwardness.
  • Watching porn can be a great way to get both parties in the mood. But before hitting play, Hunt suggests setting expectations: you’ll only watch for an hour, and collectively pick one act to try and re-create.
  • If you’re trying something new and don’t enjoy it the first time, Hunt say don’t shut it down right away. Commit to revisiting the act at least once at a later date, and if you still don’t enjoy it, then it’s OK to take it off the table for the future.
  • Great relationships need work, she says. Set aside a couple hours each week just to be with each other. No television, no distractions (and if you want, no clothes).
  • Make a relationship rule to do one sexy thing a day — even if it’s just kissing each other deeply for a few minutes, Hunt says. It doesn’t have to be anything more than that, but it ensures a daily connection with your partner.

Complete Article HERE!

Lust, sex and the middle-aged woman

Women’s sexuality doesn’t die with age, but the level of their desire is diverse.

By Margaret Jennings

[S]he seemed to have it all: a loving family, successful career and beautiful home.

Then Yvonne Carmichael jeopardised everything by having a torrid affair with a random stranger, ripping apart the cosy trajectory of her life.

Yvonne is the lead character in a BBC1 mini-series currently steaming up our TV screens, called Apple Tree Yard.

And while the storyline takes us from the joys of lust to the darkness of rape, it’s rare to see a 50-something female take centre stage in such scenes.

Midlife affairs are usually the reserve of testosterone-driven, crisis-ridden males — as if females have no such needs — or so the media world would have us believe.

Apple Tree Yard, a dramatised version of a novel by Amanda Coe, challenges pre-conceived ideas about middle-age sex.

It not only affirms that it’s OK for older women to be sexually expressive, it annihilates the myth that we become “invisible” and asexual just because we are ageing.

The four-part psychological thriller has prompted a lively debate on this issue and 50-year — old actress Emily Watson, who plays Yvonne, has commented: “Your sexuality doesn’t die with your age. You don’t have to apologise for it.”

The idea that our sexuality can be compartmentalised as non-existent, especially as we are living longer more vital lives, seems absurd.

While Yvonne’s torrid affair illustrates this explicitly, it also raises the issue of how our latent sexual urges are perfectly ripe to be reignited at this stage of life, depending on our circumstances and responses.

“Many women of 50 and beyond succumb to a flagging libido, more difficult arousal and maybe a stale, longtime relationship, by retreating from sex.

“Then they meet someone new and — bam — they feel the excitement that they thought they had left far behind,” says Joan Price, a US author and blogger on senior sexuality.

“They feel on fire. Their sex drive — which they thought was dormant — goes into overdrive. It can be quite an amazing and delicious experience. It can also be bewildering and guilt-filled, if a woman has an affair when she’s in a committed, monogamous relationship.”

Price, now 72, has first- hand experience of this herself: “I was 57 when I met the man who would become my husband and great love. I had been single for decades, with occasional relationships that didn’t go anywhere — and long dry spells.

“It was distressing, because I knew I was a vibrant, sexual being, but after menopause I seemed invisible to the men I met. Many women report that they feel the same. How glorious it is then, when we meet the right person and that person is as electrified as we are!”

The on-screen electricity between research scientist and grandmother-to-be Yvonne, and her handsome lover, Mark Costley (played by Ben Chaplin), is an endorsement of this passionate potential, but is there something missing in our relationship if we yearn to seek those sparks elsewhere?

Sex in relationships is not just about sex, but about the connect between a woman and her partner, says Lisa O’Hara, a couple counsellor with Dublin-based clinic Mind and Body Works.

“If lack of libido is an issue for a couple attending for counselling, it can be part of a wider discontent than just the sexual connection. There may be a loss of closeness in general and resentments by the woman towards the partner that have built up over years, which have gone unaddressed.

“If these are addressed in therapy and things improve, sex may be back once again.”

However, some of her midlife female clients do develop a stronger curiosity about their own desires and fantasies, once free of fear of pregnancy or of other lifestyle issues that had got in the way, says O’Hara.

“Some say ‘I’m out of here’. It totally depends on their unique circumstances and how they feel about themselves.”

The myth that we become less sexual as we age was recently explored in research among women aged 55 to 81, titled Sex, Desire and Pleasure: Considering the experiences of older Australian Women.

Research author Bianca Fileborn, a lecturer in the School of Social Sciences at the University of New South Wales, tells Feelgood: “One of the key findings from our research was that women are really diverse — there’s certainly not one way that older women are ‘doing’ sexuality and sexual desire in mid to later life.

Emily Watson’s as character Yvonne Carmichael in the BBC production of ‘Apple Tree Yard’.

“In fact quantitative research carried out in western countries pretty consistently shows that a significant number of older people remain sexually active — usually a majority — at least until they reach ‘deep’ old age, in their 80s and 90s. But even then, a large minority still have sex.

“Another key finding for us was that women’s desire for sex didn’t depend necessarily on how older they were, but what else was going on their lives that influenced them.”

Irish sexologist Emily Power Smith says she knows women of all ages who, although they’re living with chronic illness and pain, are “determined to find ways to feel sexual”.

“Women who enjoy sex will have sexual desire right to the end of their lives and will find creative ways to keep that spark. But I also work with a number of women in their 50s and above, who want to know what all the fuss is about, because they could quite easily never have sex again.

“Inevitably it transpires that they have never really enjoyed sex. As they begin to discover their ability to feel sexual pleasure and arousal, their drives tend to increase.”

ONCE we are leading healthy lives low libido seems more related to the kind of sex we are having, rather than our age, she says.

“I know many young fertile women who hate sex and many older women, post menopause, who love it. Increasingly, there is research to show that older women embarking on new relationships report no reduction whatsoever in their sexual desire.”

Whatever about the complex rich reality of older women’s everyday sex lives, the screening of Apple Tree Yard may nudge the film and media world towards a more rounded representation of the mature female in all her sensual glory.

And perhaps even encourage women to explore their own sexuality more.

There is a growing posse of sexy women in their 50s and older decades, gracing the fashion and beauty world, in recent times, apart from the fact that some of the original supermodels of the ’90s, such as Cindy Crawford, Elle Macpherson and Linda Evangelista are already past the half century mark.

This year’s Pirelli calendar also sees photographer Peter Lindbergh tap into the zeitgeist, describing the make-up free portraits of his subjects as a “cry against perfection and youth”.

Some of the high-achieving women he chose to feature were actresses Julianne Moore, 56, Charlotte Rampling, 70, and Helen Mirren, 71.

However, despite this celebration of our vitality as we age, we still may have some catching up to do as individuals, says Power Smith.

“Women do a lot of self-policing when it comes to behaviour, dress and dating over a certain age. I think we are so conditioned to believe our lives are over once we’re 50 — though this is changing slowly — we get very troubled at the thought of our peers wearing short skirts, or dating younger people. But the rules don’t serve us. They never did.

“Only now some of us have the financial freedom, confidence and ability to create new norms. So come on! Let’s break some rules!”

Apple Tree Yard, BBC One, Sunday February 5, 9pm

10 ways to feel sexy

Senior sexpert, author and blogger, Joan Price, gives us these 10 tips for hot sex after 50:

1. Slo-o- o-w- w down. It takes longer for us to warm up, and this intensifies as we get older. Make the warm-up phase of sex play last hours… or days.

2. Appreciate, decorate, and celebrate your body. Jewellery, lingerie, feathers, fringe, silk, velvet, massage oil, candlelight — whatever looks good and feels good. If you know you look sexy, you’ll feel sexy.

3. Learn what you like. Explore, experiment. If you’re partnered, communicate what you like.

4. Do sexy things on your own to get in the mood long before you get naked. Work out. Swim. Dance. Fantasise a sexy scene. Spend some time humming with a vibrator, reading erotica, or watching porn — or all of these.

5. Have sex during high energy times, when your arousal is strongest, whether solo or partnered.

6. If you’re partnered, kiss and kiss. Kiss sweetly, passionately, quickly, slowly, contentedly, hungrily, lightly. All kinds of kisses help you bond with your partner, warm up, and enjoy the moment.

7. Explore sex toys and other erotic helpers, alone and/or with a partner. Lucky for us that sex toys are easy to find, fun to try, and wow, do they work!

8. Use a silky lubricant. There are many different lubricants made specifically for sex that feel great and enhance (or bring back) the joy of friction. Make applying lubricant an erotic part of sex play.

9. Enjoy the afterglow. If you’re partnered, indulge in quality snuggle time.

Solo, don’t get back to your daily life right away — bask in your feelings of wellbeing.

10. Laugh a lot. Laughter is joyful, ageless — and sexy.

Complete Article HERE!

Better Sleep Could Mean Better Sex for Older Women

By Robert Preidt

A more satisfying sex life may be only a good night’s sleep away for women over 50, new research finds.

Researchers led by Dr. Juliana Kling of the Mayo Clinic in Scottsdale, Ariz., tracked data from nearly 94,000 women aged 50 to 79.

The investigators found that 31 percent had insomnia, and a little more than half (56 percent) said they were somewhat or very satisfied with their sex life.

But too little sleep — fewer than seven to eight hours a night — was linked with a lower likelihood of sexual satisfaction, the findings showed.

“This is a very important study since it examines a question which has tremendous potential impact on women’s lives,” said Dr. Jill Rabin, who reviewed the findings. She’s co-chief of the Women’s Health Program at Northwell Health in New Hyde Park, N.Y.

Age played a key role in outcomes. For example, the study found that older women were less likely than younger women to be sexually active if they slept fewer than seven to eight hours per night.

Among women older than 70, those who slept fewer than five hours a night were 30 percent less likely to be sexually active than women sleeping seven to eight hours, Kling’s team found.

The findings highlight how crucial sleep is to many aspects of women’s health, medical experts said.

“Seven hours of sleep per night will improve sexual satisfaction and has been shown to increase sexual responsiveness,” said Dr. JoAnn Pinkerton, executive director of The North American Menopause Society.

Besides putting a damper on sex lives, she said, poor sleep is also tied to an array of health issues, such as “sleep apnea, restless legs syndrome, stress and anxiety.” Other health problems linked to insomnia include “heart disease, hypertension [high blood pressure], arthritis, fibromyalgia, diabetes, depression and neurological disorders,” Pinkerton added.

Dr. Steven Feinsilver directs sleep medicine at Lenox Hill Hospital in New York City. He reviewed the new findings and stressed that they can’t prove cause and effect. “It certainly could be possible that many underlying problems — for example, illness, depression — could be causing both worsened sleep and worsened sex,” he noted.

Rabin agreed, but said there’s been “a paucity of studies” looking into links between sleep and sexual health, especially during menopause.

“We know that obstructive sleep apnea and sexual dysfunction are positively correlated,” she said. “Other factors which may lead to a decreased sleep quality include: a woman’s general health; various life events, which may contribute to her stress; chronic disease; medication; and degree and presence of social supports, just to name a few,” Rabin explained.

And, “in menopause, and due to the hormonal transition, women may experience various symptoms which may impact the duration and quality of their sleep patterns,” Rabin added.

We and our patients need to know that quality sleep is necessary for overall optimum functioning and health, including sexual satisfaction, and that there are effective treatment options — including hormone therapy — which are available for symptomatic women,” she said.

The study was published online Feb. 1 in the journal Menopause.

Complete Article HERE!

5 Health Reasons To Make Love, Even When You’re Not In The Mood

 

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[A]t the start of every relationship, everything is brand new, and we just can’t get enough of our partner. During the honeymoon phase, we engage in extra PDA, barely keeping our hands off each other, especially sexually. However, there comes a point where one of us wants sex, and the other isn’t in the mood for it, but science suggests we should consider having more sex for our health’s sake.

Sex droughts can hit couples, which can be a sign of comfortability, or married life. Infrequent sex can occur due to children, work, and stress, but having sex can actually lighten the load of these daily obstacles.

April Masini, relationship expert and author, believes “intimacy is as important as an apple keeping the doctor away.”

“Nurturing intimacy in relationships is important — and should be just as important a health concern as getting a regular mammogram or a colonoscopy! Happy, healthy, intimate relationships are crucial to good physical and mental health,” she told Medical Daily.

Scientists have found the reason why sex feels so good is due to the release of dopamine and opioid chemicals. Sexual stimulation sends the brain into an altered state of consciousness; it blocks out everything else, and allows us to solely concentrate on the sensation. In other words, it enhances brain activity.

Regular sex can do more than make us feel good; it can boost our overall health in these five ways.

Boosts Immune System

Frequent sex can help keep our immune system strong, protecting us from getting the common cold. Dr. William Kolbe, author of the book The Rejuvenating Power of Masturbation, suggests sex’s immune boosting power comes from its interaction with the pituitary.

“Sexual intimacy(solo and paired) sends signals to the pituitary to stimulate the major endocrine axis including the thymus gland, a major player in our immune system,” he told Medical Daily.

A 2009 study in Psychology Reports found having sex at least once or twice a week led to 30 percent more immunoglobulin A (IgA) in their saliva, than those who reported having no sex. IgA is an antibody that helps fight infections and the common cold. They reach their peak in couples who had sex a few times a week.

Lowers Blood Pressure

Sex does not significantly raise blood pressure in men, rather it can help lower it to normal levels. A 2000 study in Biological Psychology, researchers asked 51 healthy men and women, between the ages of 20 to 47 about how much sex they have; followed by measuring their blood pressure.

They concluded more sex was linked to decreased blood pressure.

According to Kolbe: “Intimacy is an excellent cardiovascular workout thus providing positive effects to blood pressure. The increase in sex hormone production, especially estrogen, is very beneficial for the heart.”

Aids Heart Health

Unsurprisingly, sex is good for lowering our blood pressure, and for reducing the risk of heart disease. A 2002 study in J Epidemiol Community Health found regular sexual intercourse reduces the risk of stroke and coronary heart disease (damage or disease in the heart’s major blood vessels) in men.

Similarly, a 2010 study in the American Journal of Cardiology found men with low frequency of sex had an increased risk of cardiovascular disease. Men who reported sexual activity of once a month or less had a higher risk of cardiovascular disease than men who reported having sex twice a week or more. This study is the first to look at frequency of sex and heart risk independently from erectile dysfunction, according to the researchers. They speculate men who are having sex regularly, may be in supportive intimate relationships. This may improve health via stress reduction and social support.

Stress Reducer

Feeling relaxed and mellow after sex tend to go hand in hand in the bedroom. A 2002 study in Archives of Sexual Behavior suggests semen may have antidepressant properties. Contact with semen during sex can help boost happiness levels for women, therefore, reducing stress

“Sex can reduce a woman’s stress level. This is especially so if the woman is relaxed and not constricted during the sex,” Dr. Fran Walfish, Beverly Hills family and relationship psychotherapist, told Medical Daily.

Keri Simon, a clinical social worker in St. Louis, who sees many couples, believes the stress hormone cortisol is reduced via a connection.

“More is communicated through intimate gestures which in a primitive example, communicates we have no need to be on defense, addressing our fight or flight responses. This communication is powerful — just ask anyone who has felt connection through a squeeze of the arm, pat on the back, hug, etc., and they can share that human intimacy is a powerful force of connection,” she told Medical Daily.

Improves Sleep

It’s likely some of us pass out right after sex, and this happens for a reason. The endorphins released during sex can help us enter natural states, like euphoria, leading us to feel less stressed. The oxytocin released during orgasm also promotes sleep. They’re released from the pituitary gland of the brain during periods of strenuous exercise, emotional stress, pain, and orgasm. Oxytocin is known as the “love hormone” because it’s typically released when two people make physical contact.

Interestingly, a 2014 study found women in romantic relationships who got an extra hour of sleep had higher levels of sexual desire. They also experienced a 14 percent increase in the likelihood of sex the next day. Women with longer average sleep duration also reported greater vaginal lubrication during sex than those with shorter average sleep.

The relationship between going to sleep and good sex seems to work both ways.

Complete Article HERE!

Contraception influences sexual desire in committed relationships

The role of human sex outside of reproduction remains something of an evolutionary mystery. But scientists believe that it is partly about tying the parties in the relationship together.

By Liv Ragnhild Sjursen

[H]ow often women in heterosexual couples desire sex depends on how committed the relationship is and what type of birth control the woman uses.

Sex is quite wonderful when the goal is to have children. But sex can also serve as a “glue” in a committed relationship.

Most animals have periods when they come into heat, and outside of these periods they don’t find sex interesting at all.

Humans, however, are constantly interested in sex. This interest can seem like a waste of energy, but an evolutionary perspective may explain why we function this way.

More sex with progesterone and commitment

A new study from NTNU and the University of New Mexico confirm that sex is important for pair–bonding between men and women in relationships.

The researchers also found a correlation between the type of oral contraceptive women use and how often couples have sex.

The findings were recently published in the scientific journal Evolution & Human Behavior.

“The function of sex in humans outside ovulation is an evolutionary mystery. But we believe that it has to do with binding the parties in the relationship together,” says Leif Edward Ottesen Kennair, a professor of psychology at NTNU.

Kennair worked with Trond Viggo Grøntvedt, Nick Grebe and University of New Mexico Professor Steve Gangestad to ask hundreds of Norwegian heterosexual women about contraception, sex and relationships.

Their results show that of women in long-term relationships and who are using hormonal contraception, those who are more committed to their relationships have more sex with partners, as one might expect.

“But this association was especially true when the contraceptive that women used had potent levels of synthetic hormones that mimic the effects of the natural hormone progesterone, and lower levels of the hormone oestrogen,” Gangestad said.

“We’re talking about intercourse here, not other types of sex like oral sex, masturbation and such. This strengthens the idea that sex outside the ovulation phase has a function besides just pleasure,” says Grøntvedt.

Big differences between types of contraceptives

Hormonal contraceptives, like birth control pills, implantable rods and patches, contain two types of hormones:

Oestrogen, which naturally peaks just before ovulation when naturally cycling women can conceive offspring, and hormones that have the same effect as progesterone, which naturally peaks during the extended sexual phase, a time when offspring cannot be conceived.

The levels of each hormone type vary in different contraceptives. Hence, some contraceptives mimic hormones that are more characteristic of ovulation, whereas others mimic hormones when women can’t conceive.

The women who used contraception with more oestrogen were most sexually active when they were in a less committed relationship.

On the other hand, women who used contraception with more progesterone were the most sexually active when they were faithful and loyal to their partners.

“Before we did this study, we didn’t know how much difference there was between the two types of hormonal contraceptives,” says Grøntvedt.

A credible holistic picture

The researchers surveyed two groups of women. All the women were using hormonal contraception and were in committed, heterosexual relationships.

One group consisted of 112 women that researchers followed over a 12-week period. The women were asked how often and when in their cycle they had sex.

The second sample group consisted of 275 women in long–term relationships who used hormonal contraception.

This group was not followed over time, but the researchers asked them how many times they had had sex in the past week. This type of study – using data collected at a specific point in time – is called a cross-sectional study.

Both groups were asked to indicate the type of contraception they were using, and if a pill, which brand it was.

“Since we examined these two groups using different methods – a snapshot for the one group and a longitudinal study for the other – we can be confident that the results provide a reliable overall picture,” Grøntvedt said.

Natural or synthetic hormones had similar effects

The basis for the NTNU study was a 2013 American study, where 50 women and their partners answered a series of questions about their relationships, menstrual cycles and frequency of sex.

None of these women were using any kind of hormonal contraception, so only their natural hormones were involved.

The study showed that women initiated sex more in the extended sexual phase – when they were not ovulating and progesterone was the dominant hormone – if they were invested in the relationship.

NTNU researchers wanted to verify the American results in their study, but with participants who were using a hormonal contraceptive that simulates a natural cycle.

Their results were the same as in the US study, in which women were not using any hormonal birth control.

The researchers were thus able to show that how often women have sex is linked to how committed they feel towards their partner and the type of hormone they are governed by, whether natural or synthetic.

“A lot of social psychology studies that have led to cool discoveries through the ages have lost status, because it hasn’t been possible to copy them and verify the results.”

“We are extremely pleased to have been able to verify the results of the study by Grebe and his colleagues, and we are equally pleased that we have also made new discoveries,” Kennair says.

Complete Article HERE!

Should Shame Be Used to Treat Sexual Compulsions?

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The concept of “sex addiction” has become deeply embedded in our culture — people toss the term around pretty easily, and it’s the subject of TV shows, documentaries, and a profitable cottage industry of treatment centers. The problem is, as Science of Us has noted before, the scientific evidence for sex addiction being similar to alcohol or drug addiction is very, very thin, and it may be the case that people who believe or are told they have sex addiction actually have other stuff going on.

And yet, it’s undoubtedly the case that many people show up at therapists’ offices worried about sexual behavior that feels compulsive. How do therapists who are skeptical of the idea of sex addiction deal with these patients? That’s the question at the center of an interesting article in SELF by Zahra Barnes.

Barnes does a good job laying out the strong majority view that “sex addiction” shouldn’t be viewed in the same way as other, more scientifically validated forms of addiction, and she also contrasts the way different sorts of therapists deal with sexually compulsive behavior. As she explains, therapists who hew to the majority view often take a “harm reduction” approach to patients who are complaining of compulsive behavior.

“It’s humanistic, meaning it privileges the subjective experience of a person and doesn’t try to apply some external model on what they’re describing, and it’s culturally libertarian, meaning as long as they’re not hurting anyone, you allow people to behave the way that they want and give them the space to do it,” said Michael Aaron, Ph.D., a sex therapist in New York City and author of Modern Sexuality.]

This method can work for people troubled by their sexual urges and those with compulsive sexual behavior. “Rather than trying to change something, we need to acknowledge it and embrace it,” Aaron says. He offers the example of someone who has fantasies of traumatizing children sexually or being sexually violent toward women: “The harm reduction approach asks, can you play out some of these themes with a consenting partner?” The aim is to satisfy these desires with a willing partner instead of suppressing them, which can just make them stronger, he explains.

Therapists who do believe in the addiction model work differently, and where this difference manifests itself most strongly is in their approach to shame. While Aaron and other harm-reduction researchers try to stay away from shaming their patients, which they say can worsen compulsive behaviors, believers in the sex-addiction model see things differently:

“Sex addicts need to feel some shame about what they’re doing, because they are shameless. When people are shameless, they rape and murder and steal and pillage and get into politics,” [says Alexandra Katehakis, clinical director of the Center for Healthy Sex.]. But this is different from shaming someone, she says. “Shaming in an unprincipled way is out of bounds [for a mental health professional],” she explains. That would include saying or even implying that someone is disgusting based on what they’re doing. Rather, she asks questions designed to make someone reflect on what their actions have wrought, like, “What do you think that feels like for your partner?” It’s helpful, not damaging, she explains, because, “It challenges them to see what they’re doing, and it brings them into the reality of their behavior.”

It seems like one of the key philosophical differences here is the question of the extent to which people can control their most primal sexual urges. The therapists who don’t believe in sex addiction appear to view people’s sexual preferences (for lack of a better term given they probably aren’t preferences) in a holistic context — if people are “acting out” sexually in a way that harms others, it could be because of other stuff going on in their lives. You address the behavior by addressing the root causes. The believers, on the other hand, focus more on the urges and finding ways to address the behavior and urges in and of themselves.

These approaches aren’t fully compatible, so it’s no surprise there’s tension between the majority of sex researchers who don’t believe in the addiction model and the minority who do.

Complete Article http://nymag.com/scienceofus/2017/01/should-shame-be-used-to-treat-sexual-compulsions.html!

Worried your partner might have a bisexual history? Why?

Myths about LGBTQ sexual health need debunking – and healthcare professionals are part of the problem

‘You don’t have to openly identify as bisexual to get the bad side of bisexuality.’

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“Use a condom, the pill, or get an IUD – avoid pregnancy” was the drill from sexual health practitioners who came to speak at my comprehensive school in Kent. There wasn’t much detail or thought beyond, “Some of these boys are going to get some of these girls pregnant before they hit 16 – let’s try to get that down to a lower number than we had last year.”

Thankfully, when it comes to the subject of sexual identity, there’s now more guidance than ever trickling down into the societal subconscious in the west – hopefully in schools, but certainly during publicity rounds for films starring Kelly Rowland and Cat Deeley. While talking about Love By the 10th Date to the New York Post last week, Rowland espoused the importance of knowledge when embarking on a sexual relationship with another: “I can’t tell someone how to feel about dating someone who is bisexual or had a past gay experience, but it’s proper to ask [if they have] in today’s times.”

It is “proper” to ask? Maybe it’s unfortunate phrasing, or maybe not being able to hear the tone of voice in which the opinion was offered gives it negative impact, but the sentence rings faintly of suspicion and mild disapproval: “Please submit your history of sex with people of the same gender, and it will then be decided whether or not you are too risky to be intimate with.” That’s how it comes across to this particular someone who is “bisexual or [has] had a past gay experience”, anyway.

Bisexuality just continues to have a bad rep, even though it’s on the rise (according to CNN) … or then again, maybe it’s not on the rise (according to the Verge). Statistics on the spread of sexually transmitted diseases, and which groups of people are spreading them, are easily found (and quickly wielded by those mistrustful of anything beyond heteronormativity), but they can obscure a simple and universal truth that applies to all groups, whether those groups are on the rise or not. And that is: whatever genitalia you and your partner(s) have, you should protect yourselves (condom/dental dam/wash your hands and accoutrement between uses, thank you). Ignoring that fact in favour of “it’s the bisexuals, mostly” is the source of so much harm.

You don’t have to openly identify as bisexual to get the bad side of bisexuality, because it goes beyond the myths of promiscuity, greed and dishonesty still held by some – biphobia also has an impact on physical health. Here in the UK, if you’re a man who’s had sex with another man in the last 12 months, you can’t donate blood (though that stance is currently being reviewed). Women who have sex with women are less likely to get a smear test, because many of us don’t realise we need to – we’re forgotten by the healthcare system, or our needs are misunderstood.

“Gay and bisexual women are at lower risk for HPV,” we confidently tell each other, “we don’t need a smear test.” A lot of us have heard that from our doctors, as well. It was only after seeing a leaflet about the issue from lgbthealth.org.uk during this month’s Cervical Cancer Prevention Week that I realised this was just ignorance.

In 2008, Stonewall released findings that one in 50 lesbian and bisexual women had been refused a smear test, even when they requested one. The 2015 survey on training gaps in healthcare, Unhealthy Attitudes, found that three in four patient-facing staff had not received any training on the health needs of LGBTQ people. Many women get variations of the “use a condom, the pill, or get an IUD – avoid pregnancy” mantra from our doctors to this day, if we don’t declare our gayness or bisexuality as we walk through the surgery door. Sometimes even a declaration is ignored by an uncomfortable practitioner. Straightness is still automatically assumed, unless you’re lucky enough to have a doctor who doesn’t see heterosexuality as the default for everyone they treat.

According to that 2015 Stonewall study, a third of healthcare professionals felt that the NHS and social care services should be doing more to meet the needs of LGBTQ patients, which is encouraging. Knowledge is wanted – needed – to undo the harmful myths that block help and prevent education. And that is what is “proper” (to quote the star of Freddy vs Jason and Love By the 10th Date) – fighting ignorance and biphobia, rather than continuing to be suspicious of sexual histories that might have featured people of the same gender. Whatever and whoever is in our sexual pasts, we must protect each other, and stay informed. That’s healthy.

Complete Article HERE!