6 Questions to Ask Your Doctor About Sex after 50

— Vaginal dryness, erection challenges, safe sex and more

By Ellen Uzelac

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

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

Starting the conversation about sexual health

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

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

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

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

1. What can I do about unreliable erections?

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

Complete Article HERE!

The sexual health checkup older adults didn’t know they needed

— STD cases have risen among adults age 65 and older. Should you get screened?

By

Adults have sex at every age, so it follows that STDs can spread at every age. But my older patients who have new sexual partners are sometimes bewildered when I ask if they want to get screened.

It’s healthy to be sexually active as an older adult, and it correlates with greater enjoyment of life. My patients tell me that nursing homes can present really exciting opportunities to make new friends in this regard.

In fact, 40 percent of adults aged 65-80 are sexually active and about 10 percent of people older than 90 are sexually active, though it bears noting that the latter figure is based on a survey limited to one municipality in Sweden.

But STDs spare no one. Few people I’ve seen whose STD testing comes back positive were expecting that result. And from 2007 to 2017, STD cases more than doubled among adults age 65 and over.

That is why it is important to get screened and always use a condom. Condoms are infrequently utilized among older people, but they do reduce, yet not eliminate, risk of STDs.

Why are STD cases rising among older adults?

Researchers speculate STD cases are rising simply because older adults are having more sex than in generations past.

One factor at play is how people are meeting each other and forming relationships, including with web- or app-based dating services that are increasingly attracting older people.

The market for devices and medications that address sexual health problems is also flourishing — and not just for men. In the past several years, the Food and Drug Administration has approved more treatments aimed at postmenopausal women who may have trouble with sex due to vaginal dryness and pain.

This all may be impacting how often older adults have sex and subsequently get STDs. After the introduction of sildenafil — known by the brand name Viagra — in 1998, for example, the risk of STDs increased significantly among widowed men.

How do I know if I need STD screening?

The United States Preventive Services Task Force advises all women aged 24 and younger to get screened for gonorrhea and chlamydia regularly — and thereafter, when you have new sexual partners or other situations that increase risk. Everyone should be tested for HIV at least once. The Centers for Disease Control and Prevention recommends men who have sex with men to get screened at least once a year for syphilis, chlamydia, gonorrhea and HIV.

But there’s a lot of leeway among other groups, so much of STD screening is left to common sense.

Here’s my advice:

  • Got a new partner? I’d check.
  • Have multiple recent partners? Let’s definitely check.
  • Got a new partner who only had one prior long-term partner before you? You know me. If it were me, I’d check.
  • Found out your partner has been cheating? You know the drill (and I’m truly so sorry).
  • Just oral or anal sex? You can still get STDs. Shall we check?

In other words, if you’re even thinking about getting screened, just do it.

What STDs should I get screened for?

Chlamydia and gonorrhea are two classic STDs that have been rising among older adults in recent years. There were more than 2,000 cases of each among people 65 and older in 2017. Syphilis, while rarer, is also rising in this population, and in 2018, the majority of people diagnosed with HIV were age 50 and older.

There are also other conditions that get less attention, such as trichomoniasis and bacterial vaginosis (the latter is not quite considered an STD but is linked to sexual activity). Both can produce a distinctive “fishy” smelling discharge in women. Discuss which STDs to check for with your health-care provider since your personal history plays a role as well.

What STD symptoms should I look out for?

Sure, painful genital sores raise a red flag pretty quickly, but most people with STDs don’t actually have any symptoms. If you have symptoms like burning with urination, itching or unusual discharge, consider the possibility of an STD with your provider before immediately presuming it’s a urinary tract or yeast infection.

Also keep the following in mind:

  • Most people with a new HIV infection experience a brief flu-like illness about two to four weeks after exposure. Then they tend to feel perfectly normal for several years before their CD4 cells — important immune cells in your body destroyed by HIV — drop low enough to draw medical attention.
  • Chlamydia is known as a “silent infection” because as few as 5 percent of women and about 10 percent of men develop symptoms. Most men and women with gonorrhea are similarly asymptomatic.
  • The first stage of syphilis infection involves a painless round genital sore that can infect others who come into contact with it. These sores are often not as noticeable as you’d think (they may be inside a skin fold and can be as small as a few millimeters). Later, the latent stage of syphilis can last for years with absolutely no symptoms.

Who is at highest risk for STDs?

To be clear, cases of STDs among the elderly are going up, but they’re still much fewer than those among older teenagers and adults in their 20s. But everyone, regardless of age, should take precautions and test appropriately.

Age aside, men who have sex with men, users of intravenous drugs and people who have a prior history of another STD are all at higher risk. A study from Vanderbilt University, where I went to medical school, recently found what I had long observed as a student: Compared to other groups, Black women are losing the most years of life to HIV (and 91 percent of new HIV infections among Black women nationwide are reported from heterosexual contact).

There’s another striking discrepancy within the country: Southern states account for about half of new HIV cases annually. These states, not coincidentally, also have the highest rates of poverty nationally and tend to focus on abstinence-based sex education that has been shown to be ineffective in STD prevention.

What I want my patients to know

I never enjoy telling someone they have something like chlamydia. But I do like what I can say next, which is that most STDs can be fully cured with medication, and for those we can’t cure, like HIV, we have excellent medications to treat. You only stand to win by knowing.

Complete Article HERE!

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

— Here’s What to Know

By Ernie Mundell

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

Complete Article HERE!

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

— A Pill After Sex

By Apoorva Mandavilli

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

Complete Article HERE!

Ways To Ask Your New Partner To Get Tested This Sexual Health Awareness Month

By Zayna Allen

Having new sexual partners can be fun and exciting, but it’s important to make responsible decisions. That includes having tough conversations. But luckily for you, September is Sexual Health Awareness Month! What better time to have an open and honest discussion about one of the most crucial aspects of any romantic relationship: sexual health.

Sexual health awareness empowers individuals to make informed decisions about their physical and emotional well-being. It also helps maintain trust and transparency in a relationship, whether long-term or just for the moment.

One of the most essential discussions with a new partner is getting tested for sexually transmitted infections. While this conversation may feel daunting, it’s necessary for any sexual dynamic to keep you and your partner safe. Here are some ways to have the conversation with ease.

Conversations About Getting Tested

Consider Timing

One of the most important aspects about initiating this type of conversation is choosing the best moment. Timing is everything. Avoid discussing this sensitive topic when you or your partner are stressed, tired, or in the middle of an argument. When introducing the conversation, make sure to make it as normal as possible. Begin by stressing that sexual health is a part of responsible adulting. Present the idea of getting tested as something you both do for each other’s peace of mind. Emphasize that it’s not about trust but rather about taking care of each other’s health.

Use “I”

As with any difficult conversation with a partner, using “I” statements is essential. This helps you avoid sounding accusatory. For example, say, “I think it’s important for both of us to get tested” instead of “You should get tested.” Creating a safe space should be one of the top priorities.

Remain Patient and Supportive

Although you are doing your best to create a calm conversation, you should always brace yourself for their reaction. Your partner could be entirely on board, or they could take offense to the conversation and need some time to think. No matter what, you should remain patient and supportive regardless of their initial response.

Respect Your Partner

Respect your partner’s decision, whatever it may be. Whether they agree to get tested immediately or need more time, continue to communicate openly and empathetically about your relationship’s health and well-being. Stand firm on your stance that this is important to you.

Lead With Confidence

Asking your new partner to get tested doesn’t have to be awkward. Remember to embrace it with confidence and compassion, knowing it’s vital to nurturing the dynamic between you.

Complete Article HERE!

A new morning-after pill to stop STDs could also make the problem worse

The CDC is considering recommending the antibiotic doxycycline to be used after sex to prevent syphilis, gonorrhea and chlamydia.

By

Public health officials are deploying a powerful new weapon in the war against rising sexually transmitted infections: a common antibiotic that works as a morning-after pill.

It is the latest advancement as the sexual health field shifts to preventive medicine — not just condoms, abstinence and tests — as the best hope for quashing the pathogens that can spread during sex.

For the past decade, people have been able to have unprotected sex with a low risk of contracting HIV thanks to daily pills known as PrEP, or pre-exposure prophylaxis. But they were still susceptible to bacterial bugs, including the recent spike in syphilis, gonorrhea and chlamydia — until now.

Recent studies show the antibiotic doxycycline taken after sexual encounters works as a post-exposure prophylaxis to prevent those infections. But experts are also worried about unintended consequences. The Centers for Disease Control and Prevention plans to release guidelines later this summer for deploying the treatment, known as DoxyPEP, in hopes of addressing fears among medical professionals that preventive use would fuel antibiotic resistance — and the rise of drug-resistant superbugs.

“It’s the first major intervention we’ve had for STIs since the vaccine for human papillomavirus,” nearly two decades ago, said Jonathan Mermin, who leads STI prevention for the CDC. “But it is a new intervention, and because of that, there are potential benefits and potential risks.”

Doctors, public health officials and sexual health clinics have embraced preventive pills as a realistic way to curb STIs because they preserve pleasure while protecting partners. Some doctors have started prescribing it to a narrow segment of the gay community considered at elevated risk for STIs.

“Just like PrEP was a game changer, this empowers individuals to make choices about their sexual health,” said Jorge Roman, senior director of clinical services at the San Francisco AIDS Foundation, one of the first to widely distribute DoxyPEP. “It doesn’t always have to be about condoms.”

Doxycycline is already used as a front line antibiotic treatment for chlamydia and occasionally for syphilis and gonorrhea. But its use for prevention has drawn concerns that it would no longer be effective in patients who use it regularly and that it may facilitate the evolution of antibiotic resistant strains of the pathogens.

The drug’s proponents say these concerns are overblown because the criteria for eligibility are often narrow: Transgender women and men who have sex with men — and only if they have condomless sex and contracted an STI in the preceding year.

Those were the demographics recruited for a study of 500 patients in San Francisco and Seattle that found DoxyPEP effective. The study found a roughly 65 percent reduction in syphilis, gonorrhea and chlamydia cases in those who used the antibiotic between 2019 and 2022, mirroring similar results from European studies.

Another study of DoxyPEP use by cisgender women in Kenya between 2020 and 2022 did not find the treatment effective, a result that surprised and stumped researchers. Anatomical differences could play a role, but health officials say other studies suggest doxycycline becomes concentrated enough in vaginal fluid to confer protection against STIs.

Experts say it’s too early to conclude that DoxyPEP won’t work for women and more research is needed. Another possible explanation is women enrolled in the Kenyan study may not have consistently used doxycycline after sex. Researchers note early studies that found PrEP ineffective in protecting African women from HIV were eventually explained by poor adherence to the drug regimen rather than biological differences.

Researchers studying DoxyPEP are scrutinizing whether it could also render antibiotic treatments less effective. The U.S. study found a slight increase in antibacterial resistance, which the study’s authors said merits long-term attention. But they also said the finding should be tempered by the fact doctors would also be administering fewer antibiotics if people avoid catching and spreading STIs.

David Hyun, director of the Antibiotic Resistance Project at The Pew Charitable Trusts, said he was concerned by patients in the study using DoxyPEP as frequently as 20 times a month. More data is needed to understand the long-term effects — for individuals as well as broader communities, he said.

“If you keep exposing a patient to antibiotics like doxycycline, you are raising the risk of that patient being colonized or infected with a resistant strain sometime in the future,” Hyun said.

Some LGBTQ+ health providers suspect doctors may be using antibiotic resistance concerns to mask discomfort with condomless gay sex. They note that syphilis has yet to become resistant to penicillin since the antibiotic became the front-line treatment for the STI in the 1940s. And they point out doxycycline is widely used for other reasons, including long-term acne treatment and malaria prevention.

“We have used doxycycline for multiple other things,” Shira Heisler, medical director of the Detroit Public Health STD Clinic, said during a May conference of the National Coalition of STD Directors. “And I think specifically now being like, ‘We are not going to do it because of antimicrobial resistance’ when it’s specifically related to STIs is a good time to call out, ‘This is what stigma is. This is what bias is.’”

Proponents of DoxyPEP said it offers a long-needed solution to a spike in STIs. The CDC recorded more than 2.5 million cases of syphilis, gonorrhea and chlamydia in 2021, up from 1.8 million in 2011.

In 2021, 36 percent of syphilis and gonorrhea cases were in men who have sex with men, according to the CDC. The CDC says these disparities cannot be explained by differences in sexual behavior alone. When people have a smaller pool of potential sexual partners with higher rates of STIs, they are more likely to have sex with someone with an infection. Cases in cisgender women and heterosexual men have also been rising.

Experts say everyone would benefit from DoxyPEP being limited to those most at risk because that would break chains of transmission early and reduce the likelihood of infections spreading more broadly.

Some physicians say allowing people to have worry-free sex is a worthy goal on its own.

“My goal as a physician is to make sure my patients are able to have whatever type of sex they want and however much sex they want as safely as possible,” said Boghuma Kabisen Titanji, an infectious diseases specialist in Atlanta. “And if DoxyPEP would allow them to do it, then I have no problem offering it.”

Nick, a 35-year-old resident of Lafayette, Ind., said he recently started taking DoxyPEP for peace of mind, knowing he would be less likely to get an infection as he has frequent condomless sex.

HIV was no longer a concern because he has been taking PrEP for a decade, said Nick, who spoke on the condition that his last name not be used to candidly discuss his sex life. But he has endured uncomfortable bouts of syphilis and chlamydia.

“If you are taking HIV PrEP, why not take another extra kind of safeguard too?” he said. “It’s like a security blanket.”

As the country considers how widely to distribute DoxyPEP, public health officials and activists are worried it will be the latest medical advancement to roll out in an inequitable way, following similar racial gaps seen with PrEP and mpox vaccinations. Federal officials say PrEP users are disproportionately White even though most new HIV cases are in Black and Latino people. The CDC estimates that most mpox cases have been in Black and Latino men, but only a third of vaccine doses have gone to them.

LGBTQ+ health providers are already reporting disparities, with White patients more likely to ask about DoxyPEP and Black and Latino patients less likely to be familiar with it.

During a discussion about DoxyPEP at the STD conference, one state health official noted that those who can afford to travel to Puerto Vallarta, a popular vacation destination among some gay Americans, can buy doxycycline to stockpile for themselves and their friends because the antibiotic is available over the counter in Mexico. But experts say concerns about antibiotic resistance would make it difficult for over-the-counter sales to occur in the United States.

Mermin, the CDC official, said equity is a top concern as the agency crafts its guidance for the use of DoxyPEP. It would be essential to ensure the medication is available in clinics serving people at the highest risk for STIs, he said, and to raise awareness outside of medical settings, such as on dating apps.

In London, Joey Knock said he started buying DoxyPEP outside of official channels, a common practice among some gay Europeans, last winter after regular bouts of gonorrhea.

But he limits his use to higher-risk nights, such as when he has unprotected sex in dark rooms with strangers.

“I’m someone who was averaging an STI a month,” said Knock, 33. “I’ve done the risk analysis for me, but it also benefits other people if me taking DoxyPEP means I don’t get chlamydia, then I don’t pass chlamydia around.”

In San Francisco, the first major jurisdiction where public health officials recommended DoxyPEP, providers noticed patients taking a similar approach: Using it after higher-risk sexual encounters rather than every encounter.

“We need to do more analysis to see if that could be making DoxyPEP less effective or if perhaps people are making really good decisions about when to use it,” said Stephanie Cohen, who leads STI prevention for the San Francisco Department of Public Health.

The San Francisco AIDS Foundation, which says it has connected more than 1,800 people to DoxyPEP, does not limit the antibiotic to people who have recently contracted a sexually transmitted infection, but counsels patients on the unknown risks of antibiotic resistance.

Anu Hazra, co-medical director of the Howard Brown Health, an LGBTQ+ health provider in Chicago, said antimicrobial resistance is “probably the largest public health threat we have” but doxycycline for a small group of people pales in comparison to the rampant use of antibiotics in the meat industry and other sectors.

He and other experts say vaccines to prevent STIs could be another game changer that does not carry the same baggage as antibiotics. A recent study showing that a vaccine for meningitis can also reduce the likelihood of contracting gonorrhea offers promise on that front. But DoxyPEP offers an immediate solution to an ongoing problem and could be pared back if antibiotic resistance emerges, Hazra said.

“We are seeing rising rates of STIs across the board for nearly a decade now. What we are doing now is not working,” Hazra said. “We need to try something new.”

Complete Article HERE!

The Health Issues Men Don’t Talk About

— (But They Really Should)

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

By Northern Life

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

Testicular Cancer

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

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

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

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

Erectile Dysfunction

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

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

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

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

Mental Health

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

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

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

Prostate Health

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

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

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

Sexual Health And STDs

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

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

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

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

Substance Abuse And Addiction

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

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

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

Wrapping It Up

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

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

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

Complete Article HERE!

Sex After 60?

— You Need to Know About STD Prevention

By

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

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

STD Rates Rise Along with Sex After 60

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

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

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

Why the STD Boom Among Boomers?

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

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

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

Let’s Talk About Sex After 60

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

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

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

4 Tips for STD Prevention

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

Talk to Your Partner

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

Use Protection

Condoms or other barrier methods used during intercourse prevent infections.

Looking for Senior Healthcare?

UVA Health geriatricians are experts in senior care.

Get Screened & Encourage Partners to Do the Same

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

Know STD Symptoms

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

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

Get Treated

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

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

Talk to Your Doctor

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

Complete Article HERE!

5 Ways You Can Vet Advice About Sexual Health Online

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

By Kate Daniel

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

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

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

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

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

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

Research into online health advice

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

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

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

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

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

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

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

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

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

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

Why are people seeking crowd diagnoses?

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

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

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

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

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

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

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

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

The ramifications can be substantial and potentially life-threatening.

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

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

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

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

5 tips for vetting advice about sexual health online

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

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

1. Define your goals

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

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

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

2. Check credentials

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

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

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

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

3. Take extra precautions with controversy

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

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

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

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

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

4. Go directly to the source

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

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

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

5. Corroborate with expert sources

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

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

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

The bottom line

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

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

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

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

All assumptions, though, have limitations.

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

Complete Article HERE!

What You Should Do if a Condom Breaks

— Turn to emergency birth control and STI tests

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

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

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

What to do if a condom breaks

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

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

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

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

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

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

How to prevent pregnancy after unprotected sex

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

Plan B One-Step (levonorgestrel)

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

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

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

ella® (ulipristal acetate)

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

Can you take multiple birth control pills after unprotected sex?

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

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

What to do about potential STIs when the condom breaks

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

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

STIs to be aware of

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

Bacterial STIs

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

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

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

Viral STIs

STIs that are viruses include:

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

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

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

Condoms are still great protection

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

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

Complete Article HERE!

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

By Frances Dean

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

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

Know your options

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

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

Protect yourself

Woman with condom in pocket

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

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

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

Your pleasure is paramount

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

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

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

Complete Article HERE!

Why Are STI Cases Soaring?

— We Asked the Experts

Newly-released data shows infections for certain sexually transmitted infections have jumped tremendously.

By Korin Miller

  • Several sexually transmitted infections have increased in the U.S., according to new data from the CDC.
  • The 7% increase continues an upward trajectory in certain STIs.
  • Doctors say there are a lot of reasons why this is happening in the U.S.

Sexually transmitted infections continue to climb in the U.S., with syphilis cases in particular skyrocketing in 2021—the most recent year data is available.

The data was shared as part of a report from the Centers for Disease Control and Prevention (CDC) released this week. The report breaks down cases of a range of STIs, including chlamydia, gonorrhea, and syphilis.

The data show that there were 1,644,416 new chlamydia cases diagnosed in 2021—a 4% increase over 2020. There were also 710,151 new cases of gonorrhea diagnosed, an illness that’s been steadily increasing 28% since at least 2017, when 555,608 cases were diagnosed.

But while syphilis cases made up a fraction of overall STI cases, they’re on a sharp upward trajectory: 176,713 new cases were diagnosed in 2021, a significant increase from the 133,954 cases diagnosed in 2020 and 129,818 cases diagnosed in 2019.

Cases of congenital syphilis (which is what happens when the disease is passed from a mom to her baby during pregnancy) also jumped up—from 2,157 in 2020 to 2,855 in 2021.

The CDC notes that case numbers were undercounted in 2020 due to the pandemic and “likely continued in 2021,” but that the impact was the most severe in 2020. “The annual report shows infections continued to forge ahead, compromising the nation’s health,” Leandro Mena, M.D., M.P.H., director of the CDC’s Division of STD Prevention, said in a statement.

Those are a lot of numbers to wade through, but the overall takeaway is this: STIs, which have already been recorded at high numbers across the country, continue to jump up. Here’s what’s going on.

Why are STIs increasing across the country?

The report didn’t specify why these STIs in particular are jumping up—it simply crunched the numbers. However, the CDC noted that certain racial, ethnic, and sexual minority groups are disproportionately impacted by STIs.

Black or African-American people made up a third of chlamydia, gonorrhea, and syphilis cases, but only make up 12% of the U.S. population, the report points out. Nearly 1/3 of all gonorrhea cases were in gay and bisexual men. Congenital syphilis rates increased for most racial and ethnic groups, but the highest rate was in babies born to American Indian and Alaska Native people, the report noted.

“While tried-and-true prevention strategies are key, social inequities often leads to health inequities and, ultimately, manifest as health disparities,” the report says. “We must work collaboratively to address social, cultural, and economic conditions to make it easier for people to stay healthy.”

But…what’s behind all this? “A lot,” says Thomas Russo, M.D., an infectious disease expert at the University of Buffalo Jacobs School of Medicine and Biomedical Sciences. “Here’s the thing: 2021 was our breakout year where the COVID-19 vaccine became available and people started playing a lot of social catch-up,” he says. “As a result, there was a whole bunch of interactions, some of which involved sexual activity.”

STI rates “reflect how well our public health infrastructure is,” Dr. Russo says, noting that there was a big shift in resources during the height of the pandemic. “It was all about COVID,” he says. “STI public health clinics and even interactions with physicians probably took a backseat.”

Infectious disease expert Amesh A. Adalja, M.D., a senior scholar at the Johns Hopkins Center for Health Security, agrees. “COVID disrupted STI work dramatically,” he says. “Health departments do the bulk of STI work and they were under-resourced to do STIs and COVID.”

The opioid crisis may also play a role, Dr. Russo says. “There’s a lot of activity that occurs to get drugs for sex,” he says. “That usually involves multiple partners and unprotected sexual activity.”

There was also a lack of widespread testing for STIs during the height of the pandemic in 2020, and that may have led to less people getting screened and diagnosed—increasing the odds they spread STIs to others, says women’s health expert Jennifer Wider, M.D. “A drop in screening and testing for all sorts of diseases and conditions [in 2020] has resulted in a jump in diagnoses for many people, particularly in groups with poor access to healthcare to begin with,” Dr. Wider says.

here is also inconsistent and “inadequate sex education” in the U.S., which lowers the odds that someone will know prevention strategies for STIs and recognize symptoms, if they happen to develop them, Dr. Wider says.

Why are syphilis cases jumping up so quickly?

Syphilis cases hit “historic lows” in the early 2000s, the report says, but they’ve since surged, increasing a jaw-dropping 781% since 2001. Some states—California, Texas, Arizona, Florida, and Louisiana—have been disproportionately impacted, making up 58% of reported cases of congenital syphilis. The larger syphilis epidemic was also mostly concentrated to within 100 counties—they made up 60% of all reported cases in 2021.

A lot of the reasons why chlamydia and gonorrhea are spreading in the U.S. applies to syphilis as well, Dr. Russo says. But he also points out that syphilis “spreads reasonably well” through oral sex. “People often think that oral sex is relatively safe when it comes to STIs but, with syphilis, that’s not the case,” he says. “That’s one of the factors that can drive it.”

The CDC stressed in the report that syphilis is “completely preventable and treatable,” adding that “timely screening, diagnosis, and treatment can save lives, but if left untreated, the infection can cause serious health problems and increase the risk of getting an HIV infection.”

How to lower your risk of getting an STI

You’ve likely heard all of this before, but it never hurts to do a refresher. The CDC offers the following advice to lower your risk of getting an STI:

  • Practice abstinence. The CDC points out that the most reliable way to avoid STIs is to avoid having anal, vaginal, or oral sex.
  • Get vaccinated against HPV and hepatitis B. The vaccines won’t protect against everything, but the HPV vaccine in particular can help lower the risk of contracting certain strains of HPV that are linked to the development of cancer.
  • Reduce your number of sex partners. Less sex partners means a lowered risk, the CDC says. However, the agency still recommends that both you and your partner get tested and share your results with each other.
  • Be mutually monogamous. That means both you and your partner only have sex with each other.
  • Use condoms. The CDC recommends that you use a male latex condom every time you have anal, vaginal, or oral sex. Non-latex condoms can be use, the agency says, but they have higher breakage rates than latex condoms.

The CDC also stresses the importance of using STI testing and treatment, noting that there some pharmacy and retail health clinics allow people to get tested on-site.

Unfortunately, Dr. Russo expects things to get worse before they get better, given the state of reproductive care in the U.S. and lack of access to sexual health clinics for people in some states. “We need to do better and make a commitment to this important area,” he says.

Complete Article HERE!

Five important things you should have learned in sex ed

– But probably didn’t

It’s important to talk about sex with your partner.

By

If you grew up in the 90s and 00s, you may feel that sex education didn’t teach you much of practical value. Most sex education during this time followed a “prevention” approach, focusing on avoiding pregnancy and STIs, with most information largely targeted at heterosexual people.

While some schools are now making their sex education more “sex positive” and inclusive, that doesn’t change the fact that many in their 20s and 30s feel they’ve missed out on vital education that could have helped them better navigate the complex world of relationships and sexuality as adults.

But it’s never too late to learn. Here are five important lessons that sex ed should have taught you.

1. ‘Normal’ sex drive is a myth

Sex education never taught us that sex drive is highly variable and has no universal normal. While some may want sex several times a week, others may find once a month or less sufficient.

Regardless of how often you want or have sex, more important is understanding sex drive is affected by many factors, and may change throughout your lifetime. Many factors, such as hormone fluctuations, stress, certain medications (including antidepressants and hormonal contraceptives), as well lifestyle factors (such as smoking, drinking, exercise and diet) can all affect libido.

The most important thing is aspiring to understand your own sexual needs and desires and communicating these to your partner. This is important for personal wellbeing and healthy relationships.

Sex drive should only be considered problematic if you’re unhappy with it. If you’re concerned with it in any way, it’s worth checking with your GP.

2. Talking about sex is important

Many of us remember how sex ed tended to focus on discussing the harms that can come from sex. As such, some of us may now see the subject as taboo, and may shy away from talking about sex with our partner.

But research shows that sexual communication is associated with higher relationship and sexual satisfaction. When we openly communicate about sex, we’re revealing otherwise private aspects of ourselves (such as our desires or fantasies) to our partner. Doing so may, in turn, boost sexual satisfaction and feelings of intimacy, which may improve relationship satisfaction overall.

Thankfully, there’s ample advice online to help you learn how to start this conversation and know what sort of questions to ask your partner. Some relationship psychologists suggest starting these conversations as early as possible in relationships, to clarify needs and help ensure sexual compatibility.

They also suggest you continue sharing sexual fantasies as trust in the relationship grows, regularly asking your partner what they enjoy and sharing what you prefer as well.

3. Sexuality can be fluid

Most sex education in the 90s and 00s was largely skewed towards people who were heterosexual and cisgendered. This left those who identified as lesbian, gay, bisexual, non-binary or any other sexual or gender identity with little or no relevant information on how to negotiate sex and relationships.

This also means many people weren’t taught that sexuality can be multifaceted and fluid. Your sexuality is influenced by a combination of many biological, psychological and social factors, and may shift throughout your lifetime. So it’s perfectly normal for your sexual desire and who you’re attracted to change.

Two women hold hands while walking through a city.
It’s normal for sexuality to shift throughout your lifetime.

Research indicates that sexual fluidity may be more common among cisgender women and sexual minorities. It’s difficult to discern a clear reason for this, but one possibility is that men who identify as heterosexual may be less likely to act on same-sex attractions, perhaps for fear of negative reactions from those in their social circle.

There’s also evidence that same-sex attraction and sexual fluidity are influenced, in part, by genetics, showing us just how natural diversity in human sexuality is.

Understanding that sexuality can be fluid may help people to let go of potentially harmful misconceptions about themselves and others, and feel more open to express themselves and explore their sexual identity.

4. Sexually transmitted infections are very common

STIs are common, with one person being diagnosed every four minutes in the UK.

But most of us remember our sex ed classes focusing on prevention, resulting in stigmatised perceptions of STIs. This stigma can be harmful, and can impact a person’s mental and physical health, as well as their willingness to disclose their STI status to partners.

This prevention approach also meant we learned very little about how to recognise symptoms and treat STIs and fuelled the rise of myths surrounding STIs.

For example, one myth is that people with genital herpes can never have sex again without infecting their partner. Not only is this not true but also, as with all STIs, the earlier you’re diagnosed and treated, the easier it will be to avoid future complications such as infertility.

5. Navigating pregnancy and your fertility

Planning for pregnancy and parenthood is important for both women and men. But with sex ed’s focus so strongly placed on avoiding pregnancy, this means we missed out on important education relating to pregnancy and fertility. This means many women may not be properly educated about the many bodily changes that occur during pregnancy and afterwards.

Sex ed also failed to teach us that around 10%-15% of all pregnancies end in miscarriage. This can be a traumatic event, even in cases of early pregnancy loss. But knowing how common it is and having appropriate support could reassure many women that it isn’t their fault.

Many of us also won’t have learned about other aspects of fertility, such as how waiting to have children may affect your chances of getting pregnant. Nor will you have been taught about how lifestyle factors such as weight, diet, and exercise can also affect your chances of becoming pregnant. We also weren’t taught about how common problems with men’s fertility are, and how it can also decline with age.

Even if you did miss out on key sex ed in your earlier years, it’s never too late to begin exploring what healthy relationships and sexuality mean to you.

Complete Article HERE!

Condom Size Chart

— Does Size Matter?

Most condoms will fit most people, but other factors matter, too

You may already know that condoms are your best way to reduce the spread of sexually transmitted infections (STIs, also called sexually transmitted diseases or STDs).

And if you didn’t already know it, let’s say it again: Condoms — the ones made from latex, polyurethane and other synthetic materials — will reduce your chances of getting chlamydia, gonorrhea, herpes, syphilis, HIV/AIDS and other infections that can be passed through bodily fluids. (Lambskin condoms, also called natural membrane or lambskin condoms, can allow viruses to pass through.)

Condoms can also prevent pregnancy by blocking semen during vaginal intercourse. That’s true of both synthetic and natural condoms.

There are two general categories of condoms:

  • Internal condoms are a pouch inserted into the vagina or anus. They come in one standard size.
  • External condoms are the ones that cover a penis, and they come in a variety of sizes.

Which external condom is right for you? Well … that may be a little complicated. Those oh-so-useful infection-stoppers are a huge market, and there’s a lot to consider: size, material, thickness and enhancements (“for your pleasure”) among them. There are also U.S. Food and Drug Administration (FDA)-approved external condoms on the market specifically for use during anal sex.

When it comes to choosing condoms, is there a right answer? Does condom size matter? And the rest of it?

We talked with urologist Petar Bajic, MD, about whether condom size matters and other factors to consider.

Finding the right size condom

Here’s the bottom line: The best condom for you is one that you’ll use and will keep you and your partner protected for the duration of sexual activity.

Research shows that when people aren’t satisfied with their condom fit, they’re more likely to have less sexual satisfaction and to remove the condom and complete their sexual engagement without it. Kind of defeats the purpose.

In truth, most people will find that most condoms will fit just fine, Dr. Bajic says.

A worldwide review of research studies found that the average erect penis length is about 5.2 inches. Average girth is 4.6 inches when erect. Guidelines from the U.S. Food and Drug Administration (FDA), which regulates condoms as a medical device, stipulate that the minimum length for external condoms is 160 millimeters (that’s about 6.3 inches).

That leaves some room for the condom to remain rolled at the base for the average-sized penis. Trojan®, for example, lists their standard condom as the proper-fitting choice for a penis between 5 and 7 inches long with a girth of 4 to 5 inches.

“For the vast majority of people, standard sizes are appropriate, but everyone’s anatomy is different,” Dr. Bajic notes. “It’s best to read the information from that specific condom manufacturer for their guidance on how to determine the best fit for you, and that information should be readily available on the packaging.”

The measurements listed on condom packaging are based on measuring a fully erect penis. To get your size, use a flexible tape measure. Length is the measurement from the base of your penis (where it meets your stomach) to the tip. Girth is the measurement around the widest part of your penis shaft.

Comfort matters

Now, whether the condom is the right size according to the manufacturer’s standards and whether it feels good to your liking may be two different things.

It’s kind of like picking out a pair of jeans. Sure, there’s no shortage of pairs that’ll cover you from hip to ankle, but you may find certain brands or certain cuts to be more comfortable. Maybe you’re the straight-leg type or perhaps bootcut is more your jam. Nothing wrong with being a little choosy.

The same is true of condoms. Any number of them may fit, but it might take trying out a few kinds to determine what you prefer. There are a lot of options out there. So, if you don’t like one, there are plenty of kinds to try and find what works best.

You can try different types of material (remembering that some people may be allergic to latex, so steer clear if that’s a concern for you or your partner). You can also try different material densities. Some condoms are marketed as being “ultra-thin” and the like, which could increase sensation. The minim thickness, per the FDA, is 0.3 mm.

Know if it fits

While most condoms will do the trick for most people, severely ill-fitting condoms could be problematic. A condom that’s too big could fall off during sexual activity. Too small, and you could be at risk of it breaking, Dr. Bajic warns.

“The important thing is to be realistic,” he continues. In other words, choosing a condom isn’t a time to … ahem … stroke your ego, if that’s not what your anatomy calls for.

A properly fitted condom will cover your penis snuggly (but not too tightly) from tip to base, with a half-inch reservoir at the tip. For some people, that may leave an extra bit of rolled condom at the base. That’s OK, and some people prefer that feeling. But if it doesn’t reach to the base of your penis near your stomach, that’s a clear sign to try a bigger size.

Chart: Troubleshooting condom fit and comfort

What you may notice What to try
The condom doesn’t reach to the base of your penis. It doesn’t leave room for a reservoir at the tip. It slips off. It breaks.  It’s uncomfortably tight. Consider going up a size.
There’s excessive rolled condom at the base of your penis. You have decreased sensation. It slips off. Try a smaller size.
It’s uncomfortably tight. Try a larger girth.
You have decreased sensation. It slips off. Try a smaller girth.
You have decreased sensation. Consider a thinner material.
The condom breaks. Try a thicker material.

There is a condom for you

An oft-repeated reason for not wanting to wear a condom is that your penis is “too big.” In reality, condoms are made to stretch. A lot. So, there’s bound to be a condom out there that fits you. (There are videos online of people fitting their whole leg into a condom. Trust us, it’ll fit.)

On the other side of the coin, the condom market is flooded with options, so chances are you’re not “too small” for a condom, either.

Again, “fitting” to the point that it’s safely in place and won’t slip off or break and “fitting” to your liking may have some slight differences. But the point is there’s a condom out there that’ll protect you and your partner from STIs and unwanted pregnancy in the case of vaginal sex. And there’s very likely a choice that you’ll feel good using, too.

“The only better way of preventing sexually transmitted infections than using a condom is abstinence,” Dr. Bajic states. “So, if you plan on engaging in sexual activity, it’s really important to protect yourself, and use barrier contraception.”

Complete Article HERE!

France to Make Condoms Free for Young People

— The new policy, which will take effect in January, is part of an effort to counter an increase in sexually transmitted diseases in recent years.

French health authorities say that sexually transmitted infections have been on the rise as a result of a decline in the use of prevention methods.

By Constant Méheut

France will begin offering free condoms in pharmacies for people up to age 25 starting Jan. 1, in a bid to reduce the spread of sexually transmitted diseases, President Emmanuel Macron said on Friday.

“It’s a small revolution for prevention,” Mr. Macron said as he announced the news in a video message posted on Twitter.

The move comes as health authorities have observed an increase in sexually transmitted infections, such as chlamydia and gonorrhea, in recent years. But it is also part of a broader public health campaign that has led France to expand free access to contraception and screening for sexually transmitted diseases.

Mr. Macron said that “regarding sexual health” of young people, “we have a real issue,” according to reports from French news outlets present at the debate. And he acknowledged that, when it comes to sex education, “We’re not good on this topic.”

The French president had initially announced on Thursday, during a health debate with young people, that the measure would only apply to people ages 18 to 25. But on Friday — after several people and activists called him out on the fact that minors, too, were at risk of contracting sexually transmitted diseases — Mr. Macron announced that he was extending the policy to underage people.

“Let’s do it!” Mr. Macron, who by the evening had traveled to Alicante, Spain, for a European summit, said in the video message.

Since 2018, people have been able to get the cost of condoms reimbursed by the national health system if they were purchased in a pharmacy with a prescription. But the measure is not well known to young French people. And more than a quarter of them say they “never” or “not always” use condoms during sexual intercourse with a new partner, according to a study released last year by HEYME, a student health insurance company.

“Condom use is very low, especially among young people,” said Catherine Fohet, a gynecologist and top member of the National Federation of Institutes of Medical Gynecology. She said the price of condoms can be prohibitive but also pointed to their “bad image” as devices that reduce tactile sensation.

French health authorities say that sexually transmitted infections, or S.T.I.s, have been on the rise in recent years, especially among young people, as a result of a decline in the use of prevention methods.

Recently released figures show that the number of people infected with chlamydia rose last year by 15 percent compared with 2020, and more than doubled compared with 2014, based on data from screenings at private health centers.

Meanwhile, gonorrhea infections have been growing since 2016, and H.I.V. infections, which condom use had helped curb in the 1980s and 1990s, have stagnated around 5,000 from 2020 to 2021.

“There’s an explosion of S.T.I.s,” said Jérôme André, the director of HF Prévention, an association that organizes screenings among university students. He added that in some universities of the Paris region, the rate of S.T.I.s reached 40 to 60 percent of those tested.

“We end up testing tons of people who should not be infected,” Mr. André said.

Mr. Macron said in a message posted on Twitter following his announcement that other health measures would be implemented as part of a recently passed health care law. They include free emergency contraception for all women in pharmacies and free testing for sexually transmitted infections without a prescription, except H.I.V., for people under 26.

Ms. Fohet welcomed Thursday’s announcement, but she said free condoms “won’t solve everything.” She added that “education and information” were key to convincing people to use protection during sexual intercourse.

Mr. Macron acknowledged on Thursday that France needed “to train our teachers much better on this topic, we need to raise awareness.”

Earlier this year, the French government made contraception free for all women up to age 25. The move was welcomed by the country’s National Council of the Order of Midwives, which said in a statement that it should be accompanied by better sexual education for all teenagers ages 15 to 18.

“Handing out condoms is good,” Mr. André said. “But when people are already infected, it’s too late.”

Complete Article HERE!