How to Reduce Sexual Side Effects From Antidepressants

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Coping When Your Libido Takes a Hit

By Nancy Schimelpfening

An unfortunate irony of depression treatment is that while depression can rob you of your desire for sex, some drugs commonly used to treat it can be just as bad, if not worse. Sexual side effects of antidepressants include low libido, erectile dysfunction, and difficulties with orgasm. If you’re taking an antidepressant and finding it’s sapping the pleasure from your sex life, it’s worth making an effort to turn that around—if not for your relationship then just for you: Sexuality is an important part of healthy living.

Reducing Sexual Side Effects of Antidepressants

Not all of these approaches will work for everyone, so it will likely take some trial-and-error to get your romantic life back to normal. Do talk to your doctor, though, because some of these tactics require fiddling with your prescription or adding an additional medication, neither of which you can do on your own.

1. Take a Lower Dose

With your doctor’s guidance, it may be possible to lower the dose of your antidepressant enough to reduce the sexual side effects while still easing your depression symptoms. For example, it’s been shown that some people get just as much relief from 5 or 10 milligrams (mg) of Prozac (fluoxetine) as from 20 mg, but with fewer sexual side effects.

2. Pop Your Pill After Sex

Scheduling the timing of when you take certain drugs, such as Zoloft (sertraline) and Anafranil (clomipramine) for right after the time you typically have sex may be one strategy to help lower side effects. That way you’re engaging in intimacy at a time when the levels of the drug are lowest in your body. In other words, if you and your partner tend to make love in the evenings, get into the habit of taking your antidepressant at night.

3. Augment With a Drug That May Reduce Sexual Dysfunction

The antidepressant Wellbutrin (buproprion) is a norepinephrine-dopamine reuptake inhibitor (NDRI). It works somewhat differently than selective serotonin reuptake inhibitors (SSRIs) such as Prozac, Zoloft, and Paxil (paroxetine), and tends to not affect sexual dysfunction as much. Some people are able to switch to Wellbutrin alone and still get enough relief from their depression symptoms. Others can take Wellbutrin in addition to their regular medication. Ask your doctor if either approach might be an option for you.

4. Take a Drug That Treats Sexual Dysfunction

Drugs targeted at erectile dysfunction, such as Viagra (sildenafil) or Cialis (tadalafill), may help some patients.

5. Take a “Drug Holiday”

If you take Zoloft (sertraline) or Paxil you may be able to schedule a two-day drug holiday each week in order to restore sexual function without losing the benefits of the antidepressant. This strategy isn’t likely to work with medications that have a long half life, such as Prozac.

6. Experiment With Alternatives

Both exercising before sex and vibratory stimulation are suggested as possible options. In addition, psychotherapy, acupuncture, or even nutritional supplement approaches have been tried. Don’t give up if you don’t find the answers right away.

Complete Article HERE!

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Drugs and alcohol complicate sexual consent,

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but context can make things clearer

High time to talk about consent.

By and

Sexual consent is an important, complex and often awkward topic to talk about. And when people have been consuming alcohol or other drugs, it makes negotiating sexual consent even more complicated. Indeed, drawing the line between consensual sex and assault when a complainant is heavily intoxicated is a particularly difficult area of law.

What is clear though, is that context matters. The gender of the people having sex, their sexuality, the nature of their relationship and how they became intoxicated – whether willingly or unwillingly – all shape the judgements that we make about intoxicated consent.

The importance of context was brought to the forefront in the late 1970s and early 1980s, when the so-called “feminist sex wars” divided Western academics who were interested in gender equality. The debates were dominated by arguments over pornography and sex work, but the issue of sexual consent – and what it means for women living in a patriarchal society – was always present.

Context and consent

Influential legal scholar Catharine MacKinnon drew attention to society being organised in such a way that men hold the power; women’s consent and sexuality is, to some extent, conditioned and controlled by these power structures. MacKinnon’s contemporary, Andrea Dworkin, took this argument further. She claimed that women’s subordination underpins male sexual desire.

So, to give and receive consent meaningfully, there needs to be an awareness of the power dynamics at play, and the impact they have on the relationships among people. This raises questions about just how meaningful women’s sexual consent can be under patriarchy. When women are not on an equal footing with men, are they really “free” to make choices about sex with those men?

Others have highlighted the role that sexuality plays in shaping mainstream views about sexual consent. For example, anthropologist Gayle Rubin has argued that historically, sexual consent has been a privilege afforded only to those who engage in socially accepted (or even socially encouraged) sexual behaviour – that is, heterosexual, monogamous, procreative sex. In the UK, as recently as 1997, the age of consent was higher for same sex sexual activity than it was for heterosexual sex. So, even if individuals were freely choosing such sexual activity, their consent was not legally recognised.

Assumptions around gender and sexuality also affect the way people think about intoxicated sexual consent today. For example, consider the public response to the so-called chemsex phenomenon: chemsex refers to the intentional use of drugs – often methamphetamine, GHB and mephedrone – to enhance and prolong sexual encounters between men who have sex with men.

Chemsex has largely been portrayed as a public health crisis, with an emphasis on the potential for the transmission of HIV. Yet little attention is paid to the sexual violence and exploitation men might well experience in chemsex settings. By contrast, when chemsex is discussed in relation to heterosexual people, the issue of sexual consent moves to the forefront.

A worldwide survey

It’s useful to reflect on how categories such as gender and sexuality – and indeed race, ability and social class – might affect the way intoxication and sexual consent are talked about and understood. But while these categories are important, they are not enough to explain why certain intoxicated sexual experiences are perceived by those involved as consensual, and others not.

Based on an earlier project, for which Aldridge spoke with a diverse group of people who had had sex on drugs, it seems that in order to understand the complexity of intoxicated consent, it’s necessary to probe further into the specific contextual elements of sex on drugs. That might include the settings in which this activity takes place (sex club, house party, music festival), the type of drug being consumed (MDMA, cannabis, alcohol) and the nature of relationship between those having sex (one-night stand, long-term relationship, group sex).

Intoxicated consent can be negotiated successfully, but understanding how these other contextual factors affect sexual relationships is vital to addressing situations where it’s not. At present, only a fraction of sexual assault incidents are reported and even fewer result in convictions.

In 2013, the Global Drug Survey began to explore people’s experiences of intoxicated sexual consent. Out of 22,000 people, 20% reported having had been taken advantage of while intoxicated, while 5% said that this had happened in the last year. What’s more, 14% reported that they had been given drugs or alcohol by someone who intended to take advantage of them.

This year, the Global Drugs Survey is delving deeper. Researchers will be collecting contextual information from people who have been taken advantage of while intoxicated, including where they were, who they were with, their relationship with the person or people who took advantage of them and the type of drug they were using.

Cultural norms and tolerance for such behaviours vary between countries. Because the 2019 survey is translated into 22 languages, researchers will be able to compare outcomes across regions. The aim of this survey is to give a voice to those unable to speak out. The findings will be used to shape interventions that minimise harm and maximise support for people who have experienced sexual assault, while ensuring that perpetrators are correctly identified, and held responsible.

Take part in the 2019 Global Drugs Survey by clicking here.

Complete Article HERE!

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New Studies Show That Marijuana Enhances And Increases Sex

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by Sara Brittany Somerset

Recent scientific studies substantiate what many marijuana users have claimed all along — that it enhances sexual relations. Currently, almost all research into the effects of the cannabis plant is prohibited by the U.S. government due to its classification as a Schedule I substance. However, 31 states and the District of Columbia have legalized medical marijuana, while nine states have also legalized adult use of recreational marijuana. Legalization benefits academia, as it finally allows researchers to study and analyze marijuana’s effects, including its impact on sexual intercourse.

According to a research study in the Journal of Sexual Medicine (JSM), entitled the Association Between Marijuana Use and Sexual Frequency in the United States: A Population-Based Study, the goal of the study was, “To elucidate whether a relation between marijuana use and sexual frequency exists using a nationally representative sample of reproductive-age men and women.”

The analysis represented 28,176 women and 22,943 men nationwide who were surveyed by the Center for Disease Control (CDC) via a questionnaire. The CDC’s broad, all-encompassing survey is often utilized by researchers as a basis for further, more specific analysis.

Researchers Dr. Michael L. Eisenberg and Dr. Andrew J. Sun are both affiliated with the Department of Urology, at Stanford University, in California. The duo accessed the CDC’s study to research marijuana’s effects on male sexual and reproductive function, which is Dr. Eisenberg’s area of expertise. As such, he sees men with various forms of sexual dysfunction. As for medical or lifestyle factors that may influence function, he is often asked about what role, if any that marijuana may play.

The clinical implications of their study revealed that “Marijuana use is independently associated with increased sexual frequency and does not appear to impair sexual function.” In fact, daily users across all demographic groups reported having 20% more sex than those who have never used cannabis.

Dr. Eisenberg thinks doing more research in this area is important. Previously, most doctors had generally counseled men that marijuana, like tobacco, is harmful. However, his current study suggests that may not be the case.

An additional JSM-published study entitled, The Relationship Between Marijuana Use Prior to Sex and Sexual Function in Women, conducted at Saint Louis University in Missouri claims, “The internet is rife with claims regarding the ability of marijuana to improve the sexual experience; however, scientific data is lacking.” The objective of this study “is to determine if marijuana use before sex affects the sexual experience, by how much, and which domains of sexual function are affected.”

In this survey, researchers polled 133 sexually-active adult women at one particular, academic ObGyn practice, during their annual check-ups. The female patients filled out a lengthy questionnaire regarding marijuana use before sex (hashtag #MUBS).

Thirty-eight women (29%) disclosed consuming cannabis prior to copulation. Of those 38 women, 68 percent reported more pleasurable sex, 16% said it ruined their sexual experience, while the remaining 16% were undecided or unaware.  

Among the enhanced sexuality camp, 72% said it always increased their erotic pleasure, while 24% said it sometimes did. Almost 62% said it enhanced the quality of their orgasms and their libidos in general. Additionally, 16% of MUBS adherents disclosed they purposefully puff pot prior to sex, specifically to relieve any potential pain associated with the act. There were conflicting reports as to whether or not it enhanced vaginal lubrication.

The same research team later widened the scope of their survey to 289 adult MUBS women, with similar results: 65% decided it enhanced their sexual experience, 23% said it did not matter one way or the other, 9% had no significant feedback and 3% said it sabotaged their sexual experience.

Dr. Monica Grover of Asira Medical is double Board certified in Family Medicine and Gynecology, with practices in both Midtown, Manhattan and Westchester, New York. Although she did not participate in either clinical study, she is currently conducting independent research.

“Although some studies have shown results that are equivocal, anecdotally patients have reported positive feedback,” says Dr. Grover.

“Consumption of small quantities [of marijuana] prior to sex may increase libido in female patients, which in turn can release positive endorphins and increase vaginal lubrication.”

Dr. Grover believes this may be due to the short-term anxiolytic of cannabis.  In women. Reduced sexual libido in women usually correlates with any anxiety or stress they are experiencing. So, in the short-term, cannabis has anxiety-reducing effects. However, in the long-term, it can increase anxiety, which may explain the lack of libido in possible habitual users. Dr. Grover is currently working on a study to determine this theory.  

Notable clinical implications among male users reported in the Stanford study were that Cannabis does not impair sexual function nearly as much as alcohol does. Nor are there any contraindications of mixing marijuana with other drugs for sexual performance enhancement such as Viagra or Cialis.  

Additionally, and perhaps most importantly, unlike alcohol, so far there is no direct correlation between marijuana consumption and a significantly increased risk of fatalities.

According to the Centers for Disease Control and Prevention (CDC), an estimated 88,0008 people (approximately 62,000 men and 26,000 women) die from alcohol-related causes annually, making alcohol the third leading preventable cause of death in the United States.  The Journal of the American Medical Association corroborates these findings. The first preventable cause of death in the United States is tobacco use and the second is poor diet combined with physical inactivity. These findings may help build the case for consuming cannabis to become more sexually active to benefit one’s overall health.

Complete Article ↪HERE↩!

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Here’s how marijuana use affects sex drive

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by Philip Perry

Do you and your lover sometimes have a glass of wine or two to help set the mood? Alcohol, while it can soften inhibitions, may also cause trouble when it comes time to perform, especially for men. Some turn to cannabis as an alternative. Unfortunately, research on how marijuana affects sexual performance is conflicting.

Some studies say it inhibits capability while other say it enhances it. A new, large-scale study finds that marijuana use increases the sex drive and probably doesn’t inhibit performance. Scientists at the Stanford University School of Medicine conducted the study and published their results in the Journal of Sexual Medicine.

Cannabis has been thought an aphrodisiac in the folk medicine traditions of many cultures throughout history. Today, a small but growing segment in the West are using it to help enhance their sex lives. One California woman is even selling “Sexxpot,” a low-THC variety (the psychoactive component) said to increase female sexual desire and pleasure.

As for men, though online forums and advice columns praise it as a “natural Viagra,” some studies have found that cannabis may actually inhibit performance. Previous work has also suggested that chronic use inhibits sex drive. A 2009 study found that everyday use may make it difficult for some men to achieve orgasm. While a 2011 review concluded that chronic use may lead to a higher risk of erectile dysfunction.

This new study however seems to undermine the case for inhibited performance or libido. Stanford researchers analyzed the responses of 50,000 Americans who took part in the CDC’s National Survey of Family Growth. They looked at the years between 2002 and 2015. Each participant was between ages 25 and 45. The average age for both men and women was actually 29.5.

Respondents indicated how often they smoke marijuana, either monthly, weekly, or daily, and how many times they had sex in the last 12 months. Assistant professor of urology Michael Eisenberg, MD, was the senior author. “Marijuana use is very common,” he said. “But its large-scale use and association with sexual frequency hasn’t been studied much in a scientific way.”

“What we found,” Eisenberg said “was compared to never-users, those who reported daily use had about 20 percent more sex. So over the course of a year, they’re having sex maybe 20 more times.” Women who didn’t smoke pot had sex an average of 6 times per month. While those who were daily users did it 7.1 times per month. With men, non-potheads had sex 5.6 times per month, while daily users did it 6.9 times per month.

According to Eisenberg, “The overall trend we saw applied to people of both sexes and all races, ages, education levels, income groups and religions, every health status, whether they were married or single and whether or not they had kids.” Researchers called it a “dose-dependent relationship.”

The more people used marijuana, the more sex they had. These findings also alleviate some of the anxiety surrounding performance inhibition. “Frequent marijuana use doesn’t seem to impair sexual motivation or performance,” Eisenberg said. “If anything, it’s associated with increased coital frequency.”

There are of course, some caveats. For couples who are trying to have children, several studies have found that chronic pot use can cause a man’s sperm count to plummet. Toking just once a week can sink the number of swimmers a man has by about a third. There’s also still a lingering fear among some experts that chronic use can lead to ED.

It’s important to note that the study didn’t prove a cause-and-effect relationship, merely a strong correlation. Smoking marijuana doesn’t automatically mean you’ll be having more sex. There may be another factor or factors that are influencing the two. For instance, those drawn to marijuana may also be less inhibited or thrill-seekers, who are naturally more inclined to seek out sexual encounters.

Eisenberg says he thinks marijuana’s positive correlation with intercourse isn’t just a tendency among the less-inhibited. He points out that the number of sexual encounters rose steadily with increased use. If these findings prove correct, certain synthesized cannabinoids or elements in marijuana, may someday be used as a medical treatment, to foster libidinous feelings in those who find that their desire has waned. Eisenberg cautions, “We don’t want people to smoke to improve sexual function.” But he admits, “it probably doesn’t hurt things.”

To learn how a segment of young women using marijuana to improve their sex lives, click here:

Complete Article HERE!

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Viagra rising: How the little blue pill revolutionized sex

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[T]wenty years ago, a little blue pill called Viagra unleashed a cultural shift in America, making sex possible again for millions of older men and bringing the once-taboo topic of impotence into daily conversation.

While the sexual improvement revolution it sparked brightened up the sex lives of many couples, it largely left out women still struggling with dysfunction and loss of libido over time. They have yet to benefit from a magic bullet to bring it all back, experts say.

About 65 million prescriptions have been filled worldwide for the blockbuster Pfizer drug approved by the US Food and Drug Administration on March 27, 1998.

It was the first pill aimed at helping men get erections.

Suddenly, talk of an amazing drug that could make an older man’s penis hard again was all over television and magazines.

The Viagra boom also coincided with the rise of the internet, and the explosion of online pornography.

Ads for Viagra were designed to reframe what had been known as “male impotence” as “erectile dysfunction” or ED, a medical condition that could finally be fixed.

Republican senator, military veteran and one-time presidential candidate Bob Dole became the first television spokesman for Viagra, admitting his own fears about erectile dysfunction to the masses.

“It’s a little embarrassing to talk about ED, but it is so important for millions of men and their partners,” he said.

The strategy worked.

Before Viagra, men wanted to talk about their erectile problems, and did, but the conversations were awkward and difficult, recalled Elizabeth Kavaler, a urology specialist at Lenox Hill Hospital in New York.

“Now, sexuality in general is very out there,” she added.

“Sex has become an expected part of our lives as we age. And I am sure Viagra has been a big part of that.”

MISUNDERSTOOD DRUG

Viagra has had a “major impact” — on a par with the way antibiotics changed the way infections are treated, and how statins became ubiquitous in the fight against heart disease, said Louis Kavoussi, chairman of urology at Northwell Health, a New York-area hospital network.

Viagra’s release also came amid a “sort of a clampdown on physicians interacting with companies,” he said.

“So this was a perfect medicine to advertise to consumers. It was a lifestyle type of medicine.”

Viagra, or sildenafil citrate, was first developed as a drug meant to treat high blood pressure and angina.

But by 1990, men who took part in early clinical trials discovered its main effect was improving their erections, by boosting blood flow to the penis.

For all its popularity, Viagra is still often misunderstood.

“It isn’t an aphrodisiac,” said Kavoussi.

“A lot of men who ask about it say, ‘My wife isn’t very interested in relations,” he added.

“And I say, ‘Viagra is not going to change that.'”

SEXUAL REVOLUTION

In 2000, the comedy show “Saturday Night Live” featured a spoof on ads that showed sexually satisfied men saying, “Thanks, Viagra.”

In it, one eye-rolling actress after another was featured groaning “Thanks, Viagra,” as a horny male partner groped her from behind or gripped her in a slow-dance.

The skit was funny because it reflected a reality few people were talking about.

“We are a very puritanical society, and I think Viagra has loosened us up,” said Nachum Katlowitz, director of urology and fertility at Staten Island University Hospital.

“But for the most part, the women have been left out of the sexual improvement revolution.”

Pfizer finally did include women in its marketing for Viagra, in 2014. The commercials featured sultry women, including at least one with a foreign accent, speaking directly to the camera, telling men to get themselves a prescription.

‘FEMALE VIAGRA’

In 2015, the FDA approved a pill called Addyi (flibanserin), which was cast in the media as the “female Viagra,” and was touted as the first libido-enhancing pill for women who experienced a loss of interest in sex.

The pill was controversial from the start.

A kind of anti-depressant, women were warned not to drink alcohol with it. It also cost hundreds of dollars and came with the risk of major side effects like nausea, vomiting and thoughts of suicide.

“It didn’t go over too big,” said Katlowitz.

Valeant Pharmaceuticals bought Addyi for $1 billion in 2015, but sold it back to the developer, Sprout Pharmaceuticals, at a steep discount last year.

Older women’s main problem when it comes to sex is vaginal dryness that accompanies menopause, and can make sex painful.

Solutions tend to include hormones, or laser treatments that revitalize the vagina. They are just beginning to grow in popularity, but still cost hundreds to thousands of dollars, said Kavaler.

“We are at least 20 years behind men,” she said.

For Katlowitz, Viagra was a prime example of “the greed of the pharmaceutical industry.”

Viagra cost about $15 per pill when it first came out, and rose to more than $50. It finally went generic last year, lowering the price per pill to less than $1.

“There was absolutely no reason to charge $50 a pill,” said Katlowitz.

“It was just that they could, so they did.”

Complete Article HERE!

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Does Smoking Pot Lead To More Sex?

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In every group the researchers studied, the more marijuana people smoked the more sex they reported having.

By Angus Chen

[T]obacco companies put a lot of effort into giving cigarettes sex appeal, but the more sensual smoke might actually belong to marijuana.

Some users have said pot is a natural aphrodisiac, despite scientific literature turning up mixed results on the subject.

At the very least, a study published Friday in the Journal of Sexual Medicine suggests that people who smoke more weed are having more sex than those who smoke less or abstain. But whether it’s cause or effect isn’t clear.

The researchers pulled together data from roughly 50,000 people who participated in an annual Centers for Disease Control and Prevention survey during various years between 2002 and 2015. “We reported how often they smoke — monthly, weekly or daily — and how many times they’ve had sex in the last month,” says Dr. Michael Eisenberg, a urologist at Stanford University Medical Center and the senior author on the study. “What we found was compared to never-users, those who reported daily use had about 20 percent more sex. So over the course of a year, they’re having sex maybe 20 more times.”

Women who consumed marijuana daily had sex 7.1 times a month, on average; for men, it was 6.9 times. Women who didn’t use marijuana at all had sex 6 times a month, on average, while men who didn’t use marijuana had sex an average of 5.6 times a month.

When the researchers considered other potentially confounding factors, such as alcohol or cocaine use, age, religion or having children, the association between more marijuana and more sex held, Eisenberg says. “It was pretty much every group we studied, this pattern persisted,” he says. The more marijuana people smoked, the more they seemed to be having sex.

Now, that association doesn’t necessarily mean the weed is responsible for the heightened sex drive, says Mitch Earleywine, a psychologist at the University at Albany who has studied cannabis and sex but wasn’t involved in this work. “In some surveys, we saw that people [who used cannabis] did have sex more, but it seemed to be mediated by this personality type that’s willing to try new things or look for thrills,” he says. In other words, it seems that people who like to smoke weed may have other character traits that lead them to be lustier.

Or maybe it really is the weed. “It’s possible it makes men or women more interested in sex,” Eisenberg says. In one study, researchers found they were able to induce sexual behavior by injecting a cannabinoid, the class of psychoactive compounds in marijuana, into rats. But people aren’t rats, of course.

Another study published in 2012 found that women became more aroused when watching erotic films when they had cannabinoids in their system. But that might just be because weed seems to heighten sensory experiences overall. “It gets people to appreciate the moment more anyway,” psychologist Earleywine says. “They like food more, find humor in things more easily, so it wouldn’t be stunning to think they would enjoy sex more.”

Whatever the connection, Eisenberg says his results leads him to think that pot, unlike tobacco which can depress libido and performance, isn’t going to take the steam out of one’s sex drive. “One question my patients always have is will smoking marijuana frequently negatively impact my sexual function?” Eisenberg says. “We don’t want people to smoke to improve sexual function, but it probably doesn’t hurt things.”

Not everyone agrees with that conclusion. “It’s a lot of stretch here,” says Dr. Rany Shamloul, a researcher at Ottawa Hospital in Canada who focuses on sexual health and function. He didn’t work on the latest study. In an odd Catch-22, Shamloul says that recent research suggests cannabis might actually make it harder for a man’s penis to become erect, even if weed might turn people on. “Recent studies have shown cannabinoid receptors in the penis itself, and experiments in the lab show an inhibitory response,” he says. “There was basically a mixed result. Cannabis might increase [sexual arousal] frequency in the brain, but also decrease erectile function in the penis.”

There is another issue that may throw cold water on cannabis’ potential as a love enabler. A frequent side effect of marijuana is a dry mouth, and University at Albany’s Earleywine points out that one’s mouth might not be the only thing turning arid. “Drying of the mucus membranes is a pretty consistent effect of the plant. Women should keep that in mind when considering cannabis as a sexual aid. I know that some products have THC or cannabinoids in a lubricant, but I haven’t seen any actual data on that,” he says.

Stanford’s Eisenberg says his study doesn’t prove the idea that marijuana is getting people into the sack, though he says that is a possibility. There’s really only one conclusion he can safely draw from the work: Cannabis users are doing it more.

Complete Article HERE!

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Marijuana And Sex: How Much Weed Is Too Much?

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If you don’t know about the ‘bidirectional effect.’ you need to read this.

By:

[I]t’s not a secret that medical cannabis has been proved beneficial to those seeking pain management, alleviating chronic ailments and improving appetite. And for millennia it has been reported that marijuana and sex go together, too.

A new study released this month reveals that cannabis use, indeed, can improve sexual function — but it depends on the amount you and your partner partake.

Cannabis and Sexuality,” a report authored by Richard Balon and published in Current Sexual Health Reports, suggests that low doses of marijuana enhances sexual desire, while higher doses may lead to a bad sex. Says the report:

Cannabis has bidirectional effect on sexual functioning. Low and acute doses of cannabis may enhance sexual human sexual functioning, e.g., sexual desire and enjoyment/satisfaction in some subjects. On the other hand, chronic use of higher doses of cannabis may lead to negative effect on sexual functioning such as lack of interest, erectile dysfunction, and inhibited orgasm. Studies of cannabis effect on human sexuality in cannabis users and healthy volunteers which would implement a double-blind design and use valid and reliable instruments are urgently needed in view of expanded use of cannabis/marijuana due to its legalization and medicalization.

Of course, this is not new to anyone who has smoked a joint and is not a virgin. Another study, released late last year, concluded:

“For centuries, in addition to its recreational actions, several contradictory claims regarding the effects of cannabis use in sexual functioning and behavior (e.g. aphrodisiac vs anti-aphrodisiac) of both sexes have been accumulated. … Marijuana contains therapeutic compounds known as cannabinoids, which researchers have found beneficial in treating problems related to sex.”

But dosage is important. Too much pot can be unhealthy for male sexuality. “You get that classic stoner couch lock and lose your desire to have sex at all,” according to Dr. Perry Solomon, chief medical officer at HelloMD. Perry suggests that men should consume cannabis that contains 10-14 percent THC.

Although it appears women have a different tolerance when it comes to cannabis and sexual activity, it is recommended to start with low doses before escalating the high.

According to HelloMD:

One reason why this may be so is that cannabis consumption is known to stimulate the production of oxytocin in the body. The production of oxytocin, also known as the bonding hormone, is closely related to the endocannabinoid system. Oxytocin is involved in a variety of human interactions, including sexual intercourse. Oxytocin is often released during orgasm, creating a bond between sexual partners that brings them closer together. The increased oxytocin production experienced while using cannabis during sex leaves me feeling deeply connected to my partner on a physical and spiritual level. Cannabis helps us achieve a level of closeness and unity that is truly unique.

Complete Article HERE!

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Does Weed Hurt or Help Your Sexual Performance?

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Should weed and sex be combined? What effect can cannabis have on your sexual performance?

By

What are two of the most titillating subjects to talk about? Sex and weed, right? Well, strap in, sweetheart, because we’re about to talk about both. In high school, a gym teacher posing as a health professional probably taught you that cannabis is bad for you and so is sex. Hopefully, by now, you have realized that the exact opposite is true. Safe sex is healthy, and as it turns out, cannabis can also play a part in your overall wellbeing. But should weed and sex be combined? What effect can cannabis have on your sexual performance? The answer is overwhelmingly positive.

Psychology 101

Pop quiz: what are the four stages of the human sexual response cycle, as described by Virginia E. Johnson and William H. Masters? Gold star if you said excitement phase, plateau phase, orgasmic phase, and resolution phase. Here’s how pot factors in.

Excitement Phase

According to Masters and Johnson’s revolutionary 1966 book Human Sexual Response, the first stage of the human sexual response cycle is the excitement phase. Also known as arousal. In this first phase, for all sexes, the genitals become engorged and more sensitive.

Consuming marijuana, a well-known aphrodisiac, before engaging in sex can increase and heighten arousal by helping blood flow, particularly in these vital areas. This is especially helpful for those struggling with erectile dysfunction. If prescription potency pills (like Viagra) aren’t for you, there are certain strains of pot that are said to be even better.

Plateau Phase

This second phase is characterized by increased sexual pleasure and stimulation. Know what else can increase pleasure? Marijuana is known to enhance sensation, especially during sex, and especially for women. One study even said that 90% of women who incorporated weed in their sex lives reported increased sexual pleasure. But don’t feel stiffed, dudes; 75% of men reported the same thing.

Orgasmic Phase

Who doesn’t love an orgasm? Ganja can help you get there. So can the products that combine it with sex, like Foria Pleasure lube and the Sexxpot strain. While it can be agreed upon that stoned orgasms are pretty great for everyone, women especially have experienced longer and more intense climaxes when smoking up before getting down.

Resolution Phase

After orgasm, the muscles in your body relax, breathing slows, and blood pressure drops. There’s also a release of oxytocin. Marijuana is also associated with oxytocin. So it stands to reason that combining sex and pot leads to increased feelings of intimacy, which can lead to a stronger relationship, which in turn, leads to better sex.

Complete Article HERE!

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Gettin’ and Stayin’ Clean

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Name: Augustt
Gender: Male
Age: 52
Location: San Francisco
Hey Doc,
I have been clean from meth for just over 6 years but was a hard-core user (injecting) from 1995 until March of 2002. Since then I have no sex drive and low self-confidence since my usage brought me to having Tardive Dyskinesia. What can I do to bring back my sex drive?

[Y]ep, seven years of slammin’ crystal will seriously fuck ya up, no doubt about it. I heartily commend you on gettin’ and stayin’ clean. CONGRATULATIONS! I know for certain that ain’t easy.

You are right to say that the residual effects of years of meth use can devastate a person’s sexual response cycle. Perhaps that’s one of the reasons people take as long as they do to rid themselves of this poison. While they are using, they are oblivious to the effects meth is having on their sexual expression.

Before we go any further, we’d better define Tardive dyskinesia for our audience. It is a condition characterized by repetitive, involuntary, movements. It’s like having a tic, but much worse. It can include grimacing, rapid eye blinking, rapid arm and leg movements. In other words, people with this condition have difficulty staying still. These symptoms may also induce a pronounced psychological anxiety that can be worse than the uncontrollable jerky movements.

That being said, there is hope for you, Augustt. Regaining a sense of sexual-self post addiction is an arduous, but rewarding task. With your self-confidence in the toilet and zero libido, I suggest that you connect with others in recovery. They will probably be a whole lot more sympathetic to your travail than others.

Try connecting with people on a sensual level as opposed to a sexual level. I am a firm believer in massage and bodywork for this. If needs be, take a class or workshop in massage. Look for the Body Electric School Of Massage. They have load of options. He has created over 100 sex education films, most of which are available at his online schools: www.eroticmassage.com and www.orgasmicyoga.com.

You will be impressed with the good you’ll be able to do for others in recovery as well as yourself. Therapeutic touch — and in my book that also includes sensual touch — soothes so much more than the jangled nerves ravaged by drug and alcohol abuse. It gives the one doing the touch a renewed sense of him/herself a pleasure giver. The person receiving the touch will begin to reawaken sensory perceptions once thought lost.

I encourage you to push beyond the isolation I know you are feeling. Purposeful touching, like massage and bodywork will also, in time help take the edge off your Tardive dyskinesia. I know this can happen. I’ve seen it happen. Augustt, make it happen!

Good luck.

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Following in the footsteps of Viagra, female libido booster Addyi shows up in supplements

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By Megan Thielking

[F]ollowing in the footsteps of its predecessor Viagra, the female libido drug Addyi has snuck into over-the-counter supplements that tout their ability to “naturally” enhance sexual desire.

The Food and Drug Administration announced a recall Wednesday of two supplements marketed to boost women’s sex drive. The supplements Zrect and LabidaMAX — both manufactured by Organic Herbal Supply — actually contained flibanserin, a medication approved by the FDA in late 2015 to treat hypoactive sexual desire disorder in women. It’s the first time federal officials have recalled a product contaminated with the drug.

“It’s the latest example of brand-new drugs being found in supplements,” said Dr. Pieter Cohen, a physician at Harvard Medical School who studies dietary supplements.

The problem has long plagued the male sexual enhancement supplement market. Viagra has turned up in dozens of over-the-counter pills that never declared they contained the drug. The FDA regularly checks supplements shipments for the presence of Viagra, and has added flibanserin into their scans since the drug was approved.

“FDA lab tests have found that hundreds of these products contain undisclosed drug ingredients,” said Lyndsay Meyer, a spokesperson for the agency.

The massive dietary supplement industry is largely unregulated. The products can be sold without a prescription in supermarkets, supplement stores, and, increasingly, online. The products currently being recalled were sold on Amazon through February.

And while supplement makers are not allowed to claim that their products cure or treat a particular condition, they are allowed to make general claims that their products support health or, in this case, promote sexual desire.

“There’s nothing that you can actually put into the pill that lives up to advertised claims, so there is this temptation to introduce a pharmaceutical drug that attempts to meet those claims,” said Cohen. Organic Herbal Supply, which is recalling its products, did not respond to a request for comment.

The FDA said it has not received any reports of adverse events tied to either of the supplements. But Cohen said they are far from safe — and argued a lack of regulation will allow those risks to remain.

“We have no idea the harms being caused by these products. As long as these products can be sold as if they improve your sexual health, there’s going to be no stopping this,” he said.

The amount of undeclared flibanserin in a supplement could vary widely from one pill to the next, as has been the case with Viagra. It’s also possible the drug could be introduced into a supplement along with other potentially libido-boosting compounds, exacerbating those effects.

“We don’t know what danger this poses because these combinations have never been studied before they’re sold to unsuspecting consumers,” Meyer said. Consumers can report adverse events tied to these or other dietary supplements to the agency online.

Cohen said the message from the recall is clear: “Consumers should just completely avoid sexual enhancement supplements. They either might be safe and don’t work, or they might work but are likely to be dangerous.”

Complete Article HERE!

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How to Have a Sex Life on Antidepressants

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When quitting isn’t an option, is it possible to overcome the sexual side effects that come with an SSRI?

By Shannon Holcroft

So, you’ve finally filled the antidepressant prescription that’s been acting as a bookmark for the most recent novel you’re feigning interest in. Somewhere between missing your own birthday party and watching everyone else have fun without you, you gave in. After a few medicated weeks, things are starting to look up. Except for your sex life, that is.

Just last week, you were tied to a kitchen chair enjoying an amazing (albeit rather mournful) few minutes of escape through sex. Today, getting naked seems less appealing than all the other pressing tasks you have new-found energy to complete.

“Is it the meds, or is it just me?” you wonder as you deep-clean the fridge with new vigour. After some soul-searching, it becomes clear that you’re still the same person—just with fewer festering foodstuffs and a lot less crying.

“It must be a side effect,” you decide. But months after filling your prescription, your genitals are still giving you the physiological equivalent of 8d2cc2c1a43108301b149f7f33e1664d.png

Why Antidepressants May Be a Downer for Your Sex Life

“[Sexual dysfunction] is a difficult, frustrating, and very common issue with this class of medications,” says Jean Kim, M.D., clinical assistant professor of psychiatry at George Washington University.

Twelve percent of American adults reported filling an antidepressant prescription in the most recent Medical Expenditure Panel Survey. Not just for clinical depression, but for all kinds of off-label conditions like chronic pain and insomnia.

Selective serotonin reuptake inhibitors (SSRIs) are the most commonly prescribed antidepressant class. And between 30 percent and 50 percent of individuals taking SSRIs experience sexual dysfunction. Desire, arousal and orgasm may be affected by changes in function of neurotransmitters like serotonin and dopamine; the very mechanisms through which SSRIs treat depression.

How to Work Around the Side Effects

When fighting to survive a potentially fatal mental illness, there are often more important concerns than getting it on. It’s frequently not an option to stop taking life-saving medication to avoid side effects. So what’s a sexual being to do?

Despite SSRIs being pretty pedestrian, there’s no concrete answer to addressing sexual side effects. “Unfortunately, not much is reliably effective to deal with this [sexual dysfunction],” Dr. Kim notes.

This may sound pretty gloomy, but there are plenty of things you can try to bring sexy times back around. “Don’t hesitate to bring up the issue with your prescribing clinician, as there might be some helpful interventions available,” says Dr. Kim.

Here are other ways to work around the sexual side effects of antidepressants:

1. Time It Right

“Some literature advises trying to have sexual activity when the serum level of a daily antidepressant might be lowest in the bloodstream,” says Dr. Kim. In other words, the ideal time to get it on is right before you take your next daily dose.

If your dosing schedule makes it tough to pencil in sexual activities, chat with your clinician about changing the time of day you take your meds. In many cases, there’s room for flexibility.

“This would not work much with some SSRIs that have a longer half-life like fluoxetine (Prozac),” Dr. Kim adds. Those taking antidepressants that exit the body quickly, like Paxil and Zoloft, could be in luck.

2. Switch It Up

Switching to a different medication, with the support of your prescribing clinician, may make all the difference. Certain antidepressants have a greater incidence of sexual side effects than others. Commonly prescribed SSRIs associated with a high frequency of sexual dysfunction include paroxetine (Paxil), sertraline (Zoloft) and fluoxetine (Prozac).

Besides exploring the SSRI class, venturing into atypical antidepressant territory is another option. Buproprion (Wellbutrin) is an atypical antidepressant observed to present the lowest sexual side-effect profile of all antidepressants.

It may take some trial and error, mixing and matching to identify what works best for you, but it will all be worth it when you can [insert favorite sex act here] to your heart’s content again.

3. Augment

Some treatment add-ons may act as antidotes to SSRI-induced sexual dysfunction. “Supplementing with other medications that have serotonin blocking effects (like cyproheptadine [Peritol] or buspirone [Buspar]) or enhance other neurotransmitters like dopamine (like Wellbutrin) might help,” says Dr. Kim. She is quick to note that these findings are yet be confirmed by “larger-scale randomized controlled clinical trials.”

“Another common strategy is to prescribe erectile dysfunction drugs like sildenafil (Viagra) and the like for as-needed use before activity,” says Dr. Kim. Viagra has been found to reduce sexual side effects, even if you’re not in possession of a penis. In Dr. Kim’s clinical experience, “[Viagra] seems to help in more than a few cases.” Discuss with your doctor before adding any more medications to the mix.

4. Exercise

Now’s the time to take up aquacycling, indoor surfing sans water or whatever fitness fad tickles your fancy. Keeping active could be the key to preventing sexual dysfunction caused by SSRIs.

“Sometimes sexual dysfunction is not just a primary SSRI drug side effect but part of underlying depression/anxiety as well,” Dr. Kim explains. “Anything that helps enhance overall blood circulation, mood and libido might be helpful, such as exercise.”

Complete Article HERE!

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A stressful life is bad for the bedroom

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If you are consistently emotionally distressed due to social, economic or relationship pressures, you can be sure to lose erections. Being annoyed with your intimate partner all the time, and feeling undermined or frustrated are bad for your erections.

By JOACHIM OSUR

Lois came to the sexology clinic because she was sexually dissatisfied with her husband. It had been six months of no sex in their 11-year old marriage. Before that, her man had suffered repeated episodes of erection failure. “The few times he did get an erection, it was flaccid and short-lived,” Lois explained. “You can only imagine how that can be frustrating to a faithful wife.”

Lois suspected that her husband was getting sexual satisfaction elsewhere, and had angrily told him she didn’t want to have sex with him anymore. “I thought he was no longer interested in me because I had gained too much weight after bearing our two children, a very hurtful thought,” she explained sadly.

And so for six months the couple kept off each other. The relationship got strained and unfortunately Andrew, Lois’ husband, threw himself into his work. He stayed late at work and came home after everyone was asleep. He woke up and left the house early. He paid no attention to their two children anymore.

“So how can I help you?” I asked, lots of thoughts going through my mind due to the complexity of the case. You see, the man, who was the one having a problem, had not come to the clinic. Erection failure or erectile dysfunction (ED) is a complex symptom that requires a thorough assessment for its cause to be pinpointed. I needed Andrew to come see me himself.

VICTIM OF THE RELATIONSHIP

“What do you mean that it is a symptom of complex problems?” Lois asked, frowning. ED is simply a failure to be aroused sexually. This could be due to the derangement of some chemicals in the brain such as dopamine. It could also be due to hormonal problems such as low testosterone, high prolactin and so on.

What we are also seeing at the clinic is a rise in cases of diabetes and hypertension, usually accompanied by obesity. Most of the affected people have high cholesterol. These diseases destroy blood vessels, including those in the penis, making erections impossible. Further still, the diseases can destroy nerves, and if the nerves of the penis are affected, erections fail. People with heart, kidney, liver and other chronic illnesses may similarly get ED either from the diseases or from the medicines used to treat them.

Stressful lifestyles are also contributing to ED quite a bit these days. Many people work two jobs to get by, and have no time to relax or get adequate sleep. A physically worn out, sleep-deprived body is too weak to have an erection and you should expect ED to befall you any time if this is your lifestyle.

But emotional distress is even more dangerous for ED. If you are consistently emotionally distressed due to social, economic or relationship pressures, you can be sure to lose erections. Being annoyed with your intimate partner all the time, and feeling undermined or frustrated are bad for your erections. Further, feeling like a victim in the relationship can lead to ED. All these are further complicated by anxiety and depression, which are bound to set in as part of the relationship problem or as a result of the ED itself.

“So can’t you just give me some medicine for him to try then if it fails he can come for full assessment?” Lois asked, realising that my explanation was taking longer than she had anticipated.

Unfortunately that was not possible. We get this kind of request all the time at the clinic. In fact, people make phone calls asking for tablets to swallow to get erections immediately. Sometimes they call from the bathroom with their partner in the bed waiting for action yet the erection has failed. There is however no alternative to a thorough assessment and treatment of the cause of the ED.

Andrew came to the clinic a few days later. A full assessment found that he had a stressful career and relationship difficulties, and both had taken a toll on his sex life. He had to undergo a lifestyle change. Further, the couple went through intimacy coaching. It was another six months before they resumed having sex.

Complete Article HERE!

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10 Topics Gay Guys Never Discuss With Their Parents

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When you’re gay, it’s hard to talk to your parents about certain things. No matter how accepting or open-minded they may be, gay relationships, gay culture, and the mechanics of gay sex will stay a mystery to them — unless, of course, one of your parents is gay — or both.

Anyone who has been out of the closet for any amount of time knows that “gay” is more than a label to define your sexuality. It is a core part of your identity, and words like “queer,” “bi,” and “LGBTQ” constitute a significant part of your life — your people, your language, and your interests, both politically and socially. These words define a culture that our straight parents will never fully know. They may watch softened depictions of it on Modern Family, but they have never sung drunk karaoke at your favorite gay watering hole or queened out to Britney. They’ve never danced in a sea of sweaty men till 6 a.m. and they have no idea what Nasty Pig is.

Much of our culture can be hard to explain. Poppers and anal plugs will probably never warrant a conversation with mom, but other conversations — about PrEP and nonmonogamy, for example — can lead to greater understandings. Here’s a list of all those things gay men don’t talk about with their parents, with a small smattering of advice on how to do so!

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1. Douching

The thought of you having sex with another man crossed your parents’ minds from the moment they found out you were gay. Though they would never admit it, they still wonder about it from time to time. The image flashes when they’re trying to go to sleep, when they’re taking the dog out for a walk. Like many straight people, they may be clueless as to how it all works and may mistakenly believe it to be a very messy business. But douching — the process of cleaning out the anal cavity before sex — is one of those off-limits topics, one I would never bring with to them.

One way to hint at it without having to say anything is to have your parents over to your place for a night where there is, regrettably, only one shower. You must conveniently forget to unscrew the metal douching hose from its attachment at the side of your shower head. I’m not saying you should picture your mother naked, but envision her standing in your shower, looking through your assortment of overpriced sugar scrubs, charcoal-infused body bars, and organic, woodsy-smelling shampoos, and frowning over that dangling hose with the phallic-shaped metal attachment at the end. Then, hopefully, it will click, and she’ll deduce that your sex is not quite as messy as she thought.

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2. Poppers

When I’m talking to guys on Scruff whose profiles read “No PnP,” I usually ask, “Do you use poppers?” Most frequently, the answer is, “Sure. Love poppers.”

Poppers, while still a drug, are so mild that many gay men do not consider them in the same “sex drug” category that Tina (crystal meth) and G fall into. They’ve become staples of gay sex, gay culture, and gay history. We’ve been using them since the ’70s for their particular power of relaxing the anal sphincter for a few minutes, just long enough to get sex revved up. But if you try to explain the process of inhaling alkyl nitrites — video head cleaner — to your parents, they will likely conjure the imagine of junkies snorting glue in the school supplies aisle.

As with many items on this list, you could make the reasonable argument that poppers — like most facets of gay sex — never need to be brought up to your parents, since your sex life is not any of their business. But if they ever wonder why you have a few small amber bottles of some chemical that smells like nail polish in the freezer, poppers may inadvertently become a discussion topic in the kitchen.

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3. Fisting

Even if you don’t do it, you know someone who does. Fisting has long lost its shock value in gay circles, and has crossed over from dark sex dungeons into the arena of mainstream gay life. Many guys who aren’t regularly seen in leather harnesses now enjoy fisting. But imagine explaining to Dad how some guys take hands (and more) up the anus — especially when the idea of taking an erect penis up there is already outside the realm of his imagination. Many people, gay and straight, do not believe — or have not accepted — that fisting, when done safely and correctly, does not create long-term damage and can be an incredibly passionate and enjoyable sexual experience.

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4. Drag

Even though words like “slay” and “werq” have broken into the straight lexicon — primarily thanks to RuPaul’s Drag Race — the art and culture of drag is still a queer creation and belongs to us. Straight people are welcome to enjoy drag shows at their local gay bar, so long as they tip, but theirs is not a history of disenfranchisement and oppression, abuse and homelessness, poverty and sex work — a queer history in which drag emerged as an act of self-empowerment.

Drag can be hard to explain to your parents. It was hard to explain to mine. My parents assumed that all gay men dress up in women’s clothes and sing diva power ballads, so the concept of drag was indistinguishable from the rest of gay life to them. They could not appreciate drag’s cultural importance because it’s not their culture, and they did not understand its complicated history with the transgender movement because they do not understand, and refuse to understand, the concept of transgender identity.

To them, as well as to many others, drag artists and trans people are the same thing — a deeply incorrect assumption that has led to something of a modern cultural rift between trans activists and the drag world. The two camps have an overlapped history, since many trans folks first discovered their true identities through drag. In the ’60s, ’70s, and ’80s, when the concept of “transgender” was not as developed as it is today, many transgender people could only express themselves through drag art. As our cultural understandings both of drag and transgender identity have evolved, the two have split, and the burden has fallen on many transgender folks and trans activists to highlight and explain the significant difference between the two. Many people, my parents included, consider a trans woman to be “a man in a dress” — essentially a drag performer — and the phrase has become a terribly offensive slur against transgender women.

Take your parents to a drag show. Give them bills to tip the queens. (This assumes that your parents, unlike mine, are wiling to set foot in a gay bar.) Let them see drag in all its ferocity and kitschy wonder, then afterward, walking home, highlight the fact that what they saw was performance art, a toss-up between cabaret and camp. Explain to them that even if a transgender person does drag, the drag is the performance, but their trans identity is not. Regardless of what someone does onstage, transgender identity is a person’s authentic identity. “While drag is done for an audience, coming out as transgender is done solely for oneself,” a trans friend once told me. “And it is just as healthy and important to do as any coming-out, any form of self-acceptance that your mental health depends on.”

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5. Bears, Otters, and Pups, Oh My!

The labels will be the bane and the delight of your gay life. Gay men have long established the bizarre practice of defining and stereotyping ourselves into labels based on body type and sex practices. In the gay lexicon, burly, hairy men over a certain age are “bears.” Young bears are “cubs.” Skinnier, scruffier guys are “otters.” Young, lean, hairless guys are “twinks.” Guys into puppy play (a kink scene that was listed on my list of 30 kinky terms every gay man should know) who enjoy the “pup” role are “pups,” both in and out of the scene. Guys who prefer condomless sex are “pigs.” Tall, skinny gay guys are “giraffes” (a lesser-known label).

How did we come up with these? Regardless of where they came from, and in spite of their much-debated value, the labels are likely here to stay. While they are common parts of our speak, your parents would probably be confused to learn that you think bears are sexy or that your boyfriend is a puppy.

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6. Nonmonogamy

Nonmonogamy works out for gay men. In fact, this writer believes that nonmonogamous pairings, open and semi-open relationships, and relationships with relaxed sexual parameters are ideal for us — much more so than the monogamous alternative. The concept of nonmonogamy may seem foreign to our parents. Having a frank conversation about the parameters of your particular gay relationship with your parents may be awkward, but it can lead to something good. Explaining the distinction between sex and love may not leave everyone in agreement, especially if your parents are religious, conservative, or both. But at the very least, it will be an illuminating window into your life.

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7. HIV

Gay men are still disproportionately affected by HIV compared to our straight counterparts. While no one needs to come out as HIV-positive, least of all to their parents, many poz gay men choose to do so at some point, for various reasons. Coming out to my parents about my status was hard; I did it the same morning an op-ed I wrote about coming out as poz was published in The Advocate last December.

Many of our parents remember the early days of the AIDS epidemic, so the news can be hard for them. They may mistakenly believe that the outlook for an HIV-positive person in 2016 is the same as it was 30 years ago. Most well-informed gay men, particularly those who live in urban areas, are up to speed on modern HIV care and know that with antiretroviral treatment, HIV has become a livable chronic illness that is more preventable today than ever before. Our parents aren’t accustomed to seeing testing trucks outside of gay clubs or HIV pamphlets disseminated in chic gayborhoods, so they will probably need some information to alleviate the initial fear. Give them resources and time.

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8. PrEP

There may never be a need to talk about your once-daily Truvada pill to your parents, but if they see the medicine bottle by the sink one day when the family is sharing a beach condo, you need to have answers ready.

PrEP is the once-a-day pill regimen for HIV-negative people that has proven extremely effective at preventing HIV transmission. Statistically, it’s more reliable than regular condom use. Upon initial explanation, your parents will likely respond the way many have responded to PrEP and see it as an excuse to have raucous unprotected sex. Even if you are having raucous condomless sex, you will have to explain to them that you are still protected from HIV.

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9. Top/Bottom

Just as your parents have been envisioning your sex from the moment they first learned you were gay, they have been wondering “what you do.” When/if they meet your boyfriend, they will wonder “what he does.” They won’t say it aloud, but they wonder, late at night, after the dinner dishes have been put away, whether you’re the top or the bottom. (I always find it remarkable how straight people assume every gay man is one or the other — versatile guys don’t exist in straight visions of gay sex.)

Like douching, this is one I will never talk about to my parents, no matter how chummy we get.

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10. Kink

My parents know I am gay. They know I am having sex. They know I date and have sex with other men. But they do not know and will not be told how much I love having used underwear stuffed in my mouth and my wrists tied together with duct tape. The only time I ever came close to explaining my kink practices was at the beach a few years ago when I realized there were still red caning lines on my butt and legs. I lay in the tanning bed to darken the skin around the marks and opted for a pair of baggier, less flattering board shorts.

While kink is not restricted to gay men, we have certainly been longtime practitioners of the rougher arts. Like drag, leather was originally our thing and has by and large remained so. Kink and fetish play are things that gay men of all stripes can at least be familiar with, and have probably dabbled in at one time or another. But it is one area of gay life that our parents may have a hard time distinguishing from rape and abuse, perversion and degeneracy. Explaining it can be tough.

Its accouterments can be hard to hide — all those ass toys and leather gear require storage, and that sling in the bedroom cannot reasonably be disguised as a place to hang laundry. Have a regimen prepared for surprise visits and dinners, and if you enjoy getting backlashes or caning down your legs, try not to do so before a family beach trip.

Complete Article HERE!

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Female Sexual Dysfunction, Another Perspective

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Hey sex fans,

It appears that my posting of last week, Female Sexual Dysfunction Is A Fictional Disorder, caused quite a stir.  As you recall, I was answering a question from a woman who asked if FSD, or female sexual dysfunction is real or a fictitious “ailment” that is being promulgated to sell pharmaceuticals to unsuspecting women.  I replied; “I think that, for the most part, female sexual dysfunction, or FSD, is a fictional disorder. I also think pharmaceutical companies are trying to hit on a female version of Viagra to treat this imaginary disorder so they can make a bundle, just like they did with as the male version.”

Well, that didn’t sit well with some friends and colleagues. One among them, Dr. Serena McKenzie took the most exception. She sent me a little note: “Your blog on female sexual dysfunction being fictitious is – respectfully – fucking bullshit sir.” Ok then!

I invited Serena to make her case not only to me, but to all my readers. What follows is Serena in her own words.

Flibanserin, the first and only medication available for use in reproductive aged women with low libido, becomes commercially available this week after a rocky and controversial road that led to its FDA approval Aug. 18. The view on the medication whose brand name is Addyi (pronounced ADD-EE) ranges from a historical achievement in women’s health care to an epic failure of commercialized medical propaganda. Despite the lengthy debate that has surrounded flibanserin, what most people want to know is whether it will help their sex life or not now that it is here.

addyi


First Things First

While sexual concerns can be difficult to discuss for many women and their partners, it is important to acknowledge that sex and intimacy are some of the great extraordinary experiences of being human. When sex goes badly, which statistically it does for 43 percent of U.S. women, the consequences can devastate a relationship and personal health. One of the biggest applauds I have for the FDA is their statement of recognition that female sexual dysfunction is an unmet clinical need.

Sexuality Is Mind-Body But Not-Body?

Sexuality is usually complicated, and problems with sex such as loss of libido are multifactorial for most women. Antagonists to flibanserin cite psychosocial contributions such as relationship discord, body image, or history of sexual abuse to be the most pinnacle causes of a woman who may complain of problematic lack of sexual desire, and that sex is always a mind-body phenomenon. While these factors often implicitly correlate to loss of sexual interest for a woman, they don’t always, and you cannot advocate that women’s sexuality is all inclusive of her mind, body, and spirit — and assert simultaneously that a biochemical contribution which flibanserin is designed to address in the brain to improve satisfying sexual experiences does not exist.

(c) Myles Murphy; Supplied by The Public Catalogue Foundation
(c) Myles Murphy; Supplied by The Public Catalogue Foundation

The Biochemistry of Sex

Antidepressant medications that alter brain biochemistry are notorious for having sexual side effects which can be prevalent up to 92 percent of the time, and are known to decrease sexual interest, disrupt arousal, and truncate orgasm in some women. Ironically, flibanserin was originally studied as an antidepressant, and while the exact mechanism of how a medication can impair or improve sexual interest is unknown, it should not be difficult to consider that if biochemical tinkering can crush sexual function, it may also be capable of improving it.

Efficacy Data Dance

Flibanserin is a pill taken once nightly, and has been critiqued as showing only modest increases in sexual desire, with improvements in sexually satisfying events rising 0.4 to 1 per month compared with placebo. However just because flibanserin has lackluster efficacy data, that does not mean it is ineffective, and even small improvements in sexual function can be life altering for a woman struggling with disabling intimate problems. If only 1 percent of women with low libido were to improve their sexual function with use of flibanserin, that equates to 160,000 women, or the population of Tempe, Arizona.

Blue Sky Side Effects

Flibanserin has side effects, and the sky is blue. All medications have pro and con profiles, and for flibanserin the most common consequences of use include fatigue, dizziness, sleepiness, and a rare but precipitous drop in blood pressure. Women may not drink alcohol while taking this medication. Providers who will prescribe it and pharmacies that will dispense flibanserin must be approved through what is called a Risk Evaluation and Management Strategy, or REMS, which means they are educated on advising women on how to take flibanserin safely. While a REMS program is arguably overkill compared to numerous higher risk, common prescriptions which do not require a REMS, it is an excellent opportunity for clinicians who have a background in sexuality to be the main applicants since they are far more qualified to assess proper candidates for treatment as well as continue to endorse holistic measures alongside flibanserin. Women who are interested in trying flibanserin should only obtain it from sexuality trained professionals.

The Proof Is In The Sexy Pudding

If flibanserin is worthless, the marketplace will bury it in a shallow grave quickly. Women will stop paying for it, and conscientious medical providers will stop prescribing it. Yet 8,500 women taking flibanserin were studied, over a 1,000 of them for one year, and the data suggests it will help some. Women deserve to be educated on their options, because sexual health is worth fighting for.

Changing The World, One Orgasm At A Time

We simply cannot overlook how astronomical of an achievement it is to even have a mediocre medication approved for female sexual dysfunction. Women’s sexuality has been ignored by medicine for most of history. At least now we have something to fight over.

The controversy about flibanserin is in fact magnificent, and frankly, the entire point. We must talk openly about sexuality and sexual concerns to improve them, personally for one woman at a time, but also uniformly to embrace female sexuality as a vastly larger societal allowance.

A satisfying sexual life is far more than the restoration of sexual dysfunction, it’s a thriving, multi dimensional, ever evolving weave of psychology, relationships, life circumstances, and yes can include a milieu of biochemistry and neurotransmitter pools.

Is a pill ever going to replace the vastly complicated arenas that fuse into our sexual experience? Of course not — it’s absurd and lazy-minded for anyone to suggest that is even being proposed. But it is necessary and inherently responsible to allow for all possible puzzle pieces to be utilized through the ever evolving navigation of sensuality, intimacy, and erotic fulfillment.

So will flibanserin make your sex life better? Maybe. But considering the conversation about it valuable as well as its use as merely one tool among many options to improve sex and intimacy would be the better bet. Ultimately, we “desire” sex that is meaningful, erotic, and dynamic. The journey of seeking sexual vitality deserves every key, crowbar, heathen kick, graceful acrobatics, or little pink pill that lends its part to the process, no matter how small or big, for the opportunity to discover and embrace a sexual aliveness.

Holistic physician, certified sexual medicine specialist, sex counselor, medical director of the Northwest Institute for Healthy Sexuality

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Weed Lube Is Not Lube

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But It Apparently Works Magic on Vaginas

Sensual cannabis
Sensual cannabis oil magnifies sensitivity and sensation.

People are freaking out over weed lube. Rightly so, I guess, because it’s apparently magical. But while weed lube is lubricating, it isn’t lube, per se. As in, its main use is not to facilitate intercourse.

Lena Davidson, the marketing manager for botanicaSEATTLE—the company behind BOND Sensual Oil—told me that what most people would call weed lube is really more of a massage oil. Like other cannabis topicals and unlike a traditional lube, it takes 20 to 40 minutes to work and is a self-contained experience that can be enhanced by sex. Being oil-based, it is also not latex safe. People call it weed lube, she says, because we’re basically all teenage boys and we can’t talk about weed or sex without snickering.

As much fun as it is to giggle about getting one’s “pussy stoned” (as Vice did), weed lube is serious business. Sensual cannabis oil, as it is more accurately called, has all sorts of awesome ramifications for sexual equity. Davidson pointed out that while there are more than 26 products approved by the FDA to treat sexual dysfunction in men, there is only one approved for women, and it is the subject of much controversy. Sensual cannabis oil is a long way off from FDA approval, but judging from testimonials thus far, it seems to be doing consistently what that one drug does inconsistently: increasing female sexual pleasure. Women who have used BOND reported “ethereal, long-lasting, and out of this world” sexual experiences, and the ability to rapidly “peak… and then do it again quite quickly,” according to testimonials on BOND’s website. Multiple orgasms are apparently common.

Cannabis-LubeHow does it work? Davidson writes: “THC is absorbed through the mucous membranes that are in high concentrations in a woman’s vagina. Once applied and absorbed, THC acts locally on the cannabinoid receptors, much like an edible. Functionally, the THC dilates the capillaries and increases blood flow in the smallest blood vessels in our body—this enhanced microcirculation magnifies sensitivity and sensation.” (She also mentioned that this same capillary reaction is what causes stoney red eyes.) The experience is not like the head high one gets from smoking or eating weed, but rather a localized sensation of pleasure, users report.

It’s also important to note that, at least here in Washington, sensual cannabis oil is safe. Davidson cautioned that not all weed lube is created equal, but BOND and Ethos Extracts‘ Temptress are made in a WSDA-approved kitchen with food-grade organic coconut oil and ultra-pure cannabis extracts. Coconut oil, though unfriendly to latex, is ideal for internal use because of its natural pH-balancing and antimicrobial qualities.

While the potential to help women with issues such as vaginismus (vaginal pain) and low libido is great in its own right, perhaps the most exciting thing about sensual cannabis oil is that it is a decidedly non-heteronormative phenomenon. What I mean by that is it takes the focus off of the penis as the center of sexual pleasure, where it has been for far too long.

My good friend Kat, a big proponent of sensual cannabis oil and the source of much of my education on feminism, put it thusly: “It’s unfortunately common during heteronormative sex that women feel like their partner’s ejaculative experience is the focal point. I’m usually acutely aware of the other person’s level of satisfaction, which takes me away from my own body. With the weed lube, I’m like, ‘Fuck yeah, I’m getting it and it feels fucking amazing.’ I’m actually relaxed and stimulated enough to invest in my own delectation.”Cannabis

And though much has been made of sensual cannabis oil not working for men, that’s not entirely true. It doesn’t work well for selfish straight men who are only interested in receiving blowjobs and having vaginal intercourse (because the penis does not absorb the cannabis oil in the same way that the vagina does). It does, however, work really well for men (and women) who are into anal play, as the absorption of THC through the back door is rapid. Used anally, sensual cannabis oil does not offer the same direct enhancement of physical sensation as it does to the vagina, but it does get you high as fuck, which enhances sex in its own right. Also, anyone willing to perform a little enthusiastic cunnilingus—as any self-respecting straight dude should be—will get a light edible-style buzz. Basically, anything that has not traditionally been part of the penis-obsessed, heteronormative sexual canon is made better with sensual cannabis oil. If that isn’t sweet sexual justice, I don’t know what is.

Speaking of sexual justice, sensual cannabis oil also works well for older women—another segment of the population whose sexual lives are often not valued in the heteronormative conversation. Women’s bodies produce less lubrication during and after menopause, and older women can also suffer from decreased libido and other sexual difficulties—problems that sensual cannabis oil can help with. Edward Lafferty, Ethos’s CEO, said that women older than 45 and gay men make up the bulk of his business for the Temptress oil. During product testing of BOND, “nearly every woman had a ‘Eureka!’ moment,” said Davidson. And “for women who had felt estranged from their innate sexuality by age or physical conditions, it instigated a wave of natural physiological desire.”

Davidson worries that those who might benefit most from sensual cannabis oil will not do so because of the continued cultural awkwardness around weed, sex, and weedy sex. She pointed out that women are statistically less likely to try cannabis products in general, let alone walk into a weed store and ask a scruffy dude about something as personal as their sexual health. What’s more, sensual cannabis oil is still perceived as a sex-shop novelty—something for young party people to rub on one another after the rave, not something that can help women have more sexually fulfilling lives.

But, as Lafferty put it, “The people who use it need it. It’s important. We can be squeamish, but it works.” So let’s get one thing straight: Weed lube isn’t lube, and it’s also not a novelty. According to many of those who’ve tried it, it’s a godsend. recommended

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