Female Orgasmic Disorder Could Become a Qualifying Condition for Medical Cannabis in Four States

— Science confirms what many of us discovered on our own.

By Sophie Saint Thomas

Four states—Ohio, Illinois, New Mexico, and Connecticut—are now looking into adding female orgasmic disorder (FOD) to the list of qualifying conditions for medical cannabis. There’s mounting research that suggests that cannabis can help women have more orgasms. For those with FOD, defined by the Merck Manuel as a “lack of or delay in sexual climax (orgasm) or orgasm that is infrequent or much less intense even though sexual stimulation is sufficient and the woman is sexually aroused mentally and emotionally,” medical marijuana could not only make having an orgasm easier, but more satisfying. 

Diagnosis criteria and scientific research aside, stoners have been boasting about the sexual properties of cannabis, probably since the herb was first smoked. Now, we know that cannabis, as a vasodilator, can increase blood flow to the genitals. Because it can also aid in anxiety, using some weed before sex can help people relax into the moment, which can be especially beneficial to those whose sexual dysfunction stems from trauma. After all, we know that cannabis has a well-documented ability to treat PTSD. It even enhances the senses, often making touching and even checking out your partner more fun. And as cannabis can also aid in creativity, it can help you consider and explore more variations in your sex life. 

“Women with FOD have more mental health issues, are on more pharmaceutical medication,” Suzanne Mulvehill, clinical sexologist, and founder and executive director of the nonprofit Female Orgasm Research Institute told Marijuana Moment. “They have more anxiety, depression, PTSD, more sexual abuse histories. It’s not just about pleasure, it’s about a human right,” adding that: “It’s a medical condition that deserves medical treatment.”

Ohio is currently evaluating a proposed amendment to add the condition. Earlier this month, the State Medical Board declared that both FOD and autism spectrum disorder are advancing to the stages of expert assessment and public feedback, following online petition submissions. Public comments will be accepted until Thursday.

In Illinois, regulatory officials are scheduled for a meeting next month to discuss the inclusion of FOD as an eligible condition. New Mexico plans to address the matter in May, as per the nonprofit Female Orgasm Research Institute. The organization also noted that Connecticut is exploring the possibility of adding FOD to its list of qualifying conditions, although a specific date for a meeting has not yet been determined.

Suzanne Mulvehill plays a leading role in the initiatives advancing the therapeutic advantages of cannabis for individuals with FOD. She says that this condition impacts as many as 41% of women globally. She filed a petition last year aiming to include this disorder among Ohio’s list of conditions eligible for medical marijuana.

Present studies suggest that approximately one-third of women who consume cannabis utilize it to enhance sexual experiences—a statistic Mulvehill notes has remained relatively consistent over the years.

She’s aware of the understanding surrounding cannabis’s ability to enhance sex. “It’s not new information,” Mulvehill said in her interview with Marijuana Moment. 

The novelty lies in the readiness of government bodies to address the matter. According to Mulvehill, Ohio appears to be the first state to evaluate FOD as a condition warranting medical marijuana. Moreover, she noted that Ohio’s meeting earlier in the month marked the inaugural instance, to her knowledge, of a public government entity discussing female orgasmic disorders.

A 2020 article published in Sexual Medicine discovered that frequent cannabis use among women correlates with improved sexual experiences. Additionally, various online polls have highlighted a positive correlation between cannabis consumption and sexual satisfaction. There’s even research indicating that the enactment of marijuana legislation correlates with a rise in sexual activity.

And research published last year in the Journal of Cannabis Research revealed that over 70% of adults surveyed reported an increase in sexual desire and enhanced orgasms when using cannabis before intercourse, and 62.5% noted improved pleasure during masturbation with cannabis use. Given previous data showing that women who have sex with men often experience orgasms less frequently than their male counterparts, the researchers suggested that cannabis might help bridge this orgasm equality gap.

For some people, having an orgasm is a challenge in a way that counts as a disorder that deserves treatment, and access to medical marijuana is paramount. For others, this new legal push is just a reminder that weed can make sex better and a reminder that you don’t need a diagnosis to have hot, stoned sex.

Complete Article HERE!

Top 10 drugs that may contribute to sexual dysfunction

By Naveed Saleh, MD, MS

Key Takeaways

  • A variety of prescription medications, along with the conditions they treat, may contribute to sexual dysfunction.
  • Some of these drugs are known to interfere with sexual health, such as antidepressants and beta blockers; lesser known culprits include thiazide diuretics or opioids.
  • Clinicians can help by being aware of medications that may affect sexual function, having open discussions with patients, and adjusting medications where needed.

Sexual dysfunction can be an adverse effect of various prescription medications, as well as the conditions that they treat. Some of these treatments, such as antidepressants and certain antihypertensives, likely come as no surprise to the clinician. Others, however, are not as well-known.

Here are 10 types of prescription medicines that contribute to sexual dysfunction.

Antiandrogens

Antiandrogens are used to treat a gamut of androgen-dependent diseases, including benign prostatic hyperplasia, prostate cancer, paraphilias, hypersexuality, and priapism, as well as precocious puberty in boys.

The androgen-blocking effect of these drugs—including cimetidine, cyproterone, digoxin, and spironolactone—decreases sexual desire in both sexes, as well as impacting arousal and orgasm.

Immunosuppressants

Prednisone and other steroids commonly used to treat chronic inflammatory conditions decrease testosterone levels, thus compromising sexual desire in males and leading to erectile dysfunction (ED). 

Sirolimus and everolimus, which are steroid-sparing agents used in the setting of kidney transplant, can mitigate gonadal function and also lead to ED.

HIV meds

The focus of dolutegravir (DTG)-based antiretroviral therapy has been on efficacy, as measured by viral load. Nevertheless, these drugs appear to affect sexual health, which can erode quality of life, according to authors writing in BMC Infectious Diseases.[1]

“Sexual dysfunction following transition to DTG-based regimens is common in both sexes of [people living with HIV], who indicated that they had no prior experience of difficulties in sexual health,” the study authors wrote. “Our findings demonstrate that sexual ADRs negatively impact self-esteem, overall quality of life and impair gender relations. DTG-related sexual health problems merit increased attention from HIV clinicians.”

Cancer treatments

Both cancer and cancer treatment can impair sexual relationships. And cancer treatment itself can further contribute to sexual dysfunction.

For example, long-acting gonadotropin-releasing agonists used to treat prostate and breast cancer can lead to hypogonadism, resulting in lower sexual desire, orgasmic dysfunction, erectile dysfunction in men; and vaginal atrophy/dyspareunia in women.[2]

Hormonal agents given during the course of endocrine therapy in cancer care lead to a sudden and substantial decrease of estrogens via their effects at different regulatory levels. Selective ER modulators (SERMs) are used to treat ER-positive breast cancers and bind ERs α and β. These receptors are crucial in the functioning of reproductive, cardiovascular, bone, muscular, and central nervous systems. Tamoxifen is the most common SERM used.

In females, reduced estrogen levels due to endocrine therapy can lead to vaginal dryness and discomfort, pain when urinating, dyspareunia, and spotting during intercourse.

Antipsychotics

Per the research, males taking antipsychotic medications report ED, less interest in sex, and lower satisfaction with orgasm, with delayed, inhibited, or retrograde ejaculation. Females taking antipsychotics report lower sexual desire, difficulty achieving orgasm, anorgasmia, and impaired orgasm quality. 

“The majority of antipsychotics cause sexual dysfunction by dopamine receptor blockade,” according to the authors of a review article published in the Australian Prescriber.[3] “This causes hyperprolactinaemia with subsequent suppression of the hypothalamic–pituitary–gonadal axis and hypogonadism in both sexes. This decreases sexual desire and impairs arousal and orgasm. It also causes secondary amenorrhoea and loss of ovarian function in women and low testosterone in men,” they continued.

Antipsychotics may also affect other neurotransmitter pathways, including histamine blockade, noradrenergic blockade, and anticholinergic effects.

Anti-epileptic drugs

Many men with epilepsy complain of sexual dysfunction, which is likely multifactorial and due to the pathogenesis of the disease and anti-epileptic drugs, per the results of observational and clinical studies.[4]

Specifically, anti-epileptic drugs such as carbamazepine, phenytoin, and sodium valproate could dysregulate the hypothalamic–pituitary–adrenal axis, thus resulting in sexual dysfunction. Carbamazepine and other liver-inducing anti-epileptic drugs could also heighten blood levels of sex hormone-binding globulin, thus plummeting testosterone bioactivity.

Both sodium valproate and carbamazepine have been linked to disruption in sex-hormone levels, sexual dysfunction, and changes in semen measures.

Antihistamines

Allergic disease is commonly treated with antihistamines and steroids, with both drugs potentially interfering with sexual function by decreasing testosterone levels. In particular, H2 histamine receptor antagonists can disrupt luteinizing hormone/the human chorionic gonadotropin signaling pathway, thus interfering with the relaxation of smooth muscles at the level of the corpus cavernosum.[5]

ß-blockers

ß-blockers contribute to ED likely because they suppress sympathetic outflow.

“Non-cardioselective ß-antagonists like propranolol have a higher incidence of ED than cardioselective ß-antagonists which avoid ß2 inhibition resulting in vasoconstriction of the corpora cavernosa,” per investigators writing in Sexual Medicine.[6] “Nebivolol has the greatest selectivity for ß1 receptors as well as endothelial nitric oxide vasodilatory effects, and has been shown to have a positive effect on erections.”

The authors cite a double-blind randomized comparison in which metoprolol decreased erectile scores after 8 weeks, whereas nebivolol improved them.

As well, he selective β-blocker nebivolol inhibits β1-adrenergic receptors, which may protect against ED vs non-selective β-blockers.[7]

Opioids

The µ opioid receptor agonist oxycodone not only inhibits ascending pain pathways, but also disrupts the hypothalamic-pituitary-gonadal axis by binding to µ receptors in the hypothalamus, thereby resulting in negative feedback and resulting in ED, as noted by the Sexual Medicine authors.

Consequently, less  gonadotropin-releasing hormone is produced, which results in lower levels of  gonadotropins and secondary hypogonadism. 

Loop diuretics

Results of a high-powered study demonstrated that men taking thiazides were twice as likely to experience ED compared with those taking propranolol or placebo. It’s unclear whether furosemide also causes ED. It’s also unclear why thiazides cause ED. Nevertheless, the Sexual Medicine authors stress that prescribers should remain cognizant of the potential for thiazide to interfere with sexual function.

What this means for you

It’s important for clinicians to realize the potential for a wide variety of drugs to contribute to problems in the bedroom. If a patient experiences trouble having sex, they may discontinue use of the drug altogether. Consequently, physicians must tailor treatment plans with patients and their partners in mind.

The key to assessing sexuality is to foster an open discussion with the patient concerning sexual function and providing effective strategies to address these concerns.

Complete Article HERE!

Can Microdosing Help Heal Sexual Trauma?

— Sexual trauma poses unique challenges to clinical treatment. Psychedelic medicine can address healing from sexual trauma through a more holistic lens.

By Kiki Dy

A sexual assault at fifteen changed the contours of Australia-based artist Lydia’s* life. She blamed herself in a haze of adolescent confusion and hid the assault from her loved ones, even when they suspected something was amiss. The next ten years became a barbed loop of trying to forget and then remembering so vividly that she couldn’t sleep. Lydia tight-roped between extremes:— long periods of abstinence splintered by sprints of hypersexuality. In her early 20’s, she pursued therapy but ultimately found the experience “painful with no payoff.” She recognized she needed a spiritually profound route to recast her sense of self and shift the narrative of her assault–that’s when mushrooms entered the picture.

Psychedelics and Sexual Trauma: An Overview

On her podcast Inside Eyes–a series about using entheogens to ease the aberrations of sexual trauma–somatic psychotherapist Laura Mae Northrup describes sexual assault as a form of spiritual abuse. The impact of sexual violence on the survivor is subjective. However, many, like Northrup, would agree that experiencing sexual assault can change how we view humanity, making us question the morality of mankind and the meaning of our existence at large.

Objectively, sexual assault is unconscionable violence against humanity, resulting in feelings of dissociation and disembodiment that can last a lifetime (and even be passed down). As survivors grow up, they frequently learn to suppress the event and its aching emotions as a defense mechanism. But trauma can never truly be suppressed. Until trauma is addressed, one small trigger has the ability to open the gateway back to the grieving phase.

Given the prolonged spiritual distress sexual abuse spurs, western medicine and traditional therapy can often fall short. For some, exploring a more mystical method of healing provides better outcomes. After all, sexual assault is a complicating factor for mental wellness, with survivors displaying psychological responses such as depression, anxiety, and post-traumatic stress disorder (PTSD)—all of which psilocybin is proven to positively benefit.

As a seasoned psychedelic researcher and professor at Johns Hopkins University School of Medicine, Roland Griffiths reports that over 70% of people who took magic mushrooms to treat depression, anxiety, or PTSD cited their psychedelic experience as being among the most impactful events in their lifetime. Additional research echoes these praises, suggesting that psilocybin often induces emotional breakthroughs and profound shifts in perspective for those who choose to use it–and for Lydia, that shift in perspective was life-saving.

“I felt stuck. All my relationships were failing, even the one with myself. I was ready to give up,” she tells us at Retreat. “It felt like one person had stolen my happiness, and I couldn’t get it back, even ten years later.”

Then, a psilocybin retreat changed everything.

Lydia, who lived in Berlin at the time, made a convenient pilgrimage to attend a magic mushroom ceremony in Amsterdam. “The trip cracked me wide open,” she shares, “I was outside my body looking at myself. Which was trippy, but more important is that the filter changed, and suddenly I saw myself with softness and empathy. I sobbed.”

Like Lydia’s anecdotal evidence suggests, psychedelics hold great promise and potential to help people reprocess their trauma in a meaningful manner. In the words of psychedelic integration therapist Dee Dee Goldpaugh, psilocybin allows us to experience a “compassionate recasting of ourselves in the story [of a traumatic event].” By introducing her mind to new ways to think, psilocybin helped Lydia unglue herself from the decade of anguish the assault catalyzed. With the muck cleared off her mind’s windshield, she began to see and accept the truth: it wasn’t her fault, and it doesn’t define her.

The Therapeutic Potential of Microdosing

The heroic dose helped Lydia forgive and reopen herself to pleasure, but microdosing helped her cement her newfound perspectives.

“I didn’t want the trip to be this epiphany that didn’t stick,” she shares. “I was so relieved but also a bit anxious that I was placing a flimsy bandaid over a bullet hole.” So, after research and casual coaching by a seasoned psychonaut friend, she started a new routine three times a week: spiking her morning matcha with psilocybin powder.

Lydia enhanced her microdosing journey with daily journaling, affirmations, and a focused effort to allow the soft voice that spoke to her during the trip to reshape her internal monologue. She insists that microdosing rewired her brain in a way SSRIs failed to achieve.

But does the science behind microdosing support her experience?

While the conclusion is clear on the therapeutic benefits of large doses of psychedelics, such as increased empathy, openness, mood, and life satisfaction—the developing research on microdosing doesn’t allow us to draw any one conclusion. Research suggests that microdosing may lead to a positive mood, increased presence, and enhanced well-being.

However, the findings do not come from controlled trials where one-half of the participants take a microdose, and the other half take a placebo.  Current knowledge is mostly from vocal success stories like Lydia’s and surveys of people who have used microdosing as a tool for mental health and personal growth. (That said, that is changing, with a number of microdosing studies in the works across the industry.)

The Bottom Line

Though universally painful, healing from sexual trauma is personal. Whether you leverage traditional talk therapy, small amounts of psilocybin, or a guided heroic trip that sends you to an alternate reality for eternity and returns you a new person–one fact remains: addressing trauma is a meaningful step toward a happier future.

As for the potential of psychedelics to facilitate healing more holistically, the science is promising. Individuals that have suffered sexual trauma often close down as fear, anxiety, and anger shrink them. In one famously-cited psilocybin study, 61 percent of participants demonstrated a lasting and measurable change in openness after just one dose of mushrooms–a significant finding because lasting personality change is often out of reach with just talk therapy alone.

However you choose to heal, and whoever you choose to help you heal, Retreat wishes you the best and is here to offer a little psychedelic support and a lot of empathy.

*Name has been changed to protect privacy.

Complete Article HERE!

Why Viagra has been linked with better brain health

By

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

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

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

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

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

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

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

Why Viagra may be linked with a lower risk of dementia

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

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

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

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

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

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

Other reasons for the effect

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

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

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

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

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

More study is needed

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

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

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

Complete Article HERE!

Psilocybin, LSD And Other Psychedelics Improve Sexual Satisfaction For Months After Use, New Study Finds

By

Psychedelic substances, including psilocybin mushrooms, LSD and others, may improve sexual function—even months after a psychedelic experience, according to a new study.

The findings, published on Wednesday in Nature Scientific Reports, are based largely on a survey of 261 participants both before and after taking psychedelics. Researchers from Imperial College London’s Centre for Psychedelic Research then combined those responses with results of a separate clinical trial that compared psilocybin and a commonly prescribed selective serotonin reuptake inhibitor (SSRIs) for treating depression.

Authors say it’s the first scientific study to formally explore the effects of psychedelics on sexual functioning. While anecdotal reports and and qualitative evidence suggest the substances may be beneficial, the study says, “this has never been formally tested.”

“It’s important to stress our work does not focus on what happens to sexual functioning while people are on psychedelics, and we are not talking about perceived ‘sexual performance,’” said Tommaso Barba, a PhD student at the Centre for Psychedelic Research and the lead author of the study, “but it does indicate there may be a lasting positive impact on sexual functioning after their psychedelic experience, which could potentially have impacts on psychological wellbeing.”

“Both studies and populations reported enhanced sexual functioning and satisfaction following psychedelic use.”

Authors noted that sexual dysfunction is a common symptom of mental health disorders as well as a common side effect of certain medications, such as SSRIs.

“On the surface, this type of research may seem ‘quirky,’” Barba said in a statement, “but the psychological aspects of sexual function—including how we think about our own bodies, our attraction to our partners, and our ability to connect to people intimately—are all important to psychological wellbeing in sexually active adults.”

Co-author Bruna Giribaldi said that while most studies ask whether depression treatments cause sexual dysfunction, this study attempted to go further.

“We wanted to make sure we went deeper than that and explored more aspects of sexuality that could be impacted by these treatments,” Giribaldi added. “We were interested in finding out whether psychedelics could influence people’s experiences of sexuality in a positive way, as it appeared from existing anecdotal evidence.”

The team’s analysis found that respondents typically experienced improvement in sexual function for as long as six months after a psychedelic experience, observing upticks in reported enjoyment of sex, sexual arousal, satisfaction with sex, attraction to their partners, their own physical appearance, communication and their sense of connection.

“Naturalistic use of psychedelics was associated with improvements in several facets of sexual functioning and satisfaction, including improved pleasure and communication during sex, satisfaction with one’s partner and physical appearance.”

The most striking improvements were around seeing sex as “a spiritual or sacred experience,” satisfaction with one’s own appearance and one’s partner as well as the experience of pleasure itself.

“Sexuality is a fundamental human drive. For example, we know that sexual dysfunction is linked to lower well-being in healthy adults, can impact relationship satisfaction, and is even linked to subjective happiness and ‘meaning in life,’” Barba said.

The only marker of sexual function that did not go up significantly was “importance of sex,” which could be read to mean that psychedelics did not cause hypersexuality or an excessive focus on sex.

In the clinical trial portion of the study, which compared psilocybin therapy to the SSRI escitalopram, authors found that while both treatments showed “similar reductions” in depressive symptoms, “patients treated with psilocybin reported positive changes in sexual functioning after treatment, while patients treated with escitalopram did not.”

Barba said that’s especially significant because “sexual dysfunction, often induced by antidepressants, frequently results in people stopping these medications and subsequently relapsing.”

David Erritzoe, clinical director of the Centre for Psychedelic Research at Imperial College London, said the findings “shine more light on the far-reaching effects of psychedelics on an array of psychological functioning” but said more study is still needed, especially in light of the currently illicit nature of psychedelics.

“While the findings are indeed interesting, we are still far from a clear clinical application,” Erritzoe said in a release, “because psychedelics are yet to be integrated into the medical system. In future, we may be able to see a clinical application, but more research is needed.”

As the study itself says, “These findings highlight the need for further research utilizing more comprehensive and validated measures to fully understand the results of psychedelics on sexual functioning. However, the preliminary results do suggest that psychedelics may be a useful tool for disorders that impact sexual functioning.”

“Use of psychedelic drugs might foster an improvement in several facets of sexual functioning and satisfaction, including experienced pleasure, sexual satisfaction, communication of sexual desires and body image.”

The new study comes just a few months after a study published by the American Medical Association reported the apparent “efficacy and safety” of psilocybin-assisted psychotherapy for treatment of bipolar II disorder, a mental health condition often associated with debilitating and difficult-to-treat depressive episodes.

Both studies are part of a growing body of research demonstrating the potential of psilocybin and other entheogens to treat a range of mental health conditions, including PTSD, treatment-resistant depression, anxiety, substance use disorders and others.

A recently published survey of more than 1,200 patients in Canada, for example, suggested use of psilocybin can help ease psychological distress in people who had adverse experiences as children. Researchers said the psychedelic appeared to offer “particularly strong benefits to those with more severe childhood adversity.”

And in September, researchers at Johns Hopkins University, Ohio State University and Unlimited Sciences published findings showing an association between psilocybin use and “persisting reductions” in depression, anxiety and alcohol misuse—as well as increases in emotional regulation, spiritual wellbeing and extraversion.

A separate study from the American Medical Association (AMA) came out in August showing that people with major depression experienced “clinically significant sustained reduction” in their symptoms after just one dose of psilocybin.

As for other entheogens, a separate peer-reviewed study published in the journal Nature recently found that treatment with MDMA reduced symptoms in patients with moderate to severe PTSD—results that position the substance for potential approval by the Food and Drug Administration (FDA).

Another study published in August found that administering a small dose of MDMA along with psilocybin or LSD appears to reduce feelings of discomfort like guilt and fear that are sometimes side effects of consuming so-called magic mushrooms or LSD alone.

A first-of-its-kind analysis released in June, meanwhile, offered novel insights into the mechanisms through which psychedelic-assisted therapy appears to help people struggling with alcoholism.

At the federal level, the National Institute on Drug Abuse (NIDA) recently started soliciting proposals for a series of research initiatives meant to explore how psychedelics could be used to treat drug addiction, with plans to provide $1.5 million in funding to support relevant studies.

As for other research into controlled substances and sex, a report last year in the Journal of Cannabis Research found that marijuana could also enhance sexual enjoyment, especially for women—findings authors said could help close the “orgasm inequality gap” between men and women.

A 2022 study out of Spain, meanwhile, found that young adults who smoke marijuana and drink alcohol had better orgasms and overall sexual function than their peers who abstain or use less.

An earlier 2020 study in the journal Sexual Medicine also found that women who used cannabis more often had better sex.

Numerous online surveys have reported similar positive associations between marijuana and sex. One study even found a connection between the passage of marijuana laws and increased sexual activity.

Yet another, however, cautioned that more marijuana doesn’t necessarily mean better sex. A literature review published in 2019 found that cannabis’s impact on libido may depend on dosage, with lower amounts of THC correlating with the highest levels of arousal and satisfaction. Most studies showed that marijuana has a positive effect on women’s sexual function, the study found, but too much THC can actually backfire.

Complete Article HERE!

Pleasure, Unwrapped

— How CBD Gummies Can Enhance Your Journey to Sexual Well-Being

Hey there, pleasure seeker! If you’re looking to spice up your journey to sexual well-being, we’ve got a sweet treat for you – CBD gummies. Yep, those delightful little gummies aren’t just for chillin’; they can add a whole new layer of pleasure to your intimate adventures. Let’s unwrap the secrets and explore how CBD gummies can enhance your sexual well-being.

A Calm Prelude: CBD Gummies for Relaxation and Intimacy

Picture this: You and your partner, bathed in soft candlelight, feeling the calming effects of CBD gummies, setting the mood. CBD is known for its relaxation properties, and incorporating it into your prelude can create a serene atmosphere, easing any tension or stress. It’s like a gentle melody playing in the background, preparing you for a symphony of pleasure.

CBD gummies for sex? Absolutely. The relaxation you experience from the CBD can help you be more present in the moment, heightening your senses and paving the way for a more intimate connection. So, before you dive into the passionate crescendo, consider incorporating CBD gummies into your prelude for a calm and collected overture.

Amplifying Sensations: CBD Gummies and Heightened Pleasure

Now, let’s talk about how CBD gummies can turn up the volume on pleasure. CBD enhances blood flow, increases sensitivity, and reduces discomfort. Translation? You might just experience more heightened sensations and a smoother ride to ecstasy.

The magic lies in how CBD interacts with your body, increasing blood flow to intimate areas and promoting relaxation. It’s like a gentle breeze, enhancing the natural rhythms of pleasure. Incorporating CBD gummies for sex can be your secret weapon, intensifying the sensations and elevating your journey to new heights of pleasure.

An Encore of Connection: CBD Gummies for Intimacy and Bonding

The encore is all about connection and bonding as the curtain falls on your intimate escapade. CBD gummies, with their potential to reduce anxiety and promote a sense of calm, can foster a deeper emotional connection after the act. It’s like a post-performance glow, creating a space for you and your partner to bask in the warmth of shared intimacy.

CBD gummies for sex aren’t just about the act itself; they contribute to the entire experience, from the build-up to the afterglow. As you savor the encore, you may find that CBD helps maintain a sense of relaxation and connection, strengthening the emotional bonds that make your intimate moments truly special.

Exploring Varieties: Finding the Right CBD Gummies for Your Pleasure Palette

When it comes to CBD gummies for sex, one size doesn’t fit all. Just like choosing the right wine for a meal, finding the perfect CBD gummies to complement your pleasure preferences is key. CBD gummies come in various formulations, each offering unique benefits. Some are crafted for relaxation, while others focus on heightened sensations. Before you embark on your journey to sexual well-being, take a moment to explore the varieties available and consider what suits your pleasure palette.

For those seeking a gentle intro, CBD gummies with a balanced blend of CBD and relaxation-promoting ingredients may be the perfect choice. On the other hand, if you’re aiming to amplify sensations, gummies with a higher concentration of CBD might be more in tune with your desires. It’s all about finding the right balance and flavor to enhance your intimate experience. Dive into the world of CBD gummies and discover the variety that speaks to your unique pleasure preferences.

Timing Matters: When and How to Integrate CBD Gummies into Your Intimate Routine

Timing is everything, especially when incorporating CBD gummies into your intimate routine. Think of it like preparing the stage for a grand performance – you want everything to align perfectly. The optimal time to indulge in CBD gummies for sex is about an hour before you plan to engage in intimate activities. This allows the CBD to take effect, promoting relaxation and enhancing sensations when needed.

Consider making it a ritual. Whether it’s before a planned romantic evening or a spontaneous rendezvous, take a moment together to enjoy the CBD gummies. It can become a shared experience, adding an extra layer of connection. As you anticipate the pleasure, CBD works its magic in the background, preparing both your minds and bodies for a harmonious and enjoyable experience. So, pay attention to the timing, make it a part of your intimate routine, and let the CBD-infused symphony unfold.

Beyond Pleasure: Exploring the Potential Health Benefits of CBD Gummies

While the focus is on pleasure, it’s worth mentioning that CBD gummies offer more than just a sweet enhancement to your intimate moments. CBD has various health benefits, and incorporating it into your routine may contribute to overall well-being. CBD is known for its anti-inflammatory and stress-relieving properties, which can indirectly support sexual health.

Beyond the immediate pleasure boost, regular use of CBD gummies might contribute to a more relaxed state of mind, reducing stress and anxiety – common factors that can impact sexual well-being. It’s like adding an extra layer of self-care to your routine, promoting pleasure and a holistic approach to your health. So, as you explore the potential of CBD gummies for sex, consider the broader spectrum of well-being that they may bring to your life.

The Sweet Symphony: Incorporating CBD Gummies into Your Pleasure Playlist

As we wrap up this exploration of pleasure, think of incorporating CBD gummies into your pleasure playlist as adding a sweet melody to your favorite tune. Whether you’re seeking relaxation, heightened sensations, or a deeper connection, CBD gummies can be the secret ingredient that enhances your journey to sexual well-being. So, why not unwrap a new level of pleasure? Your symphony of satisfaction awaits!

Complete Article HERE!

How Alcohol Can Affect Your Sex Life

─ Time To Give It Up To Get It Up?

By Nina Smith

Alcohol has long had a close relationship with sex, from wild nights out meeting someone for the first time, to romantic evenings in with a glass of wine. But there is a boundary and alcohol can cause significant problems for a person’s sex life, particularly if their relationship with alcohol itself has become problematic.

But how exactly does alcohol affect our sex life? From relationships to performance, we run down what impact it may be having on you…

Alcohol and Sexual Performance

Although alcohol is often perceived as a social lubricant, its effects on sexual performance can be contradictory. While a small amount of alcohol may help lower inhibitions and increase confidence, excessive consumption can lead to a range of sexual problems as many studies have shown. In men, alcohol can affect erectile function, delay ejaculation, and reduce sexual desire.

For women, it can lead to decreased lubrication, diminished sensitivity, and difficulty achieving orgasm. Furthermore, chronic alcohol abuse may contribute to long-term sexual dysfunction, impacting both physical and psychological aspects of intimacy.

Relationships and Communication

Alcohol misuse can strain relationships and hinder effective communication between partners. Intoxication can lead to impaired judgment, altered perceptions, and decreased sensitivity to emotional cues, resulting in miscommunication and misunderstandings.

Alcohol-induced aggression or emotional instability may escalate conflicts, eroding trust and emotional intimacy within a relationship. Addressing these issues requires open and honest dialogue, seeking professional help when necessary, and creating a supportive environment for recovery.

The Role of Addiction

Addiction to alcohol presents a grave threat to one’s sex life and overall well-being. Alcohol addiction is a chronic disease and the presence of it intensifies the negative effects alcohol can have on sexual health.

Addiction often leads to neglect of personal relationships and increased secrecy, potentially driving a wedge between partners. Furthermore, substance abuse disorders can contribute to psychological disorders such as depression, anxiety, and low self-esteem, all of which can further exacerbate sexual dysfunction.

Seeking Help and Recovery

Recognizing the impact of alcohol on one’s sex life and acknowledging that alcohol guidance and possibly seeking advice from a mental health clinic London is required in order to get it back on track, as well as your own overall health. Professional guidance and support from healthcare providers, therapists, or support groups play a vital role in addressing alcohol-related sexual issues.

Treatment options for alcohol addiction typically involve a combination of medical interventions, counseling, and behavioral therapies. These approaches aim to help individuals break free from the cycle of addiction, restore physical and mental well-being, and improve sexual health.

For those who feel they aren’t suffering from addiction but feel like the substance could be harming their sex life, it is also worth considering the following…

  • Moderate alcohol consumption ─ Limiting alcohol intake can help maintain sexual function and enjoyment. Being mindful of one’s alcohol consumption and setting boundaries can prevent a negative impact on sexual performance.
  • Open communication ─ Honest conversations with your partner about sexual concerns and the impact of alcohol can foster understanding and create an environment of support and empathy.
  • Seek professional help ─ If alcohol-related sexual problems persist or are linked to addiction, seeking professional assistance from healthcare providers or therapists can provide valuable guidance and support for both individuals and couples.

Complete Article HERE!

What to Know About the Sexual Side Effects of Antidepressants

— S.S.R.I.s, the most widely prescribed antidepressants, frequently cause sexual problems. Here’s what patients can do about it.

By Azeen Ghorayshi

Antidepressants have long been among the most widely prescribed drugs in the U.S. Their popularity only grew at the start of the coronavirus pandemic, when many people struggled with depression and anxiety. Some surveys have found a striking rise among adolescents, particularly teenage girls.

For many people, the drugs can be lifesaving or can drastically improve their quality of life.

But many of the most popular antidepressants, known as selective serotonin reuptake inhibitors, or S.S.R.I.s, come with sexual side effects. In many cases, the problems caused by the medications can be managed. Here’s what patients should know.

A wide variety of symptoms has been reported.

More than half of patients who take S.S.R.I.s report some problems having sex. They include low levels of sexual desire or arousal, erectile dysfunction, pleasureless or painful orgasms and loss of genital sensitivity.

Many people also report emotional blunting after taking S.S.R.I.s. This may make negative feelings less painful but also make positive feelings less pleasurable.

Don’t be shy about talking to a doctor.

When S.S.R.I.s went on the market in the late 1980s, patients began telling their psychiatrists that they were having sexual problems. Initially, doctors were perplexed: As far as they knew, older antidepressants had never come with these issues. But they had been wrong.

“Only in going back and looking more carefully and gathering more data did we realize that actually those serotonergic drugs, the older ones, also caused sexual dysfunction,” said Dr. Jonathan Alpert, head of the American Psychiatric Association’s research council. Doctors and patients just hadn’t been talking about it, he said.

As S.S.R.I.s boomed in popularity, and social stigmas about discussions of sex eased, researchers began documenting the problem in the scientific literature. But some patients found it easier to talk about than others did. Men were much more likely to report sexual side effects to their doctors than women were, even though women are almost twice as likely to be prescribed antidepressants.

“The charitable interpretation is that we simply have more treatments available for male patients, and so doctors are more likely to ask after things that they feel they can actually help with,” said Tierney Lorenz, a psychologist at the University of Nebraska-Lincoln who has studied antidepressant-induced sexual dysfunction in women. “The significantly less charitable interpretation is that we still live in a very sexist society that doesn’t believe that women should have sexual interest.”

Doctors may first recommend waiting it out.

For some people, the sexual side effects of S.S.R.I.s will show up almost immediately after starting the medications and then resolve on their own. So doctors may suggest waiting four to six months to see whether the patient adjusts to the drugs and the most distressing sexual effects subside.

But the odds of spontaneous resolution of sexual side effects are low, happening in an estimated 10 to 20 percent of patients who report the symptoms.

Other medications, including other antidepressants, can help.

One common way to manage sexual side effects is to try another S.S.R.I. Research suggests that certain drugs, such as Zoloft and Celexa, come with a higher likelihood of causing sexual problems. Switching drugs, however, means enduring a trial-and-error period to try to find what works.

If a patient is otherwise doing well on an S.S.R.I., a doctor may be hesitant to drastically change the drug regimen. Instead, the doctor might recommend adding an additional drug to the mix that could help counteract the sexual side effects.

For example, adding the non-S.S.R.I. antidepressant Wellbutrin, which acts on norepinephrine and dopamine in the brain, has been shown to diminish sexual symptoms in many patients, Dr. Alpert said.

For erectile dysfunction, doctors may also suggest adding phosphodiesterase type 5 inhibitors like Viagra, which acts on the vascular system, he said.

‘Drug holidays’ can help. But be careful.

Another approach that should be used cautiously and under the close supervision of a physician is temporarily stopping the S.S.R.I. or lowering the dose for 24 to 48 hours before having sex.

But for many patients, this isn’t an ideal solution. Planning ahead can be annoying. And withdrawal from S.S.R.I.s can immediately cause other unpleasant symptoms, including dizziness, nausea, insomnia and anxiety. Some doctors are concerned that frequent use of drug holidays may make patients more likely to discontinue the medications altogether, which could lead to worsening mental health problems.

In rare cases, sex problems can persist after stopping the drugs.

A small but vocal group of patients is speaking out about sexual problems that have endured even after they stopped taking S.S.R.I.s. Some have reported low libido and numb genitals persisting for many years.

Though studies are scarce, the risk appears to be low. A recent study estimated that about one in 216 men who discontinued S.S.R.I.s were subsequently prescribed medications for erectile dysfunction, a rate at least three times as high as that among the general population.

But diagnosing this condition is tricky, in part because depression itself can dull sexual responses. Among unmedicated men with depression, 40 percent report a loss of sexual arousal and desire, and 20 percent struggle to reach orgasm.

Complete Article HERE!

Alcohol Might Be Ruining Your Orgasm

— How much and how often you drink can affect your ability to climax during sexual activity.

By Catherine Pearson

Emma Schmidt, a clinical sexologist in Cincinnati, has lost track of the number of clients she’s seen for low libido and problems orgasming after they’ve first visited a doctor who advised them to “Just relax and have a glass of wine.

That type of suggestion is not just dismissive, Dr. Schmidt said, but it highlights the gaps in our collective understanding about the interplay between alcohol and sex.

After years of contradictory findings, recent research has made it clear that even moderate drinking poses risks to your overall health. But the question of how alcohol affects sexual health — specifically, orgasms — can be a bit fuzzier.

“Society has long depicted alcohol as a crucial ingredient for romantic encounters,” said Catalina Lawsin, a clinical psychologist who specializes in sexuality. She added that people often mix sex and alcohol because it relaxes them and offers a sense of escapism — and because of a widely held belief that alcohol “elevates sexual prowess and pleasure.”

But the reality, she said, is much more complex.

What happens when you mix alcohol and sex?

“Essentially, there’s no research,” said Dr. Lauren Streicher, a clinical professor of obstetrics and gynecology at Northwestern University Feinberg School of Medicine whose work focuses on sexual dysfunction in women.

The data that does exist — much of it from rat studies or small, qualitative investigations — suggests a pattern: Small amounts of alcohol seem to enhance arousal and decrease sexual inhibitions, Dr. Streicher said, but large amounts can suppress arousal and delay or prevent orgasm.

To understand why, it helps to look at the specific processes happening in your brain when you drink.

Alcohol releases dopamine, said Dr. Regina Krel, an assistant professor of neurology with Hackensack Meridian School of Medicine, who described it as “the feel good neurotransmitter.” Researchers believe it helps control desire.

At the same time, alcohol enhances the effects of gamma-aminobutyric acid, or GABA, a chemical messenger that inhibits impulses between nerve cells, essentially slowing the brain down and making a person feel more relaxed.

“It does make you think, ‘Oh, I feel hornier!’” because it lowers inhibitions, said Laurie Mintz, an emeritus professor of psychology at the University of Florida who focuses on human sexuality. “But the irony is that, in fact, it’s a central nervous system depressant.”

That means that alcohol has a dampening effect throughout the brain, Dr. Krel said, including in the prefrontal cortex (which is responsible for things like weighing consequences), the cerebellum (which controls coordination) and the autonomic nervous system (which regulates functions like heart rate and breathing).

Alcohol can hinder the brain’s ability to process sexual stimuli and coordinate muscle contractions, which are central to the orgasmic response, Dr. Lawsin added. “While it may contribute to relaxation and inhibition reduction initially, excessive consumption can interfere with the intricate processes that lead to the intense pleasure and satisfaction of orgasm.”

How much you drink matters.

The experts said that moderate drinking before having sex is usually OK. However, they also stressed that knowing whether alcohol will help lead to orgasm by reducing stress and inhibitions, or get in the way of orgasm by suppressing basic functions, has a lot to do with how often you drink and how much you drink on any given occasion.

Moderate drinking is usually defined in the United States as no more than two drinks a day for men or one drink a day for women. But the way alcohol affects you is determined by a host of factors, including genes, body size and composition, and your history with drinking.

Chronic, heavy use of alcohol has been linked to erectile dysfunction and premature ejaculation in men, Dr. Mintz said. Research has also connected alcohol consumption to sexual dysfunction (persistent problems with sexual response, desire and orgasm) in women.

“There isn’t a magic number of drinks that applies to everyone,” Dr. Lawsin said, adding that excessive alcohol use can hamper the connection between partners, as well as impair decision making and the ability to consent to sex.

How to find help with orgasm issues.

If you are experiencing anorgasmia (which is delayed or infrequent orgasms, or no orgasms at all), your first step should be to reach out to a primary care physician or sex therapist who can help determine the root cause or causes and connect you to the right type of specialist or treatment, Dr. Schmidt said.

There could be one or a number of underlying issues affecting your ability to orgasm, including certain health conditions or medications, relationship problems and trauma, as well as your alcohol consumption.

Many primary care doctors, and even some gynecologists and urologists, do not have a specific background in sex medicine, so it can help to ask if they do, she said, and if they have any experience working with patients with anorgasmia.

If alcohol seems to be hampering your orgasms, ask yourself how and why you use alcohol around sex, Dr. Schmidt said, noting that mental health professionals and sex therapists can be a valuable resource.

Do you often or always drink beforehand?

“If someone is using alcohol as a way to be able to have sex,” she said, “or if they feel scared, ashamed or vulnerable having sex without alcohol, then we might want to explore more.”

Complete Article HERE!

Are Aphrodisiacs Worth Trying?

— A complementary approach to improving libido

By Anna Giorgi

Aphrodisiacs include food, drinks, or drugs used to increase your libido or sex drive. They may also improve your performance or increase your pleasure during sex.

While some substances can impact your body, research often fails to prove their effect on desire. Others can have harmful or even lethal results. It is also thought that the increased libido you feel from these items may be tied to the placebo effect rather than physical changes.1

This article describes why people use aphrodisiacs and whether there is proof they work. It also includes foods, herbs, and other items that are thought to affect sexual desire.

Reasons People Use Aphrodisiacs

The reasons people use aphrodisiacs vary by individual. Generally, people hope to make sex more enjoyable by increasing their sexual potency and performance.
The motives people have for using aphrodisiacs typically include the following:2

  • Increase libido: Low libido can cause a decreased desire and interest in sex. Your libido is affected by internal and external factors such as hormonal changes, aging, relationship problems, changes in physical conditions, medication side effects, and depression, among other issues. Research suggests that sexual dysfunction (problems that prevent a person from enjoying sexual activity) affects 43% of women and 31% of men.3
  • Extend potency and stamina: Potency and stamina can affect your ability to become and remain aroused during sex. Men may seek aphrodisiacs to counter issues such as erectile dysfunction (ED) (the inability to achieve or maintain a penile erection) and premature ejaculation (ejaculation during sex before satisfaction). For women, problems with potency and stamina may be linked to issues such as vaginal dryness or pelvic pain.3
  • Increase sexual pleasure: Even if libido and potency are not problems, people may seek to improve their sexual experience. Your brain and physical actions work together to lead to the orgasmic phase of sex. People may seek to enhance sexual pleasure by trying aphrodisiacs that promise to act on these triggers.4
  • Do “Natural” Aphrodisiacs Work?

    With all the hype that some substances carry, it’s common to wonder whether aphrodisiacs are real. Generally, most “natural” aphrodisiacs don’t work. According to the Food and Drug Administration (FDA), no supposed over-the-counter (OTC) aphrodisiac is scientifically proven to be effective at meeting its claims.5

    While there is often no sound scientific proof for using these substances, there is some anecdotal and historical evidence that some plant-based substances may impact arousing desires and improving sexual performance.6

    • Support the production of sex hormones
    • Improve blood flow
    • Activate neural pathways that support sexuality

    One of the biggest impacts of natural aphrodisiacs is their impact on your psychological state. While the benefits you achieve may be related to a placebo effect (an improvement in a subject’s condition that can’t be attributed to the treatment itself), anything that makes you feel more relaxed, calm, and confident about your sexuality will likely elevate your libido, performance, and experience.7< Additional natural ways to improve your libido and sexual satisfaction include the following strategies:

    • Participate in regular exercise: Research indicates that regular exercise may lower the risk of erectile dysfunction in men and increase sexual arousal in women.8
    • Eat a healthy diet: Growing evidence supports the role of diet in sexual function. General dietary principles that emphasize a plant-forward diet, such as the Mediterranean diet, can offer many benefits to mental and cardiometabolic health, which support all aspects of reproductive health.9
    • Manage stress: When stressed, your body releases the stress hormone cortisol, intended to be delivered in short bursts of energy to relieve stressors. Chronic stress can suppress sex hormones and lower your sex drive. Stress management techniques like meditation, deep breathing, mindfulness, and massage, can help you de-stress before intimacy and improve your experience.10

    Possible Side Effects

    While so-called natural aphrodisiacs may be viewed as safer than medications because they are readily available without a prescription, that is not always the case.

    The mechanisms of action of many aphrodisiacs can cause a wide range of possible side effects. In addition, the fact that they are not regulated increases the risk of aphrodisiacs being mislabeled, unstandardized, or produced with multiple ingredients whose effects may not be known.11

    Your side effects and the intensity at which they occur depend on many factors, such as other medications you may be taking. In a review of the pharmacology effects of herbal sexual enhancers, researchers reported that interactions of aphrodisiacs with other substances and herbal formulas represent these substances’ most significant health risks.1

    Researchers report that side effects of aphrodisiacs can include many problems, many of which may not be known due to the lack of research and the variety of substances used. These side effects include the following:1

    Aphrodisiac Foods

    Aphrodisiac foods vary by geographic location and culture. While many foods are touted as improving sexual desire and/or performance, most claims are not backed by science and may just help you feel better. However, there is evidence that the following foods may help your sex life:

    • Oysters: While research is lacking to support the belief that oysters promote sexual arousal, oysters are rich in zinc, an essential mineral for men’s health, normal sperm function, and fertilization. This is the basis for the thought that oysters are effective aphrodisiac foods for males. In biology, zinc deficiency is linked with sperm dysfunction, low testosterone levels, and male infertility.12 Raw oysters also contain D-aspartic acid and N-methyl, which have been linked to higher sex hormone levels in animals.13
    • Watermelon: While evidence is lacking on the impact of watermelon on human sex drives, watermelon flesh has had an aphrodisiac effect on male rats. Researchers said the findings support using watermelon flesh for increasing potency and countering ED in men. The impact may be tied to the citrulline amino acid, which helps increase circulation in your sex organs.14
    • Maca root: Maca root is the root of a cruciferous vegetable, which comes from the same family as broccoli, cabbage, and cauliflower, and is rich in vitamin C, zinc, copper, and calcium. In one study, an increase in sexual desire was reported by half of all participants who consumed 3 grams of maca root for 12 weeks. Improvements in mood, energy, and health-related quality of life, which can promote a healthier sex life, were also reported.15
    • Apples: Apples are rich in quercetin, a type of flavonoid, a substance that has anticancer, antioxidant, antiviral, and anti-inflammatory properties. Research shows that quercetin can lower blood pressure, helping men avoid high blood pressure linked to erectile dysfunction.16 In one study, male participants with a higher fruit intake achieved a 14% reduction in erectile dysfunction, possibly due to their flavonoid content.17
    • Red wine: Research indicates that alcohol can increase sexual arousal in women. In one study, women who drank one to two glasses of red wine daily reported more sexual desire and better sexual function.18
    • Some meats: Certain high-protein foods like beef, chicken, and pork contain compounds that improve blood flow, a key element in sexual response among males and females. These compounds include L-carnitine, L-arginine , and zinc. Research indicates that arginine supplements significantly improved ED in participants who took these supplements vs. those who took placebo or no treatment.19

    Aphrodisiac Herbs

    The following herbs have been used as aphrodisiacs:

    • Ashwagandha: The Indian herbal remedy ashwagandha shows promise as a natural “female Viagra” (working like a drug prescribed to males for erectile dysfunction), based on the positive effects reported from studies of sexual dysfunction in both women and men. It is believed to have medicinal benefits in treating several conditions and as an aphrodisiac.20
    • Cannabis: Research indicates that cannabis has sexually stimulating effects. This herb can increase sexual desire and intensify sexual experiences for both men and women. It may also indirectly enhance sexual function by increasing relaxation and sensory focus. However, too much of it may inhibit sexual function and satisfaction.21
    • Fenugreek: Fenugreek is an annual plant whose seeds are used in South Asian cooking. It appears to contain compounds that your body can use to make the sex hormones estrogen and testosterone. In a small study that included women with low sex drives, participants who took a daily 600 milligram dose of fenugreek extract showed a significant increase in sexual arousal and desire in women.22
    • Ginseng: Ginseng is the root of a plant that is used as a dietary supplement, aphrodisiac, and in treatments in Chinese medicine. Ginseng is said to trigger the release of nitric oxide (NO), which promotes the dilation of blood vessels. This improves blood flow to the penis, improving an erection.23
    • Horny goat weed: Horny goat weed is a type of flowering plant used in traditional Chinese medicine. The results of animal studies indicate that this herb may have aphrodisiac properties by impacting hormone regulation and increasing blood flow to the penis.24
    • Chlorophytum borivliianum: Chlorophytum borivliianum can be useful for treating certain forms of sexual difficulties like premature ejaculation and oligospermia (low sperm count). Researchers attributed the observed effects to the testosterone-like effects of the extracts.25
    • Yohimbe: Yohimbe comes from the bark of certain trees that grow in India and Africa. In the United States, it is administered by prescription to treat sexual dysfunction. It is also included in some OTC supplements.

    However, whether over-the-counter Yohimbe products provide the same benefits as the prescription is uncertain. Research is lacking on whether its use as a dietary supplement is useful as an aphrodisiac. It has been linked with seizures and heart attacks.26

    Preparing Herbs

    Many herbs are consumed as a beverage after special preparation using an infusion or decoction technique. While an infusion is used for leaves, a decoction is usually reserved for harder herbs like roots, bark, and seeds. These brewing methods are performed using the following steps:27

    Infusion:

    1. Pour hot water over dried leaves, berries, or other plant matter.
    2. Wait to allow the matter to steep in the hot water (timing varies by ingredient).
    3. Remove the plant matter before drinking.

    Decoction:

    1. Grind or crush the root, bark, or seeds.
    2. Heat the required quantity of herbs with water for about 30 minutes, until about 50% of the water is lost.
    3. Remove the plant matter before drinking.

    Why Work With a Registered Herbalist?

    Herbs and other natural treatments are not regulated for content and quality the way drugs are in the United States. Working with a registered herbalist from the American Herbalist Guild can help you use these substances safely. Registered herbalists have completed professional training in the use of herbs and plants as aphrodisiacs and other treatments.

    Aphrodisiac Supplements

    The following natural substances are used are often used as aphrodisiac supplements:

    • Arginine: L-arginine is an amino acid that causes the dilation of tiny blood vessels and increases blood flow. In a study of men with ED and no underlying diseases, daily high doses of L-arginine caused improvement in sexual function.28
    • L-carnitine: L-carnitine is an amino acid present in many foods, especially those of animal origins like beef and chicken. Research shows that this substance may increase sperm maturation, sperm motility, and sperm production.29
    • Zinc: A study of 116 postmenopausal women with low zinc levels showed that zinc supplementation can improve testosterone levels and sexual function in postmenopausal women. Women who took zinc supplements reported improved sexual desire, arousal, satisfaction, vaginal moisture, orgasm, and less pain during intercourse vs. the control group.30

    Summary

    The use of aphrodisiacs involves a search for ways to increase sexual craving, performance, and pleasure that has lasted for thousands of years. While certain foods, herbs, and other products may affect the way you feel, most claims have little to no proof based on science.

    However, some products may have value. Those that work to increase blood flow may help improve blood flow to the genitals. This can be helpful for people who have problems with circulation.

    Other products may have value in the placebo effect. This can make you expect better sex and thereby achieve it.

    Consult your healthcare provider before using herbs or other new products. While these products may not have a big impact on your sex life, some can cause problems by mixing with prescribed drugs or other treatments.

    Complete Article ↪HERE↩!

    How to keep your sex life thriving after prostate cancer

    — Poor sexual function is the most common consequence of prostate cancer treatment, but support through the NHS is patchy and many men suffer in silence.

    By Laura Milne

    When BBC presenter Gabby Logan and her husband Kenny, the former Scotland rugby union winger, experienced difficulties with their sex life after he had his prostate removed last year, rather than keep it under wraps, they decided to make a podcast about it.

    The couple, who have been married for 22 years, discussed their issues in an interview about Kenny’s prostate cancer diagnosis and subsequent erectile dysfunction on Gabby’s podcast The Mid Point.

    Kenny, 51, who won 70 international caps representing Scotland, said his wife, 50, had expected the passion in their relationship to be reignited “immediately” after his operation and when he was unable to perform, it knocked his confidence badly.

    He said: “When we first tried to have sex after the operation, Gabby said, ‘Oh, it’s not working, that’s it, it’s not working’. You didn’t even give me a chance. What actually happened from that was my confidence went rock bottom.

    Gabby and Kenny’s experience is far from unusual. In the UK, prostate cancer is the most commonly diagnosed cancer in men and more than 395,000 were living with it, or had been successfully treated for it, in 2018.

    According to the Life After Prostate Cancer Diagnosis (LAPCD) study of 35,000 men in the UK, funded by men’s health charity Movember, poor sexual function is the most common consequence of prostate cancer treatment (79 percent with prostate cancer compared with 48per cent of men in the general population).

    Unfortunately, the problem remains one that is either not addressed routinely or at all in prostate cancer care.

    The LAPCD study found that 56 per cent of men were not offered any help with sexual dysfunction following their treatment.

    Problems with sex can lead to stress, anxiety, anger and even shame.

    Some men don’t like to talk about vulnerable feelings because they think they should be “strong and silent”. Others avoid talking because they’re overwhelmed or trying not to burden their partner.

    But learning how to face these challenges and work through them can strengthen your sexual wellbeing, explains Dr Karen Robb, Implementation Director for Cancer at Movember. “Sexual wellbeing – the balance between the physical, social and emotional aspects of sex – has not always been a common topic of conversation, but fortunately that is changing,” she says.

    “Talking about sex after prostate cancer can be uncomfortable but open communication between you and your partner, if you have one, is a key part of sexual recovery following treatment. Acknowledge what has changed for you so that you can do something about it, with the right support.”

    Almost every kind of prostate cancer treatment, including surgery, can cause sexual dysfunction, the most common of which is erectile dysfunction or ED, following a prostatectomy (surgical removal of the prostate).

    This means that although you may feel aroused or in the mood for sex, chances are you’ll have difficulty getting an erection.

    Why does ED happen after prostate cancer surgery?

    “Surgery to remove the prostate affects the nerves and blood supply around the penis,” explains Karen. “The penis needs a healthy blood flow to get an erection. Without this, it won’t become as hard as it did before surgery.”

    During surgery, the entire prostate is removed. The nerves that help create erections run down the left and right sides of the prostate gland. The surgeon can usually take out the prostate without causing permanent harm to the nerves on either side.

    But if your cancer is too close to the nerves, they may need to be cut out.

    How long does ED last after surgery?

    It might take some time to improve, and the level of function you get back depends on a number of things including your age, lifestyle, any medications you take and whether you had nerve-sparing surgery.

    As Karen explains: “Some things you can work on, such as exercise and keeping a healthy weight.

    “Some are a bit more out of your control. However, all are things you can talk about with your doctor and see what recommendations they have that can help.”

    What can you do about ED after prostate cancer?

    Sex and intimacy after prostate cancer can look different for everyone, but there are options to keep your sex life thriving. Exploring new ways to have sexual pleasure and intimacy is essential after treatment and can even be a way of improving your erections.

    There are different types of ­medication and sexual aids that you can try, all with pros and cons.

    Everyone is unique so you may need to try out a few options a number of times and perhaps in combination to settle on the best solution for you. Discuss this with your healthcare provider.

    To support men and their partners following prostate cancer treatment, Movember has launched an evidence-based online guide
    called Sex and Intimacy After Prostate Cancer.

    Informed by sexual health experts, it covers ED, dealing with physical changes after surgery, connecting with a partner, restoring intimacy, and coping with stress and anxiety. It also provides practical strategies, such as exercises, information about medication and devices, and how to have conversations with your doctor or care team.

    “It’s vital to talk and not to just ignore it”

    Chris Pedlar, 56, took early retirement from the Environment Agency in 2022 after 33 years, and lives with his partner in Devon. Nine years ago, Chris became the third generation in his family to bediagnosed with prostate cancer.

    “My grandfather died from prostate cancer and my father was treated for it when he was 60. He went on to live for another 25 years, cancer free. He made sure that I started having PSA tests at 45 and I was picked up as having medium-risk cancer at 48.

    “I opted for surgery rather than radiotherapy as I knew I would have the option of additional radiotherapy later on.

    “Due to my father’s experience, I knew beforehand what to expect. Although I recovered quickly from the surgery itself, I had some of the usual side effects, including erectile dysfunction and some minor urinary problems, which I’ll have for life. I tried all the usual interventions such as injections, which made me feel terrible, and pumps which, while they serve a purpose, are a huge commitment. It didn’t put me off seeking advice though.

    “Sex is an important part of a relationship and just because you’ve had a cancer diagnosis, it doesn’t mean that part of your life is over.

    “Cancer can put a massive strain on a relationship – it affects both partners and you need to be able to talk about it honestly with each other. My partner and I have found that humour is the best way to deal with the problems we had, and I was determined from day one, this was not going to get me down.

    “Because of the stage my cancer was at when it was discovered, I wasn’t able to have nerve-sparing surgery. That meant drugs like sildenafil (Viagra) shouldn’t have worked for me because of the nerve damage caused by the surgery. Everyone’s situation is different, but I never gave up hope, and after three years I asked my doctor if I could give sildenafil a try to see if it would help in any way, and I was pleasantly surprised to find it worked for me.

    “From the beginning, I decided to be very open about my cancer. I recognise that not everyone deals with the experience in the same way. A lot of men bury their heads in the sand and won’t ask for help, even though it is having a negative impact on their lives.

    “I was comfortable with talking to my doctor about ED because I wanted to find a solution – but a lot of men are reluctant to even mention it and so they just suffer in silence, which can have a negative effect on their mental health and their relationships.

    “We need to work harder to break down those barriers that prevent men from talking about problems seeking help and seeing their GP when they need to.”

    Complete Article HERE!

    Couples Are Doing MDMA and Ketamine Therapy To Save Their Relationships

    — From breaking harmful patterns to improving their sex lives, more couples are using psychedelics combined with therapy to confront their issues.

    By Manisha Krishnan

    The first time Isabel and her husband did MDMA together, they were at Burning Man, just a couple of weeks before their wedding. It was a profound experience.

    “It was like being seen for the first time for who we really were because it allows you to be super vulnerable and allows you to share these deep parts of yourself without fear of being judged,” said Isabel.

    “I felt like we got married out there.”

    She and her husband Joseph, both physicians in their 40s who live in British Columbia, have been together for 15 years. VICE News has changed their names to protect their privacy because MDMA is illegal. They don’t use drugs often—the Burning Man trip, 11 years ago, was Joseph’s first time taking MDMA. These days their trips look pretty different from a festival. Once a year, they get a babysitter for their two kids, rent a room at a resort and take the psychedelic to work through conflicts in their relationships.

    “We wind up spending a night and just pushing through about six months worth of marriage crap all at once,” Joseph said. “You’re just kind of a different couple on the other side of it. It’s very interesting.”

    Because of Isabel’s training in using both ketamine and MDMA for therapeutic reasons, the couple generally trips on their own while going through their issues. But they’ve also had a guided trip with an underground therapist who serves people under the influence of psychedelics. They’re part of a growing number of couples who are adding psychedelics to their couples’ therapy experiences.

    Psychedelics are having a renaissance, with substances like ketamine, psilocybin (the active ingredient in magic mushrooms), and MDMA being studied and used to treat issues like depression, post-traumatic stress disorder, drug addiction, and end-of-life anxiety. While MDMA remains illegal in the U.S. and Canada, last year the nonprofit group Multidisciplinary Association for Psychedelic Studies (MAPS) completed a second phase-three trial on using the drug as PTSD treatment and is expecting the Food and Drug Administration to evaluate its findings in 2023, potentially approving it for people with the disorder. In the meantime, MAPS and other groups already offer training in psychedelic-assisted therapy, while some therapists are already adding ketamine to their services because it’s legal. Others are offering discreet therapy sessions using illegal drugs. And both underground and above ground practitioners told VICE News demand is growing among couples who think psychedelics could help them take on their issues.

    “I tell my couples, ‘Look, this is not a magic pill. It’s an assist.’ And I would say that if they’re willing to do the work, it expedites forgiveness,” said Jayne Gumpel, a Woodstock, New York-based clinical social worker who has treated around 150 couples using ketamine.

    Some of them have recommitted to each other after being on the brink of divorce, she said.

    Gumpel also offers group retreats for couples; private sessions run for $200 an hour, while four-day retreats are $1,850 a person on a sliding scale. She said people often choose partners who provoke their defences or trigger trauma for their childhood, but they don’t necessarily realize it. While using ketamine, she said people’s defences are lowered and they’re less attached to the idea that their side of the story is correct.

    “When the person who’s listening learns how to hold that space and not get reactive…what happens is the person who’s sharing their frustration about messiness starts to talk about their childhood when their mother was alcoholic and the house was a mess and they took it upon themselves to have to be the one to keep things organized. And that’s how she felt safe,” Gumpel explained. “All of a sudden, the partner who feels ragged on because he’s sloppy has empathy for the person who’s complaining to him about it.

    “It’s like a magical moment when they’re now understanding they have consciousness of this pattern they’re stuck in,” she added.

    Recently, Isabel said she and Joseph had a similar revelation, where she told him about “something really horrible” that happened to her as a child.

    “It was one of those moments in the relationship where you’re like, ‘Oh, that explains 40 percent of what I’ve been wondering about you for 15 years,” Joseph said, adding that it gave context to questions he had about her relationship with her family. During other sessions, they’ve cried, and even vomited.

    Dr. Reid Robison, chief clinical officer at Numinus, a mental health care company that provides ketamine-assisted therapy to couples in the U.S. and Canada, said having one partner supporting the other as they work through trauma can be a powerful bonding experience.

    “We can identify the barriers that we have to love in ourselves, and then we can just do it so much more freely in our partnership.” Numinus charges around $300 for dosing sessions, but typically a person also has integration sessions afterwards to talk about what they learned.

    Robison said whether a person is using MDMA or ketamine, the drugs help people in “turning towards each other” instead of turning away. He’s even seen it work with people going through a divorce, helping them to get over old wounds so that they can co-parent better.

    Isabel and Joseph have put up signs in their home that say “turn towards”—gentle reminders that they’ve put in place to integrate the lessons they’ve learned while on MDMA. She said they’ve managed to break a pattern where she would complain about something, and he would withdraw, causing her to also pull away.

    Both of them said doing MDMA, which boosts a person’s levels of dopamine and serotonin (neurotransmitters that impact pleasure and sexual desire), has also greatly improved their sex life.

    “We had a good sex life, but now we have an amazing sex life,” Isabel said, noting they’ll typically put in five hours of work on their relationship before having sex during one of their resort stays. “It really allowed us to explore breathing together and doing all these like deepening, like soul connection things.”

    Joseph said he considers MDMA a medicine, not a drug, and that it should be legally available to people. In fact, it was legal and used for couples therapy in the 1970s and 1980s, before being designated a Schedule I drug in 1985, meaning the government determined it had no medical use and a high potential for abuse. Early reports found that it was useful in navigating relationship issues and communication.

    Depending on what happens with the FDA’s evaluation of MAPS’ study, it may soon be available for people with PTSD.

    Robison said that could open the door for it being allowed to be used for people with other issues, though it’ll be a slow process. He said people with PTSD can also struggle with relationships or have depression and anxiety, though, so “there are ripple effects to their healing work that will be felt in their partnerships.”

    He said more research is needed on the impact of psychedelics on couples and he expects to see more therapists wanting to work with it in the years to come.

    Complete Article HERE!

    The Health Issues Men Don’t Talk About

    — (But They Really Should)

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

    By Northern Life

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

    Testicular Cancer

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

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

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

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

    Erectile Dysfunction

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

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

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

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

    Mental Health

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

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

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

    Prostate Health

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

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

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

    Sexual Health And STDs

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

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

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

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

    Substance Abuse And Addiction

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

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

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

    Wrapping It Up

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

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

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

    Complete Article HERE!

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

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

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

    By Molly Callahan

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

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

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

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

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

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

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

    Q&A

    with Katharine O’Connell White

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

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

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

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

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

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

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

    White: Hopefully—although I’m hesitant.

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

    Complete Article HERE!

    ‘The sex ed class you wish you’d had’

    — The influencer doctors teaching Americans the basics

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

    By

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

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

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

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

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

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

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

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

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

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

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

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

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

    Only 30 states and DC require sex education in schools.

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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