Category Archives: Sex And Substances

Female Sexual Dysfunction, Another Perspective


Hey sex fans,

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

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

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

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


First Things First

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

Sexuality Is Mind-Body But Not-Body?

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

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

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

The Biochemistry of Sex

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

Efficacy Data Dance

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

Blue Sky Side Effects

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

The Proof Is In The Sexy Pudding

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

Changing The World, One Orgasm At A Time

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

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

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

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

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

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

Weed Lube Is Not Lube

But It Apparently Works Magic on Vaginas

Sensual cannabis

Sensual cannabis oil magnifies sensitivity and sensation.

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

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

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

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

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

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

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

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

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

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

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

Complete Article HERE!

Female Sexual Dysfunction Is A Fictional Disorder

Name: Sharon
Gender: female
Age: 30
Location: PA
I’ve been reading a lot lately about FSD, or female sexual dysfunction. Is there such at thing? It strikes me as a fictitious “ailment” that is being promulgated to sell pharmaceuticals to unsuspecting women. What are your thoughts?

I share your skepticism. I think that, for the most part, female sexual dysfunction, or FSD, is a fictional disorder. I also think pharmaceutical companies are trying to hit on a female version of Viagra to treat this imaginary disorder so they can make a bundle, just like they did with as the male version.

body as art

So much of female sexuality is caught up with the cultural context of a women’s role in society — family obligations, body image and patriarchal views of marriage, etc. For the most part, men aren’t nearly so encumbered. So when one talks about female sexuality, particularly when the notion of a condition or a disorder arises; ya gotta ask yourself, what’s going on here?

I too have been noticing a lot of discussion in the popular culture lately about female sexual dysfunction. My first response is to ask myself, who’s raising the issue and why? Sure some women, like some men, experience difficulties in terms of desire, arousal and orgasm, but what of it? Is it a syndrome? Is it really a dysfunction? I personally don’t think so. The sexual difficulties most people experience can be explained and dealt with in a less dramatic way then with drugs?

And here’s an interesting phenomenon; the repeated appearance of the term female sexual dysfunction in the media lately actually gives the concept legitimacy. I’m certain the pharmaceutical industry is hoping that it will. If they can make the connection in the public mind between what women experience in terms of desire, arousal and orgasm concerns and what men describe as erectile dysfunction, then most of the work is done. In other words, I think the entire effort is a marketing ploy.

female sxualityI think we can safely say that, in order to determine what female sexual dysfunction might be, one has to clearly understand what a “normal” sexual response is for a woman. This is where we traditionally run into problems. Sex science is notoriously lacking in this endeavor. One thing for certain, although both women and men have a discernable sexual response cycle, a woman’s sexual response is not the same as a man’s. Even though we can’t say with certainty what “normal” is, therapists are famous for turning difficulties into disorders. And once you have a disorder it becomes the basis for developing a drug therapy. So you can see how this becomes a self-fulfilling prophecy.

Currently there’s a real buzz among clinicians concerning the efficacy of Addyi, the so-called “female Viagra”. But most sexologists, myself included, are unimpressed. Basically, the drug in question is an antidepressant. When I heard that, red flags began to fly. Antidepressants are notorious for their adverse side effects, especially in terms of sexual arousal in both men and women. The second problem with the study was the whole notion of desire and distress. Lots of women experience diminished sexual arousal but are not distressed by it. But if there’s no distress, clinically speaking, then it can’t be considered a disorder. You see where I’m going with this, right? If there’s not a “disorder” there’s no need for a pharmaceutical intervention.FUCK

According to the research some of the women in the clinical studies leading up to the approval of the drug claimed they were less distressed by their “condition,” Hypoactive Sexual Desire Disorder, than they were at the beginning of the study. According to clinical trials of Addyi held in 2013, only 8% – 13% of the women experienced “much improved” sexual desire and only about 2 more satisfying sexual encounters per month were had. In other words, when behaviors were studied, the actual number of satisfying sexual episodes reported by these less distressed women hardly changed of all. This indicates to me that the antidepressant helped lift the spirits of the distressed women, but did nothing to increase their satisfaction with their sexual outlet.

Twice the FDA rejected Addyi for its severe side effects and marginal ability to produce the effect that it is being marketed for. And despite the fact that the drug is now available, those side effects still exist. Women who take the pill are likely to experience dizziness, nausea, drowsiness, fainting spells, and falling blood pressure. Coupled with alcohol and even hormonal contraceptives the odds of these potential side effects occurring increase. Persons with liver ailments, or taking certain other medicines, such as types of steroids are also at higher risk. On the other hand Viagra has very mild side effects that may include headaches, indigestion, blue-tinted vision and in some cases a stuffy nose.

While a man can pop Viagra an hour or so before he plans to have sex, women who are looking for increased sexual desire need to take Addyi daily for up to a month before they should expect to see any effects.

Good luck

Family History and Addiction Risk: What You Need to Know to Beat the Odds


You grew up in a family of substance users. You know that your risk for developing an addiction to drugs or alcohol is greater because of this hereditary factor. But what exactly are your risks? And is there anything you can do to reduce your risk?

According to the National Council on Alcoholism and Drug Dependence (NCADD), the single most reliable indicator for risk of future alcohol or drug dependence is family history. In an article written for NCADD, Robert Morse, MD, former Director of Addictive Disorders Services at the Mayo Clinic and member of NCADD’s Medical/Scientific Committee, says, “Research has shown conclusively that family history of alcoholism or drug addiction is in part genetic and not just the result of the family environment…millions of Americans are living proof. Plain and simple, alcoholism and drug dependence run in families.”

How Family History Affects your Chances for Addiction

Family history affects your chances of addiction in many ways. Genes are one important factor. But alcoholism and drug addiction are “genetically complex.”

Recent research has identified numerous genes, and variations within these genes, that are 005associated with the addictive process. One way genes affect a person’s risk for addiction involves how genes metabolize alcohol. Another is how nerve cells signal one another and regulate their activity. Such changes in genes can be passed down from one generation to another.

Perhaps the strongest evidence for heredity’s role in addiction comes from twin studies and adoption studies. Studies of twins found a 60% rate of similarity regarding addiction in identical twins vs. a 39% rate of similarity in fraternal twins. Studies of children adopted in infancy and studied for addiction risk in adulthood found that biological sons of alcoholics were four times more likely to become alcoholics, even when the adoptive parent had no issues with addiction, so the l factor of family environment was minimal.

But genetic predispositions are not the only factor in predicting the role of family history in addiction risk. Environmental aspects also play a role, even though they may be less significant in some cases.

Researchers have identified several family-related risks for increased vulnerability:

  • Family dysfunction (conflicts or aggression)
  • A parent who is depressed or has other psychological issues
  • One or more parents who abuses or is addicted to drugs or alcohol

Additional social and personal issues that contribute to risk include:

  • Limited social skills
  • Fragile self-esteem
  • Minimal or no support system
  • Personal history of impulsivity, aggression or difficulty managing emotions
  • A history of trauma or abuse (high risk for post traumatic stress)
  • Other psychiatric disorders such as depression, anxiety or bi-polar disorder
  • Friends or acquaintances who are regular users and who provide easy access to drugs or alcohol

Addressing and Reducing Risks

An alternative viewpoint regarding a family history link for addiction comes from a National Institute of Health (NIH) meta-study of 65 published papers documenting 766 study participants who were college or university students. Controlling for alcohol consumption and use disorders, family history was reviewed as the variable. The meta-study found that students who had family histories of alcohol or drug problems did not drink more but they were likely to be more at risk for problems that are associated with drug or alcohol use (ex: causing shame or embarrassment to someone; passing out or fainting; or having problems with school).

The bottom line is that there are still a lot of uncertainties when it comes to assessing drug and alcohol risks as they relate to family history. The good news is that even if you come from a family with a troubled history, or a history of addictions, that does not mean you will automatically become an addict. The risk is higher, but there are ways to prevent that from happening. You can choose to be proactive and greatly reduce your addiction risk.

Here are a few suggestions to reduce your addiction risk:

  • Avoid under-age drinking or substance use; early-onset of use increases risk
  • Choose abstinence or carefully monitor your consumption
  • Avoid associating with heavy drinkers or substance users
  • Manage your psychological health; seek assistance from a mental health provider if you are highly stressed, anxious or depressed
  • Participate in workplace or school prevention programs

Intervention Strategies

Should you already find yourself dealing with an alcohol or drug issue, here are some intervention strategies provided by the National Institute of Health, in their publication, Alcohol Alert:

  • Motivational Interview: This strategy focuses on enhancing your motivation and commitment to changing your behavior, if you are currently abusing drugs or alcohol. Typically you would work with an addictions counselor or mental health professional and discuss your beliefs, choices and behaviors associated with substance use. The purpose of the interview is to help you develop a realistic view of your use, problems associated with it and your treatment goals and expectations.
  • Cognitive–Behavioral Interventions: These strategies are taught by a counselor or therapist, or they can sometimes can be accessed via an online self-help program. They help you change your behavior by helping you recognize when and why you drink excessively or use illegal substances. Cognitive-behavioral approaches challenge irrational expectations about substance use and raise your awareness of how drugs or alcohol affect your health and well-being. They provide tools for mentally and emotionally addressing denial, resistance, self-criticism and shame.
  • Drug-Free Workplace programs: Many workplaces now help their employees who are abusing alcohol or drugs. Lifestyle campaigns encourage workers to ease stress, improve nutrition and exercise, and reduce risky behaviors such as drinking, smoking, or drug use. Other programs promote social support and volunteerism. Many Employee Assistance Programs offer employees referrals to substance abuse or other treatment programs, and may help pay for treatment.

Remember, the risk for alcohol and drug addiction does run in families. But you can manage the risk and avoid an addiction problem in your own life. Be proactive in monitoring your substance use, manage your mental and emotional health and seek support if you need it. The final outcome will depend on you and the choices you make today, not on your history.
Complete Article HERE!

You’re Pulling My Leg

Name: Jerry
Gender: Male
Age: 60
Location: Minnesota
I have a fixation with prostate stimulation. I have recently been giving myself perineum injections to the prostate with 2/3 xylocaine and 1/3 sodium cloride. The xylocaine is 2% with ephinepherine. I am careful to clean the injection site – just above the anus and use a 1 1/2 inch 25 guage needle injecting 3 ml. The feeling is fantastic when I hit the prostate. I actually feel the nerves take the anesthetic. I am careful to always make sure I do not hit a blood vessel before injecting by pulling back on the plunger. Is this fetish common? What dangers to you think are there? I find this a real turn on. I also have done many intra-rectal injections to the prostate but only use sodium chloride (salt water) as I cannot see the syringe to tell if I am injecting in a blood vessel. This requires careful cleaning of the anus but have never had any problems except very rarely giving myself an urethral infection.

You have got to be kidding! I mean really, Jerry! You want to know if this is a common fetish? Ahh, no, I’d have to say not all that much.hypodermic-needle

So I’m sitting here trying to imagine how you go about doing these alleged injections. What kind of physical position must you have to assume to see, and than land the alleged hypodermic needle on just the right spot on your taint (perineum) so that you hit your prostate? I suppose you allegedly do this with a mirror, right? But even then there’s plenty room for error, right?

It sounds like you been doing this alleged needle play for a while? I have to wonder, how in the world did you happen upon allegedly shoot up anesthetics right into your prostate? And where are you getting these alleged anesthetics, I wonder?

Everything about your story makes me very suspicious as to the authenticity of your reporting. If indeed you are doing precisely what you tell me, allow me to advise you to reconsider your actions. I don’t think this is a healthy pursuit for any number of reasons. And I suspect that you also have your qualms. I mean, why else would you ask me about potential dangers.not-a-golfer-cartoon

If you are experiencing periodic infections that tells me you’re not taking care of business properly. I’m gonna guess that you’re not properly attending to sterilizing the medical equipment you are using. And if your anesthetics are coming from a dubious source, well then anything can happen.

I’m guessing you have too much time on your hands, sir. Maybe you should take up golf.

Good luck

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