Why Are Sexually Transmitted Infections Surging?

After reaching historic lows more than a decade ago, rates are on the rise again.

By Kim Tingley

Last month, the Centers for Disease Control and Prevention released its latest data on cases of sexually transmitted infections during the first year of the pandemic. In the early months of 2020, the number of people diagnosed with gonorrhea and syphilis declined, as you might expect — it was, after all, a time of extreme isolation for many. Subsequently, though, infection rates surged so much that by the end of the year, the case counts were 10 percent and 7 percent higher than in 2019. In total, there were some 134,000 reports of syphilis and 678,000 reports of gonorrhea. These were “stunning” increases, says Hilary Reno, an associate professor at the Washington University School of Medicine and medical director of the St. Louis County Sexual Health Clinic. “I can’t tell you how many primary-care physicians have called me recently and said, ‘I just saw my first-ever case of syphilis this year.’”

Indeed, syphilis was nearly eradicated in the United States around 2000; gonorrhea reached its lowest rates of infection in 2009. Many doctors who began practicing during that period haven’t had experience diagnosing these S.T.I.s, particularly in their female patients. According to Ina Park, a professor of family and community medicine at the University of California, San Francisco, “There’s an entire generation of physicians and clinicians who had never seen syphilis in women and babies before.”

This is a significant problem: S.T.I.s can irrevocably damage the reproductive system. At least 20,000 women are rendered infertile by untreated S.T.I.s in the United States each year. Syphilis can cause sores and rashes and, if untreated for decades, fatal damage to the brain, heart and other organs. Gonorrhea can be painful and may result in pelvic inflammatory disease in women. Each condition is caused by bacteria and can be cured with antibiotics (though drug-resistant strains of the bacterium that causes gonorrhea are on the rise). Unfortunately, they are often asymptomatic, especially in women, and for them it can be harder to see signs of infection and easier to mistake some of those signs as normal discharge or yeast infections.

The ease with which S.T.I.s spread undetected makes it crucial to screen for them regularly. Yet that is not happening. “The pandemic made S.T.I.s worse in America — for the first year, people all but stopped getting testing and treatment,” says David C. Harvey, executive director of the National Coalition of S.T.D. Directors, a trade association for state and local S.T.I. Health Department programs that collected its own data during the pandemic. (The C.D.C. data comes from a national surveillance system that includes mandatory lab reporting and sample surveys.) Moreover, contact tracers, assigned to notify sexual partners of exposure, were redeployed to focus on Covid.

Historically, the highest rates of syphilis have been among gay and bisexual men, then among heterosexual men. And while that is still true, cases among gay and bisexual men have risen more slowly in recent years and even declined slightly in 2020. Cases among heterosexual women, on the other hand, increased 30 percent from 2018 to 2019 and 21 percent from 2019 to 2020, jumps that experts attribute in part to the increasing prevalence of opioid and methamphetamine abuse, which makes risky sexual behavior — transactional sex, condomless sex — more likely among all genders.

This trend among women has fueled a corresponding surge in syphilis among newborns. In 2020, there was a nearly 15 percent increase in congenital syphilis — amounting to a 235 percent increase from 2016. Congenital syphilis can lead to severe lifelong health complications and stillbirth; of 2,148 infants who contracted syphilis in 2020, 149 did not survive. When women who are engaging in substance abuse become pregnant, they frequently avoid prenatal care for fear of being drug-tested and potentially losing custody of the child. That means many of them aren’t tested for syphilis and don’t receive the treatment that would prevent their baby from getting it. The C.D.C. recommends testing for the infection at the first prenatal visit and, for women who test positive or are at increased risk, early in the third trimester as well as at delivery. (Most states require doctors to perform the initial test, but only 19 also require screening in the third trimester.)

Perhaps the simplest explanation for the overall rise in S.T.I.s between the 2000s and now is that lawmakers reallocated funding to other problems deemed more dire. Many S.T.I. clinics that provided free or low-cost testing and treatment closed or scaled back hours. Other factors contributed to the problem. The growth of online dating expanded sexual networks. The ability to prevent H.I.V. infection with prophylactic medication reduced the inhibitions against having sex without a condom. And most states still do not provide comprehensive sex education. If they did, more people would know that it’s important to treat S.T.I.s and not wait, says Whitney Irie, a lecturer in population medicine at Harvard Medical School. As it is, a popular impression is that S.T.I.s are “essentially obsolete,” she says. “I don’t think there’s a clear understanding, especially among people with a uterus, of the long-term impact on your reproductive organs. There’s this casualness about it that lends itself to being casual about preventive measures.”

Reducing the burden of S.T.I.s will require outreach, particularly for marginalized groups, including women, people in the L.G.B.T.Q. community, Native Americans and Alaskan Natives and people of color, all of whom suffer disproportionately high rates largely because the health care system has neglected them. Black women, for example, have rates of syphilis, gonorrhea and chlamydia that are as much as seven times that of white women, and they face additional hurdles to receiving sexual health care. Black women, Irie says, must also contend with the “perceived stigma and perceived shame from their community” that receiving sexual health care means you don’t share its values, such as female monogamy. That’s a stereotype applied to women across many demographics.

To reach those who have been disenfranchised, providers need to be trained to offer sexual health care to patients who have experienced historical trauma and sexual trauma, including assault and abuse. “If they’re met with a system that doesn’t use open terminology or doesn’t recognize their trauma, their experience can be horrible,” Reno says. “We can retraumatize them, and they don’t come back ever.”

Public-health initiatives have also succeeded by partnering with local institutions people trust. In St. Louis, which has some of the nation’s highest rates of S.T.I.s, many barbershops and beauty salons offer testing information and free condoms; elsewhere, projects in partnership with churches have been able to increase mammograms and H.I.V. testing among Black women. Half of all new S.T.I. infections are among 15-to-24-year-olds, but school-based health centers that offer comprehensive health services on campus have been shown to improve attendance and graduation rates and decrease urgent-care visits.

The pandemic has interrupted countless health services. But it also generated solutions. For example, in March 2020, a program called TakeMeHome began mailing out free H.I.V. self-test kits, with a focus on reaching gay and bisexual men. Half the recipients had not been tested within the previous year, and more than a third of them had never been tested at all; after using the kit, more than 10 percent reported accessing other sexual-health services. “You have to make it as easy for people as possible,” Park says.

If you’re sexually active, you will inevitably be exposed to pathogens, just as you are by shaking hands with or breathing the same air as others. “Your clothes are off,” Park says. “That’s the only difference.” S.T.I.s “are not a personal failing,” Reno says. “This is a systemic societal challenge.” Thus, talking openly about sexual health care stands to benefit everyone. Park recommends pressing your provider for testing; ideally, S.T.I. screening would be treated like a trip to the dentist. “Put it in your routine as something you do regularly.”

Complete Article HERE!

An Overview of Male Anorgasmia

By Jerry Kennard

Male anorgasmia is the persistent inability of a man to have an orgasm, even after sexual stimulation. Anorgasmia, or Coughlan’s syndrome, affects both men and women, but it’s more common in women.

Male anorgasmia can be distressing to those who experience it, especially since it often occurs with delayed ejaculation. This is when an orgasm is possible, but it’s difficult and takes longer to achieve.

It’s estimated that about 8% of men have delayed or absent orgasm.1 It’s less common among younger men and increases with age.

The condition should not be confused with erectile dysfunction (the inability to achieve an erection) or low libido (lack of sexual desire). However, these conditions may co-exist.

There are multiple causes of male anorgasmia. They include:

  • Physiological problems present at birth
  • Side effects from surgery
  • Medications
  • Psychological issues

A treatment plan can be created once the cause has been identified. Then a man should be able to regain normal and satisfying sexual function.

This article will explain the types and causes of male anorgasmia. It will also address diagnosis and treatment as well as how to cope with this condition.

Physiology of the Male Orgasm

The male orgasm is a complex process. It is the third of four distinct phases in the sexual response cycle: Desire (libido), arousal (excitement), orgasm, and resolution.

Male orgasm results from sexual activity and arousal. It involves multiple hormones, organs, and nerve pathways.

Testosterone, a hormone produced in the testicles, plays a central role in this process by enhancing sexual desire that leads to arousal, erection, and ultimately, orgasm.

Also involved are contractions of the muscles of the penis, anus, and perineum. This space is located between the anus and scrotum. Ultimately, these contractions propel semen from the body.

During orgasm, the reward center of the brain floods with neurochemicals. These chemicals are responsible for the intense emotional response associated with an orgasm.

A man may be unable to achieve a normal orgasm when physical or emotional issues affect any of these parts of the process.

Types

Men can experience one of two types of anorgasmia:

  • Primary anorgasmia, when a person has never been able to have an orgasm
  • Secondary, or situational, anorgasmia, when orgasm can be reached only under specific conditions, such as during oral sex or masturbation

Causes

The potential causes of male anorgasmia can be divided into two categories: physiological and psychological:

Physiological

  • Conditions such as multiple sclerosis, neuropathy (nerve damage) caused by diabetes, and uncontrolled hypertension (high blood pressure)
  • Hypogonadism (low testosterone levels) and endocrine disorders that affect hormonal balance
  • Complications from prostate surgery (prostatectomy) or radiation to treat prostate cancer
  • Cauda equina syndrome, a rare condition in which exposed nerve fibers at the bottom of the spinal cord become irritated
  • Congenital absence of the bulbocavernosus sphincter to contract during ejaculation
  • Substance abuse (especially heroin use)
  • Prescription side effects with certain medications, such as antipsychotics, opiates, and antidepressants, particularly selective serotonin reuptake inhibitors (SSRIs) like Prozac (fluoxetine)

A study of about 2,000 men evaluated for the sexual effects of antidepressants found that the inability to achieve orgasm was seven times more common in those who took SSRIs.

Psychological

  • General mental health issues such as anxiety, stress, depression, relationship difficulties, and hostility
  • Sexual performance anxiety (the most common psychological cause of anorgasmia), which can affect men of any age and can be intensified by erectile dysfunction
  • Negative attitudes about sex tied to a repressive religious upbringing or family/parental issues
  • Early sexual abuse and trauma
  • Certain phobias, such as haphephobia (fear of being touched) and genophobia (generalized fear of sexual intercourse)
  • Grief, including that brought on by the loss of a partner

Diagnosis

To treat male anorgasmia, it must be diagnosed accurately. If you’re dealing with this problem, a visit to your primary care healthcare provider can get the process started.

Your healthcare provider will do a thorough physical exam and review your medical history. This may include an evaluation of all medications you take or have taken in the past.

It’s possible that your anorgasmia started about the same time you began taking a new medication.

This initial evaluation will steer the next move: either more tests or a referral to a specialist. This could be a urologist for a physical cause or a mental health professional for a psychological issue. You could get a referral to both.

Tests commonly used to help diagnose the cause of male anorgasmia include:

  • Blood tests to measure levels of hormones such as testosterone, thyroid stimulating hormone (TSH), and prolactin, a hormone that affects testosterone levels
  • Biothesiometry to measure whether there’s a loss of sensation in the penis
  • Penile sympathetic skin response to test the function of nerves supplying the penis
  • Sacral reflex arc testing, another way to evaluate the function of the nerves that supply the genital area

Treatment

  • Testosterone replacement therapy such as Tlando (testosterone undecanoate) or a dopamine-promoting drug, like Dostinex (cabergoline), may restore a man’s ability to orgasm
  • Therapy and/or medication for depression, anxiety, or other mood disorders that contribute to male anorgasmia
  • Psychotherapy to overcome sexual performance anxiety or past sexual and non-sexual trauma
  • Couples counseling, which may help resolve relationship issues
  • Sex therapy to treat certain sexual issues
  • Instruction in digital prostate massage to help stimulate what some people consider to be the male G-spot
  • Sometimes, changing the dosage of a prescription is all that’s necessary to return sexual function to normal. It’s a simple “cure” that serves as a reminder about why it doesn’t pay to postpone a trip to the doctor.

    What About Viagra?

    Medications such as Viagra (sildenafil) and Cialis (tadalafil) increase blood flow to the penis. They treat erectile dysfunction but will not enhance libido or make it easier for a man to reach orgasm.

    Coping

    Male anorgasmia, like any type of sexual dysfunction, can take a big toll on a man’s physical, psychological, and emotional life. It may have similar effects on his partner.

    The most important step is to seek a medical diagnosis. It does no good to allow fear or embarrassment to prevent you from confronting the issue.

    Usually, there is hope. But an effective treatment may not be possible if you:

    • Have had a radical prostatectomy (a surgical procedure on the prostate)
    • Have suffered severe pelvic trauma
    • Have multiple sclerosis

    In this case, the best solution may be to focus on enhancing sexual pleasure and intimacy without orgasm. A psychologist or sex therapist can help you embrace a healthy sexual lifestyle in ways you may not have considered.

    Summary

    There are two types of male anorgasmia and two primary causes: physiological and psychological. Diagnosis is straightforward, and many treatment options exist.

    Coping with the condition can be difficult for the man as well as his partner. But taking a proactive stance and seeing a physician as soon as possible can help both people resume their sexual activities with confidence.

    A Word from Verywell

    Male anorgasmia can be frustrating and embarrassing for a man at any age or stage of life. There are many possible reasons why a man does not reach orgasm. However, once the cause is clear, effective treatment options abound. They can restore sexual function to normal.

    Frequently Asked Questions

    • What is male anorgasmia?
      It is the medical term used to describe the inability to reach orgasm despite sexual stimulation.2
    • How common is male anorgasmia?
      Anorgasmia is thought to affect around 8% of people with penises. The risk increases with age.1
    • What is situational anorgasmia?
      Situational anorgasmia is the inability to achieve orgasm in specific sexual situations, such as during oral sex.
    • What are medical causes of male anorgasmia?
    • There are many physiological explanations for male anorgasmia. The most common are:

      • Low testosterone (often age-related)
      • Uncontrolled high blood pressure
      • Prostate surgery or radiation
      • Alcohol or substance abuse
      • Cauda equina syndrome, a rare spinal cord condition
      • Neurologic disorders like diabetic neuropathy
    • Can medications cause male anorgasmia?
      Yes. Among the most common causes of male anorgasmia are antidepressants called selective serotonin reuptake inhibitors (SSRIs). These include Celexa (citalopram), Lexapro (escitalopram), Paxil (paroxetine), Prozac (fluoxetine), and Zoloft (sertraline).
    • Are there psychological causes of anorgasmia?
      Yes. Sexual trauma, performance anxiety, depression, and other psychological issues may cause anorgasmia.
    • How do you diagnose male anorgasmia?
      To help pinpoint the cause, healthcare providers often take a blood test to detect any hormonal or metabolic abnormalities, conduct in-office tests to evaluate penile skin sensitivity and erectile function, and possibly make a referral to a mental health professional.

      Complete Article HERE!

    What vaginal changes can a person expect after giving birth?

    A person can expect vaginal changes after giving birth. Common changes include perineal pain, pain during sex, bleeding, and vaginal dryness.

    by Tabitha Britt

    According to the United Kingdom’s National Health Service (NHS), it is not unusual for people to notice new and uncomfortable vaginal changes after giving birth.

    To ensure a safe recovery, people should have several postpartum checkups with their OB-GYN, with the first checkup being within 3 weeks of delivery. Postpartum care is an ongoing process and requires more than a single visit.

    This article will discuss the vaginal changes a person can expect after giving birth. It will also cover tips for postpartum recovery.

    The NHS notes that it is normal for a person’s vagina to appear wider than it did pre-birth. The swelling and openness should subside in a few days.

    Even so, vaginal laxity is a common complaintTrusted Source among those who have recently given birth.

    Tips

    Although a person’s vagina may not return to its pre-birth shape, this is not a cause for concern.

    However, people can try pelvic floor exercises, or Kegel exercises, to help tone the vaginal muscles. This can help prevent urinary incontinence.

    This may also help sex to feel more pleasurable. However, sexual pleasure is complex and there are many factors that can affect it.

    If a person finds that they are experiencing difficulties with sexual pleasure or are concerned about the width of their vagina, they should contact a healthcare professional.

    The American College of Obstetricians and Gynecologists (ACOG) does not recommend elective plastic surgery, vaginoplasty, or radio-frequency or laser procedures. The Food and Drug Administration (FDA) has not approved these for postpartum vaginal laxity.

    Some sources refer to these procedures as “vaginal rejuvenation,” which is a marketing term and not a medical condition.

    Postpartum vaginal dryness is commonTrusted Source and normal, particularly for those who are nursing.

    Vaginal dryness results from low estrogen, and those who are nursing have lower levels of estrogen than those who are not nursing.

    It can make sex uncomfortable or painful and may cause some light bleeding.

    Tips

    According to the NHS, once a person stops nursing and their periods have returned, the estrogen count should revert to pre-pregnancy levels and any noticeable vaginal dryness should improve.

    In the meantime, people can try the following to ease any discomfort:

    • taking estrogen supplements
    • avoiding douches and personal hygiene sprays
    • staying hydrated
    • applying a vaginal moisturizer
    • using a lubricant during sex or foreplay
    • communicating with their sexual partner

    According to the ACOG, the type, intensity, and duration of pain and soreness will vary from person to person. However, the NHS notes that most people should improve within 6–12 weeks after birth.

    People may experience one or more of the following symptoms after childbirth:

    • cramping
    • back, neck, or joint pain
    • soreness in the perineum, which in females is the area between the vagina and anus
    • swollen or sore breasts

    Those who underwent an episiotomy, which is when a doctor makes an incision in the perineum to widen the vaginal opening, or had perineal tears, may need stitches.

    The NHS notes that approximately 9 in 10 people who undergo a vaginal birth for the first time will have a tear, graze, or episiotomy. Stitches should heal within 1 month after delivery.

    Tips

    Mild vaginal tears that occur during delivery can take a few weeksTrusted Source to heal.

    To help with the pain in the meantime, a person can:

    • take over-the-counter (OTC) medications, such as ibuprofen
    • sit on a padded ring
    • apply an ice pack to cool the area

    Anyone who is concerned about the healing process and pain should consult a doctor or midwife before taking any OTC pain relievers.

    According to the ACOG, some bleeding and discharge after delivery is normal. It may first appear bright red in color and become lighter and pinker in color within a few days. Over time, the flow will decrease and eventually stop.

    Some may experience postpartum vaginal discharge that lasts for a few weeksTrusted Source.

    People who experience excessive bleeding should seek immediate medical attention as it could be a sign of postpartum hemorrhage or uterine atony. Healthcare professionals define excessive bleeding as filling more than two pads per hour for more than 1–2 hours.

    According to BMC Pregnancy and ChildbirthTrusted Source, postpartum hemorrhage is the leading direct cause of maternal morbidity and mortality worldwide.

    Tips

    Postpartum discharge is an inevitable part of the healing process.

    To make things easier, a person should avoid using tampons until after their 6-week postnatal check. They can also use sanitary pads until the discharge stops.

    People will experience some postpartum bleeding or lochia after giving birth.

    Lochia contains mucus, white blood cells, tissue, and blood. The womb sheds this menstrual-period-like mixture of fluid and tissue so the body can replace its uterine lining after delivery.

    The ACOG notes that it will usually occur within 24 hours after giving birth, but it may happen up to 12 weeks later.

    According to the Office on Women’s HealthTrusted Source, lochia appears heavy and bright red before becoming lighter in flow and color.

    Individuals who lose more than 1000 milliliters of blood within 24 hours of giving birth should seek medical attention immediately as it could be a sign of a postpartum hemorrhage.

    Those who are interested in reconnecting with their partner on a physical level may experience dyspareunia or pain with sex.

    According to a 2018 studyTrusted Source, 37.5% of people reported pain with sex 6 months postpartum, while 46.3% reported a lack of interest in sexual activity.

    While there is no timeline as to when a person can have sex again after giving birth, most doctors recommend that people wait 4–6 weeks following vaginal delivery.

    Those who had an episiotomy or perineal tear should wait until the site has completely healed, as having sex too soon can increase a person’s risk of postpartum hemorrhage and uterine infection.

    Learn more about when a person can have sex after being pregnant here.

    Tips

    People can try the following to help alleviate any pain or discomfort during postpartum sex:

    • Taking things slowly and starting with other intimate activities first, such as a massage, oral sex, or mutual masturbation.
    • Considering using a water-based lubricant during sexual activity.
    • Communicating with their partner about the pain they are experiencing and which activities are pleasurable and which are not.

    Those who continue to feel pain during sex should contact a healthcare professional.

    If a person’s vaginal canal is unable to stretch far enough to deliver the baby, the perineum may tear or the doctor will perform an episiotomy.

    Excessive, raised, or itchy scar tissue may form around the tear or incision area.

    Those who are concerned about perineal tears can massage their perineum within the last few weeks of pregnancy to reduce their chances of requiring an episiotomy.

    A person should talk with a healthcare professional regarding the best way to massage the perineum.

    While some people may experience heavier, longer, or more painful periods following delivery, others may find that their periods improve.

    Those who bottle-feed or combine bottle feeding with nursing may have their first period 5–6 weeks after giving birth.

    According to the ACOG, people who are not nursing should begin ovulating within a few weeks of childbirth. There may be a delay to ovulation for up to 6 months for people who are nursing.

    Learn more about the first period after having a baby here.

    Within the first few days after giving birth, some people may experience pain or burning while urinating.

    Urinary incontinence is also common during pregnancy and after childbirth.

    According to the Urology Care Foundation, the number of children a person has, from both cesarean and vaginal delivery, may increase their risk for urinary incontinence. In addition, people who have urinary incontinence during pregnancy are more likely to have it after childbirth.

    Postpartum urinary incontinence usually goes away once a person’s pelvic muscles regain their strength. People who experience long-term incontinence should contact a healthcare professional.

    Tips

    People can try the following to ease their discomfort:

    • drinking water
    • running water in the sink while using the bathroom
    • soaking in a warm bath
    • doing Kegel exercises to strengthen their pelvic muscles

    People can experience difficultyTrusted Source with orgasm after childbirth.

    This may occur as a result of:

    People who are having difficulty achieving orgasm or experiencing sexual dysfunction after giving birth should contact a doctor to see if an underlying condition could be exacerbating the issue.

    Pregnancy increases the body’s production of estrogen and progesterone.

    This influx of hormones leads to increased blood flow, which may cause the labia to darken.

    These changes may be temporary or permanent, depending on the person.

    The postpartum period begins after a person gives birth, lasting 6–8 weeksTrusted Source. It ends when the person’s body has almost returned to its pre-pregnancy state.

    A 2021 article notes that the postpartum recovery period is likely to be longer than 6 weeksTrusted Source. However, there does not appear to be a consensus among healthcare professionals.

    An older article from 2010 notes that the postpartum period consists of three phases. Healthcare professionals refer to the last phase as the delayed postpartum period, which can last for 6 monthsTrusted Source.

    During this recovery period, a person should ensure that they:

    • Attend every checkup: According to the ACOG, checkups can help to ensure a person’s physical, mental, and emotional health are on the right track. It recommends that healthcare professionals provide 12 weeks of postpartum support.
    • Eat a well-balanced diet: To fight off fatigue and constipation, people should aim to eat a combination of complex carbs, protein, and fiber. Drinking plenty of fluids, participating in light exercise, such as walking, and using the bathroom when the urge comes can also prevent constipation.
    • Rest: Rest is an essential part of recovery. New mothers should get plenty of rest in the first 2–3 weeksTrusted Source after childbirth.

    Learn more about postpartum recovery and what to expect.

    After birth, a person can expect changes to their vagina, including:

    • vaginal width
    • vaginal dryness
    • soreness
    • discharge
    • bleeding
    • pain during sex
    • scar tissue
    • urinary incontinence
    • difficulty achieving orgasm
    • changes in the color of the vulva and vaginal opening

    Healthcare professionals define the postpartum recovery period as the first 6 weeks after giving birth. The time it takes to recover will vary depending on the person. Those who have ongoing or severe symptoms should contact a doctor.

    Complete Article HERE!

    What’s The STD Knowledge Gap & Why Is It An Issue For Women’s Health?

    By Alice Broster

    Sex and health education has changed a lot over the last few decades. Depending on where you grew up, it’s more than likely that the syllabus being taught in schools now bears little to no resemblance to what was on offer when you were there. However, this has serious implications for your health and wellbeing as you get older. While the Centers for Disease Control and Prevention (CDC) has reported that sexually transmitted diseases are on the rise in the US and the UK, research has found that British and American adults are experiencing a knowledge gap when it comes to STDs, perhaps due to a lack of educational programming. 

    Both the US and UK are seeing spikes in chlamydia, gonorrhea and syphilis. Along with a decline in condom use, the CDC reports that STD programming at the state and local level is lacking, and fewer people are receiving care due to budget cuts. Research conducted by the Superdrug Online Doctor found that when answering their 16 question STD quiz, the average score in the US was 35% and it was lower at 31% for UK respondents. That constitutes a fail in most high school health classes. Millennials had the most competent STD knowledge with their score averaging at 36% and Gen Z has the most to learn, with an average score of 30%.

    42% of Americans could identify one symptom of chlamydia and women were more aware of how it could manifest. 66% of female respondents knew it doesn’t always show signs, compared to 47% of men. Superdrug Online Doctor attributed this to the fact that doctors have publicized the fact the chlamydia can be asymptomatic in women and can cause serious fertility issues, such as premature births and ectopic pregnancies.

    Sex education isn’t standardized and no matter how open you are, there’s still taboo attached to certain conditions. “Talking about sexual health is often difficult for people as it’s such a personal and intimate issue. That’s why there’s always been a lot of misinformation and urban myths going around,” says Dr. Babak Ashrafi, at Superdrug Online Doctor, “the more we open up about sexual health and destigmatize it, the better informed we’ll all be.”

    The prospect of contracting a sexually transmitted disease is scary but there are so many precautions you can take. Condoms are about 98% effective at preventing pregnancy and also protect you against most STDs. However, 63% of Americans and 54% of Brits thought wearing a male and female condom would be extra effective. This is a myth and might reduce its effectiveness.

    If you’re sexually active you also have to take responsibility for your sexual health. “The key is accessibility. Restrictive opening hours or long waiting times can deter people from getting issues checked out, which can, in turn, see symptoms worsen and infections spread further due to delayed treatment,” says Dr. Simran Deo at UK-based online doctor, Zava UK, “this can in some cases lead to the need for more invasive treatments and can have an impact on fertility and general wellbeing. There is also the issue of embarrassment, many people are hesitant to speak to a doctor or medical professional about their sexual health, or would simply rather not know. Increasing awareness of online services and test-kits is a really good way to combat these accessibility issues.”

    Walk-in centers, your gynecologist, online doctors and nonprofit organizations can provide crucial information to help you get clued up on the symptoms and consequences of STDs. They also provide crucial testing services. However, as many people are still in self-isolation during the COVID-19 pandemic and going to your doctor is ill-advised, using online resources is your best option at this time. “Our doctors at Superdrug Online Doctor are all on hand to offer personalized, confidential advice to anyone who needs it. Just message us through your account with your questions. Otherwise, your GP or local sexual health clinic are excellent sources of information, where you can also get the tests you need,” says Dr Ashrafi.

    Just because you’re in lockdown during the COVID-19 pandemic doesn’t mean you have to let your sexual or reproductive health suffer. STDs are on the rise in the US and UK and as some can leave you with long-lasting medical complications or even infertility it’s so important to empower yourself with knowledge.

    Complete Article HERE!

    Can Xanax Cause Erectile Dysfunction?

    By Laura Dorwart

    Xanax (alprazolam) can cause sexual side effects, including low libido (sex drive) and erectile dysfunction (ED).1 Xanax is a prescription medication used to treat anxiety disorders, such as generalized anxiety disorder (GAD) and panic disorder. It is also sometimes used to treat insomnia, muscle spasms, and seizures.2

    Xanax belongs to the benzodiazepine drug class, which works by slowing down central nervous system (CNS) activity. Some of the most common side effects of Xanax include drowsiness, dry mouth, irritability, dizziness, headache, and difficulty concentrating.2

    This article will discuss why Xanax causes sexual dysfunction for some people, how to manage Xanax and ED, and more.

    Does Xanax Cause ED?

    Many prescription medications used to treat mental health conditions have sexual side effects. Recent research shows that Xanax (alprazolam) has been linked to erectile dysfunction (ED). ED can involve difficulty getting or sustaining an erection, abnormal ejaculation, and delayed or diminished orgasms.3

    In clinical trials, people who were taking Xanax for symptoms of panic disorder experienced sexual dysfunction. Of the people who took Xanax, 7.4% reported having sexual side effects compared to 3.7% of people who were given a placebo (an inactive pill).4

    In another study, people with panic disorder symptoms experienced a reduced sex drive, orgasm dysfunction, and ED when taking Xanax.5 Results from a Boston Area Community Health Survey in 2013 also associated long-term benzodiazepine use with increased ED symptoms among people aged 30 to 79.1

    Xanax Sexual Side Effects

    Xanax has been linked to a number of possible sexual side effects, including:

    The risk of sexual side effects from Xanax may increase for people who take it more often, for a longer period of time, and/or at a higher dose. A 2018 case study revealed that higher doses of alprazolam could raise the risk for anorgasmia among male patients.6

    Causes of Erectile Dysfunction

    It’s not entirely clear why Xanax sometimes causes ED. However, researchers believe that the answer could be related to how the drug affects the central nervous system (CNS). 

    Benzodiazepines like Xanax work by slowing down CNS activity and increasing the levels in the brain of certain neurotransmitters (chemicals that carry signals between nerve cells), specifically dopamine and gamma amino-butryric acid (GABA)—a neurotransmitter that acts as a sort of sedative.7

    While this mechanism effectively reduces stress, it may have the same inhibitory effect on libido and sex drive. Low libido can lead to ED and other kinds of sexual dysfunction.

    Even if your ED symptoms started around the time you began taking Xanax, it’s possible that your symptoms are due to another physical or mental health condition. Other common causes for ED may include:3

    Most people take Xanax to treat symptoms of anxiety and other mental health conditions. Because anxiety and depression have both been linked to (and can exacerbate) ED, it’s important to address your underlying conditions as well as any sexual side effects you might experience from Xanax.8

    Managing Erectile Dysfunction on Xanax

    There are several possible ways to manage Xanax-related sexual dysfunction, including:

    • Lowering your dose: Under the supervision of your healthcare provider, you might be able to take a lower dose of Xanax to decrease the severity of sexual side effects.6
    • Taking Xanax less frequently: Chronic and frequent use of benzodiazepines is linked to higher rates of ED.1 Taking Xanax less often may improve your sexual functioning. Discuss your dosing schedule with your healthcare provider.
    • Switching to another medication: Your healthcare provider might be able to prescribe another antianxiety medication with a lower risk of ED.
    • Taking medications for ED: Taking prescription medications to treat ED may counteract the sexual side effects of Xanax.
    • Treating underlying conditions: Treating the symptoms of underlying conditions, such as anxiety and depression, can improve your overall sexual health.

    Talk to Your Healthcare Provider

    If you experience ED or other sexual side effects while taking Xanax, talk to your healthcare provider. They may be able to prescribe another medication, lower your dose, or refer you to another specialist who can help.

    Summary

    Xanax (alprazolam) is a common prescription medication that belongs to the class of drugs known as benzodiazepines. Usually, Xanax is prescribed to treat anxiety disorders and panic disorder. It may also be prescribed to treat seizures, insomnia, and muscle spasms.

    Some people who use Xanax report experiencing sexual side effects. In addition to erectile dysfunction (ED), some people with Xanax experience reduced sex drive, anorgasmia, problems with ejaculation, and orgasm dysfunction. These sexual side effects may be due to the drug’s effects on the central nervous system.

    People who experience ED while taking Xanax should talk to their healthcare provider about how their treatment could be modified to reduce this side effect.

    A Word From Verywell

    If you are experiencing sexual side effects while taking Xanax, don’t be afraid to reach out to your healthcare provider. They can offer alternatives and other solutions to help you treat your condition while improving your sexual functioning.

    Frequently Asked Questions

  • How does antidepressant medication cause erectile dysfunction?
    Antidepressant medications and other psychotropic drugs can cause erectile dysfunction (ED) by affecting the activity of hormones and neurotransmitters. For example, selective serotonin reuptake inhibitors (SSRIs) may cause sexual side effects due to the drug’s impact on serotonin, dopamine, and testosterone levels.9

    Xanax (alprazolam), which is usually prescribed to treat anxiety, may cause ED and reduce sexual drive by slowing down central nervous system activity.7

  • What are the other side effects of Xanax?
    In addition to sexual side effects such as erectile dysfunction and low libido, Xanax can cause side effects like headache, drowsiness, irritability, difficulty concentrating, difficulty urinating, dizziness, nausea, constipation, and changes in appetite.

    More severe side effects may include difficulty breathing, skin rashes, problems with speech or coordination, seizures, and disorientation.2 If you have any of these side effects, seek medical attention immediately.

  • Does Xanax lower testosterone?
    It’s unclear exactly how Xanax (alprazolam) affects testosterone levels, as research is limited. The only study found was an older one on rats that showed Xanax did not affect testosterone levels.10

    Complete Article HERE!

  • Enjoying Sex, One of Life’s Not-so-Simple Pleasures

    by Brittany Foster

    “There were nights of endless pleasure. It was more than any laws allow.”

    Celine Dion’s “It’s All Coming Back to Me Now” is a classic. As I sang along, I couldn’t help but wonder, what kind of sex is Celine Dion having, and where can I sign up? One of life’s greatest pleasures is pleasure itself, but why can this sometimes feel impossible to achieve?

    Living with a rare disease can feel like a hindrance to achieving an orgasm. Emotional dysregulation, physical pain, and loss of libido frustratingly complicate that toe-curling and back-arching feeling of whole-body bliss.

    Although I am still wondering what the secret is to having those “nights of endless pleasure,” I have learned more about myself and my body in the last few years, which has helped strengthen my ability to have an orgasm. I’ve learned the importance of listening to my body, respecting and trusting my physical cues, and getting in touch with myself.

    Some days, it is easier for me to ignore my body. Listening to it would mean that I have to acknowledge the hurt and pain. There was a long period of my life when I chose not to listen to my body. I was afraid of admitting when things felt too painful. I distanced myself from my body, and that strategy seemed to work. Ignorance was bliss until it wasn’t.

    Numbing myself physically and emotionally just created a larger disconnect between my body and mind. This distance doesn’t help when it comes to physical pleasure and sex. Eventually, I started paying attention to how my body felt in the moment. Focusing on the most sensitive areas helped me to be present and created less distance between my body and mind.

    Not only is listening to my body helpful when it comes to achieving powerful orgasms, but trust and respect are equally important. Trusting and respecting myself are half the battle. With rare disease and chronic illness, it is not uncommon to feel upset at my body for being so untrustworthy. My body is inconsistent, deceiving, and unpredictable.

    If these were qualities of a partner, it would feel toxic. Instead of focusing on these inconsistencies, I’ve found it helpful to practice gratitude for the things my body can do every day, even if it’s a small victory. When it comes to pleasure, it’s necessary for me to have self-confidence and appreciation for what my body is capable of.

    Mind-blowing orgasms can’t happen without communication. For me to communicate what my needs are, I first have to understand them myself. Getting in touch with myself and my physical desires has made a difference in the way I talk about my needs with a partner. It has given me confidence to speak up, which is something I have always struggled with.

    Self-exploration is vital when it comes to pleasure. I have experimented with different lubrication, pressure, speeds, temperatures, textures, vibrations, and more. What feels right in one moment might not be suitable for another. Making time for myself and learning about my body are forms of self-care that shouldn’t be so shameful to talk about.

    I may not be at the level of “nights of endless pleasure” yet, but I have had hours of it broken up into multiple rounds. Sexual pleasure does not always come easily, especially for those living with rare and chronic illness. I have had to shorten the disconnect between my body and mind, learn to trust that my body was capable of more, and had to explore what felt right.

    Even though I am living with a rare disease, I still deserve to enjoy one of life’s simple pleasures: pleasure itself.

    Complete Article HERE!

    Why You Have Headaches After Sex

    By Lauren Evoy Davis

    Headaches can be used as a reason to postpone sex, “not tonight honey, I have a headache.” However, in rare circumstances, sex can be the cause of a headache. These sex headaches happen moments before or at the peak of sexual excitement, the orgasm. They can happen during solo sex or sex with a partner.

    Sex-related headaches are more likely to occur in people who experience migraines and tend to affect more men than women.1

    This article will clear up some of the confusion about what a sex-related headache is and how to get relief.

    Sex headaches are a very rare occurrence, afflicting 1% to 6% of the general population.2< This headache can occur right before or immediately after orgasm and last anywhere from one hour to 24 hours. The pain varies from mild to severe, according to American Migraine Foundation (AMF).3

    These headaches can be a symptom of another health ailment such as a tumor or a stroke, but other times they’re not related to anything definitive.4

    Sex Headaches in Men

    Men are about four times more likely than women to experience sex headaches.1

    Types

    There are a few types of sex headaches that people experience:

    Orgasm Headache

    The orgasm headache may start with a dull ache in the head, neck, and jaw that intensifies with sexual excitement and concludes with a sudden and severe headache at the point of orgasm.

    Sexual Benign Headache

    The sexual benign headache is a response to an increase in blood pressure during sexual activity. The pain may start around or behind the eyes. It usually lasts a few minutes, but can last for hours.

    The headache is usually made worse by movement and can have similar symptoms to a migraine, such as sensitivity to light and nausea.5

    Causes and Risk Factors

    According to the American Migraine Foundation, the pre-orgasmic or organismic headache is a “primary” headache, meaning that it isn’t caused by another condition or disorder.3hemorrhage) or are at risk of stroke.1

    Much like other genetic conditions, some studies show that sex-related headaches can run in families. Knowing your family history for all sorts of health conditions can be an important part of learning about your own health issues.1

    People who are overweight or have high blood pressure are at a slightly higher risk of these headaches.1

    It’s best to have a doctor examine you and perform tests to rule out anything unusual.

    Diagnosis

    If you’re experiencing sex headaches, your healthcare provider may order blood tests and a CT scan or a MRI to make sure there are no other underlying causes for your symptoms.

    Treatment

    Treatment may depend on the type of headache that you have.

    • Over-the-Counter (OTC) Drugs: OTC pain relievers like ibuprofen can help manage headache symptoms.
    • Indomethacin: This nonsteroidal anti-inflammatory drug (NSAID) requires a prescription and can be taken prior to sexual activity. Side effects include the risk of fatal heart attack or stroke.6
    • Propranolol, metoprolol, or nadolol: These are beta-blockers that lower blood pressure and require a prescription. Side effects include rash, blurred vision, insomnia, hair loss, muscle cramps, and fatigue.

    Ironically, sexual activity may also relieve the searing pain you’re feeling after the last orgasm.

    How Can I Prevent a Sex Headache?

    These types of headaches come on suddenly. There are no known prevention methods. If someone who gets migraines is also experiencing sex headaches, they should avoid known migraine triggers such as alcohol, caffeine, and irregular sleep schedule, and artificial sweeteners.7

    Summary

    Sex headaches can occur right before orgasm or right after orgasm during solo sex, or sex with a partner. They may be sporadic and not occur during every enounter. People who are susceptible to migraine headaches are also at risk for sex-related headaches. Men are 3 to 4 times more likely to experience a sex headache.1
    There are some medications available that you can be prescribed to take before sexual activity to offset a headache.

    A Word From Verywell

    Sex is heart-healthy and good for overall emotional and physical health.8

    However, a sex-related headache can be painful and scary. If sexual activity causes pain like severe headaches during or immediately after orgasm, schedule an appointment with your healthcare provider right away to rule out other conditions

    Your provider will ask you questions to learn more about your symptoms and how often these headaches occur to determine the root cause. They may ask if you get migraines or if other family members experience these types of headaches.

    If sex headaches occur with some frequency, it might be a good idea to keep a journal of dates and times of these occurrences.

    Frequently Asked Questions

    • Can sex cure a headache?

      Yes. In some cases, sexual activity that leads to an orgasm can alleviate a headache. In other cases, it can make it worse. It depends on the individual.

    • What types of sex headaches are there?

      An orgasm headache may start with a dull ache in the head, neck, and jaw that intensifies with sexual excitement and concludes with a sudden and severe headache at the point of orgasm. A sexual benign headache is a response to an increase in blood pressure during sexual activity.

    • What home remedies are there for headache relief?

      Try keeping the lights dim, drinking water, and taking OTC pain relievers like ibuprofen to treat a headache.

    Complete Article HERE!

    Death during sex isn’t just something that happens to middle-aged men, new study finds

    By

    Sex has many beneficial physical and psychological effects, including reducing high blood pressure, improving the immune system and aiding better sleep. The physical act of sex and orgasm releases the hormone oxytocin, the so-called love hormone, which is important in building trust and bonding between people. But there’s a dark side: people sometimes die during or shortly after sex. The incidence is, thankfully, extremely low and accounts for 0.6% of all cases of sudden death.

    There are many reasons why this happens to people. In most cases, it is caused by the physical strain of the sexual activity, or prescription drugs (drugs to treat erectile dysfunction, for example), or illegal drugs, such as cocaine – or both.

    The risk of any sudden cardiac death is higher as people age. A forensic postmortem study from Germany of 32,000 sudden deaths over a 33-year period found that 0.2% of cases occurred during sexual activity. Sudden death occurred mostly in men (average age 59 years) and the most frequent cause was a heart attack, also known as myocardial infarction. Studies of sudden cardiac death and sexual activity from the US, France and South Korea show similar findings.

    Person snorting cocaine.
    Cocaine can increase the risk of sudden cardiac death during sex.

    Not just the middle-aged men

    Recently, however, researchers at St George’s, University of London, found that this phenomenon is not just limited to middle-aged men. The study, which is published in JAMA Cardiology, investigated sudden cardiac death in 6,847 cases referred to the centre for cardiac pathology at St George’s between January 1994 and August 2020. Of these, 17 (0.2%) occurred either during or within one hour of sexual activity. The average (mean) age of death was 38 years, and 35% of the cases occurred in women, which is higher than in previous studies.

    These deaths were typically not caused by heart attacks, as seen in older men. In half of the cases (53%), the heart was found to be structurally normal and a sudden abnormal heart rhythm called sudden arrhythmic death syndrome or Sads was the cause of death. Aortic dissection was the second largest cause (12%). This is where the layers in the wall of the large artery from the heart supplying blood around the body tear and blood flows between the layers causing it to bulge and burst.

    The remaining cases were due to structural anomalies such as cardiomyopathy (a disease of the heart muscle that makes it harder for the heart to pump blood to the rest of your body), or from a rare group of genetic conditions known as channelopathies. This is where the ion channels that let sodium and potassium in and out of the cells in the heart muscle don’t work properly. The change to the sodium and potassium in the cells can alter the electrical current through the heart muscle and change the way it beats. An altered heart rhythm can cause a lack of oxygen (myocardial ischemia) and can lead to a sudden cardiac arrest where the heart stops beating.

    This new study suggests that sudden cardiac death in people under the age of 50 is mainly due to sudden arrhythmic death syndrome or cardiomyopathies. Younger adults who have been diagnosed with these conditions should seek advice from their cardiologist on the risk associated with sexual activity. However, the low incidence of death in these studies suggests the risk is very low – even in people with existing heart conditions.

    Complete Article HERE!

    Should You Come Out To Your Doctor?

    Here’s Why Your Doctor Needs To Know If You’re LGBT+


    By Laken Brooks

    In 2017, Jaden Fields went to the gynecologist. Jaden worried that he might have fibroids or another serious medical issue, but the gynecologist dismissed both Jaden’s physical pain and his gender identity. Jaden is a transgender man and health advocate, and he recollects his experience in an Insider article: “The doctor said it’s a shame I would never be able to have children because ‘this kind of thing [gender-affirming hormone treatment] makes people sterile.’ Even though I came in complaining of pain in my uterus and was concerned about fibroids, she didn’t believe me and said maybe it wasn’t as bad as I claimed.”

    The threat of medical discrimination often dissuades LGBTQ+ people from coming out to medical professionals. Closeted patients may miss out on valuable health information if they don’t inform their doctor about their gender identity, sex, and sexual orientation.

    Should LGBTQ+ patients come out to their doctors? How can your practitioner offer you better medical care when they know about your gender identity and your sexual orientation?

    Why Some LGBTQ+ People Dread Medical Appointments

    An LGBTQ+ person may hesitate to come out to their gynecologist if they worry that their doctor will treat them unfairly based on their gender identity or sexual orientation. For example, Jaden told Insider that he had been mistreated during gynecologist visits on several occasions: “For years, I hadn’t been to the gynecologist because I didn’t want to go through the kinds of experiences I’ve had with medical providers in the past, like being misgendered, asked invasive questions, and not being given clear answers to [my medical] concerns.”

    Jaden’s experiences are part of a larger problem of transphobia and homophobia in the healthcare industry. Axios reports that over ⅓ of LGBTQ+ Americans say that they’ve had a negative experience at a doctor’s office. These experiences can include traumatic situations like sexual harassment, being misgendered, doctors who are uneducated about LGBTQ+ issues, and doctors who outright refuse to treat LGBTQ+ patients. LGBTQ+ people may feel even more uncomfortable when they’re visiting a gynecologist. Many doctors prioritize treating fibroids, endometriosis, and other menstrual conditions when these illnesses are prevent a woman from having biological children.

    This narrow focus on fertility and gender may isolate LGBTQ+ people. Jaden says, “My experience with that gynecologist soured me on even thinking about my reproductive health.” Many LGBTQ+ people report avoiding preventative treatments and gynecological screenings because they fear that they, too, will be judged, harassed, or misunderstood by their doctor. But when LGBTQ+ people don’t feel comfortable being open and honest with their doctors, they may not receive the reproductive care that they need.

    The Potential Benefits of Coming Out to Your Doctor

    If LGBTQ+ people worry about medical discrimination, they may wonder why they would need to risk coming out to their doctor in the first place. Some transgender men like Jaden may avoid visiting a gynecologist because the appointment may trigger gender dysphoria. If you’re a trans man, that distress can spike when someone refuses to call you by your pronouns or when a practitioner refers to your uterus as “women’s parts.”

    However, your doctor needs to know about your gender, sex, and sexuality to provide you with the best possible care. Different people need different doses of medicine depending on their metabolism. Sometimes, biological sex can impact the way your body reacts to medication. People who have vaginas tend to have more body fat than people born with penises; medication that is “fat-soluble” may take more or less time than expected to take effect. However, people who have penises may respond better to antifungal medicines because these patients have more gastric acid than patients who have vaginas.

    If a transgender person has menstrual problems or pelvic pain, they may wait to seek medical care until their symptoms become unbearable. But that patient may have a serious chronic condition. If a chronic illness like endometriosis is causing that patient’s pain, it is vital that they seek early diagnosis to prevent further tissue damage in the uterus, bowels, and other organs. Illnesses can worsen over time when they are left untreated, and living in pain can reduce a patient’s quality of life. When a transgender patient trusts that they will receive equal care, without discrimination, that patient may be more likely to seek prompt medical care.

    Sexually active LGBTQ+ patients who have a supportive doctor may feel more comfortable asking questions about safe sex and STI tests.

    Patients who are on hormone therapy will also need to consult their gynecologist. Some transgender men and nonbinary people opt for testosterone treatments. Patients can take testosterone alongside hormonal birth control or other hormone therapies. But if a gynecologist does not know that their patient is taking testosterone, they may accidentally prescribe unsafe or ineffective hormone treatments.

    Resources for LGBTQ+ Patients

    Gynecology visits can be vulnerable and distressing, especially for LGBTQ+ people. Coming out is a difficult choice. Some patients may not feel like they can trust their doctor with this personal information. If you’re seeking a supportive doctor in your area, consider asking your local LGBTQ+ center for recommendations. Some LGBTQ+ health centers provide gynecological exams, chest cancer screenings, and other gender-inclusive medical visits.

    Complete Article HERE!

    This Is What Happens to Your Body When You Stop Having Sex

    By Natalie Arroyo Camacho

    Partnered and solo sex can offer a multitude of health and wellness benefits. To name just a few, having sex can be an antidote to PMS symptoms, it can help put you in a better mood (especially if you have afternoon sex), it can boost heart health, and it can relieve symptoms of anxiety. But if having sex offers all of these well-being perks, are there also effects of not having sex or stopping having sex?

    Crucially, not every person experiences sexual attraction, so for folks on the asexuality spectrum, the simple answer to that question is a plain-old no. However, if you’re someone who does have sex and, more crucially, wants to have sex, there may be a few effects to know about with regards to not participating in regular sessions (whether solo or partnered).

    “Long-term dry spells may predispose [people] to depression, anxiety, and increased stress,” says fertility specialist and board-certified OB/GYN Lucky Sekhon, MD. That’s in large part because our brain is deprived of the endorphins (or happy hormones) released during sex, like oxytocin and dopamine. But there are other ways to boost endorphins if you’re not having sex.

    Moreover, because sex is a physical act, you can reap benefits of exercise by engaging, says sexologist Carol Queen, PhD. “The longer it lasts, the more often you have it, and the more vigorous you get, the more effect it will have,” says Dr. Queen. “It can raise your heart rate and [it] supports blood flow—so it can be good for your heart.” Of course, again, in the absense of sex, there are all kinds of lifestyle habits you can stick to in order to benefit your cardiovascular system, so if you stop having sex, you’re hardly relegated to decreased heart health.

    With that in mind, read on to learn seven possible effects of not having sex (partnered or solo), according to sexual health experts.

    1. Experiencing aches and pains

    “Sex can be an effective remedy for pain, such as menstrual cramps, sore muscles, or headaches,” says sexologist Rebecca Alvarez Story, founder of the intimacy marketplace Bloomi.

    2. Increase in blood pressure and stress levels

    “If you’re not having sex or engaging in other forms of exercise, you may see a rise in your [blood pressure and stress levels],” says Story. “Also, if you aren’t getting ‘that release’, your stress levels may rise, which can cause a decrease in mood.”

    Just as with the examples of symptoms of anxiety and heart health mentioned above, if you do stop having sex, you can be mindful to exercise in ways other than sexual activity as a means to level your blood pleasure and stress.

    3. Tightening of the vaginal canal for folks going through menopause

    “Long periods of time without regular intercourse can lead to tightening of the vaginal canal [during menopause], which can lead to thinning of vaginal tissue and predisposition towards tearing [and] bleeding during sex,” says Dr. Sekhon.

    4. Decreased prostate health

    According to a 2016 longitudinal study in European Urology, ejaculation frequency and risk of prostate cancer are inversely related. More specifically, prostate-havers who ejaculated fewer than seven times a month were more likely to be diagnosed with prostate cancer than those who ejaculated approximately 20 times a month.

    Remember, the experts agree that solo sex and partnered sex—so long as it’s consensual, safe, and enjoyable—offer similar benefits. So, consider masturbating for the sake of your prostate, even if partnered sex isn’t on the table.

    5. Spontaneous arousal levels may drop

    A small 2014 study of 174 people published in The Canadian Journal of Human Sexuality found that engaging in sex on day one actually makes you crave it more on day two.

    And according the Dr. Queen, the inverse—that an effect of not having sex may lead you to want less sex in general—may also be true. “For some, this will have the effect that it becomes harder to get turned on, even if you want to.”

    6. The pelvic floor may not stay in shape

    All human beings have a pelvic floor, and not having sex can compromise its strength. This, in turn, can affect your ability to have and the intensity of future orgasms, says Dr. Queen. “If you try to have one, it might feel weaker, because the pelvic floor pulsing is the source of the pleasurable pulses we feel with orgasm.”

    7. Risk of lower quality sleep

    “When you experience intense pleasure from sex, the body releases a cocktail of hormones that help you fall asleep,” says Alvarez, specifying that hormones like vasopressin and oxytocin reduce stress in the body and help you fall asleep quickly. After that point, adds Alvarez Story, “norepinephrine and serotonin then help your body get into a flow of REM sleep cycles to help you stay comfortably asleep.”

    Complete Article HERE!

    New Survey Finds More than Half of Americans Report Sexual Difficulties

    National Coalition Launches New Guide to Address Sexual Concerns and Increase Pleasure

    While many predicted that widespread COVID vaccination would lead to a significant increase in sexual activity (aka “Hot Vax Summer”), a new survey found over half of Americans (ages 18-35) reported sexual difficulties during the pandemic, including low sexual interest, mismatched sex drives, and trouble orgasming. Led by Kinsey Institute Research Fellow, Dr. Justin Lehmiller, the results underscore how the COVID pandemic continues to affect our lives, even in the bedroom – and surprisingly reveals that for singles, avoiding sex altogether was the most common solution for dealing with sexual difficulties. The National Coalition for Sexual Health (NCSH), consisting of 200+ leading health/medical organizations and experts, today launched a Guide to Sexual Concerns and Pleasure to help Americans enjoy more satisfying sex lives during the ongoing pandemic and beyond.

    “A lot of people assume sexual difficulties take the greatest toll on older Americans,” Dr. Lehmiller says. “However, our study revealed that reports of sexual difficulties were unexpectedly consistent across age groups, including among younger adults. While physical health issues are more likely to cause difficulties in older populations, psychological issues often take a major toll on young adults’ sex lives. During the pandemic, young adults felt disproportionately stressed and lonely, both of which are known causes of sexual problems. Since young adults are also less likely to be in established relationships, they may be less comfortable discussing sexual matters with their partners, which can make it harder to find solutions,” Dr. Lehmiller added.

    While people in relationships still experienced sexual difficulties, they fared better overall than singles during the COVID pandemic, with 42% reporting more satisfying sex lives vs. only 20% of singles. So, what’s the secret sauce? It seems communication is key, and variety is the spice of life. As the survey showed, 47% of people in relationships increased their communication with partners to deal with sexual problems vs. only 15% of singles. And, 60% of people in relationships tried new sexual activities vs. 42% of singles. Sometimes the solution is as simple as trying new sexual activities and/or using new products, such as sex toys and lube.;

    Solid communication between partners is essential, but a good sex life starts with understanding and exploring your own body, what arouses you, and what gives you pleasure. Since pleasure is rarely included in American sex ed, and shame is often associated with talking about sex, it’s no surprise that most of us feel ill-equipped.
    The new Guide to Sexual Concerns and Pleasure, which includes many resources, is a good place to start for self-education. For many people, a pleasurable sex life is key to overall health and well-being. In fact, it can make you feel good, increase intimacy, boost your mood, reduce anxiety, improve sleep, and even decrease pain.

    And since talking about sex, and particularly pleasure, is taboo in many American families, our upbringing often doesn’t help either. “Growing up, your parents probably never taught you that sex should feel good, or that masturbating, foreplay and using a good lube could increase sexual pleasure,” according to sex therapist and certified sexuality educator Dr. Tameca Harris-Jackson. “Desire and arousal are very subjective experiences, and some people can take longer than others to get turned on. So, it’s important for people to communicate with their partner(s) about what feels good, what they like and don’t like, and revisit that regularly as sexual desires and sex drives can change over time,” explained Dr. Harris-Jackson.

    While COVID may have exacerbated sexual difficulties, biological factors such as chronic health conditions, side effects from medications, and age-related changes can also affect sexual desire and functioning. If you think your sexual concerns could be rooted in physical causes, it might be best to start by seeing a health care provider. Yet, according to this survey, only 5% of women and 13% percent of men indicated that they consulted a doctor or therapist for sexual difficulties during the pandemic.

    For instance, ongoing erectile dysfunction can be a sign of an underlying health condition like heart disease or Type 2 diabetes that needs treatment. Certain antidepressants, such as some SSRIs which increase serotonin in the brain, can reduce your sex drive or inhibit your ability to experience pleasure. A wide variety of factors – such as childbirth, breastfeeding, menopause, uterine fibroids or endometriosis, and even medications for colds, allergies and depression — can all cause vaginal dryness, which can lead to painful sex.

    “Talking about sexual concerns might feel awkward, which is no surprise, given the culture we live in. But, suffering in silence and not addressing your concerns can be even worse. If your health care provider doesn’t bring it up, you could start the conversation by saying something like, “I’m having some trouble with my sex life,” or “My sex life isn’t what I want it to be.” A good health care provider will take care of your whole body, including your sexual health. And if they don’t, it may be time to look for a new one,” according to Dr. Raegan McDonald-Mosley, MD, CEO, Power to Decide.

    While sex—in many different forms—can do amazing things for your mood, mind, and emotional intimacy with your partner(s)—common mental health conditions, such as depression, anxiety, and low self-esteem, can cause sexual difficulties. Similarly, sexual trauma can have a significant impact on a person’s emotional and physical health, often affecting sexual desire, arousal, and the ability to orgasm. And, for some, even amazing, enjoyable sex with a loving partner can be a triggering experience. Speaking about any of these concerns with a licensed mental health professional (e.g., social worker, mental health counselor, psychologist, sex therapist or a couple’s therapist) can not only help you improve your sex life, but also your overall mental health and well-being.

    “Contrary to popular belief, sex therapy is talk therapy. You keep your clothes on, and there is no physical contact. Sex therapists are licensed mental health professionals with specialized training who can help you address a variety of concerns that might be hindering your sex life, such as premature ejaculation, pain during vaginal penetration, or why sex went from exciting at the start of a relationship to feeling like a chore,” said Dr. Harris-Jackson.

    Sex therapists are trained to listen to your concerns and recommend a variety of problem-solving techniques that support your needs, including partner communication strategies, reflective and practical homework activities, and exploring new options for sexual expression. To find a sex therapist near you or one who can provide support virtually, check out the American Association of Sexuality Educators, Counselors and Therapists’ referral directory.

    Managing Expectations About Chemotherapy and Sex

    by Angelica Bottaro

    Chemotherapy and sex is a subject that many people may wonder about when they’re undergoing treatment, but oncologists rarely discuss sexuality and physical intimacy during chemotherapy with their patients.1

    Since it’s not talked about, many people have a knowledge gap about the safety of sexual activity during cancer treatment and the ways in which their sexuality might be affected by it.

    Read on to find out more about how chemotherapy can affect your sex life and how to stay physically intimate with your partner while undergoing cancer treatment.

    Is Sex During Chemo Safe?

    Having sex while you are undergoing chemotherapy (or chemo) is generally considered safe as long as certain precautions are taken. Patients receiving chemo can typically have sex, but they need to do their best to avoid situations that could affect their treatment or overall health.1

    Infections

    You may develop a low white blood cell count while you are undergoing chemo.2 This makes you more open to infections. Having sex if you have a lowered white blood cell count places you at risk for infections.

    Chemotherapy can also decrease the number of cells that bind together in your blood (platelets) to help form blood clots and prevent excessive bleeding.

    If you have sex and you have low blood platelets, you might experience bleeding that could be severe. You might also be more likely to bruise during intercourse if you have a low blood platelet count.3

    When to Talk to Your Healthcare Provider

    Ask your healthcare provider about getting blood tests to check your white blood cell and platelet counts to help determine if it’s safe for you to engage in sexual activity while you are undergoing chemotherapy.

    Exposure

    Chemotherapy drugs can make their way into saliva, semen, and vaginal secretions for up to three days following treatment. It is not clear whether chemotherapy medications can be passed sexually, but you might be more likely to expose a partner to the chemicals in chemotherapy medications if you are intimate during the first few days after treatment.

    People who are not undergoing chemotherapy but who are exposed to chemotherapy medications may experience adverse health effects such as:4

    • Skin rashes
    • Sore throat
    • Chronic cough
    • Dizziness
    • Headaches
    • Eye irritation
    • Hair loss
    • Allergic reactions
    • Increased risk of developing cancer
    • Infertility
    • Miscarriage

    Considerations

    Depending on where the cancer is located, you might be told to avoid sex while the area is healing. For example, you might need to avoid sexual intercourse if the cancer is in your genital area, urinary tract, or rectum.

    Chemotherapy may lead to painful intercourse (dyspareunia).5 You may not experience pain, but if you do, be sure to bring up this concern with your doctor. There are ways to address the pain and make intercourse more comfortable.5

    One study in women being treated for breast cancer found that when they used a liquid lidocaine compress on their genital area prior to sexual intercourse, it helped treat the pain they had been having during sexual intimacy.5

    Protection, Fertility, and Pregnancy

    If you plan to have sex while you are receiving chemo and you could become pregnant, you need to use birth control. Getting pregnant during chemotherapy can be risky because the medication increases the chances of birth defects in the developing fetus during the first trimester.

    Undergoing chemotherapy during the second and third trimesters has been associated with low birth weight and an increased risk of stillbirth.6

    Getting Pregnant After Chemo

    In some cases, chemo can cause infertility. However, many people do go on to have children after treatment.7

    If you want to conceive and have recently had chemo, you should talk to your doctor about when it will be safe for you to stop using birth control and begin trying to get pregnant.

    How Chemo Affects Libido 

    Chemotherapy can disrupt your sex drive and cause low libido. While this side effect of treatment is rarely talked about, it can severely affect your intimate relationships.8

    Sexual side effects are not seen with every type of treatment. They’re more often experienced by people who are being treated for specific cancers, such as prostate cancer, testicular cancer, and gynecological cancer, including cancers affecting the cervix, ovaries, and uterus.9

    Chemotherapy medications, in particular, have been associated with a lowered libido and can affect a person’s libido in several ways, including:

    • Medication side effects: Chemotherapy has been shown to cause low libido. Other side effects such as nausea, vomiting, and fatigue can also contribute to a lower sex drive.10
    • Body Image: Chemotherapy side effects can affect a person’s body image because of weight loss or gain, and hair loss. A person may develop low self-esteem because of these changes, and the way that a person sees themselves has a lot to do with their desire to be intimate.11

    Staying in Touch With Your Sexuality During Chemo

    Although chemotherapy can hinder your ability or desire to stay intimate with your partner, there are things you can do to help improve the experience.

    Open the Lines of Communication

    If you no longer desire sexual intimacy but do not discuss the change with your partner, they may feel rejected and unloved. You will want to be open and honest with each other about how your treatment has affected the physical aspect of your relationship.

    Having open communication can also help you brainstorm solutions to maintain a level of intimacy that is satisfactory to both you and your partner.

    Partner Play

    When you and your partner are ready to try being sexually intimate again, it’s important that you ease into it. Make use of any ideas you had in your earlier discussions.

    Remember that there is more to physical intimacy than intercourse. Exploring new ways to be with someone physically can be a fun and exciting opportunity to reignite your desire for sexual touch. If you’re having pain, try different positions that make intercourse more comfortable.12

    Going Solo 

    Sometimes it might be difficult or undesirable to be intimate with someone else. When you are feeling this way, you might want to explore your sexuality independently.

    According to the American Cancer Society, self-stimulation can help ease you back into sexual feelings as you are recovering from chemotherapy.

    It can also help you identify any areas on your body that might be sore or tender. That way, when you do go to have sexual intercourse, you will be aware of what hurts and you can communicate about these sensitive areas beforehand.12

    Resources

    One resource that you might explore with a partner is couples counseling, which can give both you and a partner insight into how the other person is feeling about the current state of your physical relationship.

    Sometimes it’s helpful to have someone else mediate conversations if the topic is sensitive. In this case, a sex therapist could help you identify and fix obstacles that have been preventing you from expressing yourself sexually.

    Seeking out a therapist who can help you overcome any body image challenges that you have after cancer treatment can help you rebuild your self-esteem. This, in turn, could increase your drive to be physically intimate.

    According to the American Psychological Association, there are many avenues that you can explore to help address lowered libido and sexual dysfunction caused by chemotherapy.13

    For example, you might try mindfulness-based approaches, psychotherapy, and couples therapy with a partner.

    Summary

    Sexual dysfunction is a side effect of chemotherapy that can cause a person to feel worse about themselves, which may result in problems in romantic relationships.

    Aside from the physical changes that may come with treatment, such as lowered libido, having sex while you are undergoing chemo can also pose extra health risks, making it even more difficult to participate in.

    If you are having chemotherapy, you should express your desires, needs, and concerns about sex to your healthcare providers to ensure that they can help you regain your sexual life after treatment. Your provider might also be able to help you connect with a sex or couples therapist.

    A Word From Verywell

    Dealing with a lack of sexual intimacy in a relationship can be tough, but it can be even more difficult if it’s the result of an already stressful situation like cancer treatment.

    You might find it challenging to help your partner understand what you’re going through. Not being able to be physically intimate with them may put a strain on your relationship.
    Know that you can have sex while undergoing chemotherapy as long as your healthcare provider says that it’s safe and you understand the precautions that you need to take to keep things safe.

    Communicating openly with your partner, exploring new ways to be physically intimate, and asking your doctor any questions you have about physical intimacy during chemotherapy can all help you maintain the physical aspect of your relationship with your partner and yourself both during treatment and when you are recovering from it.

    Frequently Asked Questions

    • Should you wait to have sex after chemotherapy?

      Some people are advised to avoid sex while they are having treatment, but this is not the case for everyone. Ask your healthcare provider about whether it is safe for you to have sex during your treatment.

    • Can you still become aroused during chemo?

      Although it’s possible to lose your libido during chemotherapy, not everyone will experience this side effect. If you do, there are still ways to become aroused while your desire for sexual intercourse is low.

      For example, playing out fantasies in your head, practicing different forms of intimacy with or without a partner, and fostering good self-esteem can all be helpful.

    • What should you avoid after chemotherapy?

      When you’ve reached the end of treatment, you might be ready to jump back into sexual intimacy—but there are a few things to be aware of.

      For example, if you get pregnant shortly after you are done with treatment, there is a risk that the fetus will have birth defects. If you are able to become pregnant, you will probably be on birth control during treatment to help prevent this.

      After you’re done with chemo, talk to your healthcare provider if you are planning to resume sexual activity and wish to go off birth control, especially if you would like to try to conceive.

    • How long after chemo can you have a baby?

      Getting pregnant shortly after chemotherapy comes with risks for the developing fetus. Some health experts believe that you should wait at least six months after finishing your treatment to begin trying for a baby. Other health experts have said that two to five years is the optimal time to wait before getting pregnant after you’ve had chemotherapy.

      Discuss your posttreatment conception plans with your healthcare provider, as they will be able to give you the best recommendation based on your situation.

    Complete Article HERE!

    Foods to Cure Erectile Dysfunction

    By Molly Burford

    Erectile dysfunction (ED) is a condition in which the penis cannot obtain, or sustain, an erection firm enough for sex. ED is more common in older populations, affecting 44% of people with a penis ages 60 to 69, compared to 5% of those under age 40. However, cases of ED in younger age groups are becoming more prevalent.1

    While occasional occurrences of ED are common, it becomes a cause of concern if it happens more than 50% of the time. This means there may be an underlying psychological or physical issue that needs to be addressed.2 There are a number of potential causes of ED, and more than one factor may be to blame.

    One of the biggest causes of ED is a lack of blood flow to the penis, which can happen due to high blood pressure (hypertension) or hardened arteries (atherosclerosis). As it turns out, diet can help both of these conditions, which in turn can help improve ED symptoms.

    Read on below to learn more about how your diet may play a role in ED and what foods can help improve the condition.

    Foods That Help Erectile Dysfunction

    Spinach

    Spinach is a low-calorie, leafy green vegetable with a high density of various vitamins and minerals, including potassium, magnesium, vitamin A, vitamin K, vitamin B2, vitamin C, calcium, and more.

    Spinach also contains a substantial amount of folate, which is also known as vitamin B9. A 1-cup serving of raw spinach contains 58 micrograms (mcg) of folate. Folate deficiencies have been linked to ED.3
    <h3″>Avocado

    Avocado is a high-calorie, nutrient-dense fruit. It is an excellent source of magnesium, potassium, vitamin C, and vitamin K.

    When it comes to ED, avocados also contain a rich amount of vitamin E. A 100 gram (g) serving of avocado contains 2.7 milligrams (mg) of vitamin E.4 A 2021 study found vitamin E and ginseng improved symptoms of ED after six weeks.5 The researchers hypothesized vitamin E and ginseng would be beneficial in cases of ED due to their antioxidant properties.

    Watermelon

    Watermelon is a water-dense, low-calorie fruit that’s composed of 92% water. It contains citrulline, a compound known to help relax blood vessels and improve blood flow.

    A 2018 study found that study participants that supplemented their ED medication (like Viagra) with L-citrulline-resveratrol saw improvements.6

    Dark Chocolate

    Dark chocolate isn’t just delicious. It is also packed with flavonoids, an antioxidant, which may reduce the risk of someone developing ED

    In 2018, a study showed that participants who ate 50 milligrams (mg) or more of flavonoids daily were 32% less likely to report symptoms of ED.7A Word From Verywell

    ED can, understandably, be a frustrating and concerning experience. However, there are steps individuals can take to enhance their reproductive health. One area often forgotten is diet.

    Research shows that eating a balanced diet is vital for overall health, and sexual health is no exception. Incorporating more nutritious foods such as spinach, watermelon, olive oil, salmon, and others may help improve symptoms of ED.

    Talk to your doctor about your concerns. Again, while bouts of ED are common, repeated instances may signify an underlying physical or psychological issue that needs to be taken care of.

    1. Rastrelli G, Maggi M. Erectile dysfunction in fit and healthy young men: psychological or pathological? Transl Androl Urol. 2017;6(1):79-90. doi:10.21037/tau.2016.09.06
    2. Cleveland Clinic. Erectile dysfunction. Updated October 14, 2019.
    3. Karabakan M, Erkmen AE, Guzel O, Aktas BK, Bozkurt A, Akdemir S. Association between serum folic acid level and erectile dysfunctionAndrologia. 2016;48(5):532-535. doi:10.1111/andr.12672
    4. U.S. Department of Agriculture. Avocados, raw, all commercial varieties. Updated April 2019.
    5. Vitamin E and ginseng combined supplement for treatment of male erectile dysfunction: A double-blind, placebo-controlled, randomized, clinical trialAdvances in Integrative Medicine. 2021;8(1):44-49. doi:10.1016/j.aimed.2019.12.001
    6. Shirai M, Hiramatsu I, Aoki Y, et al. Oral l-citrulline and transresveratrol supplementation improves erectile function in men with phosphodiesterase 5 inhibitors: a randomized, double-blind, placebo-controlled crossover pilot studySex Med. 2018;6(4):291-296. doi:10.1016/j.esxm.2018.07.001
    7. Mykoniatis I, Grammatikopoulou MG, Bouras E, et al. Sexual dysfunction among young men: overview of dietary components associated with erectile dysfunctionJ Sex Med. 2018;15(2):176-182. doi:10.1016/j.jsxm.2017.12.008

    Complete Article HERE!

    Medical Myths: Sexual health

    Sexual health is associated with a wide range of myths and misunderstandings. In this episode of Medical Myths, we will address nine common misconceptions. Among others, we cover double condoms, toilet seats, and the “pull-out” method.

    by Tim Newman

    Sexually transmitted infections (STIs) have been on the rise in the United States. In April 2021, the Centers for Disease Control and Prevention (CDC)Trusted Source announced that, in 2019, STIs had reached an all-time high for the sixth consecutive year.

    In 2019, the CDC received reports of over 2.5 million cases of chlamydia, gonorrhea, and syphilis.

    The World Health Organization (WHO) estimates that 1 millionTrusted Source STIs are acquired worldwide each day.

    Despite rising rates, there is still significant stigma attached to STIs. For some, this might mean individuals are less willing to speak about sexual health concerns or raise questions with a doctor.

    This unwillingness to speak openly about sexual health can breed misinformation.

    Of course, the internet is a convenient first port of call when someone has a question they would like to ask anonymously. Sadly, not all information that appears on the web can be trusted.

    Here, Medical News Today approached some common myths associated with sexual health and asked for input from an expert:

    Dr. Sue Mann, a consultant in sexual and reproductive health and a medical expert in reproductive health at Public Health England.

    Increasing understanding of sexual health helps people make informed, safe decisions. Although one article cannot brush away deeply ingrained falsehoods, the more trustworthy information that is available, the better.

    1. When someone is taking ‘the pill,’ they cannot contract an STI

    This is a myth. Oral contraception cannot protect against contracting an STI.

    As Dr. Mann explained to MNT, “oral contraception […] only works to prevent pregnancy. The only way to protect yourself from getting an STI when using oral contraception is by wearing a condom.”

    Mirroring this, the CDC statesTrusted Source: “Birth control methods like the pill, patch, ring, and intrauterine device (IUD) are very effective at preventing pregnancy, but they do not protect against [STIs] and HIV.”

    2. The ‘withdrawal method’ prevents pregnancy

    The so-called withdrawal method, also called coitus interruptus or the pull-out method, is when the penis is pulled out of the vagina before ejaculation. Although it may reduce the chance of pregnancy, “the withdrawal method is not a reliable way to prevent pregnancy,” said Dr. Mann.

    When used accurately, it can reduce the risk of pregnancy, but accuracy can be difficult in the heat of the moment.

    Additionally, the penis releases pre-ejaculate, or pre-cum, before ejaculation. In some cases, sperm can be present in this fluid.

    In one studyTrusted Source, for instance, scientists examined samples of pre-ejaculate from 27 participants. The scientists identified viable sperm in 10 of the participant’s pre-ejaculate.

    Each volunteer provided a maximum of five samples. Interestingly, the researchers found sperm in either all or none of their samples. In other words, some people tend to have sperm in their pre-ejaculate, while others do not. The authors concluded:

    “[C]ondoms should continue to be used from the first moment of genital contact, although it may be that some men, less likely to leak spermatozoa in their pre-ejaculatory fluid, are able to practice coitus interruptus more successfully than others.”

    3. The ‘withdrawal method’ prevents STIs

    Using the withdrawal method, “you can still get an STI, such as HIV, herpes, syphilis, gonorrhea, or chlamydia,” explained Dr. Mann.

    4. Using two condoms doubles the protection

    It is understandable why people might assume two condoms would provide twice the protection, but this is a myth.

    “It is actually more risky to use two or more condoms when having sex,” said Dr. Mann. “The likelihood of the condom breaking is higher due to the amount of friction the condom is enduring. A single condom is the best option.”

    5. You can contract STIs from a toilet seat

    This is perhaps one of the most persistent myths associated with STIs. Yet, despite being repeatedly debunked, it remains a myth. Dr. Mann told MNT:

    “STIs are spread through unprotected vaginal, anal, or oral sex, and by genital contact and sharing sex toys.”

    She also explained that the viruses that cause “STIs cannot survive for long outside the human body, so they generally die quickly on surfaces like toilet seats.”

    Similarly, the bacteria responsible for STIs, such as chlamydia, gonorrhea, and syphilis, cannot survive outside the body’s mucous membranes for a significant amount of time. For that reason, they would not survive on a toilet seat.

    6. There are no treatments for STIs

    This is not true. However, although they can be treated, not all can be cured. The WHOTrusted Source explains that eight pathogens make up the vast majority of STIs.

    Four of the eight are curable: the bacterial infections syphilis, gonorrhea, and chlamydia, and the parasitic infection trichomoniasis.

    The remaining four are viral: hepatitis B, herpes simplex virus (HSV), HIV, and human papillomavirus (HPV). These cannot yet be cured. However, it is worth noting that HPV infections are often clearedTrusted Source by the body naturally.

    “Penetrative sex isn’t the only way someone can contract an STI. Oral sex, genital contact, and sharing sex toys are other ways that STIs can be spread,” Dr. Mann told MNT.

    Beyond sexual contact, it is also possible to contract an STI from exposure to blood that contains the infectious pathogen, including through sharing needles.

    This is another longstanding and entirely incorrect assumption. According to Dr. Mann:

    “Anyone, regardless of sexual orientation, race, ethnicity, age, or gender, can contract HIV. If you have HIV and don’t know it, you’re more likely to pass it on. But if you know your status, you can make sure you and your partner(s) are taking steps to stay healthy.”

    Dr. Mann underscores the importance of testingTrusted Source, explaining that in many countries, “testing is free, easy, and confidential. You can even do a test in the comfort of your own home.”

    “A lot of people pass on STIs to others without even knowing,” said Dr. Mann. “STIs can be spread with symptoms or without.”

    Indeed, the WHO explainsTrusted Source that “[t]he majority of STIs have no symptoms or only mild symptoms that may not be recognized as an STI.”

    “That is why,” Dr. Mann explained, “it is important to be tested regularly and to use a condom to prevent STIs as much as possible.”

    To summarize, STIs are common but preventable. Regular testing and understanding how to keep yourself safe are key to remaining STI-free.

    After completing a bachelor’s degree in neuroscience at the U.K.’s University of Manchester, Tim changed course entirely to work in sales, marketing, and analysis. Realizing that his heart truly lies with science and writing, he changed course once more and joined the Medical News Today team as a News Writer. Now Senior Editor for news, Tim leads a team of top notch writers and editors, who report on the latest medical research from peer reviewed journals; he also pens a few articles himself. When he gets the chance, he enjoys listening to the heaviest metal, watching the birds in his garden, thinking about dinosaurs, and wrestling with his children.

    Complete Article HERE!

    Simple ways to look after your sexual health

    Barrier protection is the only contraceptive that also reduces the risk of STI transmission.

    By

    There are not many things more important than our health.

    Living through a pandemic has taught us that much. Our experiences over the last two years have given all of us a new appreciation for being healthy and looking after our wellbeing.

    However, one area is still frequently neglected and rarely talked about – sexual health. The reason for this is, largely, due to stigma.

    Talking about sexual health is still a taboo, and there is still work to be done to normalise the conversation about testing, symptoms, and encouraging partners to discuss these things with each other.

    Bianca Dunne is co-founder of sexual wellness brand, iPlaySafe App. She has shared her key tips to help you look after your sexual health – and encourage openness around this awkward topic.

    Prevent infection

    ‘Your sexual health has an enormous impact on your mental and physical health,’ says Bianca.

    ‘All three need to be aligned to make you feel good and keep you productive. Keeping you healthy relies on prevention, testing, and treatment.’

    Prevention means making sure you are vaccinated against viral illnesses such as hepatitis B and strains of Human Papilloma Virus (HPV) that are linked to cervical cancer in women.

    ‘You should discuss both with your GP if you are in doubt as to whether you have had or are eligible for these,’ says Bianca.

    ‘It also means stratifying your risk and mitigating risk where you can: condoms and dental dams are an effective way of doing this, as barrier protection is the only contraceptive that also reduces the risk of STI transmission (apart from abstinence, which we do not recommend!).’

    Get tested regularly

    Bianca says testing and contact tracing are of paramount importance in the fight against STIs – language that we have become all too familiar with over the course of the pandemic.

    ‘You should be regularly tested if you are having sex with different partners, ideally at a suitable interval after each interaction,’ she says.

    ‘Asking a partner when they were last tested is something many people don’t like doing, because society has made us feel ashamed when it comes to sexual health.

    ‘While more needs to be done to help combat and normalise this, by providing people with the tools, like with our “play badge”, this makes it a lot more fun and easier.’

    But Bianca adds that you should be aware that some infections – such as HIV – won’t show up on tests until up to three months following exposure, and so regular testing is key.

    ‘Depending on the sexual history of your partners, different infections should be tested for,’ she adds. ‘Sexual health testing kits are available and will test routinely for the big six: HIV, Hep B, Hep C, chlamydia, gonorrhea and syphilis, but it’s important to be mindful of other infections – such as genital herpes and genital warts – which are diagnosed clinically, so you should consult your GP or your local GUM clinic, for treatment and management of these conditions.’

    Source the right treatment

    The good news is that treatment for sexual health is getting better and better.

    ‘Infections such as chlamydia can lead to devastating consequences such as infertility for women but are readily treated with antibiotics,’ says Bianca.

    ‘Due to advances in anti-retrovirals HIV infected individuals with an undetectable viral load are now considered to carry zero risk of transmitting the virus.

    ‘With continued awareness and important education around sexual health, we’re hoping the conversation around STIs and testing is normalised.

    ‘These conversations don’t have to be awkward, but instead can be a positive and healthy start a new sexual relationship. Regular testing and being up front about your sexual health, and the need to know your partners will help reduce unwanted transmissions to keep you healthy in bed, and ultimately encourage us all to live healthier lives.’

    Do your research

    ‘Thankfully, a lot has been done in the space of sexual wellness in recent years,’ says Bianca, adding that this conversation has been accelerated by the pandemic.

    ‘There are many brands that share similar missions to help normalise the topic,’ she says. ‘Brands, like HANX, Smile Makers, Mojo are providing products and solutions to help all sexes, and experts like Dr Kate Moyle and sexual education author Ruby Rare, also helping provide answers to questions people may have due to not having a proper education previously.

    ‘Arming yourselves with the tools to help you look after, and enjoy your sexual wellbeing, will be so important.’

    Complete Article HERE!