Category: Health Benefits

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How to use lube during both partnered and solo play for next-level (!) sex

— Let’s get wet ‘n wild.

By and

When you’re moving from foreplay to the penetration portion of sex, a little bit of friction is a welcome addition. But too much of it can easily turn ‘ooh’ into ‘ouch,’ leaving that area dry and irritated, to say the least. That’s where lube comes in clutch. However, no one ~really~ teaches you how to use it, and it’s not always a topic covered in sex ed. So, you might be missing out on some of the added perks it can offer your sex life.

ICYDK, lube, or lubricant, is any kind of gel used for sexual activity, says Rachel Needle, PsyD, a certified sex therapist and intimacy expert in Florida. ‘It can help essentially reduce friction,’ she says, which means it can decrease pain and discomfort with vaginal dryness, help condoms stay on, and straight-up make sex feel better.

Sounds pretty great, right? More amazing news: There’s really no wrong way to use lube. ‘Like all things sexual, use lube in whatever way feels good for you,’ says Jess O’Reilly, PhD, a Toronto-based sexologist and host of the Sex with Dr. Jess podcast. If you focus on your own pleasure, using it can become second nature, she says.

Ready to get lubed up? Ahead, check out your guide to all things lube, including all the types and how to apply it, according to experts.

Which type of lube should I buy?

Not all lubes are created equal, and the right one for you depends a lot on your personal preferences and needs. ‘There are many types of lube and often, the use can help determine which ones are best for that person,’ says Jessica Shepherd, MD, founder of Sanctum Med + Wellness.

One thing to note: Certain kinds of lubricants can have harmful effects on vaginal and sperm health if you’re using it in the vaginal canal due to the pH levels interacting, Shepherd says. Because the vaginal canal has a pH range of 3.8 to 4.5, you’ll want to use a lubricant with a pH of seven or below—otherwise, the vaginal pH will become imbalanced, increasing the risk of infections, discomfort, and transmission of STIs, she adds. (Some lubes include the pH on their packaging, but otherwise, you can search for lubes online that actively promote their pH.)

Here’s a breakdown of your options:

Water-based Lube

The first, most prominent ingredient in these lubes is going to be water (go figure).
Pros:

  • For one thing, ‘they are less sticky,’ says Dr. Shepherd.
  • Plus, in general, water-based lubes are pretty versatile—they can be used with silicone toys and latex condoms.

Cons:

  • They don’t stay on your skin as long as other types like silicone or oil-based lubes, she adds. So, you may need to reapply if you’re gearing up for a marathon in bed.

Oil-based Lube

Oil-based lubes are known for their staying power, but come with a couple of cons as well.>
Pro:

  • They last a long time, so they’re great to use for lengthier sexy time seshes.

Cons:

  • The oil may leave a coating on the rectum or vagina that can increase the risk of urinary or vaginal infections, Dr. Shepherd says. (Not everyone has this issue, though.)
  • They should never be used with latex condoms or latex products. ‘That will disintegrate the latex,’ Dr. Shepherd says.

Silicone-based Lube

Silicone-based lubes last longer than other lubes, but you have to be *very* careful about how you use them.

Pro:

  • They stay on for a long time.

Cons:

  • They can be harder to wash off than other types of lube, Dr. Shepherd says.
  • They’re not compatible with silicone sex toys, as it can break down the material, Dr. Shepherd explains.

Natural Lube

‘Natural lubes usually consist of ingredients that can range from homemade to store-bought and have the lowest amounts of ingredients,’ Dr. Shepherd says.
Pro:

  • Natural lubes don’t contain chemicals, additives, or synthetic ingredients that can be irritants, particularly to people with sensitive skin.

Con:

  • The term ‘natural’ isn’t regulated—you don’t need any type of certification to call a lube that—so it can be a bit misleading sometimes. So, if you’re looking for a store-bought ‘natural’ lube (rather than something like coconut oil), look for the words ‘organic’ and ‘natural’ on the label because ‘that means 90 percent of the ingredients are from the Earth,’ Tara Suwinyattichaiporn, PhD, a professor of relational and sexual communication at California State University, Fullerton, told WH.
  • They’re not great to use with condoms, just because some ingredients might break down the material, Suwinyattichaiporn previously told WH.

How to apply lube

There are tons of different ways to use lube, through manual sex, oral sex, and masturbation, for instance. Just squeeze a few drops of lube into your hand and try spreading it on the vagina, penis, or anus, and then add more if you need it, Needle says. A few tips to get you started:

  • Experiment with the amount of lube you need. ‘Some people think the more lube, the better, but really that’s not the case,’ Needle says. So, play around with the lube bottle, seeing how much comes out, and err on the conservative side at first—you can always add more later. The amount you need will depend on the kind of lube you’re using—for instance, water-based lubes don’t last as long, so you might apply more of that than you would if you were using an oil-based lube.
  • Apply it on the right areas. Depending on what you’re about to do, you’ll want to make sure the affected areas are all lubed up, Needle says. So, if you’re having penetrative vaginal intercourse, put some in the vagina (internally) and/or on the penis. As long as the lube has a pH of seven or below, it should be safe to use in the vaginal canal, Shepherd adds.
  • Communication is always key. Hopefully, you communicate about sex with your partner(s) before you engage in sexual activity, but either way, make sure all parties are comfortable with using lube, Needle says. Then, when you’re in the moment, communicate about how much to apply, and if you need more once you’re engaging in an act.

Manual sex (fingering, hand jobs, etc.)

Use it for an epic hand job. ‘Lube is everything when it comes to hand jobs,’ O’Reilly says. Try smearing a few drops on your hands or putting some on your partner’s penis before you dive in. ‘Anything you can do with your mouth, you can do with your hands as long as you use lube—and your hands are more flexible and dexterous,’ O’Reilly says. She recommends interlacing your lubed-up fingers and going for it.

Or, take fingering your partner up a notch. Try this pro tip from O’Reilly: Lube up your fingers, and cross them, like you’re making an ‘I swear’ motion. Then, slide them into your partner’s vagina, while gently rotating them. You can use your thumb to work your partner’s clitoris while you’re at it.

Oral sex

Apply lube to level up a blow job. It’s highly unlikely your partner has ever experienced this sexy hack before. Use your tongue to cover your lower teeth and wrap your top lip around your upper teeth. ‘Add lube to your upper lip as you clamp them between your teeth,’ O’Reilly says.

Additionally, gently massaging your partner’s balls (if they have them) during a blow job can help max out the experience. O’Reilly’s advice: Add a few drops of lube to your hands and then play with their balls or perineum while you give your partner a blow job.

While flavoured lubes are essentially designed to be used during oral sex, not all expets advise using them. ‘The vulvar and vaginal tissue is the most sensitive tissue in the body, and easily can be irritated,’ Mary Jane Minkin, MD, an OB-GYN with the Yale School of Medicine, told WH. That’s why she generally recommends avoiding products with perfumes and dyes for that area.

Penetrative sex

Of course lube can be used during penetrative vaginal or anal intercourse. ‘Use lube for more pleasure and less friction,’ O’Reilly says. She suggests applying lube right to your vulva using your fingers, or, if you want to get the party started right away, having your partner apply it by using their lips.

But lube can also help make backdoor penetration more comfortable, O’Reilly says. In fact, since you don’t have natural lubrication there, it’s kind of essential. She recommends using silicone lube for anal activities, unless you’re using silicone toys, strap-ons, or anal beads. It can also be an added bonus to keep things lubricated when you’re rimming your partner.

You can even drip a little inside a condom. A big complaint with condoms is that they can take some of the pleasurable feeling out of sex, but O’Reilly says that adding a little lube inside can do the opposite. ‘A drop or two of lube in the tip of the condom can heighten sensation,’ she says.

Masturbation

O’Reilly recommends using lube to try out different sensations for what she calls ‘mindful’ masturbation. ‘Slow down, release your grip, and breathe deeply as you focus on the sensations in your body as opposed to focusing on getting to orgasm,’ she says. (Sounds like a plan!)

Extracurricular activities

There’s plenty you can do here when it comes to sex toys. ‘You can roll a lubed-up bullet vibrator over your skin or across the vulva,’ O’Reilly says. Another trick: Sweep a vibe (with lube) over the perineum during oral or penetrative sex on your partner.

O’Reilly also recommends taking a flat-tip vibe, covering it in lube, and gently tracing it around your partner’s balls. You can even breathe warm air gently over the wet path you’ve created.

Or, try lube in the shower. Adding a few drops of lube to the base of your vagina or your toys before hitting the shower, O’Reilly recommends. Why? Water is notorious for washing away your own natural juices, and that can lead to some not-so-comfortable friction.

Lastly, you can dole out a sensual massage. While you can do it on your partner’s back, O’Reilly says a thigh massage is really the way to ramp things up during foreplay. ‘Use lube to trace figure eights over their thighs,’ she says. ‘Or use it to massage their inner legs before going down on them.’

Lube ingredients to avoid

The vaginal area is super sensitive to anything you put down there. ‘Be careful with anything that you’re putting in the vagina—it can really mess up the pH,’ says Needle. ‘It can cause yeast and lead to infections.’

So, a friendly reminder that just because an ingredient is included in a lube doesn’t mean it’s safe to be used down there. Here are a few ingredients to avoid when you’re shopping for lube:

  • Glycerin: A sugar alcohol, this component has been linked to yeast infections, Needle says. You always want to avoid putting sugars into the vagina because it can mess up the pH, she adds.
  • Parabens: These are additives that have been linked to cancer, Needle says. A 2022 study specifically connects parabens to breast cancer.
  • Propylene Glycol: This ingredient has been known to disrupt the vaginal barrier, which is associated with a risk of bacterial vaginosis, according to 2018 research.
  • Chlorhexidine Gluconate: It can change the bacteria in your vagina and throw off its balance, which can be irritating and lead to infections, Needle says.
  • Nonoxynol-9: It’s an ingredient with spermicidal properties that can kill both good and bad bacteria in your vagina and cause irritation and inflammation, Needle says.

Can I use coconut oil as a lube for sex?

Yup. Coconut oil is commonly used as a natural lube, and it’s totally safe, says Needle, because these types of lubes don’t have chemicals or extra ingredients in them that may not be safe for your downstairs area. ‘If you have sensitive skin or any kind of skin condition, which are more common these days, they can be more comfortable’ to use, she explains.

Can I use baby oil as a lube for sex?

Nah, Needle doesn’t recommend it. While baby oil can be moisturising for your vagina, it’s not meant to be a lube, as it can cause irritation and be hard to get off of your skin and bed sheets once you’re done.

All in all, lube is a fabulous addition to any sexual play. Just find one with safe ingredients, apply a bit at a time, lather up, and most importantly, enjoy!

Complete Article ↪HERE↩!

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How sex toys for men went mainstream

— And we’re vibing it

Men’s sex coach Cam Fraser is all for this sexual revolution.

By Sarah Noonan and Holly Berckelman

We’re living in the age of normalising sexual wellness, and it looks like the boys are getting on board. Here are the latest innovations in the male sex toy sphere you need to get your hands on.

Sexual wellness is coming for men. In fact, it has been for quite some time now. The proof?

A global market report conducted in the mecca of sex – the US – has revealed the male sex toy industry is set to hit a compound annual growth rate of more than seven per cent over the next decade, expanding the overall market value from $23,000 in 2019 to an eye-watering $59 billion by 2032. And with the current popularity of female pleasure heating up social discourse, it seems sex toys for guys have officially gone mainstream.

“I think society is gradually shifting towards a more open and inclusive dialogue about male sexual wellness, beyond function and hydraulics,” says men’s sex and relationships coach, Cam Fraser.

“[Generally speaking], this trend is indicative of a broader cultural movement toward destigmatising sexual exploration and prioritising mutually pleasurable experiences.”

While long assumed to be only for women, there is, in reality, a huge and varied range of sex toys designed explicitly for men. And all men at that. Whether you’re shopping for yourself or a male partner – there’s a sex toy out there to enhance both solo or partner play.

According to a survey by pleasure-aid brand, Womanizer, men masturbate an average of 155 times per year, which equates to almost three times per week.

“As restrictive stereotypes about being a ‘real man’ have lessened, many men have become more comfortable with exploring different aspects of pleasure,” says Fraser, adding that digital dialogues have also played a major role in this shift.

“Social media, wellness influencers and a more open public conversation about masculinity and sexuality have contributed to normalising discussions around male sexual health and pleasure… [and] a more accepting and curious attitude toward exploring one’s own body and desires.”

These stats alone beg the question: if you’re putting that much time into something, why not spice things up a bit?

Turns out toys can have major health benefits

According to science (yes, actual science), masturbation, prostate massage and using sex toys can be life saving for men.

Firstly, it turns out masturbation can lower your prostate cancer risk, improve heart health, boost immunity and (if you orgasm once or twice a week) help you live longer.

“The man who has 350 orgasms a year, versus the national average of around a third of that, lives about four years longer,” says Michael Roizen, the chair of the Wellness Institute at the Cleveland Clinic who conducted a study on the topic.

Meanwhile, in Wales, researchers determined that men who had two or more orgasms a week halved their rate of mortality to those who had orgasms less than once a month.

“Sexual activity seems to have a protective effect on men’s health,” the researchers concluded, and these numbers are just the tip of the iceberg when it comes to longevity.

Experts say that the new breed of male sex tech can actually help with sexual issues such as erectile dysfunction, premature ejaculation, lack of libido and post-surgical problems, like urine flow, for a variety of conditions.

In fact, one study revealed that “72 per cent of men with secondary delayed orgasm [difficulty achieving ejaculation or orgasm] were able to restore orgasm with penile vibratory stimulation” – aka the use of male vibrators.

If that hasn’t put you in the mood for self-love, then we don’t know what will.

Design is more high-tech than ever before

“In addition to improved ergonomic designs and advancing technology, which have made self-pleasure more appealing and enjoyable, I think the way that sex toys are being marketed and packaged has encouraged more men to explore self-pleasure,” says Fraser.

“Instead of sleazy, back-alley shops and lewd imagery, many toys are now being sold by reputable companies in sleek and unassuming packaging.”

Brands are creating a range of vibrators for men that are rooted in enjoyment – both physically and aesthetically – meaning, most of the time, they don’t actually resemble one.

“When we develop our toys, their design is always top-of-mind,” says Sarah Moglia, head of innovation at sexual pleasure brand, Arcwave. “We keep our products discrete-looking so that users don’t feel the need to hide them away when not in use.”

In fact, most new designs can be displayed around the home as a piece of art without impromptu visitors knowing what they actually are.

“Not only should the toys bring users sexual satisfaction, but we also want them to look great in interior spaces so that our customers can feel proud that they are embracing pleasure,” says Moglia.

“These changes have made sex toys more approachable and accessible, perhaps resulting in men feeling less ashamed to purchase [and use] them,” adds Fraser.

“I think this signals a promising future for sexual wellness, where personal pleasure is both prioritised and destigmatised.” It’s something female brands have been adopting for a while now, but an element that has long been neglected in male pleasure.

Earlier this year, Womanizer unveiled the world’s first shower head designed for masturbation.

Created in partnership with luxury German bathware manufacturer, Hansgrohe, the Wave shower head looks discreet in the bathroom, but packs a punch when it comes to enjoyment.

“A chic-looking sex toy on your shelf, bedside table or in your shower is the ultimate tool – both aesthetically and sexually,” says Elisabeth Neumann, sexologist and head of user research at Womanizer.

“Design has played a significant role in changing perceptions around pleasure and sex toys,” adds Fraser. “By focusing on aesthetics, functionality and discretion, [brands] are breaking down stereotypes that sex toys are either taboo or vulgar.”

Not only is this pivotal in normalising sexual wellness as an integral element of overall health and wellbeing, but it also plays a major role in reducing shame around sex and self-care. And we’re all for that.

Complete Article ↪HERE↩!

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PrEP: What is the HIV prevention drug and how effective is it?

— PrEP has been hailed by sexual health experts as crucial in bringing the HIV epidemic to an end, but studies show that only 20 per cent of the British public even know it exists.

BY CONOR CLARK

Taking PrEP (pre-exposure prophylaxis) is one of the most effective ways to reduce the risk of getting HIV, but knowledge about it among the British public remains scarce. In fact, just 20 per cent of people in the UK know it exists, according to research conducted by YouGov on behalf of Terrence Higgins Trust, the country’s leading sexual health charity. A staggering 77 per cent were also unaware that England can end new cases of HIV by 2030, which sexual health experts have said PrEP is key to making a reality. So, what is the drug, how effective is it at preventing HIV and where can you get it?

What is PrEP?

PrEP (sometimes known as Truvada) is a medicine that drastically reduces the risk of getting HIV from sex or injection drug use when taken effectively. It typically comes in the form of a tablet containing tenofovir disoproxil and emtricitabine, both of which are used to treat HIV. Once there’s enough of the drug inside you, it works by blocking HIV from getting into the body and replicating itself.

Long-acting injectable PrEP also exists and has been approved by the Food and Drug Administration (FDA) in the US, though is not yet available in the UK. It can also exist as a vaginal ring, though this is also not yet available in the UK.

PrEP does not protect you against any other sexually transmitted infections (STIs).

How effective is it at preventing HIV?

When taken effectively, PrEP reduces the risk of getting HIV from sex by 99 per cent. When taking it daily, PrEP needs to be taken for seven days until it becomes fully effective.

The PrEP Impact Trial, which involved more than 24,000 participants across 157 sexual health services from October 2017 to July 2020, proved the real-world effectiveness of the drug and concluded that it should be used more widely to prevent the spread of HIV. John Stewart, National Director for Specialised Commissioning at NHS England and co-Chair of the PrEP Impact Trial Oversight Board, said: “Not only did the trial directly prevent many cases of HIV, help normalise the use of PrEP, remove stigma and pave the way for a routinely commissioned clinically and cost-effective PrEP service; but it also made a very real contribution towards our goal of ending new cases of HIV by 2030.”

How often should I take it?

Most people take it orally in the form of a tablet, either regularly (one a day) or ‘event-based’ (two tablets two to 24 hours before sex, then one 24 hours after sex and a further one 48 hours after).

Those who were assigned female at birth and trans people using hormone treatment are recommended to take PrEP daily due to the lack of data available in supporting other dosing options. More information about this is available here.

Do I still need to test for HIV if I’m on PrEP?

The short answer is yes. Sam, a doctor at the Dean Street sexual health clinics in London, which are world-famous for their services to LGBTQIA+ people, said: “PrEP is the most effective way of protecting yourself from HIV. However, mistakes can happen with taking your PrEP, so we still advise testing every three to four months for HIV and all the other STIs.”

Kidney tests are done before you begin taking PrEP and continue routinely while you are on it. This is because it can sometimes affect your kidneys, though this is incredibly rare and typically only happens in those aged 50 and older or those who already have kidney problems.

Are there any side effects?

Not everyone gets side effects from PrEP and those who do usually see them go away after the first few weeks of taking it. “This is one of the number one reasons for people not wanting to take PrEP, but actually only about one in 10 people get side effects from PrEP and these tend to be quite mild and not very severe,” Sam told GAY TIMES.

According to the NHS, the most common side effects some people experience are:

  • Headache
  • Nausea and/or vomiting
  • Diarrhoea
  • Feeling dizzy and/or weak
  • Trouble sleeping
  • Bloating and/or indigestion

Clinicians recommend that anyone experiencing side effects seek medical advice if they persist.

Complete Article ↪HERE↩!

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I’m not surprised women prioritise sleep over orgasms

— A survey has found that more than 85 per cent of women would choose a good night’s sleep over having an orgasm. I understand why

By Bryony Gordon

My friends and I have a game that we like to call “Eight Hours’ Sleep Or…” It’s not a particularly imaginative name and certainly won’t keep the creators of Pictionary or Scrabble up at night, but it’s as good a way as any to while away the spare two and a half minutes we tend to catch between work and parenting.

The idea of the game is to find something you would rather have than eight hours’ sleep a night. It goes something like this:

“Eight hours’ sleep or being best friends with Taylor Swift?”

“Eight hours’ sleep.”

“Eight hours’ sleep or being pursued by Brad Pitt?”

“Eight hours’ sleep.”

“Eight hours’ sleep or an end to mansplaining?’

“Eight hours’ sleep.”

“Eight hours’ sleep or being able to eat all the cheese without any negative impact on your health?”

“Eight hours’ sleep.”

“Eight hours’ sleep or an unlimited supply of confidence and money?”

“Eight hours’ sleep.”

And so on and so forth until you realise that nothing on God’s Earth will ever trump the idea of eight uninterrupted hours of sleep, of waking up feeling rested, recovered and raring to go into the day ahead.

It has been a relief, then, to discover that my group of friends and I are not alone. A major survey of bedroom habits by Good Housekeeping magazine has found that more than 85 per cent of women would choose a good night’s sleep over having an orgasm. Only 52 per cent of men feel the same way, perhaps because of the “gender sleep gap” –  yes, there is such a thing! – with 61 per cent of women saying their sleep quality varied, compared with 53 per cent of men.

Anyway, I think what we can all take from this is that sleep is very, very hard to come by these days. Stress, hormones, the lure of sitting up late at night scrolling through a little screen that sits in the palm of your hand and contains all of the horrors of the world… and then there’s the fact that sleeplessness has become a sort of status symbol, a way of telling people to back the hell off and go easy on you without actually having to tell people to back the hell off and go easy on you.

Saying “I’m tired” over and over and again is the most wonderfully passive-aggressive way of signifying you are busy and pressurised and do not have time for the trifling trivialities everyone seems to be bringing to your doorstep. We say we want eight hours’ sleep, but do we really? If we had eight hours’ sleep a night, then what would our excuse be?

Personally, I’m done with being sleepless in south London. It’s so boring talking about how tired I am all the time, such a waste of energy in itself. And in the past year, I have realised how counter-productive my obsession with sleeplessness is. The more I worry about sleep, the less I actually sleep.

I realised this last spring, when I spent a couple of hundred quid on an Oura ring, which is a sleep tracker that wellbeing experts swear by. Every night, I went to bed in it, and got annoyed by the flashing red and green lights that seemed to emanate from it in the dark. Every morning, I woke up and looked with horror upon the graphs that told me how exhausted I was, and what this might mean for my long-term health (nothing good). Eventually I realised that the presence of the tracker was in itself having a detrimental effect on my sleep. It was fuelling my insomnia, so I took it off, and decided to take radical steps to actually prioritise sleep, as opposed to just talking about the lack of it in my life.

Now, I devote the evening to sleep. I have sacrificed what remained of a social life for it. I don’t go out. I refuse all dinner invitations, choosing instead to eat early with my 10-year-old. I am in bed before her, my phone switched off and on charge, a good book in my hands as I get comfortable in my 200-thread-count Egyptian cotton linen. My friends know that if they text me after 8pm, they are unlikely to get an answer until the next morning. I spend at least 90 minutes reading, and have usually drifted off by 11pm.

I have rules: no more than one coffee a day, and never later than 11am; if I wake in the middle of the night, reading for 15 minutes is a much more effective tool than simply closing my eyes and trying to get back to sleep; my own duvet is essential, as I like to turn it round again and again to find the cool side; and if my husband starts snoring he is immediately out and into the spare room. 

This may seem draconian, but I don’t care. Because nothing – and I mean nothing – is more important than a decent night’s sleep.

Indeed, now I am in my 40s and in menopause, I can see that it is the most important thing of all when it comes to emotional well-being. You can go on anti-depressants, you can sign up for therapy, you can do as much exercise as you want: but if you are not prioritising rest, the chances are you will not start to feel better. It doesn’t have to be eight hours. But in my experience, anything below six and you are going to struggle. You are going to be cranky, short-tempered and extra sensitive. Any resilience you have will be gone by mid-morning. There will likely be tears. This is nothing to be ashamed of: it’s just simple, human biology.

Of course, I suspect many women would sleep much easier if they knew they lived in a world where they were entitled to both eight hours’ kip a night and an orgasm. But that’s another column entirely, and until that moment comes (pardon the pun), you’ll find me of an evening tucked up in bed in my nightie, sipping on a nice mug of Ovaltine.

Complete Article ↪HERE↩!

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Here’s How Sex and Intimacy Help You Live Longer

— Says Molly Maloof, M.D.

By Molly Maloof

For many, sex is fun and pleasurable—but it’s also pretty important to human existence. Sex plays a significant role in individual well-being, and perhaps even longevity.

Unfortunately, some public health organizations and entities continue to advertise not-so-positive outcomes after having sex, such as sexually transmitted infections, unintended pregnancy, sexual dysfunction, and more. This outdated narrative and outlook on sex (note: sex therapy hasn’t been reinvented since the 1960s, per the American Psychological Association) can be damaging as it overlooks the fact that sexual pleasure is a distinct element of well-being.

Sexual pleasure can play a key role in nurturing healthy relationships and, ultimately, extending your lifespan. In fact, having a good sex life has been shown to improve physical and mental well-being, both of which help you have a vibrant life overall.

Here are just five ways maintaining, or improving, your sex life can have profound effects on your overall health.

5 Benefits of Sex and Intimacy

Although sex and intimacy are often used interchangeably, they’re actually two different things.

Here’s the deal: Intimacy involves openness and acceptance between partners (this can be emotional, such as communicating about what you don’t like, or physical, like post-sex cuddling). On the other hand, sex is solely the physical activity—and of course, it’s possible to have sex without intimacy and vice versa.

1. It Maintains Quality of Life

Research shows that sexual health can improve your quality of life (no big surprise there!) — even if you’re older in age. As a result, it can increase your lifespan, too.

In fact, 62.2 percent of men and 42.8 percent of women reported that sexual health was highly important to quality of life in a 2016 study of 3,515 adults in the Journal of Sexual Medicine. And, people in excellent health had higher satisfaction with their sex lives than those who had fair or poor health. Based on these results, the study authors note that sexual health screenings should be a routine part of physician visits—so if your doc doesn’t bring it up, make sure you do.

Meanwhile, those ages 65 and older who said their sexual relationship was “sufficient” reported better quality of life and lower incidence of sexual dysfunction than those who described their relationship as “moderate” or “poor,” according to a 2023 study. This was also true for those who considered themselves attractive and had sex frequently with their partner or spouse.

What do these studies suggest? When your sex life is better, your overall outlook on life may improve too.

2. It Contributes to Satisfying Relationships & Mental Health

Sexual activity may also contribute to longevity by making your relationships more stable and satisfying—and by boosting your mental health.

Sexual satisfaction is a main factor in predicting relationship satisfaction in both men and women, according to a small-scale study, found in a 2023 issue of the International Journal of Environmental Research and Public Health. For women, interpersonal closeness was also important (measured by statements like “I always consider my partner when making important decisions” or “I miss my partner when we are apart”).

In addition, one 2019 study revealed that frequent, longer lasting bouts of sex was associated with higher sexual satisfaction, which in turn, lead to stronger relationships. This was true for all relationship types, including same-sex, mixed-sex, and gender-diverse relationships.

Beyond its physical implications, sexual activity and intimacy can also contribute to mental health, something that’s increasingly understood to influence longevity.

Researchers examined the impact of sexual activity (or lack thereof) in a study published in a 2021 issue of the Journal of Sexual Medicine. They found that people who didn’t have sex during the COVID-19-related lockdown had a 27 percent higher risk of developing anxiety and a 34 percent higher chance of depression compared to those who did.

3. It May Reduce the Risk of Cancer & Heart Disease

A great sex life can also keep your prostate—and other parts of your body—healthy.

Scientists monitored the frequency of orgasms in nearly 32,000 men over an 18-year period in a 2016 study published in European Urology. Their findings suggested that a higher frequency of orgasms was associated with a reduced risk of developing prostate cancer later in life.

More specifically, men (both in their 20s and 40s) who reported 21 or more orgasms per month had about 20 percent lower risk of developing prostate cancer compared to those who ejaculated four to seven times per month.

What’s more? Engaging in a vibrant sexual life also seems to benefit heart health, even in those with heart disease, per a study from a 2022 issue of the European Journal of Preventive Cardiology.

Heart attack patients who reported having sex at least once per week had a slightly lower risk of dying from heart disease (though more research is needed to determine if that lowered risk is statistically significant) and a more notable 44 percent lower risk of dying from non-heart disease causes—compared to those who had sex less. This is even after researchers adjusted for additional factors, including age, gender, partner status, and smoking.

4. It Can Boost Your Immune System

Research suggests sex can support your immune system, as it offers a shield against illnesses and bolsters your resilience to viruses.

In a study, found in a 2021 issue of Fertility and Sterility, researchers assigned 16,000 participants to one of two groups: those who reported having sex more than three times per month and those who reported having sex less than three times per month. They found that 76.6 percent of those in the first group did not get infected with COVID-19 over the course of four months—and even those who did get infected tended to have milder cases than those in the second group, where nearly half of the group got infected.

These findings suggest that as your sexual activity increases, your immune system may be better equipped to combat pathogens. But of course, sexual activity alone can’t prevent infectious disease, so be sure to take all appropriate measures to avoid infections like COVID-19—particularly if you’re at high risk for serious disease.

5. It May Independently Extend Your Lifespan

While factors like quality of life, a strong immune system, and lowered risk of cancer may all contribute to your longevity, research shows that sex alone may be able to extend your lifespan.

For instance, the findings from a study—found in a 2022 issue of the Journal of Applied Gerontology—showed that sexual well-being was positively associated with longevity in those who perceived sexuality as important to them.

Although research suggests your desire to have sex may begin to decline as you get older, plenty of men and women continue to have sex semi-regularly as they enter those later decades of life. Among those aged 80 and older, 19 percent of men and 32 percent of women reported having sex frequently (which is described as twice a month or more), according to a study from a 2015 edition of Archives of Sexual Behavior.

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Why Viagra has been linked with better brain health

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Viagra can be a wonder drug for men with erectile dysfunction, helping them maintain their sex lives as they age. Now new research suggests the little blue pill may also be beneficial to aging brains.

The findings are based on a massive study of nearly 270,000 middle-aged men in Britain. Researchers at University College London used electronic medical records to track the health of the men, who were all 40 or older and had been diagnosed with erectile dysfunction between 2000 and 2017. Each man’s health and prescriptions were tracked for at least a year, although the median follow-up time was 5.1 years.

During the study, 1,119 men in the cohort were diagnosed with Alzheimer’s disease.

The researchers noticed a distinctive pattern. The men who were prescribed Viagra or a similar drug had an 18 percent lower risk of developing Alzheimer’s disease, compared with men who weren’t given the medication.

The researchers also found an even larger difference in men who appeared to use Viagra more often. Among the highest users, based on total prescriptions, the risk of being diagnosed with Alzheimer’s was 44 percent lower. (Men with erectile dysfunction are instructed to only take Viagra before sex, and no more than once a day.)

“I’m excited by the findings but more excited because I feel this could lead to further, high-quality studies in a disease area that needs more work,” said Ruth Brauer, a lecturer in pharmacoepidemiology at the University College London School of Pharmacy and the principal investigator of the study.

There’s a limit to how much we can conclude from the study results. The findings show an association between lower Alzheimer’s risk and Viagra use, but don’t prove cause and effect. For instance, it may be that Viagra use is a marker for better overall health, and that men who have more sex also are more physically active as well. Physical activity is independently associated with a lower risk of Alzheimer’s disease, Brauer said.

Why Viagra may be linked with a lower risk of dementia

Sildenafil, the generic name for Viagra, was never supposed to be a sex drug. Pfizer had developed the drug as a cardiovascular medication to treat hypertension and chest pain called angina. The company had been conducting clinical trials using sildenafil as a heart medication when some patients reported an unexpected side-effect — erections.

Viagra is part of a class of drugs known as phosphodiesterase Type 5 Inhibitors, or PDE-5 drugs. The drugs work by dilating blood vessels and increasing blood flow throughout the body, including to the penis. Since its discovery as an erectile dysfunction treatment, sildenafil also has been used to treat pulmonary arterial hypertension for both men and women.

The link between heart health and sexual health is strong. Erectile dysfunction can be an early warning sign of coronary artery disease. And an unhealthy vascular system is one of the reasons men start having problems with erections.

Vascular risk factors have also been linked to certain types of dementia, including Alzheimer’s disease, so researchers have been intrigued about whether erectile dysfunction treatments can affect brain health as well.

Animal studies of PDE-5 inhibitors have shown the drug may help prevent cognitive impairment by, in part, increasing blood flow in the brain, but researchers who conducted a review of the available research say the efficacy of the class of drugs “remains unclear.” And Brauer said the findings in animals are only “possible mechanisms” in humans.

“There is an idea that if we can help with improving blood flow in the brain, maybe we can also reduce the risk for Alzheimer’s disease,” said Sevil Yasar, an associate professor of medicine at Johns Hopkins University and the co-author of an editorial that accompanied the study in Neurology.

Other reasons for the effect

Stanton Honig, a professor of urology at Yale School of Medicine, said the newest study is far from definitive. “You can’t draw any conclusions” from the study because “there are so many other factors” at play besides whether a man takes a pill for erectile dysfunction.

“Someone who is more likely to take a pill like that at 70, they’re probably more active, they’re more likely involved with their partners, things like that,” Honig said. “There’s too many confounding variables to make a definitive statement that it’s the pills or it’s the patients that are taking the pills that are less likely to be neurologically impaired.”

Brauer said the average “pack” per prescription is four tablets. But it’s not clear if the men took all the tablets prescribed and, if so, how often.

“We do not know if people used the prescribed drugs as intended nor could we measure sexual activity or physical activity levels,” Brauer said. “We need further studies to show if our results would hold up in a group of men without erectile dysfunction and — even better — it would be better to run our study in a group of men and women.”

Previous studies on different populations have come to somewhat contradictory conclusions. A Cleveland Clinic study found a significantly reduced risk of Alzheimer’s disease among those using sildenafil, said Feixiong Cheng, the director of the Cleveland Clinic Genome Center and the principal investigator of the study. But a study by researchers at Harvard Medical School and the National Institute on Aging found “no association” between the use of sildenafil, or other PDE-5 inhibitors, and the risk of Alzheimer’s disease, said Rishi Desai, an associate professor at Harvard Medical School.

More study is needed

Rebecca Edelmayer, the senior director of scientific engagement for the Alzheimer’s Association, said in an email that it remains unclear whether Viagra and similar drugs have an effect on Alzheimer’s risk. “Further research and specifically designed, randomized clinical trials are a necessary step,” she said.

For now, the findings don’t suggest that men should start taking Viagra if they don’t need it. But we do know that Viagra is an effective treatment for erectile dysfunction, and men who are experiencing the problem should see a doctor and discuss both their sexual health and cardiovascular health.

“You should not take Viagra to reduce your risk,” Yasar said. “You should eat healthy. You should exercise. There’s plenty of evidence for that.”

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6 Questions to Ask Your Doctor About Sex after 50

— Vaginal dryness, erection challenges, safe sex and more

By Ellen Uzelac

With most physicians ill prepared to talk about sexual health and many patients too embarrassed or ashamed to broach the subject, sex has become this thing we don’t discuss in the examining room.

“So many doctors talk about the benefits of nutrition, sleep, exercise — but they don’t talk about this one really essential thing we all share: our sexuality,” says Evelin Dacker, a family physician in Salem, Oregon, who is dedicated to normalizing sexual health in routine care. “We need to start having this conversation.”

Starting the conversation about sexual health

Sexual wellness experts suggest first talking about a physical problem such as a dry vagina or erectile challenges and then segueing into concerns about desire, low libido and intimacy.

As Joshua Gonzalez, a urologist and sexual medicine physician in Los Angeles, observes: “Patients sometimes need to be their own advocates. If you feel something in your sex life is not happening the way you would like it to, or if you are not able to perform sexually as you would like, never assume that this is somehow normal or inevitable.”

Often, there are physiological issues at play or medications that can alter your sexual experience. “If you’re interested in having sex,” Gonzalez says, “there are often real solutions for whatever the problem may be.”

Here are six questions to help steer the conversation in the right direction.

1. What can I do about unreliable erections?

Erectile dysfunction is common in older men — 50 percent of men in their 50s will experience erectile challenges, Gonzalez says, and 60 percent of men in their 60s, 70 percent of men in their 70s, and on up the ladder.

The good news: There are fixes. “This doesn’t mean giving up on having pleasurable sex at a certain age,” Gonzalez says. The two primary things he evaluates are hormone balance and blood flow to the penis. A treatment plan is then designed based on those results.

Some older men also find it often takes time and effort to ejaculate. Gonzalez suggests decoupling the idea of ejaculation and orgasm. What many men don’t realize: You can have an orgasm with a soft penis and without releasing any fluid at all. “Your orgasm — the pleasure component — is not going to change.”

Also good to know: Sexual health is a marker of overall health. As an example, erectile dysfunction can be a predictor of undiagnosed health issues such as heart disease and diabetes years before any other symptoms arise, says Gonzalez.

2. Sex is different now. My body is no longer young but I still have sexual urges. How do I accommodate this new normal?

Dacker often asks her older patients: How is the quality of your intimacy? Is it what you want it to be? Have you noticed a shift as you’ve gotten older and what does that mean to you?

“Naturally, as we age our bodies start working differently,” she says. “I like to reframe what it means to be sexual by expanding our intimate life, doing things that maybe you haven’t thought of doing before.”

Dacker, who teaches courses on how to be a sex-positive health care provider, suggests exploring each other in new ways: dancing, eye gazing, washing one another while bathing, giving hands-free coconut oil massages using your stomach, arms and chest. She’s also a fan of self-pleasure.

“There’s so much pleasure that doesn’t involve penetration, orgasm and erections,” she adds. “It’s not about performance, it’s about pleasure.”

3. My vagina hurts when I have penetrative sex to the point that I’m now avoiding it. What can I do?

A lack of estrogen in older women can cause the vaginal wall to get really thin, resulting in dryness, irritation and bleeding when there is friction.

“It can be uncomfortable with or without sex,” says Katharine O’Connell White, associate professor of OB/GYN at Boston University and vice chair of academics and the associate director of the Complex Family Planning Fellowship at Boston Medical Center. “What people don’t realize is that what they’re feeling is so incredibly common. A majority of postmenopausal women will experience this.”

White offers a three-part solution for vaginal dryness: If you’re sexually active — and even if you’ve never used a lubricant before — add a water-based lube during sex play. Also, consider using an estrogen-free vaginal moisturizer, sold in stores and online, to help restore the vaginal lining. Finally, think about adding back the estrogen that the body is craving through medically prescribed tablets, rings or creams that are inserted into the vagina.

White also advises patients to engage in 20 to 30 minutes of foreplay before penis-in-vagina sex. “The whole body changes and the vagina gets wet, wider and longer, which can go a long way to alleviating any discomfort,” she says.

4. Urinary incontinence is interfering with my sex life. How can I control it?

Because the bladder is seated on top of the vagina, the thinning of the vaginal wall can also impact the bladder. When you urinate, it can burn or you will want to pee more often, symptoms typical of a urinary tract infection, according to White.

Some women feel like they need to urinate during sex, which, as White says, “can pull you out of the mood.” Her advice? “Pee before sex and pee after sex.” She also suggests using vaginal estrogen to plump up the walls of the vagina and, by extension, the bladder.

5. I’m interested in dating again. What screenings for sexual wellness should I get — and require of a new partner?

Fully understanding the importance of reducing your risk for sexually transmitted infections (STIs) should be front and center as you reenter the dating scene, according to nurse practitioner Jeffrey Kwong, a professor at the School of Nursing at Rutgers University and clinical ambassador for the Centers for Disease Control and Prevention’s “Let’s Stop HIV Together” campaign. 

“Individuals should be screened if they’re engaging in any sort of sexual activity — oral, vaginal, anal — because many times, some of these conditions can be asymptomatic,” he says. “You can transmit without symptoms and vice versa.”

Screening may involve a urine or blood test or swabs of the vagina, throat or rectum. With STIs soaring in older adults, Kwong suggests testing for HIV, hepatitis C, hepatitis B, chlamydia, gonorrhea and syphilis. In early 2024, the CDC reported that syphilis cases had reached their highest level since the 1950s.

6. My doctor was dismissive when I brought up sex, basically saying, At your age, what do you expect? What should I do now?

Sex is a special part of life no matter how old you are. “If you’re with a doctor who brushes aside any of your concerns, it’s time to find a new doctor,” White says.

Finding a good doctor, she adds, is no different from looking for an accomplished hair stylist or a reliable mechanic: Ask your friends.

“I’m horrified when I hear about things like this,” she adds. “Any good doctor really wants you to bring up the things that concern you.“

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6 things we learned about sexual health this year

By Kaitlin Reilly

Sexual health is health — and, boy, did we learn a lot about it this year. After spending 2023 diving into studies, surveys and even pop culture moments that focused on all things sex, I’ve concluded that there’s always more to know about the more intimate side of our lives. Sometimes the things we learned may have felt a little TMI — like, say, the role Christmas ornaments have as potential sex toys. Most of the time, however, the stuff we learned about sex was pretty groundbreaking, such as how there are two types of desire, and neither is wrong.

Here’s a wrap-up of the top six things we learned about sex this year — and here’s to many more fun, sexy facts in the new year.

1. Many women keep a ‘sexual toolbox’

You may not find it at Home Depot, but more than half of menopausal women ages 50 and over who were asked about their sex lives in a September Kindra-Harris poll said that they kept a “sexual toolbox” to make intercourse more pleasurable. These products include lubricants, as well as vibrators, both of which can make sex more fun and comfortable, especially as many menopausal women experience vaginal dryness and other pain during sex, medically known as dyspareunia.

And speaking of lubricant — you may want to be careful about what you put in your own toolbox. If you are using condoms, whether that’s with a sex toy or partner, you should never use oil-based lube, as it can “destroy the integrity of latex condoms,” women’s health expert Dr. Jennifer Wider tells Yahoo Life.

You don’t have to be menopausal to benefit from lube either. “A myth surrounding lube is that people only use lube when something is not quite working correctly,” says Dr. Laura Purdy, chief medical officer at Wisp. “This couldn’t be further from the truth. Many people use lube to make things feel more natural, and lube can be your best friend during sex.”

2. There are 2 types of desire — and neither is wrong

In movies (and, of course, porn) all it takes is someone looking at their partner for Marvin Gaye’s “Let’s Get It On” to start playing. In real life, sexual psychologist Laurie Mintz says that’s not exactly how things work — at least, not most of the time, and especially not for people in long-term relationships. That’s because there are two types of desire: “spontaneous desire,” which is when you feel aroused pretty much immediately, and “responsive desire,” which means you need some kind of stimulation in order to put yourself in a sexy mood.

“With this type of desire, one doesn’t wait to be horny to have sex, but has sex to get horny,” Mintz says, which means that “the desire follows the arousal, versus the reverse.”

Obviously, there are times when sex is completely off the table between two consenting adults — headaches and new episodes of The Golden Bachelor do exist, after all. However, these two kinds of desire may take some of the pressure off people who may feel like they have a lower libido simply because they don’t feel spontaneously sexual.

Instead of making yourself feel bad because you can’t go zero to 60, try engaging in things that make you feel in the mood before you get to your sexual main event, whether that’s masturbating, kissing your partner or even just relaxing and thinking about sex in the hours leading up to a planned encounter.

3. Young people are having less sex than their parents did at their age

Teen rates of sexual intercourse are declining, according to a 2023 published survey from the Centers for Disease Control and Prevention. The survey found that only 30% of teens in 2021 said they ever had sexual intercourse, down from 38% in 2019. While, yes, the COVID-19 pandemic did likely have something to do with the declining rates (it’s a little hard to socially distance during sex), some experts think there may be other reasons for the decline, such as more teens identifying as LGBTQ and engaging in sex acts that don’t necessarily involve intercourse.

It’s also possible that young people just aren’t growing up as fast as they once did. Jean Twenge, a San Diego State University psychology professor who reviewed the data for her book Generations, told the Los Angeles Times that more young people are living at home longer and delaying things like getting their driver’s license and going to college — which may also affect their sex life.

“In times and places where people live longer and education takes longer, the whole developmental trajectory slows down,” she said. “And so for teens and young adults, one place that you’re going to notice that is in terms of dating and romantic relationships and sexuality.”

4. People are using strange seasonal things as sex toys

TikTokers love to review the holiday items at Target each year, but Dr. Adam Gaston, an internal medicine physician since 2021, went viral on the platform for a different reason: by reminding his followers not to put said Christmas decor any place it “doesn’t belong.” Sure, that Christmas tree ornament may not be shaped all that differently from a dildo, but spending the holidays in an emergency room because glass broke inside your rectum or vagina is ho-ho-horrific.

Of course, it’s not just the holiday season that gets people hot, bothered and making bad decisions about what to use for sexual gratification: A 2013 case study revealed that things like ballpoint pens, a tea glass and even an eggplant were found in the rectum of different men, so really, why wouldn’t a Christmas ornament be on deck too?

Place those ornaments on your tree and add a silicone-based sex toy on your holiday wish list.

5. Libido gummies (probably) don’t work — at least not how you think

Popping a supplement or chewing on a gummy won’t make you instantly hot and bothered, even as more and more companies are selling libido gummies that claim to put women in the mood for love.

The jury is out on these products, says Dr. Tiffany Pham, an ob-gyn and a medical adviser for female health app Flo Health, as there is “a lack of robust research into the claims behind these supplements,” even as some individual ingredients show promise.

But that’s not the only reason they’re unlikely to be the sole solution for low libido for women: Libido involves more than just physical function and can be affected by everything from stress to past trauma to the connection one has with a partner. If you’re really struggling with a lack of desire, talking with a sex therapist will likely do way more than an over-the-counter supplement. And if you are curious about taking something to boost your libido, make sure to talk to your doctor, who can tell you if it’s safe to explore.

6. Dry orgasms are a thing for men

And Just Like That may be lacking the sex part of its predecessor’s name, but there’s still plenty of sex in the city for Carrie Bradshaw and her friends. In a 2023 episode, Charlotte and her husband, Harry, are having sex when Harry orgasms — only for no semen to come out. After consulting with a doctor, the couple learns he experienced a retrograde orgasm, or a dry orgasm, which occurs when semen enters the bladder instead of exiting through the penis, leading to little to no ejaculation. While Harry is instructed to do kegels — leading to Charlotte training him in the famed pelvic floor exercise — urologist Dr. Fenwa Milhouse told Insider that advice won’t help. Dry orgasms are typically a nerve issue and often caused by certain medications, like ones taken for diabetes, as well as pelvic injuries.

“It’s not dangerous. It’s not detrimental to the person’s body, but it can interfere with fertility because the semen isn’t getting where it needs to be, which is being deposited into the partner’s vagina,” Milhouse told Insider.

Bonus: Here’s how you find your G-spot (which may not be a ‘spot,’ after all)

Ah, the G-spot. If you’re a person with a vagina and have always found this famed alleged center of pleasure elusive, Martha Kempner’s breakdown of the G-spot includes where to find it. The G-spot is on the front wall of the vagina, nearly two inches in. Also worth noting? The G-spot may not be a spot at all but more of a zone, as, according to a 2022 article, there are actually “five separate erotogenic tissues that function in a similar way to the G-spot.”

One theory why stimulating the G-spot feels so good is that people are stimulating the clitorourethrovaginal (CUV) complex, which includes interactions between the clitoris, urethra and uterus, says Debby Herbenick, director of the Center for Sexual Health Promotion at Indiana University and author of Read My Lips. A come-hither motion with two (well-lubed!) fingers should do the trick.

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How To Talk To Your Doctor About Your Sexuality

By Jennifer Betts

You’ve probably planned on coming out about your sexuality to essential family members like your mom and dad. But have you ever thought about the importance of coming out to your doctor?

An open and honest relationship with your doctor is essential to getting care. This is especially true since there are specific needs that you might have as part of the LGBTQ+ community. As health family medicine physician Rita Lahlou, MD, MPH, told UNC Health Talk, “It’s important for people who identify with historically marginalized communities to find a primary care provider who will be supporting, affirming and understanding of them.”

With that said, the thought of a discussion about your health can be downright nerve-wracking. Whether you’re seeing a new doctor or talking with the doctor you’ve been seeing for years, here are a few tips and strategies to ensure that all your healthcare needs are met for your sexual health.

Set the tone about discussing your sexuality

Man talking with doctor

A person’s sex life and sexual preferences come into play when it comes to their overall care. According to the Centers for Disease Control and Prevention, about 1.2 million people in the U.S. are diagnosed with HIV, 63% of whom are gay or bisexual men. Additionally, young LGBTQ+ individuals are more likely to contemplate or attempt suicide due to how they are treated, per The Trevor Project.

And it’s not an area that many general practitioners might feel comfortable asking about. Research published in Sexual Medicine examined healthcare specialists’ avoidance of sex and sexuality. It stated that many specialists think that asking their patients about their sex life and sexuality could cause embarrassment, so it’s not something that might come up. However, creating the appropriate framework of trust and empathy between your doctor and you can make this discussion easier. Bringing the topic to the table first lets your provider know it’s not a taboo area to talk about.

If you or someone you know is struggling or in crisis, help is available. Call or text 988 or chat 988lifeline.org

Look for an LGBTQ-friendly provider

Stethoscope with a rainbow background

Since your sexuality is a crucial area of your life and who you are, having a physician or specialist who understands how to support the LGBTQ+ community can make talking about your sexuality easier. Look for a provider with an LGBTQ+ designation. According to Henry Ford, doctors with this designation complete additional clinical training for patients within this community, making them more likely to be knowledgeable in documenting sexual orientation and understanding the specific needs.

Finding an LGBTQ+-friendly provider might take some looking around. Paula Neira, Program Director of LGBTQ+ Equity and Education, told Johns Hopkins Medicine that there are databases by groups such as GLMA: Health Professionals Advancing LGBTQ Equality, but they aren’t exactly comprehensive. Thus, setting an appointment with a healthcare provider might require asking about their experience caring for LGBTQ+ patients. You can also ask others in the community to find a doctor they trust or have had a positive experience with.

Neira adds that not being open and honest with your provider could lead to missed screens, like those for cancer, especially for transgender individuals. Johns Hopkins Medicine also pointed out that seven out of ten LGBTQ+ members have received negative care, and connecting with a healthcare specialist competent in this field can alleviate that.

Bring your partner to the appointment

A couple with a baby on computer

It’s easier to talk about your sexuality when you have a loving person supporting you. Consider bringing your partner with you to discuss this with your provider. Not only can they hold your hand, but they might also be able to help you make sure you have all your bases covered.

Bringing your partner with you and introducing them to your doctor can quickly clarify your sexuality and cue your healthcare provider that it’s okay to broach the subject of your sexual orientation. According to family medicine physician Beth Careyva, MD, “By providing this information, we can make sure to offer preventative care screenings, as well as provide counseling on sexual health, lifestyle changes, and same-sex family planning” (via Lehigh Valley Health Network).

The Office of Disease Prevention and Health Promotion notes that having a support person during the visits can help ensure you keep track of your specialist’s advice and ask questions when something isn’t clearly explained.

Use techniques to calm nervousness

Woman focusing on breathing

The Center for American Progress points out that discrimination in the healthcare setting for the LGBTQ+ community leads to delays and access to needed medical care. It can affect not only patients, but their parents as well. This is especially true for those trying to find care for their transgender children. Thus, it’s not surprising that this topic might be uncomfortable for some to discuss with their doctor, leading to nervousness.

Fortunately, there are several techniques to calm the nerves before talking to your doctor about your sexuality. One of the best calming methods is focusing on breathing (via NHS). Get yourself in a comfortable position and let your breath flow. Focus on nothing but the movement of your chest and the refreshing air coming into your lungs for a steady five-count. Keep repeating until the doctor comes in so that you can talk to them with a clear, relaxed mind.

The Baton Rouge Clinic AMC states that it can be helpful to close your eyes and count to ten as you wait for your healthcare provider to enter the room. You can also try counting to 20 backward. Other calming techniques include chewing gum, smelling lavender, and listening to calming music. Once the doctor comes in, you can bring up your sexuality as part of your casual health conversation.

Be straightforward and honest

Woman talking to smiling doctor

It may be hard to be bold, but when it comes to your health, it’s not a time to be shy. Bring your sexuality to the table immediately. For example, introduce yourself to a new doctor with your name, preferred pronouns, and sexuality. Being matter-of-fact with your healthcare professional establishes honesty. With a current specialist, bring it up by saying, “I have a personal question…” states the National Institute on Aging.

Johns Hopkins Medicine also notes that you should set an agenda when talking to your doctor. It doesn’t have to be a long, intricate list, but outlining your sexuality and issues you would like to talk about will ensure that all your needs are met. According to Megan Moran-Sands, DO, a Geisinger pediatrician, “Your doctor and any healthcare professional you interact with will keep your information private.” Knowing this can help you not to feel so apprehensive.

And remember, your doctor wants honesty. Debra Roter, Dr.P.H., a professor at the Johns Hopkins Bloomberg School of Public Health, noted, “It’s important to share things about your lifestyle, social obligations and relationships at home and at work. Sometimes patients are fearful that the doctor isn’t interested or that it isn’t relevant.” But having this information gives them a better understanding of your overall health.

Use questions as your guide

Patient asking doctor questions

If you’ve had a bad experience with a different healthcare provider regarding the topic of sexuality, you might be even more apprehensive about talking about it openly. In that case, using questions as your guide might be better. Giving your current provider hints about what you need to discuss allows them to bring the subject up and save you embarrassment.

For example, you might start off your conversation with your provider by discussing their knowledge of LGBTQ+ patients. During your initial interview with a new doctor, you might ask about their patient experience with sexuality and LGBTQ+ patients. Ask about their experience with transgender issues. LCMC Health states that it sets a tone with your provider, allowing them to draw the conversation toward your sexuality in a respectful manner. As the National Institute on Aging notes, asking questions is key to building open communication with your doctor to better understand medical issues, tests, and medications that can affect your sexual life.

Don’t put off talking about your sexuality

Couple talking with a doctor

The World Health Organization says that your sexual health is essential not just to your personal well-being, but also to that of your loved ones. Don’t overlook being committed to your sexual health with your doctor, since it can influence screenings, family counseling, testing, and more.

Understanding your sexual health also plays a vital role in sexually transmitted disease prevention, practicing safer sex, and your body image, states Healthline. In addition, it’s a key area of mental and emotional health, particularly for members of the LGBTQ+ community who experience “discrimination or cultural homophobia.” Per data presented by the Substance Abuse and Mental Health Services Administration, sexual minorities such as the LGBTQ+ community are more likely to have substance misuse and mental health issues.

As Dr. Megan Moran-Sands notes (via Geisinger), “It’s beneficial to share your sexual orientation with your doctor so you can get the most personalized care. You can be more open about your life and your choices, and you and your doctor can work together to create a plan for staying healthy.” Don’t wait to talk to your doctor about sexual health. Bring it to the discussion immediately to set the bar for all future appointments.

If you or anyone you know needs help with addiction issues, help is available. Visit the Substance Abuse and Mental Health Services Administration website or contact SAMHSA’s National Helpline at 1-800-662-HELP (4357).

Tips for making the talk about sexuality easier

Person in waiting room

Sexuality and sexual health should not be taboo topics, and are nothing to feel ashamed about. Remember that no matter what, your doctor is there to help. To make things a bit easier during your appointment, Willis-Knighton Health System suggests writing down the items you want to discuss on a phone or piece of paper to avoid forgetting what you want to say in case you suddenly feel uneasy.

Since talking about sexual health can be difficult face-to-face, you might also want to take advantage of telehealth consultations to discuss these issues. It might be easier for you to talk about sexual orientation, sexual problems, and gender in the comfort of your own home. Your provider can ask questions to get the necessary tests or medications (via the International Society for Sexual Medicine). Telehealth might also be the best way to connect with a doctor that is LGBTQ+-friendly.

Lastly, it helps to give your doctor a heads-up. For example, you can tell your healthcare provider during your initial appointment that you would like to speak to them about sexuality. You can also let them know that you’re nervous. This way, they can have questions ready to help you overcome your negative feelings.

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PrEP

— The small blue pill helping end HIV transmission

Pre-Exposure Prophylaxis (PrEP) is used to prevent HIV transmission

By James W Kelly

Access to a preventative drug has led to a fall in the number of gay and bisexual men diagnosed with HIV, a leading sexual health clinic has said.

Health Security Agency (HSA) figures for London show the number of first diagnoses had fallen in this group by 3% from 2021 to 2022.

Pre-Exposure Prophylaxis (PrEP) is a “powerful tool” in ending transmission, 56 Dean Street clinic said.

However there was a rise of 17% in new HIV diagnoses in the capital.

The treatment which has been free on the NHS in England since 2020, involves taking the PrEP pill containing the drugs tenofovir and emtricitabine before having sex.

Uptake of the drug has been greatest in gay and bisexual men, the clinic said.

Consultant Dr Alan McOwan said: “Everyone should know about PrEP and its potential for preventing HIV.”

Dr Alan McOwan

Dr McOwan said it’s “really simple” to access PrEP

He encouraged anyone considered at higher risk of HIV to enquire about it at their local sexual health clinic.

Across England however, among gay and bisexual men, the overall reduced HIV transmission is not reflected across all ethnic groups.

Tarun Shah, who was diagnosed with HIV four years ago while trying to access PrEP, said the results were encouraging but more work was needed to target more at-risk people in accessing the drug.

He told BBC News: “A few months after enquiring about the PrEP trial, I ended up getting quite ill and it came out that I was HIV positive.”

Tarun said his experience accessing PrEP before his HIV diagnosis was “frustrating”

At the time, PrEP was only available on the NHS to a limited number of people during its trial and Tarun said he was unable to get onto it and could not afford the drugs privately.

He said he found it “frustrating” to think about his situation but added: “I’ve now been quite healthy ever since and it’s great to see that PrEP is now widely available to everyone.”

‘Many not being talked to’

The data for England shows new diagnoses fell by 17% from 2021-22 for white gay and bisexual men, while rises were observed among men of Asian (17%) and mixed or other ethnicity (25%).

Tarun, who is South Asian, said: “There are a lot of groups who don’t feel like they are being talked to in these conversations.

“The more people we can include, the better and I think it will be great that everyone has access to PrEP.”

While effective HIV treatment eliminates the possibility of transmission, Tarun said his partner taking PrEP provide them with a “double zero kind of safety”.

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Sex therapists on 20 simple, satisfying ways to revive your lost libido

— Losing your mojo is very common, but it can be overcome, whether through self-love, putting down your phone – or even a sex ban

By

Most people will experience a loss of sexual desire at some point in their life, be it due to parenthood, a health condition, hormonal changes, grief or other reasons. But how can you overcome this? Sex therapists and educators share the secrets to getting your mojo back.

1. Be aware that it is incredibly normal

“Fluctuations in desire are a natural part of the human experience, influenced by different life stages,” says Chris Sheridan, a psychotherapist and founder of The Queer Therapist in Glasgow. “We’re not robots,” says Natasha Silverman, a Relate sex and relationship therapist based in the Cotswolds. She has helped couples who haven’t had sex for decades and says this is one of the most common reasons people seek advice. “It is very normal for relationships to go through periods when couples aren’t having sex, or one person wants to and the other doesn’t.”

2. Mood is often a factor

Addressing this is the first step. “External life stresses and anxiety all put the brakes on sexual desire,” says Silverman. “If you are stressed and overwhelmed – worried about the kids or there are problems at work – it’s not going to be quite so easy to get into that headspace.” Medication such as antidepressants can also have an impact on sex drive, she adds.

3. Have a medical check-up

It is important to see a doctor about loss of libido. If people are describing anxiety, depression or other symptoms that may be connected to a health issue such as the menopause, “we do suggest that people get checked”, says Silverman. “For example, someone may have erectile difficulties that are putting them off sex. But if that is a chronic problem, it can be indicative of something like heart disease.”

4. Talk to someone outside the relationship

Find someone to confide in, says Silverman. This could be “a friend or a professional. Someone who can normalise it, help you look at why this might be happening and take the shame out of it. Think about when things changed and what might be making it more difficult.” Try to work out, “what it is that made you feel as if your mojo isn’t there any more”, says Dami “Oloni” Olonisakin, a sex positive educator and author of The Big O: An empowering guide to loving, dating and f**king.

5. Be prepared to talk to your partner

When you are ready, talk to your partner about how you are feeling. This could be in a therapy space or on your own. “Your partner will already be sensing that something has changed,” says Silverman. “And if you’re not talking about it with them, they are going to fill in the gaps, most likely with their own anxieties: ‘They don’t want to be with me any more’; ‘They don’t find me attractive’; ‘Maybe there’s someone else.’ So be upfront and honest.” Most people are too ashamed to work on stale, long-term relationships and be more creative about seeking pleasure together, says Todd Baratz, a sex therapist in New York City. It doesn’t “necessarily mean getting out the whips and chains, it just means communicating about sex, talking about what your sexual needs are”.

‘Set aside time each week to explore each other’s bodies.’

6. Single people struggle with desire, too

It is not only those in a relationship who experience a loss of libido. Silverman says she is seeing increasing numbers of single people who “want to iron out mistakes from previous relationships” and women, in particular, who have become used to “minimising their needs”. There are a lot of myths that need to be busted about the G-spot and what a healthy sex life looks like, she says. Being single is a good time to figure out what works for you “and make yourself more robust”, for your next relationship or sexual encounter.

7. Work out what desire means to you

“Society often normalises saying ‘yes’ to things we may not genuinely want to do, a behaviour that can permeate our relationship dynamics,” says Sheridan. “Expressing our true desires and practising saying ‘no’ enables us to transition into healthy communication characterised by negotiation and mutual consent.”

“What is really important,” says Miranda Christophers, a sex and relationship psychotherapist at The Therapy Yard in Beaconsfield, “is that both partners have the desire for desire. If somebody’s motivation for intimacy is because they know that their partner likes to have sex and they need to do it to keep the partner happy, that wouldn’t necessarily be a positive motivator. We try to get them to work out what they enjoy about sex, what they are getting from it.” That could be pleasure in the moment or a sense of connection afterwards.

8. In most couples, one person will want sex more than the other

“This phenomenon is not exclusive to heterosexual couples,” says Sheridan. “It presents similarly within same-sex and sexually diverse relationships”, in which there can be “an additional layer of complexity emerging due to the pervasive influence of heteronormativity”. “Desire isn’t necessarily gender specific,” says Baratz. “It is often assumed that men want sex all the time and women want to be seduced, and that’s not the case. People have a wide and diverse expression of how they desire, regardless of their gender.” That said, men tend to experience spontaneous desire, whereas women are more responsive, says Christophers, and desire may only kick in at the point of arousal.

9. A sex ban can be a good place to start

Silverman says many therapists will encourage couples to abstain from sex and masturbation while initial conversations are taking place, before introducing affection for affection’s sake that won’t lead to something else. Plus, “telling someone they can’t have sex tends to be an effective way to get them in the mood”, she says.

10. Looking back is crucial

As with any kind of therapy, considering past experiences, positive and negative, can help to process problems in the present. Sheridan explains: “Examining a client’s sexual response history across their lifespan allows us to discern whether the change is a situational occurrence or a longstanding pattern. A crucial aspect of this involves understanding the current and historical dynamics of their relationships.” Silverman adds: “We look at their first relationships, the potential obstacles that are in the way of them being able to let go sexually, any health problems, trauma or historic sexual abuse.” “Trauma has a huge impact on our sensory system,” says Baratz, “and sex is all about sensory experiences, so it’s going to potentially decrease the way we feel safe or connected to our senses. That means that we need to be with a partner we feel safe with.”

11. Rediscover non-sexual intimacy

This could be “kissing each other before you leave the house or playfully patting your partner on the bum as they walk past”, says Oloni. “Different things can help reignite that spark, so when you are back in bed you’ve done things throughout the day that remind you your partner still desires you sexually and is attracted to you.” Sensate exercises, in which couples are encouraged to “set aside time each week to explore each other’s bodies, focusing on the feeling that they have themselves when they are doing this”, are helpful too, says Christophers.

12. Scheduling

This isn’t for everyone, says Silverman, as it can make sex feel like even more of a chore. But it can be helpful for some, especially if young children are getting in the way. “Schedule a romantic date night or time to find different ways to get in touch with that side,” says Oloni. For new parents, Christophers advises: “Even if it is just for an hour, go somewhere else and create a more adult space together.” Baratz recommends “planning sex instead of relying upon spontaneity and declaring our schedules are too busy”.

13. Self-love is everything

“Emphasising self-love is integral,” says Sheridan. “As it empowers individuals to honestly articulate their needs and desires, building more authentic and fulfilling sexual and emotional intimacy in the relationship.” Take care of yourself too: shower and put on fragrance, says Baratz. “Exercise plays a big role in cultivating a relationship with your body.” He encourages “yoga, if that’s pleasurable, or massage or a spa day or a bath bomb – anything that is a sensory experience that feels good and will reinforce the connection that we can feel with our body”. “When you walk past a mirror, tell yourself how beautiful you are,” says Oloni. “How lucky anybody would be to be in your presence naked.”

14. Work on body confidence

This could be through “buying yourself new lingerie that makes you feel sexy”, says Oloni. “You need to find that confidence within yourself then present that to your partner. I used to work in Victoria’s Secret, and I remember a woman came in who had just had a child and she burst into tears because a bra looked good on her. That has stuck with me because it really does take the right type of underwear to make you feel sexy again, or to see yourself in a different way.”

15. Faking it can be counterproductive

Again, this is very common, thanks to people getting sex education from mainstream pornography, says Silverman, which often suggests women need to have penetrative sex to have an orgasm, whereas about 75% of women require clitoral stimulation to have an orgasm. But “every time someone fakes an orgasm, they are showing their partner the exact wrong way to make them climax – there is a sexual dishonesty there”, she says. “Some people do struggle to reach orgasm, which is known as anorgasmia. This can be a result of medication, trauma or trust issues that haven’t been explored. But generally speaking, people can reach orgasm on their own. We recommend that people get to know their bodies by themselves and what does it for them, before expecting a partner to know what to do.”

16. Pornography doesn’t have to be visual

“There is a difference between ethical and non-ethical pornography,” says Oloni. “And it is important to understand what has been created for the male gaze.” She points to other forms of erotica that can be accessed, such as audio pornography and literature. “There are so many different mediums you could get that sexual rush from, but I don’t think people truly explore. It’s usually the same link or bookmark of a favourite porn site or video. I think it’s important to mix it up, especially when it comes to fantasising. They say that the biggest sexual organ that we actually have is the brain. It’s so important to fantasise in different ways instead of just one.”

17. Think about ‘sexual currency’

“This is a term that a lot of sex educators are using now,” says Oloni, “which is designed to help you find that desire and spark in your relationship. It could mean cuddling more on the sofa when you’re watching a movie, or it could be remembering to kiss your partner before you leave the house.”

18. Write down things you want to try

This helps if you can’t say them out loud. Work out what they are and send over an image or link, suggests Oloni. “Write them down on bits of paper and put them in a pot,” says Christophers, so you can pull them out and potentially try something new. “Create an opportunity for playfulness,” she says. “A bit more intrigue, a bit more mystery.”

19. Variety is the spice of life

Oils, toys and other aids can be useful after body changes due to the menopause, having a baby or other health conditions, says Christophers, as is trying different positions. “Think about comfort and practical things, such as using lubricants.”

20. Put down your phone

For those who would rather go to bed with their phone than their partner, put it away. “This comes up a lot,” says Christophers. “I’m not saying don’t ever bring your phone into bed,” says Oloni. “But that could be a time where you up your sexual currency. You’re in bed with your partner. This is where you should feel your most relaxed but you can’t really unwind when you are on your phone, you’re still taking in so much information. You could use that time instead to not necessarily have sex, but just be still, hug, spoon or giggle with your partner.”

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Taking Antibiotic After Sex Could Slash Your Risk for an STI.

— Here’s What to Know

By Ernie Mundell

  • If you’re sexually active, taking the antibiotic doxycycline within 72 hours of sex might help prevent an STI
  • Syphilis cases are surging in the United States, making ‘Doxy on Demand’ a welcome weapon against the disease
  • Taking doxycycline shouldn’t be a substitute for condom use, experts say

Data showing that the antibiotic doxycycline might prevent a sexually transmitted infection (STI) if taken soon after sex made headlines earlier this year.

As surging numbers of cases of syphilis and gonorrhea affect more Americans, here’s what you need to know about using the drug.

“If you’re actively having sex and not using condoms 100% of the time, which is the reality out there, this strategy could be appropriate for you,” said Dr. Christopher Foltz, an infectious disease specialist at Cedars-Sinai in Los Angeles. “It comes down to each person’s individual risk level, something that you should discuss with your physician.”

He noted that syphilis, especially, has reemerged with a vengeance in recent years as a health threat.

“Syphilis has been climbing at the highest rate with a significant increase among pregnant women and men who have sex with men,” Foltz said in a hospital news release.

According to the U.S. Centers for Disease Control and Prevention, syphilis cases among gay and bisexual men in the United States rose by 7% between 2020-2021.

Rates of new cases of the disease rose even more steeply among women: a 55.3% jump between 2020 and 2021, and 217.4% rise between 2017 and 2021 overall. That means more babies potentially being born with syphilis, as well.

You may not even realize you are infected with syphilis, Foltz noted, since in many cases it can lurk symptom-free for years. But left undiagnosed, long-term syphilis can cause blindness and neurological issues.

“That’s what we’re trying to prevent — these kinds of catastrophic long-term complications from undiagnosed STIs,” Foltz said. “If we can prevent infections with a relatively safe and easy-to-take antibiotic, the overall number of new infections will ultimately decrease.”

That’s why the new data on doxcycycline is so promising. A trial found that one 200 milligram (mg) dose of the drug — which has been used to treat other ailments for years — could prevent infection with syphilis and chlamydia if taken within 72 hours of a sexual encounter.

The strategy has even gained a nickname: “Doxy on Demand” or “Doxy PEP” (post-exposure prophylaxis).

The method isn’t foolproof however, and it’s no reason to forgo the use of condoms, Foltz warned.

“We absolutely encourage condom use to prevent against other STDs and HIV as an added barrier of protection for prevention,” he stressed.

Doxycycline is not advised for certain groups: Pregnant women and anyone known to be allergic to a class of antibiotics known as tetracyclines. Always consult with your doctor before taking any antibiotic.

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How Late Can Your Period Be After Taking Plan B One-Step?

By Patricia Weiser, PharmD

Plan B One-Step is a single-dose emergency contraceptive (EC) pill. It contains the active ingredient levonorgestrel, a synthetic hormone belonging to the progestin class. Plan B One-Step and its generic alternatives are available over the counter (OTC).

The Food and Drug Administration (FDA) has approved the use of Plan B One-Step to reduce the chance of pregnancy if taken within three days (72 hours) after unprotected sex.1

Plan B One-Step is intended for use if another contraceptive method fails (such as a condom breaking during sex) or isn’t used.2

Taking Plan B One-Step may affect your period. Some females get their period about a week early or a week late after taking Plan B One-Step, and their bleeding may be lighter or heavier than usual. However, if your period is more than a week late, you could be pregnant.3

Keep reading to learn more about the link between taking Plan B One-Step and your period’s timing, along with basic safety and dosage information regarding its use.

Understanding the Morning-After Pill

Emergency birth control such as the morning-after pill, can help decrease your chance of becoming pregnant after unprotected sex. EC pills, like Plan B One-Step, work by preventing ovulation, the release of an egg from the ovaries.

By stopping this process, the sperm cannot fertilize the egg, thus avoiding a pregnancy.

It is important to note that EC will not have any impact if ovulation has already taken place. As a result, EC does not affect fertilized eggs or pregnancies already implanted.4

EC, including Plan B One-Step, differs from Mifeprex (mifepristone). Mifeprex is a medication given in combination with the drug misoprostol for medical termination of a pregnancy up to 70 days into the pregnancy.5

EC, on the other hand, only works as a preventive measure against pregnancy, with no effect after pregnancy begins.2

Some states restrict access or completely disallow the use of Mifeprex. Fourteen states have banned access to Mifeprex for medical termination of pregnancy, while another 15 states limit its use to certain situations.

In contrast, Plan B One-Step is legal and available in all 50 states.6

What Is Plan B One-Step?

The FDA approves Plan B One-Step for use in females to reduce the likelihood of pregnancy following unprotected sex. It comes as a single-dose oral tablet that you swallow. It is intended for use in females of reproductive age.

Plan B One-Step works up to 72 hours after unprotected sex to prevent pregnancy. Taking it as soon as possible increases its effectiveness and reduces the chances of getting pregnant.1

The sooner you take it after sex, the more effectively it works, though some research suggests that it may still work up to four days (96 hours) afterward.4

Levonorgestrel, the active ingredient in Plan B One-Step, is also available OTC as several other emergency contraceptive products, such as Her Style, Opcicon One-Step, and Fallback Solo.2

Levonorgestrel is also an active ingredient found in other contraceptives, such as certain types of birth control pills, transdermal patches, and intrauterine devices (IUDs).7

How Does Plan B One-Step Work?

Plan B One-Step prevents or delays ovulation when the ovary releases an egg. As a result, sperm cells cannot reach or fertilize the egg, which helps prevent pregnancy.3

Plan B One-Step works by preventing or delaying ovulation. If you take it after ovulation has already occurred, it may be less effective.

However, since you may not know when you ovulated, you can still take Plan B One-Step at any time during your menstrual cycle to help prevent pregnancy within three days after having unprotected sex.8

Note that it offers no protection against HIV (human immunodeficiency virus) or other sexually transmitted infections (STIs). Therefore, it should not be considered a preventative measure against STDs.1

Taking Plan B One-Step may result in changes to the menstrual cycle. After taking Plan B One-Step, your period may be earlier or later than expected. In most cases, individuals taking it will get their period within a week when expected.

However, if your period is more than a week late, this could be a sign of pregnancy; take a pregnancy test or talk to a healthcare provider for guidance.

Period flow and duration may be similarly affected by Plan B One-Step. Some individuals experience heavier or lighter bleeding than usual, and their period may be longer or shorter than usual.

Some people may notice spotting or light bleeding after taking Plan B One-Step, but this side effect may not be your actual period. You should still anticipate your period within a week before or after the expected time.

After taking Plan B, you may feel anxious while waiting to see if it was successful at preventing pregnancy. The most typical indication of its effectiveness is the arrival of your period. You can also take a pregnancy test if your period is late.

There is no other method to determine the effectiveness of Plan B One-Step if signs such as a negative pregnancy test do not occur.3

Why Does Plan B Affect Your Period?

Levonorgestrel, the active ingredient in Plan B One-Step, results in possible changes to the menstrual cycle. Levonorgestrel is a synthetic progestin hormone.

It is a lab-made version of a naturally occurring progesterone hormone and acts similarly.1 

Because Plan B One-Step contains a more significant amount of hormone than the body naturally produces at various stages of the menstrual cycle, the medication can alter the flow, duration, and timing of the next period.

In general:9

  • Taking Plan B One-Step after the midpoint of the menstrual cycle (the time of expected ovulation) may result in extended periods and/or delays in period onset.
  • Taking Plan B One-Step before the midpoint of the menstrual cycle is more frequently associated with spotting and earlier period onset.

Dosing Guidelines

The table below shows the strength and dosage of Plan B One-Step:1

Plan B One-Step can be taken with or without food as long as you take it within 72 hours of unprotected sex. If you vomit within three hours of taking it, you may need to repeat the dose.2

Consult a pharmacist or healthcare provider for advice if you have questions about taking Plan B One-Step.

Precautions & Safety

The FDA advises pregnant individuals against using Plan B One-Step. However, the drug is not known to cause harmful effects if taken during pregnancy, and it does not affect an established pregnancy. Plan B One-Step will not terminate an existing pregnancy.

In addition, individuals should not rely on the morning-after pill as their primary form of contraception.

Other options, such as birth control pills or vaginal rings, are more effective when used as prescribed compared to Plan B One-Step or other emergency contraceptive pills.

Certain medications interact with Plan B One-Step and may lead to less effective results for Plan B One-Step when taken simultaneously.

These medications include:1

Side Effects

Generally, Plan B One-Step provides safe emergency contraception. However, some individuals may experience side effects from the medication.

The most common side effects are:10

In most cases, these side effects are mild. Notably, abdominal pain could be a sign of ectopic pregnancy.

If you’re experiencing severe abdominal pain after taking Plan B One-Step, contact a healthcare provider for evaluation and observation.

How Effective Is Plan B One-Step?

Plan B One-Step provides a practical option for preventing pregnancy. In a major clinical study, Plan B One-Step prevented 84% of expected pregnancies.

This was a drop from 8% to 1% in the expected pregnancy rate following unprotected sex without EC.1

However, other factors can alter the effectiveness of Plan B One-Step. Studies show that taking the medication as soon as possible after the time of unprotected sex increases the chances of effectively preventing pregnancy.

Furthermore, the point in the menstrual cycle when you take Plan B can affect how it works.11

An independent study of Plan B One-Step showed that while the medication may still be effective after ovulation, it is more effective if taken before ovulation.8

Summary

Plan B One-Step (levonorgestrel 1.5 mg oral tablet) is an OTC EC pill.1 It is taken to reduce the chance of pregnancy if taken up to 72 hours after unprotected sex.

After taking Plan B One-Step, it’s common for individuals to experience some changes to their normal menstrual cycle.2

Your period can come one week earlier or later than expected. Plan B One-Step may cause spotting and/or periods that are heavier, longer, or lighter than usual.

If more than a week has passed since you expected your period after taking Plan B One-Step, you may be pregnant. Take a pregnancy test; if the result is negative and another week passes without a period, take another test or reach out to a healthcare provider for medical advice.

Frequently Asked Questions

  • How can I safely store Plan B One-Step?

    Store Plan B One-Step at room temperature (68-77 degrees F) and keep it away from any area susceptible to high levels of heat or moisture, such as the bathroom.

    Keep Plan B out of the reach of children and pets.10

  • Will Plan B One-Step affect future fertility?

    No. Plan B One-Step does not impact future fertility. The medication works quickly and only stays in your system for a few hours without making any lasting changes to hormones or fertility.12

  • What is the shelf-life of Plan B One-Step?

    Plan B One-Step comes with an expiration date on the product packaging. It is usually four years after the date of manufacturing.

    Once expired, the medication may be less effective, so dispose of any unused Plan B One-Step and replace it with a fresh supply if desired.13

  • How commonly used is EC?

    EC has gained popularity over the last two decades.

    According to a 2019 survey, more than 25% of females of reproductive age reported taking EC at least once; a similar survey from 2002 found that only 4% of females reported using EC.

    This increase is likely because EC is now an easily accessible OTC product that had previously required a prescription.7

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Why Sexual Health Matters

— An Essential Aspect of Overall Well-Being

By

Regarding our overall well-being, it is crucial not to overlook sexual health. While physical and mental health often take the spotlight, we must not underestimate the importance of sexual health in maintaining a fully functional life. It impacts our physical well-being and plays a significant role in emotional stability. Therefore, prioritizing this aspect of our well-being is essential. In this blog post, we will delve into how good sexual health contributes to a healthier lifestyle.

1. Contributes to Longevity

Good sexual health can remarkably contribute to longevity. Regular sexual activity has been linked to an extended lifespan, promoting physical health in many ways. It works as a form of exercise, burning calories, and strengthening muscles, and it can also boost the immune system, helping the body fend off illness and disease.

Furthermore, it stimulates the release of endorphins and other hormones with myriad health benefits, such as reducing stress, improving sleep, and enhancing heart health. The doctors at Atlanta Men’s Clinic usually recommend regular sexual activity for their patients, which can significantly contribute to a longer and healthier life. Testosterone therapy, a treatment for low testosterone levels, is also known to improve sexual health and overall well-being.

2. Enhances Emotional Connection

Sexual activity can foster a deep emotional connection, especially with an intimate partner. During sex, our bodies release oxytocin, a hormone that promotes feelings of bonding and trust. This strengthens the bond between partners and helps improve overall mental well-being.

Moreover, regular sexual activity can boost self-esteem and confidence, leading to a more positive outlook. For individuals struggling with mental health issues, such as depression or anxiety, incorporating good sexual health practices can significantly impact their emotional well-being. It allows for a safe and intimate space to connect with another person, which can be incredibly therapeutic.

3. Prevents Sexual Dysfunction

Maintaining good sexual health plays a pivotal role in preventing sexual dysfunction. This is an umbrella term for conditions that prevent an individual from enjoying or participating in sexual activity. These conditions include erectile dysfunction, low libido, premature ejaculation among men, arousal disorders, orgasmic disorders, and sexual pain disorders among women.

Regular sexual activity can increase blood flow to the genitals, which can help prevent or alleviate erectile dysfunction. Moreover, maintaining a healthy lifestyle – incorporating exercise, balanced nutrition, adequate sleep, and reduced stress levels – can notably improve sexual performance and prevent dysfunction. Regular check-ups with medical professionals can also help identify and treat underlying issues.

4. Promotes Communication and Consent

Good sexual health practices also involve open and honest communication with sexual partners. Conversations about boundaries, desires, and consent can create a safe space for both individuals to express themselves freely. This not only leads to a more fulfilling sex life but also promotes healthy relationships.

Furthermore, being aware of one’s sexual health and practicing safe sex is crucial in preventing sexually transmitted infections (STIs). Regular STI screenings, protection, and vaccination can significantly reduce the risk of contracting or spreading infections.

5. Promotes Heart Health

Sexual activity serves as a form of exercise that promotes heart health. During sexual activity, the heart rate rises, increasing blood circulation throughout the body, including the heart itself, thereby strengthening the cardiovascular system. It also helps lower blood pressure, a key factor in heart disease prevention.

In addition, engaging in sexual activity releases hormones like oxytocin and endorphins, which can effectively alleviate stress and anxiety, thereby promoting heart health. Given that stress and anxiety are recognized as risk factors for heart disease, reducing these factors can significantly lower the likelihood of developing cardiac problems. Therefore, incorporating regular sexual activity into a well-rounded lifestyle can play a vital role in maintaining a healthy heart.

6. Improves Sleep Quality

Sexual activity has been linked to improved sleep quality due to the release of certain hormones. Post orgasm, the body releases prolactin, a hormone that contributes to feelings of relaxation and sleepiness. Moreover, the previously mentioned oxytocin, also known as the ‘love hormone,’ fosters emotional bonding and promotes better sleep.

This is because oxytocin counteracts the effects of cortisol, the stress hormone, thus helping the body to relax and enabling more restful sleep. Additionally, the physical exertion associated with sexual activity can contribute to better sleep, as it can help tire the body out, making it easier to fall asleep and stay asleep. Therefore, regular sexual activity can benefit good sleep hygiene, contributing to more restful and rejuvenating sleep.

Sexual health should not be overlooked when it comes to maintaining overall well-being. Incorporating good sexual health practices into our daily lives can improve physical, emotional, and relational well-being. Whether it is through regular sexual activity, communication, and consent with partners, or prioritizing medical check-ups, taking care of our sexual health can have a positive impact on our overall health and longevity. So, let us not underestimate the importance of sexual health and make it a priority in our self-care routines.

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A New Way to Prevent S.T.I.s

— A Pill After Sex

By Apoorva Mandavilli

In a bid to stem the resurgence of sexually transmitted infections, the Centers for Disease Control and Prevention plans to recommend doxycycline, a widely used antibiotic, for use after an unprotected sexual encounter.

The antibiotic would be taken only by gay and bisexual men and transgender women who have had an S.T.I. within the previous year or who may be at risk for one. The scientific evidence is too limited to recommend the strategy, called doxy-PEP, to all people who might be exposed to infection-causing bacteria during sex.

The agency released draft guidelines on Monday and plans to finalize them after a 45-day public comment period.

A close-up view of a bottle of the antibiotic doxycycline, held by a hand in a pharmacy.
“We need game-changing innovations to turn the S.T.I. epidemic around, and this is a major step in the right direction,” an official with the Centers for Disease Control and Prevention said.

Why It Matters: Rates of S.T.I.s are skyrocketing.

In 2021, there were 1.6 million cases of chlamydia, more than 700,000 cases of gonorrhea and nearly 177,000 cases of syphilis in the United States, together tallying up to $1.1 billion in direct medical costs. (Rates of babies born with syphilis also soared that year, with nearly 3,000 affected.)

All three S.T.I.s are caused by bacteria and are easily treated with antibiotics. But the closure of sexual health clinics across the country and a drop in public awareness has contributed to a sharp rise in infections.

Gonorrhea cases have increased 118 percent since a historical low in 2009, according to the C.D.C. Syphilis was nearly eliminated in the United States about 20 years ago, but cases have risen 74 percent since 2017.

On any given day in 2018, about one in five Americans had an S.T.I., the C.D.C. has estimated.

“We need game-changing innovations to turn the S.T.I. epidemic around, and this is a major step in the right direction,” Dr. Jonathan Mermin, director of the agency’s National Center for H.I.V., Viral Hepatitis, S.T.D. and TB Prevention, said in an emailed statement.

The C.D.C.’s guidelines are based on studies that show that a single dose of doxycycline taken within 72 hours of unprotected sex dramatically cuts the risk of the infections.

Evidence from emerging research was compelling enough that clinics in some cities, such as San Francisco, have been offering doxy-PEP to those at high risk of infection for months. Generally, patients are given a supply of pills and told to take one within three days of an encounter during which they might have become infected.

But rates of S.T.I.s are highest among Black people and Native Americans, who are often those with the least access to health care. “No prevention tool — no matter how powerful — will change the S.T.I. epidemic if it doesn’t reach the people who need it most,” Dr. Mermin said.

Doxycycline has been in use for decades, and there are few indications that bacteria have become resistant to it. Syphilis and chlamydia do not often develop resistance, but gonorrhea is another question: Those bacteria have become resistant to multiple classes of antibiotics.

Still, the picture may change depending on how many people take doxy-PEP and how often, some experts cautioned.

“At the population level, that does worry me,” said Antón Castellanos Usigli, a sexual health expert who is an adjunct lecturer at the Columbia Mailman School of Health.

In places like his native Mexico, Dr. Castellanos Usigli said, indiscriminate use of antibiotics has fueled the rise of drug-resistant bacteria, which can alter a person’s gut microbiome.

What Happens Next: The C.D.C. will finalize new guidelines.

Evidence so far supports doxy-PEP’s use only in men who have sex with men and in transgender women. In those groups, the antibiotic cut rates of syphilis and chlamydia by about 90 percent and gonorrhea by about 55 percent.

Men who have sex with men account for nearly half of reported syphilis cases, according to the C.D.C. If studies show the approach to be effective in heterosexual cisgender men and cisgender women, the guidelines may be expanded.

The agency said doctors should prescribe doxy-PEP as part of a comprehensive sexual health program that includes counseling, screening and treatment for the infections and for H.I.V.

“Doxy-PEP will be a good option for some patients,” Dr. Castellanos Usigli said. “But we will have to do a lot of education with medical providers and patients so that we target the best candidates and prevent misuse and overuse.”

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