Why Do My Testicles Hurt When I Ejaculate?

— Sometimes ‘hurts so good’ turns into ‘it just plain hurts.’ Find out why.

By Kurtis Bright

Balls are weird.

Use whatever adjectives you want to describe them: sensitive, vulnerable, goofy, defenseless, squishable. The fact remains, these things are kind of crazy when you think about them.

Now consider that for testicles to produce healthy spermit is their main job, after all—they have to basically live outside a man’s body. This is so they maintain a temperature that’s about 2 degrees cooler than the rest of him. 

They dangle like a bizarre pair of rotund, fleshy earrings from the spermatic cords, which, if twisted, can cause a testicle to begin dying within hours. And of course, we all know what happens if someone gives them a swift kick.

The ‘hurts so good’ part of sex shouldn’t be unplanned testicular pain.

Nature’s a wonderful thing but, really, who would deliberately come up with a design like this?

Of course, you associate ejaculating with pleasure, but it may come as a surprise that for some, there can be pain involved. Let’s get straight to the question that plagues some men: Why do my testicles hurt when I ejaculate?

An infection could cause pain in your testicles when you ejaculate

Simple explanations are nice when it comes to medicine and sexual health. It’s always good when straightforward problems can be answered with straightforward solutions. Sometimes, that’s true with testicular pain during ejaculation if it turns out to be an infection. Typically, that means you get a round of antibiotics for a week or two, and you’re good to go.

“Infection can certainly be a reason for testicular pain,” said Amy Pearlman, M.D., a men’s health specialist and co-founder of Prime Institute in Fort Lauderdale, Florida. “Those can be much easier to treat: they get tested, and if it’s positive, you treat them.”

Keep in mind, though, that an infection is likely to be pretty noticeable. It might be more acute when you ejaculate, but if you have an infection involving the testicles, it’s always going to be with you.

“If someone has an infection, it’s going to hurt all the time until it’s treated,” Pearlman said. “You’re not going to have pain only when you ejaculate. The testicle is usually enlarged or they have a red, hot scrotum. An infection is going to be pretty obviously different on a physical exam.”

Scar tissue could cause pain in your testicles when you ejaculate

If you’ve ever learned about Peyronie’s disease, you know that scar tissue in the genital region can dramatically affect such sensitive and delicate structures.

A type of scar tissue unrelated to Peyronie’s can build up on the inside of the urethra and may cause a man to experience pain when he ejaculates. Imagine a hoarder’s apartment with decades’ worth of old newspapers piled up along the hallway. If a crowd of people tried to jam through there all at once at a high rate of speed, they’re going to get clogged. That’s what happens with scar tissue in the urethra.

“Oftentimes, where scar tissue develops in the urethra is in front of the ejaculatory duct, toward the tip of the penis,” Pearlman said. “So when the ejaculatory fluid is trying to go in, it’s trying to go past this scar tissue and it has trouble doing that. That can cause a high-pressure situation back toward the testicles.”

Testicle retraction could cause pain when you ejaculate

In case you missed it earlier, balls are weird.

For instance, they move up and down in response to temperature, exertion, anxiety or sexual stimulus. Sometimes, though, when a man ejaculates, the testicle may pull up so high it retracts up into the body cavity. This movement, combined with the sudden surge of semen coursing through the system at high speeds, can cause discomfort.

“Sometimes, the testicle will retract upward during different types of activity,” Pearlman said. “It could be if they’re anxious or if someone goes outside when it’s cold, it will retract. But sometimes, too, with ejaculation or sexual activity, the testicle can sometimes ride all the way up and into the groin region.”

Chronic pelvic pain syndrome

A phenomenon known as “referred pain” often comes up when discussing male sexual health issues. That’s because the entire pelvic region is filled with nerves that connect muscles, organs and sexual structures with a variety of functions and conditions that can affect them.

For instance, the pelvic floor muscles—a sling-like apparatus that runs from your pubic bone in the front underneath to the tailbone in the back—are involved in urination, defecation, sexual functioning, ejaculation and helping your core keep you upright.

It’s crisscrossed with branches of the pudendal nerve that links the spine and brain to the penis, prostate gland and testicles. When something goes awry down there, the nervous system may register it as pain but not be able to provide an entirely accurate picture of where that pain originates.

The more sensitive something is—we’re looking at you, testicles—the more likely we are to “think” that’s where the pain originates.

“You have to separate out testicular pain into acute pain and chronic pain. Prostatitis and prostate infections can cause painful ejaculations, for instance. But more often than not, what we see is chronic pelvic pain syndrome (CPPS) being the cause. It’s usually a pelvic floor muscle spasm issue,” said Neel Parekh, M.D., a men’s fertility and sexual health specialist with Cleveland Clinic.

He said it’s pretty straightforward.

“When the pelvic muscles are tight, those are the same muscles that contract during ejaculation,” Parekh added. “So when you ejaculate, you’re contracting an already tight muscle, which causes further pain and discomfort.”

Conclusions

Yes, testicles are weird, but they’re the only ones we’ve got, and most of the conditions described mentioned here aren’t going to get better on their own. It’s also worth noting that infections and CPPS can get worse if they’re ignored.

The “hurts so good” part of sex shouldn’t be unplanned testicular pain. Don’t let your weird buddies suffer unnecessarily. Plan to talk to your doctor as soon as you start to feel pain down there during sex.

Complete Article HERE!

What Your Penis Says About Your Health

— Changes in penis performance or appearance may signal heart issues, diabetes and more

Your penis serves some big roles in your body. Of course, it houses a drainage system that allows your body to get rid of urine. It’s also a key player in the reproductive process and the act of making whoopie.

But did you know your penis also offers a window to your health? It turns out the performance or appearance of your penis can provide clues about what’s happening to you physically and mentally.

So, what secrets can the appendage reveal? Let’s look at six potential learning opportunities with urologist Ryan Berglund, MD.

1. Heart health

Erectile dysfunction, or the inability to get or maintain an erection, isn’t an unusual occurrence. Your penis may just decide to not cooperate at times for a multitude of reasons, many of which are no big deal.

But if you consistently have trouble getting or keeping your penis up, it might signal heart disease and blood flow issues.

A 2018 study linked erectile dysfunction (ED) to increased risk of heart attack, cardiac arrest and stroke. Dr. Berglund notes that almost two-thirds of people who’ve also had heart attacks also experience ED.

“Erectile dysfunction, particularly if you’re younger, should be regarded as a warning sign for heart disease,” he adds.

2. Diabetes

Difficulty getting or maintaining an erection also may signal the onset of diabetes, which can damage the nerves, blood vessels and muscle function that work in tandem to get your penis up.

Research shows that someone with diabetes is three times more likely to report instances of ED. In addition, ED often occurs 10 to 15 years earlier and is more severe in those with diabetes.

3. Mental health issues

The mind plays a very large role in the function of the penis, says Dr. Berglund. Psychological issues such as depression, anxiety and stress can lower sex drive and keep your penis from performing as it should.

Relationship troubles can hinder operations below the belt, too. Ditto for alcohol, smoking and drug use.

4. Scar tissue

Having intercourse with a less-than-firm erection can damage your penis and lead to the development of Peyronie’s disease, a disorder in which scar tissue within the penis causes a curvature.

The condition can lead to a noticeable bend in your penis. A curve greater than 30 degrees is considered severe. The loss of length or girth is possible, too.

ED can cause more flaccid erections that increase your risk of Peyronie’s disease. Talking to a healthcare provider about difficulties getting a hard erection and getting treatment could reduce your chance of sustaining the injury.

5. Infection

Lumps and bumps aren’t unusual on a penis. Blood vessels, pimples and pearly penile papules (small, pearl-like bumps) are just a few of the things you might notice on your penis, shares Dr. Berglund. In most cases, they’re nothing to worry about.

But how can you tell if there’s something more serious going on?

If the bump is painful or there’s an open or weeping sore, get it checked out ASAP. It may be a sexually transmitted infection such as herpes or syphilis. Less pain but lots of itchiness could signal genital warts or molluscum contagiosum (a viral skin infection).

6. Cancer

A discoloring of your penis along with painless lumps, crusty bumps or a rash could be a sign of penile cancer. Symptoms typically appear on the penis head or foreskin and should get checked by a medical professional.

The rate of penile cancer is relatively low in the United States, at 1 in 100,000. But it’s much more common in Africa, Asia and South America.

Final thoughts

It’s important to pay attention to what’s happening downstairs. Changes in the performance or appearance of your penis may be a sign of a larger health issue.

Is the topic comfortable to talk about? Maybe not. But if something with your penis feels or looks different, tell a healthcare provider. It’s a discussion that’s important for your overall health.

Complete Article HERE!

The Health Issues Men Don’t Talk About

— (But They Really Should)

It’s taken a long time. But there is finally a growing awareness of the importance of discussing health issues openly and honestly.

By Northern Life

A lot of men shy away from discussing their health concerns because of social stigmas and embarrassment. Sometimes it’s because they simply don’t know where to turn for help. Addressing these issues openly and providing the necessary information and support is crucial.

Testicular Cancer

Testicular cancer is another health issue that often goes unaddressed due to embarrassment or fear. However, early detection is crucial for successful treatment and improved outcomes. It happens when abnormal cells develop in the testicles.

Common symptoms include a painless lump or swelling in one or both testicles. You might notice a feeling of heaviness in the scrotum or that your testicles have changed shape or weight. These symptoms can also be caused by other conditions, it’s true, but you need to talk to a doctor if you notice any of them.

Regular self-examinations are recommended. By familiarizing themselves with the normal size, shape, and weight of their testicles, men can quickly identify any changes or abnormalities. If a lump or other concerning symptoms are noticed, it is crucial to consult a doctor promptly.

While the topic of testicular cancer may be uncomfortable to discuss, early detection and treatment can significantly improve the chances of a full recovery. Men should prioritize their health by raising awareness and openly discussing this issue.

Erectile Dysfunction

Erectile Dysfunction (ED) affects a significant number of men, but it remains shrouded in silence. ED refers to the inability to achieve or maintain an erection sufficient for sexual intercourse. It can stem from various factors, including physical, psychological, or lifestyle-related causes. It’s normal to have trouble getting or maintaining an erection sometimes. But persistent problems can have a significant impact.

One common physical cause of ED is the restricted blood flow to the penis. Diabetes, high blood pressure, or cardiovascular disease can be potential causes. You might also suffer from ED if you are dealing with stress, anxiety, or depression. It’s probably not too surprising to learn that smoking, drinking too much booze, and not having an active lifestyle can increase the risk of developing it.

The first step in addressing ED is to have an open conversation with a healthcare professional. Doctors can help identify the underlying causes and recommend appropriate treatment options.

It is essential to recognize that ED is a treatable condition. By breaking the silence and seeking medical assistance, men can regain control over their sexual health and improve their overall well-being. If you want to learn more about treatments for ED, then you can check out what’s available at The Independent Pharmacy. They are a regulated online pharmacy that can help you find the right prescription and over-the-counter treatment.

Mental Health

Societal expectations that encourage men to be stoic and tough can create barriers to seeking help. However, mental health issues can affect anyone. It doesn’t matter what your gender is.

Depression, anxiety, and stress are widespread right now. Men need to understand that seeking help for these kinds of issues is a sign of strength. Mental health professionals are trained to provide support and guidance in managing these conditions. There’s therapy, medication, or a combination of both. Lifestyle changes such as regular exercise, healthy eating, and practicing stress-reducing techniques like meditation or mindfulness can also help to

By breaking the silence surrounding mental health and seeking appropriate support, men can effectively manage their mental health conditions and lead fulfilling lives.

Prostate Health

Prostate health is a critical aspect of men’s overall well-being. But it can be so tough for people to talk about it openly. Prostate cancer is the most common cancer among men, and it is essential to address it openly. Early detection is crucial for successful treatment and improved outcomes. However, the fear, stigma, or lack of awareness surrounding prostate cancer can discourage men from discussing it or seeking regular screenings.

Regular prostate screenings are recommended for men over the age of 50. You should get one earlier if you have a family history of prostate cancer. These screenings can help detect any abnormalities in the prostate gland and identify potential cancerous cells.

By breaking the silence and openly discussing prostate health, men can become proactive in monitoring their prostate health, addressing any concerns, and seeking timely medical intervention when necessary. Open conversations and awareness about prostate health can help save lives and ensure a better quality of life for men as they age.

Sexual Health And STDs

Sexual health is integral to overall well-being, and men should prioritize discussions about it. Safe sexual practices and regular check-ups can help prevent and detect sexually transmitted diseases. They also mean that you can enjoy an active sexual life.

Engaging in unprotected sexual activity or having multiple sexual partners can increase your risk of catching something. Open and honest communication with sexual partners about sexual health is essential. Discussing sexual history, STD testing, and using barrier methods such as condoms can help reduce the risk of contracting or spreading STDs. Regular STD testing is recommended, especially after engaging in unprotected sexual activity or changing sexual partners.

If diagnosed with an STD, it is crucial to seek prompt medical treatment and inform any sexual partners to prevent further transmission. A lot of STDs can be treated with antibiotics or antiviral medications. Additionally, healthcare providers can offer guidance on preventive measures, safe sexual practices, and regular screenings.

Men can reduce the stigma surrounding STDs, increase awareness, and take necessary precautions to protect themselves and their partners by promoting open conversations about sexual health,

Substance Abuse And Addiction

Substance abuse and addiction are significant health concerns that affect men disproportionately. Societal expectations and pressures can sometimes lead men to turn to substances such as alcohol, tobacco, or drugs as coping mechanisms, as we saw a lot during the pandemic. There can be serious mental and physical consequences when any of those substances are abused.

Breaking the silence surrounding substance abuse and addiction is essential. Men should be encouraged to seek support. There are treatment options out there, from counseling to detox and rehab programmes.

Men can smash the stigma associated with seeking help and create a supportive environment for those struggling with these issues when they talk about them. Addiction is a treatable condition, and men can embark on a journey towards recovery and regain control over their lives with the right support,

Wrapping It Up

Addressing the health issues men often avoid discussing is crucial for their well-being. By breaking the silence and encouraging discussions about these topics, men can take control of their health, seek appropriate medical assistance, and lead healthier, fulfilling lives. Remember, it’s time to break the barriers and prioritize men’s health through open dialogue and support. There is no such thing as an embarrassing health concern. And you might just be amazed by how much better you feel once you start talking.

It’s taken a long time. But there is finally a growing awareness of the importance of discussing health issues openly and honestly. The idea of “embarrassing” health problems is being challenged more and more frequently. But some topics still get swept under the carpet, especially when it comes to men’s health.

A lot of men shy away from discussing their health concerns because of social stigmas and embarrassment. Sometimes it’s because they simply don’t know where to turn for help. Addressing these issues openly and providing the necessary information and support is crucial.

Complete Article HERE!

How First US Over-the-Counter Birth Control Pill Could Revolutionize Reproductive Health

— “After a year during which there has been very little good news about people’s reproductive health, this is the first solid win in a long time,” says BU gynecologist

The FDA’s approval of Opill for over-the-counter use makes it the first hormonal contraceptive available without a prescription in the United States.

By Molly Callahan

The FDA’s approval of the first over-the-counter birth control pill in the United States could be a revolutionary change in birth control and reproductive health, says Katharine O’Connell White, an associate professor of obstetrics and gynecology at the Boston University Chobanian & Avedisian School of Medicine.

White, who is also vice chair of academics and associate director of the complex family planning fellowship at Boston Medical Center, says she felt “jubilation and glee” at hearing news of the Food and Drug Administration’s approval of Opill, a hormonal birth control pill, on Thursday.

“After a year during which there has been very little good news about people’s reproductive health, this is the first solid win in a long time,” she says. “And it finally puts the United States on par with most other countries in the world, where people have always had access to pills without a prescription.”

The news was received with support from almost every major reproductive health organization in the country, including the American Medical Association, the American College of Obstetricians and Gynecologists, the North American Society of Pediatric and Adolescent Gynecology, and the American Academy of Family Physicians.

The FDA’s approval comes amid myriad legal battles over reproductive rights—and almost exactly a year after the Supreme Court overturned Roe v. Wade, rescinding the right to abortion nationally.

Perrigo Company, which manufactures the pill, says it will likely be available in stores and from online retailers in the United States in early 2024.

BU Today spoke with White about the safety and effectiveness of Opill, as well as questions that still remain about its rollout and accessibility.

Q&A

with Katharine O’Connell White

BU Today: Based on what you’ve seen or read about Opill, how effective is it compared to other, prescription or nonprescription, birth control options?

White: The pill that got approved for over-the-counter use is a progestin-only pill. There are two types of birth control pills: the vast majority of pills—the ones you think about when you hear “The pill”—have estrogen and progesterone in them. But a few varieties are progestin only, for people who can’t or don’t want to take estrogen. So, this pill looks to be like other progestin pills. And all pills have roughly the same effectiveness rate—that they’re about 97 percent effective when taken perfectly, and about 93 percent effective when taken like a typical human being.

So, it’s a very effective method of contraception. And it’s now the most effective birth control that you can buy at the drugstore without a prescription. When you compare it to condoms and spermicides, or Plan B and other emergency contraception, all of those are effective, but they’re not as effective as a daily birth control pill.

BU Today: It sounds like in terms of effectiveness, it’s not necessarily better to get a prescription birth control pill vs this over-the-counter version. Is that correct?

White: So much of it is about access, which sounds like an advocacy talking point. But access has a real impact on people’s lives.

From the medical perspective, there’s no difference between a pill you take by prescription or a pill that you would then get over the counter. But the best birth control method for any given person is the one they’re most likely to take. And to take consistently. And now, we have a method that is not behind the walls of a doctor’s office. You don’t have to go in for a visit or a pap smear or even just get through on a telephone line in order to access this birth control. You can just walk into a place and get it and take it. That, for a lot of people, is going to be the key to feeling in control of their birth control.

BU Today: Do you see this as a step toward equalizing access to birth control or reproductive healthcare?

White: Hopefully—although I’m hesitant.

What’s really great about this is that it’s finally a highly effective method—a hormonal method—of birth control for which you don’t need medical insurance and you don’t need access to a doctor. This is great news for people who work weekdays and can’t get to a doctor’s office because they can’t take the time off of work. It’s great news for people who don’t have health insurance, or who are underinsured, meaning their insurance doesn’t cover a lot, or any, contraceptive methods. If you are new to this country and don’t have health insurance or if you are in a new job and in a new state and don’t yet have access to your insurance, this is going to help.

I’ll also add that this is birth control that you do not need to persuade [a healthcare provider] that you should take or want to take. It is a completely independent decision that you get to make, and that’s important.

The reason I’m hopeful that this will equalize access, but not certain, is because we don’t know how much it’s going to cost. And so it’s only an equity issue if everyone can actually access it. The company says that it’s committed to widespread access for the pill and that it’s going to have some kind of voucher or savings program for people who don’t have insurance coverage. Along with advocacy groups, it is going to push for coverage by insurance companies so that even though it’s over-the-counter, you can still use your insurance card, like you can in many places for emergency contraception, or until recently, COVID tests. But we need to see what the sticker price is.

BU Today: Besides the price, are there other things that you, or your colleagues in the medical community, are waiting to learn?

White: The implementation of something is always important. For example, when emergency contraception first went over-the-counter, it was actually, in a lot of cases, behind-the-counter. You had to ask a pharmacist for it, which meant that not only did you have to have a conversation, and possibly justify why you wanted something, there was a chance they would say no.

I want to see this product on the shelf, next to Plan B, next to KY jelly. I want it to be as easy as just taking it off the shelf, putting it in your cart, and checking out.

I also wonder: is it going to be behind in a clamshell? Are you going to have to get an employee to unlock it for you? Are you still going to have to deal with people’s judgment? Will mom-and-pop pharmacies refuse to stock it? Will Amazon stock it? Will national pharmacy chains make it available online? Because in that case, I can get it with my ibuprofen when I do an Amazon run. All of this remains to be seen. But I’m hopeful.

BU Today: Are there certain populations who might find an over-the-counter hormonal birth control option especially helpful?

White: Adolescents—you might not want to ask your pediatrician, who’s been seeing you since you were a baby, about the fact that maybe you need birth control. Adolescents are also people who maybe haven’t yet figured out how to get to the doctor on their own. Maybe they don’t have a car or don’t have access or even know how to navigate the system to try to get their own gynecologist. Now, they can just take matters into their own hands and get it.

I also think anyone who is on someone else’s insurance, where an explanation of benefits goes home whenever you have a visit with a provider or get a prescription filled. An over-the-counter option leaves less of a record. So if you are in a situation where you are not wanting your parents to know or not wanting your partner to know, this provides another layer of protection.

For people who have medical problems, whose doctors just tell them not to have sex so you don’t get pregnant—which is actually a thing—and don’t know who to turn to for advice, they can now do their own reading, decide this might be right for them, and then access it on their own. People who just changed jobs and whose new insurance hasn’t kicked in, or who have not yet found a new doctor. People who’ve just moved to a new state.

There are also all these situations during which there can be gaps in birth-control use. Let’s say you are a prescription-pill user or a patch or a ring user, but you find yourself in this position where you’re between insurance providers, between doctors, between homes, you then can just go get a pack [of birth control pills] to bridge that gap.

Or people who travel and forget their pack. You’re crazily packing for the airport, and you realize you’ve forgotten your pills. No worries, you can just go get a pack and take those pills for a week and then resume your birth control back at home.

This means that birth control doesn’t have to be this precious, Hope Diamond–like resource. Now, your birth control pills can be available to you whenever you need them, wherever you are. That is revolutionary. No one should have to fight for birth control. And now you have an option where you can just go get it.

BU Today: What about from a safety viewpoint? Is it safe to take these over-the-counter pills?

White: I think there’s a natural hesitancy to embrace something as safe, especially when, for so long, people have been telling you that it’s not. There’s this idea that, ‘Well, we’ve had birth control pills for 50 years, why hasn’t it been available over the counter until now? Is it actually safe?’

It’s so important for people to know that we have reams of good evidence about how safe the pill is. There are very few people who cannot use this pill, and it is very well labeled for who shouldn’t use it.

There’s a very small group of people who can’t, and everybody else can use it safely. People who have breast cancer or certain kinds of liver disease or certain kinds of benign liver tumors, and some people with lupus, should not use this. But people who have the kinds of conditions on this list are people who are already plugged into a healthcare system where they can get access. The vast majority of healthy people who don’t need to see doctors can all take this.

BU Today: What should people who might use this as their first hormonal birth control know?

White: One of the common side effects of a progesterone-only pill is irregular bleeding. This might be occasional spotting, it might be bleeding more days than not, though not usually as heavy as a period. If people are not prepared for that, it can be very surprising. I’ve had more than one patient who stopped their birth control pills when they were spotting, because they thought that meant either it was making their body sick or that it wasn’t working. My message is that you may have weird bleeding for three months, possibly even a little longer. And that is normal. Weird is normal when it comes to bleeding on this pill. So don’t be alarmed.

Complete Article HERE!

Sex After 60?

— You Need to Know About STD Prevention

By

Coming this fall to your TV screen: “The Golden Bachelor.” That’s right, reality television fans, seniors are finally getting their shot at this (somewhat unscripted) love connection. The suspenseful rose ceremonies and extravagant date nights are likely. But will there be an overnight in the fantasy suite?

If this is, in fact, reality, then there should be. Physical intimacy important — sex even has health benefits. Yes, even for those in their twilight years. Shining a light on sex after 60 may be just what the doctor ordered. But seniors also need to know how to protect themselves from sexually transmitted diseases (STDs).

STD Rates Rise Along with Sex After 60

Sexual health may not be a topic older adults are keen on discussing — even with their care providers. “Unfortunately, this reluctance to talk about sex is putting newly single seniors at risk for sexually transmitted infections,” says Laurie Archbald-Pannone, MD, a geriatrician with UVA Health. As a geriatrician, she specializes in primary care for older adults.

One analysis showed that in adults over age 60, diagnosis rates for STDs (also known as sexually transmitted infections or STIs) increased 23% in 3 years.

That’s more than double the increase seen in the rest of the population, which saw a rise of just 11% in diagnoses of STDs. The main STDS are gonorrhea, chlamydia, and herpes simplex.

Why the STD Boom Among Boomers?

The rise is likely due to “a lack of awareness among this age group about STI prevalence and prevention,” says Archbald-Pannone.

“A common scenario is when someone older in life suddenly rejoins the dating scene after a decades-long monogamous relationship. This person may not have a history of STI education, so may not be aware of appropriate prevention or STI signs and symptoms,” she says.

With increased availability of medications for menopausal symptoms and erectile dysfunction, sex after 60 is more common. But older adults are also more susceptible to infections due to age-related changes in immune function. For women, postmenopausal vaginal dryness can increase the risk for tears in the vaginal wall, which can accelerate the spread of infection.

Let’s Talk About Sex After 60

Unfortunately, says Archbald-Pannone, many clinicians are missing an opportunity to educate this population about STD prevention, including the use of condoms and the importance of screening.

“In terms of sexual health, we as providers readily talk about STI prevention with younger patients,” she says. “Among older adults, however, studies show clinicians are not having the same conversations. Often it’s because the provider is uncomfortable bringing up the topic. At any age, it’s difficult to discuss sensitive topics. But, as providers, we can have a big impact by talking to our patients about sexual practices, sexual health and STI prevention.

“We have to make sure that, as clinicians, we’re well educated on these topics so we can be a resource for our patients,” adds Archbald-Pannone. “We also have to create a judgment-free, open environment so patients feel comfortable having those conversations.”

4 Tips for STD Prevention

For anyone entering a sexual relationship, Archbald-Pannone has the following advice:

Talk to Your Partner

Be aware of your partner’s sexual history and STD risk factors before being intimate.

Use Protection

Condoms or other barrier methods used during intercourse prevent infections.

Looking for Senior Healthcare?

UVA Health geriatricians are experts in senior care.

Get Screened & Encourage Partners to Do the Same

If you are sexually active — either with a new partner, with several partners, or if your partner has recently had sex with others — you should have an annual STD screening. There is no age cutoff for screening.

Know STD Symptoms

If you’re having sex after 60 or any age, educate yourself on the signs and symptoms of gonorrhea, chlamydia, and herpes simplex. Some of the most common include:

  • Bumps, sores, or lesions around the genitals
  • Discharge from the penis or vagina
  • Painful urination

Get Treated

If you experience any unusual symptoms after engaging in sexual intercourse, don’t delay treatment. The condition can get worse.

Be sure to discuss your diagnosis with your partner so that they can get treatment as well.

Talk to Your Doctor

Your sexual health is an important part of your overall well-being. So don’t hesitate to discuss your questions and concerns with a clinician. Make your doctor aware of changes in your sexual practices to ensure you’re making safe choices when having sex after 60 or any age.

Complete Article HERE!

How a bad night’s sleep affects your sex life

— Another reason to go to bed

By Penelope Clifton

Turns out a poor night’s sleep can not only be detrimental to your mood and energy levels but also to your libido.

We might need to rethink the term ‘beauty sleep’ because missing out on the recommended eight hours is hard on more than just your looks.

According to the 2023 ResMed Global Sleep Survey, one in five Australians says their sex life is lacking, the highest of any participating country.

Sex has so many benefits; it can lower your blood pressure, boost your immune system, and even act as pain relief. It’s also great for self-esteem and can help promote a better night’s sleep. The problem is, not many of us are that keen when we’re sleep deprived.

The survey found millennials are most affected, with one in four from that age bracket vocalising a link between their sleep quality and decreased sex drive.

Just 8.7 per cent of Australians said they woke up feeling happy or energetic in the AM, so that’s not many of us adults getting hot and heavy under the covers.

“Embracing our sexuality and focusing on intimacy, especially in these cold months, is a beacon of warmth and connection,” sexologist Chantelle Otten says.

“It’s an overlooked fact that our sleep quality and libido are intricately linked. A poor night’s sleep doesn’t just leave you feeling drained and foggy; it can also dampen your desire.”

Embracing our sexuality and intimacy can lead to sex, which in turn can result in a good night’s sleep. The following day you’re more likely to be well-rested, leading to an increase in libido – and the cycle can continue.

This is undoubtedly a tough ask for new parents, those dealing with mental health issues or those of us who are simply overworked, however, it doesn’t have to involve the full month. A cuddle can also do the trick.

According to Christine Rafe, a sex and relationship therapist and director at the Good Vibes Clinic, it’s important for people to be aware of the correlation between sex and sleep.

“Partner intimacy whether sexual or non-sexual is a form of co-regulation, and even hugging and soft slow touch with a partner can activate a relaxed or regulated state which is essential for falling and staying asleep.”

She suggests creating space for physical connection with your partner in the lead-up to bedtime and then trying to carry it through to the bedroom to really reap the benefits of co-regulation.

“The hormones released during sexual pleasure and orgasm combat stress and help to regulate our nervous system, meaning orgasms can support falling asleep as well as the quality of our sleep,” she says, supporting Otten’s advice.

An added bonus is it will bring you and your partner closer as a couple.

“Decreased libido or discrepancies in libido can be distressing for both people within the partnership and can have relational, emotional and psychological impacts,” Rafe says.

One thing Australians do well is supporting their partner, says ResMed sleep physiologist Tim Stephensen. He claims we’re pretty encouraging of our partners to seek help regarding poor sleep and vice versa.

“One of the primary reasons Australians seek support for their sleep is due to their partner’s encouragement once their sleep becomes impacted, such as through loud snoring,” he explains.

“The relationships people take into the bedroom are highly influential on sleep health. A good night’s sleep is vital for a person’s sexual, physical and mental health.”

Complete Article HERE!

‘The sex ed class you wish you’d had’

— The influencer doctors teaching Americans the basics

With schools failing American students, OB-GYNs use TikTok to tackle questions and dispel myths

By

Some of TikTok’s biggest stars aren’t teen influencers or adorable pets – they are OB-GYNs posting sex education videos.

Need to know if you can continue to take antidepressants while pregnant? Dr Keith L Riggs, a Houston-based OB-GYN, has got you covered. Want to see how an IUD is inserted into the uterus? Check out a demo on the Dallas physician assistant Shay Blue’s page. Have questions on what sex position is most likely to get you pregnant? Dr Ali Rodriguez – aka the Latina Doc – made a video for that. (Spoiler: it’s whatever position you like the most – no method has emerged as a scientifically proven best choice.)

All kinds of doctors have joined TikTok. There are plastic surgeons and dermatologists who gleefully post videos hypothesizing what work an actor has had done. Dentists film videos – equal parts terrifying and mesmerizing – showing what plaque looks like as it’s scraped from teeth. If you really want to see footage from a colonoscopy, hit up the urology corner of #healthtok.

But those who practice #OBGYN – a hashtag that has over 5bn views on the app – enjoy a particular kind of virality. And some of the most popular have parlayed their online fame into other ventures.

Dr Jennifer Lincoln, who has 2.8 million followers and claims to offer “the health class you wish you had in high school”, published a book on reproductive health in 2021 and hosts a podcast where she answers listeners’ questions about all things sex. (Recent episodes include A Summer Period Survival Guide and Myth-Busting the Morning-After Pill.)

Dr Jennifer Lincoln has 2.8 million followers and hosts a podcast.

“There’s just a lot of people out there who do not know how to access things,” Lincoln, who lives in Portland, said. “Commenters have asked about anything from birth control to a pregnancy test. These are basic things we would have hoped to have been covered in sex ed, but that’s not the case in the majority of states.”

Americans have been receiving inadequate sex education for decades – but in the last year, things have become even worse. The supreme court’s reversal of Roe v Wade has led to a flood of abortion misinformation online, and Florida’s “don’t say gay” law means that teachers can no longer lead classroom discussions on gender identity or sexuality. As LGBTQ+ students continue to be marginalized across the country, they lack information that can help them understand their bodies and cultivate a sense of autonomy.

A few years ago, people with concerns about their reproductive health might hit up anonymous Reddit boards for help – now, they can take their pick of TikTok experts to follow.

Dr Danielle Jones, who goes by @mamadoctorjones on TikTok, said she had joined the platform because that’s where the kids are. “It’s a good venue to do some sex education and dispel myths about things that impact people who are younger,” she said. “We know that if we can get into their heads early and dispel misinformation before they encounter it, it can keep them from falling down the rabbit hole.”

And there are a lot of myths to dispel. Though Planned Parenthood reports that the vast majority of parents support having sex education taught in middle and high school, the US is pretty terrible at teaching it. Only 30 states and the district of Columbia require sex education classes in schools, and those that do may stress harmful abstinence-only narratives or spread medically inaccurate information.

Since the fall of Roe, Lincoln’s teen viewers have reached out to her after applying to college in states where abortion rights have been gutted, such as Texas, Florida, or Oklahoma. “They’re really scared, and they’re not sure if they’ll be able to access contraception,” she said. “Parents will also message me saying, ‘My daughter is going to college, she has her heart set on the University of Texas, but I’m scared for her. What should I do?’”

Lincoln’s answer: “Let’s talk about birth control and get Plan B and abortion pills ahead of time, just in case. You may not think this is a conversation you have to have with your daughter, but in 2023, you do.

Only 30 states and DC require sex education in schools.

Jones, who practiced obstetrics in Texas before her family moved to New Zealand in 2021, said many of her followers reach out to her with questions they do not want to ask their primary care physicians.

“In states like Texas, people are concerned about who they can safely ask about contraception,” she said. “If you don’t know how your healthcare provider feels about abortion, you don’t know if you can trust them.”

Tiffany Connolly, a 26-year-old from Grand Rapids, Michigan, has learned helpful information from OB-GYNs on TikTok. “It’s a useful source when it can be difficult to pinpoint certain things within my body,” she said. “I can’t always just call up a doctor or make an appointment right away.”

Connolly, who does not want children, plans to get a tubal ligation after her IUD expires next year. Young people who seek sterilizations often have to visit multiple doctors before finding one who will agree to provide it, but Connolly found a spreadsheet posted by Dr Franziska Haydanek, a Rochester, New York, gynecologist with more than 300,000 followers, that lists the names of doctors across the country who are known to safely and responsibly perform the procedure on unmarried and childless patients.

Haydanek posted the spreadsheet last summer, right as the reversal of Roe v Wade pushed more women to consider the procedure as a means of permanent birth control. Since then, the video has been viewed over 50,000 times.

Krysten Stein, a PhD candidate in media studies, has written about TikTok gynecologists for a communications journal. “I wanted to know why these videos were getting so much traction,” she said. “When people seek these kinds of resources online, it’s often because they don’t have access to health insurance or doctors.

Dr Danielle Jones wants to keep young people from ‘falling down the rabbit hole’.

Stein has polycystic ovary syndrome, which can cause irregular periods and pelvic pain, but often goes undiagnosed by doctors who downplay its symptoms as normal period side effects.

Years ago, Stein found refuge in online forums like Reddit, where she finally engaged with people who took her pain seriously. She suspects that people on TikTok form a similar kind of community on the app. “It’s a platform where you can see other people who might be experiencing the same thing as you are,” she said.

Samantha Broxton lives in southern California and frequents OB-GYN TikTok, where, the 35-year-old mom said, she had learned things she wished her own doctors had told her years ago. It’s been a resource for her, but she also wonders what type of care TikTok OB-GYNs provide their patients offline.

“If they’re talking about inequalities in medicine on TikTok, I want to know if they’re vocal about it too in the workplace,” she said. “Are they working to improve the system, or is it just easy to talk about doing that online?”

The American College of Gynecology and Obstetrics does not give doctors specific rules on how to use TikTok, but some hospitals and institutions have social media policies. For the most part, Stein said, doctors are on their own when it comes to deciding what information is appropriate to include in a TikTok.

They don’t always get it right. Last year, four obstetrics nurses were fired from an Atlanta hospital for making a video mocking expectant mothers. Emory hospital, which employed the nurses, later released a statement saying the video was “disrespectful and unprofessional”.

Should OB-GYN influencers take money from brands? When Stein interviewed some for her paper, there was no general consensus. Certain TikTok OB-GYNs said they would only accept deals with brands that felt aligned with their values – they were not just taking cash from anyone. Others were less judicious.

“Some of them said, ‘I want to be a content creator full time,’” Stein said. “There were a lot of moral questions that came up around that. There are no rules, and right now it’s based upon the specific person’s moral compass.”

And how do you know someone is actually a doctor, and not just playing one on TikTok? Lincoln noted that some creators are misleading in their credentials, calling themselves “hormone experts” in their bio. “That’s a term some people use after reading a book or taking a weekend ‘course’ – so, meaningless,” she said.

There are also chiropractors, anesthesiologists, and generalists who are not reproductive health experts dispensing advice on the subject. “It’s really confusing to people, because they see MD in the handle and think they’re experts, though they’re not experts in the field,” Lincoln said. “This harms the OB-GYN TikTok space because these grifting experts often throw our field under the bus.”

Actual gynecologists worth a 30-second watch, Lincoln says, are ones who cite their sources or at least let their viewers know when something is their opinion rather than a studied fact. “As a rule, when I’m explaining something medical, I always give references,” she said. “We need to be transparent about what we know and what we don’t.”

Jones believes the most urgent part of her job right now is spreading accurate information about abortion rights. She grew up in rural Texas and described herself as pro-life until going to medical school changed her mind. Now, she hopes to help others come to the same conclusion.

“I’ve had people reach out and say that I’ve helped them see abortion rights from a different perspective,” Jones said. “It’s one of the most meaningful things I can hear: ‘Two weeks ago I would have called you a murderer, but now I support the right to choose.’”

Still, she knows the limitations of TikTok activism. “What I do online is valuable, and it’s a great supplement, but it’s not going to fully replace sex education,” she said. “Young people need that, and we know the outcomes are not going to be good when they don’t receive it in schools.”

Complete Article HERE!

5 Ways You Can Vet Advice About Sexual Health Online

— Misinformation can be dangerous wherever you find it. Here’s how to stay safe.

By Kate Daniel

“Is this syphilis? PLEASE HELP,” user Difficult-Parsnip508 posted to r/STD, a page on Reddit that’s devoted to everything and anything related to sexually transmitted diseases (STDs).

“I’m female; my last exposure was approximately three weeks ago. I don’t have any rashes on my hands/palms or my foot/soles. It’s this rash on the top of my right shoulder. It’s been here for the past 3 days and hasn’t gotten better or worse. For complicated reasons, I can’t go to the doctor. I’m freaking out and I will be grateful for any help.”

A photo depicting her back and the small, brownish-red bumps accompanied the text.

Within hours, the root vegetable-loving (or hating?) original poster had received several replies. Most suggested it looked like acne or maybe an insect bite. Several encouraged her to see a doctor or get an at-home test.

One, luckychatms130, railed against the dangers of sex outside of marriage, advising never to trust a partner who is “already fornicating.” They also suggested getting tested.

Difficult-Parsnip508’s is one of the countless similar posts to the r/STD forum that seek advice on everything from suspicious bumps to confusing test results and anxiety-inducing one-night-stands.

Research into online health advice

A 2019 study published in the Journal of American Medicine (JAMA) collated data from thousands of these posts published between 2010—the year r/STD was created—and 2018. Of those, about 58 percent of all posts on the page explicitly sought crowd diagnoses, the study authors reported, with about 38 percent sharing (often graphic) photos of their symptoms. Like Difficult-Parsnip508, nearly 90 percent received replies and advice, usually within hours.

Some of those responses were medically sound. Most, however, were “wildly inaccurate,” the study authors explained in a press release. They specifically cited the “crowd’s” astonishing degree of faith in apple cider vinegar, which is not, for the record, a cure-all.

Perhaps more concerning, many respondents gave advice that directly contradicted doctors’ recommendations, sometimes with potentially dangerous implications and outcomes.

The World Wide Web is a powerful tool for education and empowerment—but it’s also home to content such as ‘how to make a DIY condom’

Of course, it’s not just Reddit users doling out dubious advice. A 2021 systematic review published in the Journal of Medical Internet Research examined 69 studies on a variety of health topics, from smoking to the HPV vaccine. Researchers found the prevalence of health misinformation was high across multiple platforms and subject areas.

A 2022 systematic review of 31 previous studies published by the World Health Organization (WHO) yielded similar results. The WHO report indicated such false information negatively affected people’s health behaviors.

Amid a nationwide epidemic of sexually transmitted infections (STIs) and ever-changing reproductive healthcare laws, medically accurate information and competent services may be more important than ever. Yet, due to various barriers, from shame and stigma to a lack of transportation, tens of thousands of people are turning to their fellow internet users instead of licensed primary care doctors or health services.

If you’ve ever been online, you know why that might be a problem. The World Wide Web is a powerful tool for education and empowerment. But it’s also home to content such as “how to make a DIY condom” or “tighten your vagina with ice.” Neither of those things works, in case you were curious.

It’s not always easy to determine what’s legit.

We spoke with experts to get their take on what’s behind the crowd-diagnosis phenomenon and how to sort fact from fiction when researching health topics online.

Why are people seeking crowd diagnoses?

It’s understandable why people might be motivated to look online for sexual health answers and diagnoses from strangers, said Ceara Corry, M.S.W., L.C.S.W., a sex educator, sex and relationship therapist, and owner of The Naked Truth in Raleigh, North Carolina.

“Adequate and supportive healthcare is not always accessible, especially for marginalized groups like people of color, queer and trans folks, or people with disabilities,” she said. “I’ve even experienced this personally.”

In 2016, Corry told her gynecologist she suspected she had polycystic ovary syndrome (PCOS). She had researched the condition online and had characteristic symptoms and a personal and family medical history that made her more susceptible.

Instead of taking her concerns seriously, the doctor minimized her symptoms and blamed them on her weight, Corry said. It took her nearly two years to receive a diagnosis. Research, including a 2019 review, indicates Corry’s experience is not an uncommon one.

The stigma around topics such as sexual health can make people feel embarrassed or ashamed to talk face-to-face with a professional, Corry noted, whereas online forums provide a shield of distance and anonymity.

Logistical hurdles such as cost and lack of transportation may also prevent some people from seeking in-person care, said Rosalyn Plotzker, M.D., M.P.H., an assistant professor in the University of California, San Francisco department of epidemiology and biostatistics.

“From the perspective of someone who is worried about an STI, asking something online can be easy, free and anonymous, and multiple replies could be used to get a ‘consensus.’ I can see the appeal,” Plotzker said. “The only problem is that the information isn’t necessarily reliable. There’s no opportunity for a physical exam or lab tests, and the responders are not accountable since there isn’t a provider-patient relationship. So there is a major risk for misinformation.”

That misinformation can lead to various harms, from ineffective treatments to unintended pregnancy and STI transmission, noted Sarah Melancon, Ph.D., a Fullerton, California-based sociologist and clinical psychologist at Sex Toy Collective. Study authors agreed, noting that misdiagnosis can have a ripple effect, impacting not just the poster, but millions of viewers who believe they may have a similar condition.

The ramifications can be substantial and potentially life-threatening.

“STI infections may worsen with the wrong treatment. For instance, untreated chlamydia can cause pelvic inflammatory disease,” she said. “Syphilis or HIV may progress to an advanced stage, which has greater negative effects and is harder to treat and in the long term can lead to death.”

As for why approximately 20 percent of the posts included in the study were seeking a second opinion, people might doubt a clinician’s capability or feel their provider didn’t listen or take them seriously. That’s according to experts such as Danae Maragouthakis, M.B.B.S., M.P.H., an emergency medical doctor in Oxford, England, and a co-founder and CEO of Yoxly, a provider of at-home STI and sperm testing kits.

They may also have felt embarrassed or anxious about revealing certain pertinent details and worried about the significance of omitting them. Receiving a diagnosis, particularly a serious one, can be devastating and some folks might seek solace in alternative answers, even those that are inaccurate.

“On one occasion, a patient had received an HIV diagnosis but turned to a crowd diagnosis to be convinced the doctor was wrong,” said John Ayers, Ph.D., one of the study’s co-authors and an epidemiologist and adjunct professor at the University of California, San Diego, in a statement. “People, when faced with life-altering information, often want to delude themselves and, in some cases, they are finding it on social media.”

5 tips for vetting advice about sexual health online

Experts stressed that while seeking health information online can be a gamble, it isn’t inherently a bad idea, especially because education and even self-diagnosis can be empowering.

Here are five strategies you can use to get the most out of the advice you find online.

1. Define your goals

First, determine what you’re hoping to gain from your search, Corry suggested.

Are you investigating whether a diagnosis matches your symptoms, or do you want to know how others with similar experiences have handled their situation? Both are valid but have different search criteria.

Being clear about what you’re seeking can help rule out unhelpful sources, she explained.

2. Check credentials

There are many ‘influencers’ who simply hold a certificate or bachelor’s degree in their area of focus, while others are just self-deemed ‘sexperts.’

“There’s nothing wrong with individuals who want to speak about sex on the web, but take their information with a big grain of salt,” Melancon said. “Certainly, not all M.D.s or Ph.D.s are going to agree on every topic—that is laughable, actually—but typically, their perspective will be supported by theory and data.”

If you’re not in the habit of reading the About Us sections on websites you visit, it’s time to start. These pages can provide valuable information such as who funds the site, where they’re getting their information and who’s fact-checking it (if anyone), Corry said.

If well-known, reputable organizations and people with nursing and medical degrees are involved, that’s a positive.

3. Take extra precautions with controversy

If a topic is controversial, don’t accept one perspective as truth, even from credentialed sources, Melancon said.

“Compare and contrast. Look at the content you think you won’t agree with to get a broader picture,” she added.

For example, if you’re uncomfortable with your pornography use, coming across the NoFap movement might seem like the answer, as it treats porn use and masturbation as addictions and leans heavily on self-control as treatment. However, research suggests it is ineffective.

“Participants experience strong negative emotions including shame, worthlessness and even suicidal ideation after ‘relapses,'” she added. “Is that the outcome you’re really wanting?”

Some principles and information are subject to debate within the medical community, Melancon pointed out. In that case, it isn’t a flaw but part of the scientific process. Examples include the potential safety risks of hormonal contraceptives or the effects of pornography on mental health.

4. Go directly to the source

When websites and content creators use terms like “research indicates” without citing their source, it’s a red flag. That said, experts pointed out that it’s important to note that not all research is equal.

“If you want to really geek out, dig deep,” Plotzker said. “If an article mentions a study, you can look up that study on Google Scholar and read the abstract. Some articles are also fully available online.”

When reading the abstract, experts recommend checking how many people were involved in the study and whether they represent your demographic. For example, information gleaned from a study conducted on 30 male-identifying people in their 20s may not directly translate to you if you are a postmenopausal woman.

5. Corroborate with expert sources

When in doubt, experts suggest corroborating information you find through influencers or other uncertain sources with more surefire resources, like the Centers for Disease Control and Prevention (CDC) or Mayo Clinic. You can also message, email or call your local health clinic to ask if a specific piece of information is correct or whether a certain treatment is one they’re familiar with and condone.

Many of those clinics have nurse helplines and telehealth options that enable you to speak with a licensed provider without an in-person appointment.

“If you find something online that impacts your health directly, ask your healthcare provider about it if you can. There are ways to communicate with your provider through online patient platforms,” Plotzker said. “Or go in and have an old-fashioned, in-person discussion with someone who is a healthcare provider. You can show them the webpage on your phone—it’s a great way to confirm what you have read.”

The bottom line

The internet and social media are both a blessing and a curse, experts agreed. On one hand, the ability to connect, organize, disseminate information and promote causes, such as HIV prevention and family planning, is incredibly valuable.

“But it’s a double-sided coin. With all of the benefits, there is the equal and opposite aspect of misinformation, the perpetuation of fear and stigma, and resources available online that have not been vetted,” Plotzker said. “That can be very difficult to navigate.”

Ultimately, Plotzker recommended viewing the internet as a complement—don’t consider it a substitute—to traditional medical care as the best strategy.

“I do think patients understand their own bodies better than anyone else. If someone has had a condition in the past and then they have very similar symptoms again, it’s reasonable for them to think that history could be repeating itself,” Plotzker said.

All assumptions, though, have limitations.

“A physical exam and medical tests that can confirm a self-diagnosis are important as an objective way to know for sure what is happening, especially since it might be something else,” she noted. “And only then determine the best treatment course.”

Complete Article HERE!

Surviving purity culture

— How I healed a lifetime of sexual shame

By Linda Kay Klein

In the 1990s, a movement born out of the white, American, evangelical Christian church swept the globe: purity culture. They weren’t the first or only fundamentalist religion to sexually shame women & girls. But this time, the message was mainstream, almost cool: women and girls are either pure or impure, depending on their sexuality. Decades later, we’re just starting to grapple with the long-term effects of these teachings. In this deeply intimate talk, Linda Kay Klein shares how she recovered from purity culture’s toxic teaching — and how she helps others do the same.

Linda Kay Klein is the award-winning author of “Pure: Inside the Evangelical Movement that Shamed a Generation of Young Women and How I Broke Free.” She is a purity culture recovery coach and the founder and president of Break Free Together, a nonprofit serving individuals recovering from gender- and sexuality-based religious trauma. She has an interdisciplinary Master’s degree in gender, sexuality, and religion from New York University and is a trained Our Whole Lives (OWL) sexuality education facilitator. This talk was given at a TEDx event using the TED conference format but independently organized by a local community.

Sexual Health Is Mental Health

— Comprehensive sex ed is key to supporting youth mental health development.

Marchers with Bans off my Body signs during the Pride March in New York City in March 2022.

BY

May is Mental Health Awareness Month—a time to share knowledge and bust stigma around mental health issues and empower our communities to take greater care of themselves and each other. As a youth sexuality educator, I have seen firsthand how comprehensive sex education that teaches young people healthy sexuality and communication, boundary-setting and consent is key to youth mental health and development.

I first got involved with Planned Parenthood as a volunteer for their Community Action team in Nashville. After working as a sex educator at Vanderbilt University, I joined Planned Parenthood’s Sex Education Training series in a state known for being difficult when it comes to amplifying sexual and reproductive health and education. After being exposed to all the possibilities that sex education can create for people, it didn’t take me long to realize that Planned Parenthood has its finger in the pulse when it comes to advancing the reproductive and sexual justice movement. I wanted to get involved in whichever capacity I could, so I asked to work with Planned Parenthood of Greater New York.

Today, I get to give workshops and interact with teenagers about interpersonal relationships, reproductive health, safe sex, STI prevention, consent and even relationship management strategies. I have gotten to see the way sexual health competency influences the mental, emotional and physical health of young people specifically. Evidence-based research shows how a better understanding of their bodies and sexuality can have profound positive effects on a young person’s mental health, but even though we have the data, there is so much work that still needs to be done.

Young people who receive comprehensive sex education are better at maintaining a balanced sexual and mental health.

In my everyday work, it’s very common for me to hear young people talk about the first time they experience jealousy, shame, excitement or even love. In those moments of openness, I can teach young people healthy strategies to respond to these very human emotions, and how their response can set healthy relationships and a safer experience for everyone.

Because age-appropriate, comprehensive sex education for our youth is not a requirement in our current education system, most teenagers—especially those in disenfranchised communities of color—still hold on to deeply troubling, outdated ideas about what is happening in their bodies. They believe that their development is not normal or shouldn’t be happening at all.

For those of us in the sex education field, it is common to have a holistic approach to our practice. In the classroom, we don’t just quiz young people on STIs. We go deeper, asking how they would feel if someone they knew was diagnosed with HIV, or how they would approach talking about a diagnosis with a partner. We explore the difficulties around discussing safe sex, and the reasons why it can make someone feel anxious or avoidant.

According to a study by the Guttmacher institute, the feeling-while-learning strategy improves confidence, teaches teenagers interpersonal relationship skills, coping strategies, to speak up when violence or abuse might be happening, how to advocate for themselves and others, how to manage problematic partnerships, and how to reduce shame, stigma and general feelings of discomfort around sex. The research shows that young people who receive comprehensive sex education are better at maintaining a balanced sexual and mental health.

By talking about sex with young people, we not only create a trust-based system that allows us to better guide them when making decisions, but we empower them with the tools and knowledge that could have life-altering outcomes for their futures. By receiving age-appropriate sex and emotional education, young people gain a wealth of knowledge, attitudes, skills and values to make healthier choices in their sexual and reproductive lives, which can help them gain an increased awareness of an already universal human experience and in exchange, have a happier life.

I’m still here today because I believe the educational work I get to do daily could have profound consequences for the betterment of all our communities. But I can’t continue to do my job the best way possible until comprehensive, age-appropriate sex education is expanded, protected and codified into law. Sexual health is mental health, and the only way we can stop the epidemic of youth self-harm and deteriorating mental health that has invaded the lives of our young people is by giving them the kind of education and resources they deserve.

Complete Article HERE!

How Does Chemotherapy Affect Your Sexual Health?

— Chemo is a powerful cancer treatment, but there are side effects you should be looking out for.

Chemo is a powerful cancer treatment, but there are side effects you should be looking out for.

By Jennifer Sizeland

Chemotherapy is the chemical treatment of cancer using drugs. The primary purpose of chemo is to kill cancer cells, shrink tumors, relieve symptoms of untreatable cancer and prevent it from returning.ƒhealth

It can be administered in several different ways but is usually given through a needle or tube inserted into a vein or orally—by mouth in capsule, liquid or tablet form—over a period of time. This treatment can be used in conjunction with other therapies, such as radiation therapy, immunotherapy and surgery. Progress is monitored by an oncologist, a cancer specialist who will perform various tests to see how the cancer responds to chemotherapy.

While chemotherapy has come a long way, it still has side effects that can influence all areas of your life.

How does chemotherapy affect general health?

Aside from the symptoms and problems caused by the cancer itself, chemotherapy can have myriad side effects.

“One of the most common side effects of chemotherapy is myelosuppression, or lowering the blood counts,” said Mohamad Cherry, M.D., the medical director of hematology at Atlantic Medical Group Hematology Oncology in Morristown, New Jersey.

He noted that this treatment can impact the body in the following ways:

  • Lowering platelets can cause bleeding.
  • Lowering the red blood cells can cause anemia and lead to fatigue.
  • Lowering the white blood cells can affect the immune system and increase the risk of infections.

Different chemotherapeutic agents create different side effects. These can vary depending on the type and stage of cancer, he added.

Some of the other common side effects of chemotherapy include the following:

  • Appetite loss
  • Bleeding
  • Bruising
  • Constipation
  • Hair loss
  • Mouth soreness
  • Nausea
  • Vomiting

Cherry recommended talking with your doctor about the best way to treat the symptoms of chemotherapy, as there are medications and other tools to help manage these side effects. Methods like cooling caps can help prevent hair loss, and antiemetic medication can reduce vomiting and nausea.

It is important to look after your mental health, he added, as this is an aspect of cancer treatment that is often ignored. Some cancer sufferers find that speaking to a therapist is helpful.

How does chemotherapy affect sexual health?

“Chemotherapy can, unfortunately, impact sexual health in many ways, although not everyone has these symptoms,” said Anne Peled, M.D., a breast cancer surgeon and the co-director of the Breast Care Center of Excellence at Sutter Health California Pacific Medical Center in San Francisco.

She explained that women can experience the following sexual side effects as a result of chemo:

Men can experience:

“Chemotherapy can also impact future fertility, which is unfortunately not always discussed before treatment when options like sperm and egg harvest are potentially available,” Peled added. 

If you would like to have children, this is something you can discuss with your doctor before chemotherapy starts.

Whitney McSparran, L.P.C.C., a counselor who specializes in relationships, stress, grief, anxiety and self-esteem at Thriveworks in Cleveland, Ohio, explained that there are other forms of intimacy partners can share that don’t involve intercourse.

“Exploring non-sexual forms of physical intimacy like massage, cuddling and hand-holding can be helpful in maintaining a sense of intimacy when sexual activity isn’t on the table,” she said.

Complications and related conditions

The powerful nature of chemotherapy means it can cause serious complications.

“Certain chemotherapeutic agents can affect the heart, causing congestive heart failure or arrhythmias, and others can affect the lungs, causing shortness of breath,” Cherry said.

Chemotherapy drugs can especially affect the kidneys and liver, he added, which can result in increased liver enzymes or a decrease in kidney function. These organs will be closely monitored throughout treatment.

If any severe complications arise as a result of chemotherapy, your doctor will adjust your schedule or prescribe supportive medication to help your body to better cope or recover.

Living with chemotherapy

While undergoing chemotherapy, it’s important to build a support network of friends and family to go along with a healthcare team. Cherry recommends asking for social worker support as well.

It is important to be open and honest about your cancer and treatment, even when you feel uncomfortable talking, in order to maintain those relationships, McSparran said.

“Many healthcare systems may have social workers or nurse navigators that can answer questions or help facilitate these difficult discussions,” she said.

Many people find that they can live relatively normal lives while on chemotherapy and even continue their day-to-day responsibilities.

Dating and relationships with chemotherapy

“Transparency, boundary setting and communication are important in all dating relationships but are especially important when navigating dating and chemotherapy,” McSparran said.

Her advice for managing romantic relationships while undergoing chemo includes:

  • Accept that your priorities or values may change.
  • Be aware that your relationship may change as a result of cancer and cancer treatment.
  • Be clear on your expectations of the relationship.
  • Be clear about the time and energy you have to commit.
  • Be open to talking about what is and isn’t working.
  • Explore possible solutions to your feelings and problems.

Practicing safe sex is very important during chemo, as these drugs can severely harm a pregnancy in the first trimester.

It may help partners to join a support group where they can speak to others whose relationships have been impacted by cancer.

Supporting someone and aftercare

“Don’t rely on the person going through chemo to tell you what they want or need. Know the type of support you can provide and be consistent,” McSparran said.

She stressed the importance of looking after yourself, as being someone’s support during cancer treatment can take its toll.

McSparran recommended these strategies as the most important so that you look after yourself while you’re caring for someone on chemo:

  • Find a professional to talk with if you need to.
  • Lean on your own support network.
  • Practice self-care.

Chemotherapy and cancer can have unexpected impacts, so it is vital to keep checking in with yourself as well as the person you’re caring for.

Whatever you’re going through, there is likely someone else who has been through a similar experience. Charities, groups and online resources can provide emotional, financial and practical help during your time of need.

Resources for patients and caregivers

Here are some great resources to start learning more about chemotherapy and its potential effects:

Complete Article HERE!

What You Should Do if a Condom Breaks

— Turn to emergency birth control and STI tests

Nothing ruins the post-sex glow like realizing the condom broke. Now what?

“You’re probably anxious about what to do next. It’s natural to jump to worst-case scenarios,” says sexual health specialist Henry Ng, MD, MPH. “But don’t let your fears get the best of you. Take a breath.”

Don’t panic but do get prompt medical care. Dr. Ng explains what to do next and what to expect.

What to do if a condom breaks

If the condom broke while you were having sex, you may be worried about:

“Seek care right away,” Dr. Ng advises. “If you have a primary care provider, that’s a good place to start.” When you contact your healthcare provider, say you have an urgent concern. You may be able to get a same-day appointment.

If you don’t have a primary care provider, your options for quick care include:

  • Community clinics and health centers.
  • Express care or urgent care clinics.
  • Reproductive and sexual health clinics, such as Planned Parenthood.

“Go where you think you’ll feel most comfortable talking openly about sex and your needs,” encourages Dr. Ng. “When you call for an appointment, check that the clinic provides emergency contraception and STI testing, depending on your concerns.”

Dr. Ng also advises against going to the emergency room unless you have a true medical emergency. Trips to the ER can be very costly, and it’s better not to tie up emergency services unless you need them.

How to prevent pregnancy after unprotected sex

If you’re worried about potential unwanted pregnancy, get emergency contraception as soon as possible after unprotected sex. Dr. Ng explains your options.

Plan B One-Step (levonorgestrel)

Known as a “morning-after pill,” Plan B One-Step® and its generics (My Choice®, My Way®, Preventeza®, Take Action®) are available over the counter. It’s best to take it within 72 hours (three days) of unprotected sex, but you can take it up to five days after.

“The longer you wait, the less effective Plan B is for preventing pregnancy,” says Dr. Ng. “So, it’s really important to get it within that three-day window.”

Plan B One-Step and the generic versions contain levonorgestrel, a synthetic hormone used in some birth control pills. But the dose is different than regular birth control pills. You take Plan B One-Step in one dose.

ella® (ulipristal acetate)

Another morning-after pill option is ella®, but it’s only available with a prescription. It’s a single-dose pill, and you can take it up to five days after unprotected sex. But like Plan B, ella is most effective if you take it within the first 72 hours.

Can you take multiple birth control pills after unprotected sex?

“We typically don’t recommend taking multiple birth control pills for emergency contraception,” says Dr. Ng. “The pills you have on hand may not be the right type of drug or the right dose to prevent pregnancy.”

He says the most effective options are Plan B One-Step (or its generics) and ella, which are approved by the U.S. Food and Drug Administration (FDA) for emergency birth control.

What to do about potential STIs when the condom breaks

Potential STI exposure can be scary to think about. And even if your partner doesn’t show symptoms of an STI, they could still have one.

If possible, ask your partner about their STI status. If they currently have an STI, you know you need to get tested. If you’re unsure if your partner exposed you to an STI, you may still want to get tested.

STIs to be aware of

STIs are widespread and on the rise in the U.S. According to the Centers for Disease Control and Prevention (CDC), about 1 in 5 people have an STI. Some people have an STI but don’t have any symptoms.

Bacterial STIs

Dr. Ng says the most common STIs are gonorrhea and chlamydia, both bacterial infections. Syphilis is also a bacterial STI. If you’ve been exposed, the bacteria will show up on a test right away. Tests are typically done by taking a pee (urine) sample or swabbing your genital area.

“When you get tested, talk to your provider about how you express yourself sexually — the type of sexual activity you engage in,” Dr. Ng says. “A urine test and genital swab may miss a gonorrhea or chlamydia infection if you engaged in oral sex, for example.” Be sure to ask for an oral or rectal swab if you had oral or anal sex.

Antibiotics can treat gonorrhea and chlamydia. Dr. Ng urges that you seek out treatment quickly for these conditions, so you can avoid complications like pelvic inflammatory disease (PID), urethritis or infertility.

Viral STIs

STIs that are viruses include:

These viral STIs won’t show up on a blood test right away. It takes time for your body to make antibodies to the virus, which are the signs (markers) that show up on a test. But it’s still important to get tested, especially if you think you were exposed. Your care provider will guide you on the testing windows for viral STIs.

If you know you were exposed to HIV, get medical care right away. Preventive treatments, called post-exposure prophylaxis (PEP), can protect you, but you must begin taking PEP within 72 hours of exposure to HIV.

“Also consider talking to your care provider about going on pre-exposure prophylaxis for HIV,” suggests Dr. Ng. This medication, often called PrEP, is for people who don’t have HIV but are at risk of getting the virus. You take it every day, and it can lower your risk of sexually transmitted HIV by up to 99%.

Condoms are still great protection

There’s no such thing as perfect protection during sex. Even though condoms can fail, it happens rarely, and they’re still your best defense against STIs. Condoms (and there are many different types) are effective birth control when used consistently and correctly.

If your main concern is preventing pregnancy, many birth control options work even better than condoms. Just remember, other birth control methods don’t protect you from STIs, but condoms do.

Complete Article HERE!

Your Guide To Buying Condoms Because Prioritizing Your Sexual Health Is A Flex

By Frances Dean

Taking care of your sexual health pleasure is actually a huge flex, but society doesn’t make it easy to feel empowered while buying birth control. Condoms — the easiest kind of birth control to obtain and the kind with the least amount of side effects — are marketed almost exclusively to cisgender men, in everything from packaging design to description. “The products and shopping journey remains geared towards men and there is still a stigma attached to a woman buying and having her own condoms,” Cécile Gasnault, brand director at SmileMakers, explained to Cosmopolitan UK.

The market continues to grow and change, and in recent years there’s been an influx of startups and brands marketing condoms to women and femme people. However, it’s still far from the norm. So, until femme-forward condoms become ubiquitous and the patriarchy ceases to exist, you’ll likely have to make do with a pharmacy full of male-forward brands. To make the process easier, we break down everything you need to know about buying condoms so that you can be in complete control of your sexual health.

Know your options

When talking about condoms, people usually mean two different things. They are either talking about female condoms or male condoms. Female condoms are much less popular, due in part to the fact that they’ve only been around since the 1990s. A female condom is basically the opposite of a male condom. A female condom goes inside the vagina, and a male condom fits around the outside of the penis or phallic-shaped toys. Another key difference is the levels of effectiveness. Male condoms are roughly 82% effective at preventing pregnancy if used ideally, while studies have shown female condoms to be closer to 79% effective.

Condoms of both varieties, unlike many other forms of birth control, are a good option because they are highly effective and available without a prescription. Most importantly, out of all types of birth control, condoms (both male and female) are the best at preventing STDs. “Condoms act as a barrier which doesn’t allow mixing of bodily fluids and decreases exposure of one partner’s fluids from another,” Dr. Randy S. Gelow told Banner Health. “Remember, between 50% to 80% of STIs have ZERO symptoms, so even if a partner states they have no symptoms or don’t show any symptoms, this doesn’t mean that they don’t have an STI.” Some scientists even think that female condoms might be slightly more effective than their male counterparts. Translation: unless you and your partner have just been tested, use a condom.

Protect yourself

Woman with condom in pocket

There are about a million different brands of condoms out there, and it can feel a little overwhelming when you’re facing an entire aisle of them at the pharmacy. If you opt for external condoms (i.e. male condoms), experts recommend checking the ingredients of the brands before spending your money. A small percentage of people are allergic to latex. If you fall into this category, opt for lambskin or a different material. Even if you don’t have a latex allergy, some ingredients in condoms can be toxic no matter your gender, so it’s best to opt for something natural if you can.

“Chemicals, dyes, additives, sugar alcohols, preservatives, local anesthetics, spermicides, and other potentially carcinogenic ingredients are often included in standard condoms,” Sherry Ross, MD, OB-GYN, a women’s health expert, and author told Healthline. “Standard brands are not usually concerned about whether their ingredients are organic or natural.” As our bodies absorb everything we put in them, using condoms with carcinogenic ingredients can be dangerous. Don’t be nervous to try something non-name brand for the sake of safer ingredients. Organic options are just as effective as traditional brands and can be safer for you and your partner.

While condom manufacturers are unfortunately not required to list all the ingredients in their products, there are a few to look out for. Avoid condoms with nitrosamine (a known carcinogen), as well as glycerin and condoms with added spermicides — two ingredients that studies suggest do damage the vagina.

Your pleasure is paramount

The sheer variety of birth control methods can feel overwhelming, but sex isn’t supposed to feel like a chore; It’s supposed to be fun! When it comes to hitting the condom aisle, sex therapists recommend looking for two things: ribbed and lubricated. The texture of ribbed condoms (or the less common “dotted”) can provide some of the sensations that using a condom may take out of penetration. “A textured condom can stimulate the nerves that are present in the vagina better than a nontextured condom does, which may enhance pleasure,” Goody Howard, a sex educator, explained to Healthline.

Besides texture, a lubricated condom can be the difference between a great and a very uncomfortable sexual encounter. Lubrication — something the body tends to create itself — is a sign of arousal and a helpful aid for sex. However, a regular latex condom can sometimes feel too dry. To combat this, opt for a brand that factors lubrication into their product. “Any kind of condom with lubrication is always great, just because we can always use a little extra help. Why not?” said Jenni Skylar, a certified sex therapist, when speaking to Women’s Health.

A lubed condom (or adding lube when using a regular condom) makes sex feel better and safer. “If you use a condom-friendly lube (i.e., water-based lube),” Angie Rowntree, founder of a sex-positive and ethical porn site, told Mind Body Green. “It can help prevent breakage and make condom use feel more pleasurable.”

Complete Article HERE!

For cancer survivors, sexual intimacy can pose unexpected issues

— ‘I feel as if my body has betrayed me,’ one survivor says

Brenna Gatimu and her husband, Nimmo Kariuki, tend to their youngest son, Kylian, in Casper, Wyo. Gatimu was diagnosed with Stage 3 breast cancer in 2020.

By Netana H. Markovitz

Brenna Gatimu, 34, of Casper, Wyo., was diagnosed with Stage 3 breast cancer in 2020. She quickly had chemoradiation, and both her breasts and ovaries were removed. She now takes a medication that suppresses any remaining estrogen in her body.

“I feel as if my body has betrayed me, like all the things that make me biologically a woman — the estrogen, the progesterone, my ovaries and my breasts — everything had to be removed and stopped,” Gatimu said.

Gatimu’s experience is not uncommon. As cancer survival rates in the United States improve, many survivors are left with permanent changes to their body — outwardly and functionally. Some feel particularly unprepared for persistent changes in their sexual functioning.

“Sexuality is a very big issue, and unfortunately, the avenues to get help are often limited because people are concentrating on helping [patients] live through cancer, and really concentrating on quality of life but devoid of sexuality,” said Don Dizon, a professor of medicine and surgery at Brown University and the founder of the Sexual Health First Responders Clinic at the Lifespan Cancer Institute.

Sexual health and quality of life

In 2022, approximately 18 million people with a history of cancer were living in the United States. The number is expected to increase over time.

“As people live long lives after cancer … these questions on the permanent, long-term side effects of treatment are something we have to address,” said Sharon Bober, founding director of the sexual health program at the Dana-Farber Cancer Institute and an associate psychiatry professor at Harvard Medical School.

“I feel as if my body has betrayed me, like all the things that make me biologically a woman — the estrogen, the progesterone, my ovaries and my breasts — everything had to be removed and stopped,” Gatimu says.

“We are looking not just at what people do functionally, but we’re also thinking about people’s experiences of themselves being whole, having a sense of integrity in their body — even after things change,” Bober said. “We’re talking about an experience of how people relate to a partner, we’re talking about dating, we’re talking about emotional and sexual relationships that undergo changes themselves.”

“We’re also thinking about people’s experiences of themselves being whole, having a sense of integrity in their body — even after things change.” — Sharon Bober, founding director of the sexual health program at the Dana-Farber Cancer Institute

Some cancer centers have created programs dedicated exclusively to sexual health for patients with cancer — such as Massachusetts General Hospital and Memorial Sloan Kettering in Manhattan. These centers are still relatively rare, but their numbers are increasing.

Those without access to a comprehensive center should consider seeking out “specific practitioners who have relevant expertise, such as certified menopause specialists, urologists or urogynecologists who specialize in sexual medicine, pelvic floor physical therapists or certified sex therapists in the community,” Bober said in an email.

Gatimu holds some of the medications she takes while Kylian asks if he can have the pills, too.
A family portrait on Gatimu’s wall shows husband Nimmo Kariuki, stepdaughter Paisley Grundhoffer, and sons Malcolm, James and Kylian. The family had the photo taken the day Gatimu completed chemotherapy.

Patients can also access a growing body of information.

“There are really more resources now than there ever have been and there are a lot of organizations that now have really good information and education on their websites,” Bober said. “I would just say people should feel free to access the growing amount of supports that are out there. And that’s the case both for patients and providers.”

For example, the Scientific Network on Female Sexual Health and Cancer has a host of resources, including webinars, a page with links to several online resources and a “find a provider” page to search for help by location. The American Cancer Society also has a fairly comprehensive overview of navigating sex and cancer.

Jacob Lowy in his living room in New York.

Even before intimate encounters, body image can be an issue. Jacob Lowy, 31, a fourth-year medical student at the University of Michigan, was diagnosed with metastatic sarcoma in 2021. Since then, he has had to deal with dating.

“It definitely messed with my psyche a lot to talk to people because it feels like you’re hiding something at first,” Lowy said. “But there’s no real advice for how to do it properly.”

Besides fatigue and surgical complications from his two abdominal surgeries, he has experienced decreased libido and erectile dysfunction.

“I went from feeling … invincible and very strong to my body feels like a wreck on the inside,” Lowy said.

Physicians often don’t discuss sexuality with patients for many reasons, Dizon said. “Partly it’s because I don’t think oncologists are trained in talking about sexuality,” he said.

Lowy spends time with friends on the Lower East Side in New York on March 4.

When sexuality is discussed, much of the talk often focuses on what’s safe — for example, when it is safe to have sex during chemotherapy. Bober said “potential sexual side effects and sexual rehabilitation really is not routinely incorporated into care. So a lot of people struggle on the other side of treatment and feel pretty isolated.”

“I went from feeling … invincible and very strong to my body feels like a wreck on the inside.” — Jacob Lowy

But when the topic is broached, doctors often have treatment recommendations.

Sarah E.A. Tevis, an assistant professor of surgery at the University of Colorado, recently started asking her patients about sex after a patient questionnaire she distributed flagged the issue.

“This wasn’t a common thing I talked to all of my patients about, and ever since I’ve started bringing it up, I feel like almost every single patient I talk to is having some problem that we can probably help with,” Tevis said.

Ask for help or a referral

Even if your oncologist does not know how to help, someone is probably out there who can.

“This is something that people should be empowered about — that as with other aspects of our health, if you’re having issues, give it voice, ask for specific assistance,” Dizon said. “And if your doctor doesn’t know or doesn’t want to discuss it, then ask for a referral.”

For Gatimu, she has done her best to adapt to a new normal but still struggles.

Since treatment, she has experienced vaginal dryness, difficulty achieving orgasm and lack of libido. She also has no sensation in her reconstructed breasts. Gatimu has sought advice through a combination of doctors and friends who are cancer survivors.

Gatimu helps Kylian wake up to get ready for day care on March 1.
Gatimu’s son Malcolm walks past a photo wall his mom and dad put together of past family moments, photos and sayings as he gets ready for school on March 1.

“I still have times where I really struggle with the comparison or the wishful thinking of ‘Oh my gosh, if only this didn’t happen and I didn’t have to live through this, where would [I] be?’ On the positive side, I have gained such a self-awareness and such a self-confidence within myself,” Gatimu said.

One 44-year-old man who was diagnosed with Stage 3 rectal cancer in 2018 underwent chemotherapy and radiation before having surgery that resulted in an ostomy pouch, a bag that collects stool outside the body.

“It’s tough for me not to view my body as … broken,” said the man, who asked not to be named for privacy reasons.

For him, sex with his partner now involves going to the bathroom to empty out the ostomy pouch and ensuring that it is as flat as possible so it does not get in the way. He also takes Viagra for the erectile dysfunction he has had since treatment.

A photo of Gatimu and Kariuki attending an adult prom in Casper, Wyo., that raises money for childhood cancer research.

“I am very fortunate that I have a loving partner who loves me for who I am and we’ve adjusted, but now sex is really tough to have spontaneously,” said the man, who lives in Chapel Hill, N.C.

A common misconception is that only certain cancers affect sex.

“We tend to think of sexual health as an issue [only] for people treated for sex-related cancer,” Dizon said. “But that’s actually not true. There’s a growing literature that even people treated for, say, colon cancer and lung cancer — they actually have issues related to sexuality.”

He points out, for example, that chemotherapy itself can affect the vaginal mucosa, which can cause pain with sex.

Unfortunately, many cancer patients feel alone in their struggles.

No one mentioned sexuality to the Chapel Hill resident, except for a brief, awkward conversation with his radiation oncologist regarding the possibility of infertility after treatment.

“People often will equate sexuality and fertility, but those are very different conversations,” Dizon said.

Lowy organizes his pills for the week.

“Their goal is to save a life.” the Chapel Hill resident said. “And they were very good at doing that. I willingly put my life in their hands, but sex was an afterthought.”

Once he got the courage to broach the subject, he was prescribed Viagra, which has been working well.

“I think the biggest advice I would give is, do not be afraid to ask questions,” he said. “If something isn’t right, talk to the doctors about it.”

Complete Article HERE!

A silent crisis in men’s health gets worse

— Across the life span — from infancy to the teen years, midlife and old age — boys and men are more likely to die than girls and women

By and

A silent crisis in men’s health is shortening the life spans of fathers, husbands, brothers and sons.

For years, the conventional wisdom has been that a lack of sex-specific health research mainly hurts women and gender minorities. While those concerns are real, a closer look at longevity data tells a more complicated story.

Across the life span — from infancy to the teen years, midlife and old age — the risk of death at every age is higher for boys and men than for girls and women.

The result is a growing longevity gap between men and women. In the United States, life expectancy in 2021 was 79.1 years for women and 73.2 years for men. That 5.9-year difference is the largest gap in a quarter-century. (The data aren’t parsed to include differences among nonbinary and trans people.)

“Men are advantaged in every aspect of our society, yet we have worse health outcomes for most of the things that will kill you,” said Derek Griffith, director of Georgetown University’s Center for Men’s Health Equity in the Racial Justice Institute.“We tend not to prioritize men’s health, but it needs unique attention, and it has implications for the rest of the family. It means other members of the family, including women and children, also suffer.”

The longevity gap between men and women is a global phenomenon, although sex differences and data on the ages of greatest risk vary around the world and are influenced by cultural norms, record keeping and geopolitical factors such as war, climate change and poverty.

But data looking at health risks for boys and men in the United States paint a stark picture.

  • Men are at a greater risk of dying from covid-19 than women, a gap that cannot be explained by rates of infection or preexisting conditions. The age-adjusted death rate for covid was 140 deaths per 100,000 for males and 87.7 per 100,000 for females.
  • More men die of diabetes than women. The death rates for men are 31.2 per 100,000 people vs. 19.5 per 100,000 for women.
  • The cancer mortality rate is higher among men — 189.5 per 100,000 — compared with 135.7 per 100,000 for women. Black men have the highest cancer death rate at 227.3 per 100,000. Among Black women, the cancer mortality rate is 149 per 100,000.
  • Death rates for boys and teens ages 10 to 19 (44.5 per 100,000) far outpace that for girls (21.3 per 100,000). Even among infants, the mortality rate is higher for boys (5.87 per 1,000 live births) vs. girls (4.95 per 1,000).
  • Men die by suicide nearly four times more often than women, based on 2020 data from the Centers for Disease Control and Prevention. The rate of suicide is highest in middle-aged White men, but teen boys also face a high risk.
  • In 2020, 72 percent of all motor vehicle crash death victims were male. Men also accounted for 71 percent of pedestrian deaths, 87 percent of bicyclist deaths and 92 percent of motorcyclist deaths.

Advocates for more research into men’s health say the goal isn’t to steal resources from women, girls and gender minorities.

“Some people think health care is a zero sum gain and one dollar to men’s health is taking something away from women,” said Ronald Henry, president and co-founder of the Men’s Health Network, an advocacy group. “That’s wrong. We are fully supportive of women’s health efforts and improving quality of life for women.”

But by viewing men as the privileged default, health experts are ignoring important sex differences that could illuminate health issues across gender and minority groups.

For instance, for years the widely held belief in medical circles was that women used too many health-care resources compared to men. As a result, men were viewed as the standard for seeking health care, while women were often dismissed as hysterical or “anxious” when they sought care.

“We used to think women were overutilizing health care, and men were doing it correctly,” Griffith said. “What we realized was that women were doing it better, mostly for preventive care, and men were actually underutilizing health care.”

Explaining the longevity gap

The reasons behind the longevity gap aren’t fully understood, but the global nature of the disparity suggests that biology probably plays a strong role.

For instance, high levels of testosterone, which can weaken the immune response, may be a factor in why men, and male mammals in general, are more vulnerable to parasitic infections. Estrogen may explain why women have lower rates of heart disease throughout life — and why the gap narrows after women reach menopause. (Even though estrogen appears to be protective in women, studies in the 1970s showed that when estrogen was given to men, instead of being protective, it caused double the rate of heart attacks as those in a placebo group.)

Cultural biases around masculinity that teach boys and men to hide their feelings and not complain also can influence men’s health.

“Depression in men is quite deceptive,” said Marianne J. Legato, a physician and founder of the Foundation for Gender-Specific Medicine in New York. “Men are socially programmed to not complain. Suicide is often unexpected as an early end to a man’s life compared to that of a woman.”

Cultural expectations to remain stoic can also delay men’s care. For instance, although diseases such as diabetes, heart disease and hypertension are common in men and women, men often wait longer to seek care and the illnesses are diagnosed at later stages, leading to more damage and poorer outcomes.

“It’s an interesting conundrum and in many ways it’s not well understood,” said cardiologist Steven Nissen, chief academic officer for the Cleveland Clinic. “Men need to pay close attention to cardiovascular risk factors. Treating risk factors early can mitigate a lot of the risk.”

Men also are known to engage in more risky behaviors, such as drug and alcohol use, smoking and reckless driving. While the reasons behind these trends aren’t fully understood, behavioral risks are also a reason men’s health doesn’t get studied, Griffith said.

“It’s hard to convince people that men’s health is an issue if we think it’s just because men don’t do what they’re supposed to do,” he said.

Fewer doctor visits

An oft-cited concern is that men are also less likely to visit the doctor. Although boys and girls visit the pediatrician at the same rate, the trend changes in adulthood and medical visits by men decline. CDC data show that the physician visit rate in 2018 among females was almost 40 percent higher — 3.08 visits per woman vs. 2.24 per man.

One reason is that women regularly visit the gynecologist in their reproductive years. “There is no similar pathway for men,” Nissen said.

But even when visits for pregnancy are excluded, research suggests that women still are twice as likely as men to schedule regular annual exams and use preventive services.

Doctors say that men are most likely to visit the doctor because of a sports injury or for the “Viagra” visit — when they seek treatment for erectile dysfunction. As a result, sports medicine physicians and urologists are encouraged to use those visits to check blood pressure, cholesterol and other indicators of overall health.

“Stamina and sexual health are two of the top things that men think about,” said Howard LeWine, an internal medicine physician at Brigham and Women’s Hospital in Boston and chief medical editor at Harvard Health Publishing. “When you’re 20, 30 and a man, you really don’t think about health. The idea of going to a doctor to prevent cancer or heart disease — I don’t think it’s in the mind of many men until something has happened to them.”

The irony is that men for years have been overrepresented in medical research, often at the expense of women, according to a seminal 1985 report that prompted more government investment in women’s health research.

“Men who were overrepresented in medical studies before are still underrepresented in terms of clinical care,” said Harvey Simon, an internal medicine physician and founder of Harvard Men’s Health Watch, a newsletter devoted to men’s health.

Lack of support

Men’s health advocates say one of the biggest factors is a lack of infrastructure to support research specifically focused on men’s health.

For years, the Men’s Health Network has lobbied for the creation of an Office of Men’s Health, similar to the Office of Women’s Health in Health and Human Services Department. Proposed legislation, however, has consistently failed to win support.

While some health systems claim to have departments focused on men’s health, the care is often focused on urologic and prostate health rather than cardiac care, mental health or other issues that afflict men at high rates.

The topic of men’s health simply hasn’t caught on as something that advocates, corporate sponsors and politicians want to get behind. While the pink-ribbon has been elevated to iconic status to signal breast cancer awareness, nothing in men’s health has achieved the same level of attention.

“There is an empathy gap,” Henry said. “There are people who shrug and say, ‘Yes, men die younger. That’s the way the world is.’ It doesn’t need to be that way. If we devote attention and resources, we can change the outcomes for men.”

Complete Article HERE!