Can mushrooms help enhance your sex life?

— We explore the latest libido-boosting trend

Here’s whether you should get funghi (sorry) in the bedroom…

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Mushrooms and sex don’t seem like obvious bedfellows – but the pair are the latest libido-boosting trend to make some noise. Last month, sexual wellness company Runi launched a sex serum, the ‘Play Primer’, which is infused with adaptogenic cordyceps and shiitake mushrooms along with CBD. What’s more, mushrooms’ pleasure-enhancing benefits are now being discussed on TikTok, and Harrods is selling a natural ‘blue pill’ for women that’s packed with extracts of the humble vegetable for a cool £1,100.

But what does the research say about whether mushrooms are really an aphrodisiac – in the same way that chocolate and oysters are purported to be? And should you be slurping them up in soup or as a plant-based burger filling like there’s no tomorrow? After all, they’re a well-known source of B vitamins, selenium, zinc, and copper as well as being rich in fibre and protein. Although, it’s worth noting that the ‘funghi’ effect on sexual wellness centres less on the food itself and more on the ingredient’s saucy compounds taken in supplement form.

Just to clarify that we’re not talking psychedelic ‘magic’ mushrooms – which create a hallucinogenic effect when consumed – but medicinal mushrooms. ‘This latter term refers to a group of mushrooms that are known to have powerful therapeutic properties,’ says Clarissa Berry, nutritionist for DIRTEA. ‘The most widely used include lion’s mane, cordyceps, reishi, chaga and turkey tail and many of these have been used in traditional Chinese and Ayurvedic medicine for thousands of years.’

How do they work? ‘Research is now beginning to explore the mechanisms, but we understand that medicinal mushrooms act as adaptogens, which means that they help bring the body into a state of harmony and balance,’ explains Berry. ‘They increase resilience to stress and each have a host of other health benefits, including the ability to regulate mood, improve sleep, sharpen focus, increase energy levels and boost immunity.’ Now, onto the even sexier stuff…

Which mushroom boosts sex drive?

While you may be under the very reasonable impression that mushroom types extend at most to ‘portobello’ and ‘white button’, that’s not quite the case when it comes to medicinal mushrooms. If you’re focused on sexual pleasure, then there’s one in particular that you need to know: cordyceps.

‘This mushroom has been used for thousands of years by Tibetans, Nepalese, Chinese and many other cultures as a potent natural aphrodisiac,’ explains Dr Naomi Newman-Beinart, a nutritionist and specialist in health psychology, who works with Link Nutrition. ‘Tibetan farmers first noticed the effects of cordyceps on libido when their yaks, while grazing on the fungus in the Himalayan mountains, began to display notable signs of increased energy, vitality and virility. They tried boiling it as a tea for themselves and never looked back.’

Exactly how does it help libido?

‘There is a growing body of evidence that shows cordyceps supplementation improves sex drive in women,’ says Berry. ‘For example, one study in China demonstrated an 86% increase in female libido.’ Other studies show similar and significant improvements in sexual desire and function. Research has found it to increase testosterone, while a review concluded that it could enhance libido and sexual performance.

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However, the research is still ongoing, so the exact mechanisms by which it can help aren’t yet clear. ‘It is thought that cordyceps supports the adrenal and reproductive organs, improving cellular energy production and oxygenation for holistic as well as libido-enhancing benefits,’ explains Dr Newman-Beinart. ‘These include improved stamina, physical and mental performance and clarity, energy levels, oxygenation and lung capacity and even stress management.’

However, because the research is still in the works, Giulia Guerrini, lead pharmacist at Medino, urges caution. ‘At the moment, there is no evidence that cordyceps can help with sexual dysfunction and fertility,’ she points out. ‘Some research on rats have shown that specific active compounds in the mushroom can impact testosterone and estradiol production. But so far the studies are too small and inconsistent for us to say anything about its ability to treat specific conditions.’ Although, this is not to say that a link between mushrooms and boosted sex drive won’t eventually be scientifically established.

What is the best way to harness its benefits?

This is entirely up to you. Most medicinal mushrooms are now available as a powder which can be mixed into drinks like hot water. The best quality use a ‘dual extraction’ process that ensures the beneficial active compound is protected, and are finely pulverised to ensure they are as bio-available as possible to the body.

‘Taking mushrooms internally is by far the most effective way to get the best out of them,’ explains Dr Newman-Beinart. While cordyceps – unlike various pharmaceutical alternatives – has no known side effects, obviously you should steer clear if you’re allergic to mushrooms.

As for cordyceps-infused arousal serum? It claims to work by being absorbed via your genital area directly into your bloodstream. ‘However, ingesting a pure cordyceps extract – under the tongue via the salivary glands – or in another form, such as an adaptogenic coffee, will ensure the active compounds reach your system and work their magic,’ notes Zain Peer, co-founder of London Nootropics.

Already taking medications? Guerrini advises checking with your GP or another medical professional before starting to supplement with cordyceps. And, if it’s not quite right for you, then here’s how yoga can help improve your sex life.

Complete Article HERE!

Medicines and Sex

— Not Always a Good Mix

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For both men and women, it takes a complicated chain of events to move from arousal to a satisfying orgasm. The mind has to stay focused, nerves have to stay sensitive, and blood has to flow to all the right places. Unfortunately, many things can break the chain — including, perhaps, the pills in your medicine cabinet.

Medicines often work by altering blood flow and brain chemistry, so its no surprise that they can affect sexual function, and not always for the better. Medications can shut down a person’s sex drive, delay orgasms, or prevent orgasms entirely. Medications are also a leading cause of erectile dysfunction in men.

If you’ve noticed a drop in your ability to have or enjoy sex, talk to your doctor about possible causes. Be sure to bring a list of every medication you’re taking. A simple change of drugs or doses could be all it takes. But never stop taking a prescription drug or change dosages on your own. Your doctor can help you determine if a drug you’re taking is the problem — and help you switch to another medication safely.

What drugs can affect sexual function?

SSRIs (antidepressants) You may have noticed that television ads for common antidepressants such as Paxil (paroxetine) or Zoloft (sertraline) mention “certain sexual side effects.” The full story is that for some people, SSRI antidepressants can put desire on hold and make it difficult to achieve orgasm. A study of nearly 600 men and women treated with an SSRI, published in the Journal of Sex and Marital Therapy, found that roughly one in six patients reported new sexual problems. The number-one complaint? Delayed or absent orgasms. Many patients also reported declines in desire. Overall, men were more likely than women to report sexual problems while on SSRIs.

As reported in The American Family Physician, other studies have found that up to one-half of patients taking SSRIs have reported sexual problems. Study results vary depending on the patients studied and the questions asked, but the final message is the same: Sexual side effects caused by SSRIs are common.

If SSRIs are affecting your sex life, talk to your doctor. As reported in Current Psychiatry Reports, there are several options to get you back on track. Your doctor may suggest switching to Wellbutrin (bupropion), or another non-SSRI antidepressant that is less likely to cause sexual side effects. If your current medication is working well and you don’t want to make a switch, your doctor may want to lower the dose or give you a break from taking drugs. A few studies have suggested that men who develop erectile dysfunction while taking SSRIs may respond to Viagra (sildenafil), Cialis (tadalafil), or Levitra (vardenafil) added to their overall treatment plan.

Blood pressure medications

Many drugs that control high blood pressure — including commonly prescribed diuretics and beta blockers — can also put the brakes on a person’s sex life. The drugs can cause erectile dysfunction in men and, when taken by women, they can diminish sexual desire.

In many cases, the best way to overcome sexual problems caused by blood pressure medication is simply to switch prescriptions. ACE inhibitors and calcium antagonists seem less likely than diuretics or beta blockers to cause sexual side effects.

Keep in mind that not every blood pressure medication is right for every person. Your doctor will help you determine whether a different prescription would be the best option for you, and can recommend the right one for your particular circumstances.

Opioid (narcotic) painkillers Opioids such as morphine or OxyContin (oxycodone) do more than just ease pain. As an unfortunate side effect, the drugs can also reduce the production of testosterone and other hormones that help drive sexual desire in both men and women.

The sexual side effects of opioids haven’t been thoroughly investigated, but preliminary studies paint a disappointing picture. As reported in the Journal of Clinical Endocrinology and Metabolism, a study of 73 men and women receiving spinal infusions of opioids uncovered widespread sexual problems. Ninety-five percent of the men and 68 percent of the women reported a drop in sex drive, and all of the premenopausal women either developed irregular periods or stopped menstruating completely.

If you think opioids might be undermining your sex life, ask your doctor if it’s possible to get similar pain relief from non-opioid medications. Even if you don’t quit opioids completely, merely cutting back could help you regain your spark. Your doctor may be able to suggest other methods of pain relief such as massage or biofeedback that will make it easier for you to scale back on your opioids. If blood tests show that you’re low in testosterone, your doctor may want to prescribe testosterone shots or patches to help rekindle your sex drive.

Antihistamines Even some over-the-counter drugs can affect your sex life. Antihistamines are a prime example. As reported by the Cleveland Clinic, these drugs can cause erectile dysfunction or ejaculation problems in men. For women, antihistamines can cause vaginal dryness.

This is only a partial list. Other drugs that can affect a person’s sex life include oral contraceptives, tricyclic antidepressants, antipsychotics, and cholesterol medications. You and your doctor should take sexual side effects seriously, but you should be able to find a way to restore sexual abilities and desires without compromising your treatment.

Complete Article HERE!

Does alcohol make you hornier?

We look at the research behind drinking and libido

Many people find they’re more liberated after a couple of glasses, but does alcohol genuinely fuel sexual desire?

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In British and American culture, it’s almost impossible to untangle sex and alcohol. On TV, drinking is a lubricant that means characters go from club to bedroom before rolling around hungover. Dates are centred around romantic dinners with glasses of wine for both new couples and those in committed relationships. While single people might be more likely to meet a sexual partner on a dating app than they are in a bar, these meet-ups still tend to happen over drinks.

Many of us would argue that we’re more relaxed and liberated after a couple of glasses, and that makes us more ‘up for it’. But is feeling hornier a pavlovian response to being in an alcohol-infused environment or does alcohol genuinely fuel sexual desire?

The psychological impact of alcohol might be to blame, says sexologist Catriona Boffard. “In the moment, being drunk can decrease our anxieties – a major psychological factor that can consistently get in the way of wanting sex,” she says. As we learn more about the impact of mental health on our physiology, it wouldn’t be unreasonable to suggest that feeling more comfortable makes it easier to function in the bedroom.

“No matter if you’re single or coupled up, being drunk may mean you’re feeling more frisky and more willing to engage sexually with someone,” Bafford adds.

But that’s only to a point. In an article in Psychology Today, Michael Castleman, author of Sizzling Sex For Life, says that 13 of 16 studies he reviewed “showed that as women become intoxicated, they report increasing sexual arousal. But high doses – [that lead to] stumbling drunkenness – suppress arousal.”

When it comes to orgasms, Drinkaware points to some qualitative research that suggests women may also find it more difficult to reach climax or have less intense orgasms after drinking alcohol.

“Participants commonly reported… numbness while on alcohol. These changes in sensation appear to have influenced length and intensity of sex as well as orgasm,” researchers from the 2016 Archives of Sexual Behaviour paper wrote. While orgasm isn’t the only sign of good sex, researchers pointed out that alcohol’s ability to increase libido “does not necessarily increase or allow for optimal performance”.

But being a few drinks in just doesn’t do it for some people – and that’s OK. “Many are simply less inclined to want sex after drinking because they have what is known as a more sensitive sexual inhibition system or ‘sexual brakes’. There exists a multitude of reasons why someone wants to have or not have sex, and for some people, they aren’t just going to have sex because they are drinking,” says Boffard.

And, of course, it goes without saying that mixing alcohol with sex can be dangerous in certain circumstances. “We may be more open and interested in taking risks when drinking, and alcohol can also lead to aggressive behaviour which could make sex a very unsafe space,” notes Bafford.

The long-term impact of alcohol on our sex lives

We know that alcohol has a mark on our health that goes beyond a hangover, and the same can be said for our sex drive. A 2014 paper reported that alcohol damages the hypothalamic-pituitary-gonadal axis that links the hormone centres and our sex organs. In alcohol abusers, dysfunction of this axis was shown to be associated with a decrease in libido and infertility.

“Alcohol can also have a major impact on our physical and psychological wellbeing, and this can lead to a nasty cycle of dependency. Some people can become dependent on a substance, like alcohol, in order to have sex, which may mean they experience high levels of anxiety around sober sex. And because alcohol affects functions including orgasms, it can create a very unhealthy cycle of anxiety,” adds Boffard.

While a glass of wine can be the perfect way to kick off a romantic evening, it’s hardly healthy to rely on alcohol when it comes to sex. But the research does seem to suggest that being in a situation where you feel comfortable, are with a trusted partner and can maintain tipsiness over drunkenness, a glass or two might actually improve your sex. Cheers to that. 

Complete Article HERE!

10 Top Sex Ed Tips for Those 50 and Older

Making love is about more than intimacy. It’s good for your health, too

By Robin Westen

How sexy are your 50s?

If you think sex is the province of the young, you’re wrong. People in their 20s are having less sex now than ever before, studies show, so it’s possible that you’re as active, or more so, as the average millennial. About a third of us are getting busy several times a week, one survey found.

And most of us are still in the game: 91 percent of men and 86 percent of women in their 50s report being sexually active, although activity levels vary widely. So, there’s no “normal” amount of sex for people our age. What matters more is that you and your partner are happy with your sex life. Men and women age differently, and some studies indicate that sexual interest wanes differently as well. Combine that with emotional and physical issues, and it’s possible that you and your partner aren’t on the same wavelength when it comes to making waves.

The upsides, however, go way beyond our cravings for intimacy, pleasure and connection. Sex boosts our immune systems, improves self-esteem, decreases depression and anxiety, relieves pain, encourages sleep, reduces stress and increases heart health. (In one study, men who had sex at least twice a week were 50 percent less likely to die of heart disease than their less active peers were.) Another bonus: You burn more calories making love than by watching The Great British Baking Show.

Not only is there a lot of science around the subject of later-life lovemaking; there’s also a range of products and medicines that can help. Take these steps to revitalize your sex life.

1. Connect emotionally

Women are twice as likely as men to lose their enthusiasm for sex in long-term relationships, research shows. The problem isn’t always reduced estrogen; it could be an absence of emotional closeness. In these cases, try listening more, praising more and showing more kindness. Individual, couples and/or sex therapy can help as well. Look for a sex therapist certified by the American Association of Sexuality Educators, Counselors and Therapists.

2. Address vaginal dryness

It’s one of the top impediments to sex among older women: 34 percent of women ages 57 to 59 experience dryness and discomfort during intercourse, one study found. For help, try over-the-counter remedies before and during sex, such as water-based lubricants (K-Y Jelly and Astroglide), oil-based lubes (olive, coconut and baby oils) and OTC moisturizers (Replens and Revaree). Use these a few times a week, even if you’re not having sex.

3. Emphasize foreplay

“Regardless of the level of dryness, every woman needs to be primed with foreplay before intercourse,” says Elizabeth Kavaler, M.D., a urologist-urogynecologist at Total Urology Care of New York. Another tip: Encourage a woman to orgasm first, which provides more moisture for intercourse and other penetration.

4. Don’t let ED keep you down

Half of men who are in their 50s experience erectile dysfunction (ED), and the gold standard for treatment is prescription meds. Safe, effective options include Viagra (which lasts for four to six hours), Levitra (four hours), Cialis (up to 18 hours) and Stendra (up to six hours).

For the minority of men who can’t rely on a pill, other choices include alprostadil (a drug that’s self-injected into the penis) and Muse (a suppository that slides into the penis). Vacuum pumps use suction to coax erections, and new treatments include platelet-rich plasma (PRP) therapy, which may regenerate nerves and improve blood circulation.

5. Don’t ignore other conditions

Any problem that affects overall health can interfere with sexual pleasure. “Cardiovascular issues such as high blood pressure, as well as diabetes, can negatively impact blood flow,” which isn’t good for sexual arousal, notes New York ob-gyn Alyssa Dweck, M.D., coauthor of The Complete A to Z for Your V. “And depression or anxiety can reduce the desire or ability to have sex.” The problem? Medicines that treat these conditions may also affect sexual desire and response. Speak with your health care provider about side effects and possibly switching meds or adjusting the dosage or timing.

6. Consider estrogen

Women, if over-the-counter lubricants aren’t doing the trick, consider estrogen replacement therapy (ERT), which treats hot flashes and vaginal dryness. The most common delivery methods are creams and pills (you can self-apply Estrace and Premarin with an applicator or take these in pill form), insertable tablets (with Vagifem, you use an applicator to slide a tiny tablet into the vagina) and a ring (Estring, which your doctor inserts, or you can do this yourself; it needs to be replaced every three months). ERT is not recommended for anyone who has or had breast cancer, or for those who have recurrent or active endometrial cancer, abnormal vaginal bleeding, recurrent or active blood clots, or a history of stroke.

7. Think about lasers

A treatment called fractional laser therapy can help reduce vaginal dryness without estrogen. It works like this: A laser creates tiny superficial burns in the vaginal canal. As the area heals, this leads to fresher collagen development and increased blood supply, which makes the area more elastic and responsive, Kavaler explains. (She cautions against vaginal rejuvenation surgery, which is a cosmetic procedure: “It can reduce sensitivity in the area and can make orgasms even more difficult to achieve or, in some cases, sexual intercourse permanently painful.”)

8. Confront incontinence issues

In a national poll of more than 1,000 women, nearly half of those over age 50 reported bladder leakage during sex. The primary reason: Sexual stimulation puts pressure on the bladder and urethra. If you’re hoping to get lucky in the hours ahead, avoid consuming beverages or foods with caffeine, such as coffee and chocolate; caffeine stimulates the bladder and acts as a diuretic (citrus fruits and juices are diuretics, too). Men whose prostates have been removed can also experience incontinence during sex. This condition, known as climacturia, can be treated in a number of surgical and nonsurgical ways. Plus, medications such as Ditropan and Vesicare can decrease urination frequency.

9. Turn down testosterone

In late 2020, the American College of Physicians stated that testosterone replacement should no longer be administered to treat a lagging libido (testosterone can have serious side effects, including an increased risk of prostate abnormalities). Denver urologist David Sobel, M.D., offers three easy alternatives: “sleep, reducing stress, and — the big one — exercise.” Even better: Work out with your lover. Seventy-one percent of runners say that running as a couple plays a healthy role in their sex life, according to a 2021 survey according to a 2021 survey.

10. Overcome arthritis aches

About 58 million Americans have arthritis, and over half are younger than 65, reports the Centers for Disease Control and Prevention. Arthritis can limit your ability to engage in sex. In addition, an empathetic partner may resist sex to avoid creating discomfort. An option: Ask your partner to experiment with more comfortable positions. Also, time sex for when you feel best (rheumatoid arthritis pain is usually more acute in the morning), the Arthritis Foundation advises. Taking a warm bath, alone or together, can help relax joints before making love. If the pain is severe, try an OTC medicine such as ibuprofen before having sex, or speak with your doctor about prescription medications.

Complete Article HERE!

Can Xanax Cause Erectile Dysfunction?

By Laura Dorwart

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

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

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

Does Xanax Cause ED?

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

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

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

Xanax Sexual Side Effects

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

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

Causes of Erectile Dysfunction

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

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

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

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

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

Managing Erectile Dysfunction on Xanax

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

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

Talk to Your Healthcare Provider

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

Summary

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

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

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

A Word From Verywell

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

Frequently Asked Questions

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

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

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

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

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

    Complete Article HERE!

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

    By

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

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

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

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

    Not just the middle-aged men

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

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

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

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

    Complete Article HERE!

    Do Genes Drive How We Feel About Sex and Drugs?

    By Lisa Rapaport

    Our moral reaction to getting high or a night of casual Netflix and chill — a modern euphemism for having casual sex — may trace in part to our DNA. A new study suggests that our genes could shape our views on these behaviors just as much our environment does.Social scientists have typically assumed that our morals are shaped by the people most present during our childhoods — like our parents, teachers, and friends — and what we experience in our culture — whether from books, television, or TikTok.Results of the new study, published in Psychological Science, suggest that genetics may at least partly explain our moral reactions.

    The researchers surveyed more than 8,000 people in Finland, all either fraternal or identical twin pairs or siblings. They asked participants about their views on recreational drug use and sex outside of a committed relationship. Twin studies help scientists tease out the role of nature versus nurture because identical twins usually have the same DNA sequences, but fraternal twins have only about half of their DNA in common.

    Investigators compared survey responses to see how much shared DNA explained negative opinions about casual sex and drug use and how much could be attributed instead to a shared environment or unique experiences between the twins.Views on sex and drugs were at least 40% attributable to shared DNA and the remainder attributable to unique experiences, the study found. Views on sex and drugs were also strongly linked, with considerable overlap in opinions about each category.One limitation of the work is common to twin studies in general. These studies cannot distinguish whether certain genes are activated by a shared childhood environment or if some gene variants drive the choice of certain types of environments.

    Complete Article HERE!

    Can Marijuana Ease Your Hot Flashes?

    Advice from a Menopause Expert

    If you’re considering trying pot to escape hot flash hell, here’s guidance on the best way to do that, and the science of why it might help.

    By

    If you’ve heard a friend mention that she’s easing hot flashes and other annoying side effects of menopause with marijuana, she’s not alone: In a 2020 study, 27% of menopausal women reported that they used some form of cannabis—the scientific name of the marijuana plant—to alleviate hot flashes, insomnia, vaginal dryness, mood swings, and brain fog. That’s more than 1 in 4 women—compare that to the mere 7% of women who take systemic estrogen to alleviate symptoms. Women are smoking pot, drinking cannabis-laced beverages, and infusing marijuana in oil and putting it not only on their avocado toast but also on their vulva and in their vagina.

    Join Dr. Streicher and other experts for a conversation about menopause on October 18. Sign up for free today!

    Turning to cannabis to ease menopausal symptoms isn’t new either: According to historian Ethan Russ, cannabis was used as far back as the 7th century for myriad women’s ailments. It even pops up as a treatment of meno­pause in the 1899 edition of the Merck Manual, a popu­lar medical textbook. At the turn of that century, all the major pharmaceutical companies—Eli Lilly, Parke-Davis (now Pfizer), and Squibb—sold cannabis as a powder, tablet, and tincture.

    So what’s the story—can smoking a joint or imbibing cannabis in some other way really cool the heat and soothe other menopause symptoms? (Before you jump in, remember: Marijuana isn’t legal everywhere. Check out this map to find out the status of legalization in your state.)

    Are there studies on marijuana and hot flashes?

    Though there are some wildly enthusiastic anecdotal reports about the effectiveness of pot to ease hot flashes, there have been inadequate scientific studies—meaning studies done on large groups of women over an extended period of time, with a control group using fake pot as a comparison. In other words, when it comes to cannabinoids (the compounds found in cannabis), there aren’t the kinds of studies that are required for pharmaceutical agents to become FDA-approved. In addition, most studies on the effect of cannabinoids include only men—and women are not little men.

    Aside from being expensive, studies on the impact of cannabis on menopause symptoms would be difficult to conduct. The pharmacology is complex: There are well over 100 cannabinoids, and all have different physical and psychological effects. The dosage and type of cannabis are difficult to standardize and are also dramatically altered by variables, such as the other medications someone might be taking.

    Don’t get me wrong: I think the use of cannabinoids to relieve menopause symptoms is very promising, and based on the known properties of cannabinoids, there is good reason that they would be beneficial in alleviating many symptoms of menopause. It just would be nice to have more research as to what kind of cannabis and what dosage works best, so that I and other physicians can make informed recommendations to our patients. But having said that, here is what is known based on the science of cannabinoids as well as observational, anecdotal data.

    The impact of cannabis on our bodies

    First, an interesting fact: The human body makes its own cannabi­noids. The human endocannabinoid system is a complex, nerve-signaling system composed of neurotransmitters that bind to cannabinoid receptors. It’s responsible for regulating multiple body functions, including appetite, metabolism, pain, mood, learning, memory, sleep, stress, bone health, and cardiovascular health—pretty much ev­erything that keeps humans functional and balanced.

    And it turns out that hormones, specifically estrogen, play a critical role in the endocannabinoid system, and some experts propose that the disruption in that system when estrogen is low is responsible for menopause symptoms—and they say it’s also why using cannabis can decrease hot flashes.

    The marijuana plant and hot flashes

    There are two cannabinoids extracted from the flow­er of the marijuana plant that have potential roles in managing menopause symp­toms: tetrahydrocannabinol (THC) and cannabidiol (CBD). And, no surprise, only the female flower contains these elements.

    THC is the psychoactive component of cannabis (that’s the component that brings on the high). It mimics some aspects of the natural endocannabinoid in our bodies that helps regulate body temperature, which is theoretically why THC is the key to reducing hot flashes.

    CBD is extracted from hemp flowers. It contains trace amounts of THC but doesn’t have psy­choactive properties, so it will not get you high. Although it may not reduce hot flashes specifically, it does decrease pain and inflam­mation, in addition to helping you get a good night’s sleep. (The anti-inflammatory properties of both cannabinoids also may help with bone loss and cardiovascular disease.)

    So, does pot relieve hot flashes?

    Since this hasn’t been scientifically studied, what I’m going to say is based on the known pharmacolo­gy of cannabinoids and anecdotal information from folks in this world. But yes, it does appear that cannabis can be effec­tive in decreasing the frequency and severity of hot flashes.

    Again, the THC in cannabis mimics the endocannabinoid that helps regulate body temperature. This effect when using cannabis is dose dependent. Large amounts of THC cause your internal temperature to drop, while small amounts can cause your internal temperature to rise. In other words, THC can regulate your internal thermostat, but it is important to use the right amount.

    How to use cannabis for hot flashes

    Eat it? Smoke it? Rub it on? How you take cannabis is important—not only in terms of what it will do for you, but also when it comes to onset of action (meaning, how quickly it hits you) and potential side effects. The onset of action, peak levels, and total duration of ef­fect listed here are very approximate, but I’ve included them to give you an idea.

    Smoking or vaping

    Inhaling cannabis has the advantage of an immediate effect, but the disadvantage is potentially harming your re­spiratory tract. It’s also not an activity you can do discreetly.

    Onset of action: Within minutes
    Peak levels: About 15 to 30 minutes
    Total duration: About two or more hours

    Edibles

    Edibles include foods infused with cannabis, such as gummies, chocolate, ice cream, smoothies, and cookies—the possibilities are endless. The effect is delayed, which sometimes leads to overdos­ing (more on that at the end). Edibles are not psychoactive unless they contain more than trace amounts of THC.

    Onset of action: 30 to 90 minutes
    Peak levels: Two to six hours
    Total duration: At least four to eight hours

    Sublinguals

    Sublinguals are tinctures, sprays, or strips placed under the tongue that are quickly absorbed into the bloodstream through a plexus of blood vessels, rather than making the trip through the digestive system like edibles do. The advantage is a relatively quick onset of action, along with bypassing the gut and the lungs. Also, it appears that THC is absorbed better as a sublingual than as an edible.

    Onset of action: Within minutes
    Peak levels: About 10 minutes
    Total duration: Hours or even days (highly variable)

    What’s the right dose for cannabis?

    I’ll give you some general dosing guidelines, but they are not based on scientific studies. I’m just telling you what’s being said by the experts I’ve talked to. The dosage is a free-for-all, and even the phar­macists who work in the industry and appear very knowl­edgeable are basing their recommendations on anecdotal reports and individual experience as opposed to scientific studies. Remember, most of the folks who work in dispen­saries are not medical practitioners, and they may not be aware of a potential drug interaction or other medical variables. Also, it’s a known fact that young women metabolize cannabis more slowly than men, and women who are post-menopause metabolize it more slowly than those who are pre-menopause. This makes sense, given that cannabis metabolism is fa­cilitated by estrogen, and women who are post-menopause don’t have any.

    There is no one-size-fits-all dosing, and because cannabis is a botanical, you cannot count on the same level of con­sistency as you would with a commercial pharmaceutical. Keeping a journal is a good idea until you figure out what works best for you. Small, spaced-out doses (micro-dosing) is smart.

    Here are guidelines for hot flash relief sup­plied by Luba Andrus, a registered pharmacist and cannabis pharma­cologist with whom I consulted; she routinely works with menopausal women.

    Guidelines for THC

    • Sublingual is preferred
    • Start at 1.25 mg once or twice daily
    • Titrate up (increase the dose) every five to seven days
    • 2 mg to 4 mg works for most women

    Guidelines for CBD

    • Sublingual is preferred
    • Use an indica-dominant product (a dispensary can guide you)
    • Start at 2.5 mg twice daily
    • Titrate up (increase the dose) every four to seven days
    • Continue until 20 mg is reached
    • Keep in mind that it can take upwards of 30 days to feel the full effect, so be patient.

    Guidelines for THC/CBD-combined products

    • Sublingual is preferred
    • CBD/THC ratio should be 20:1 or higher (22% to 26% THC and 0.76% CBD is a common combo)
    • Products with a high THC:CBD ratio are best taken in the evening or at bedtime.

    Heed these warnings

    Cannabinoids have the potential to interact with cer­tain medicines, such as blood thinners and antiseizure drugs. In some cases, they can potentially make other medications less effective. Talk to your doctor!

    Cannabis is generally felt to be safe, but the side effects may include brain fog, dry mouth, unsteady gait, diar­rhea, and drowsiness. A glass of water at the bedside is a good idea since you may wake up thirsty in the middle of the night. Some other important advice:

    Don’t drive while under the influence!

    Cannabis users need up to twice the sedation for med­ical procedures. If you partake, be sure to tell the an­esthesiologist.

    The effects of cannabinoids are dose related. Low to moderate doses appear to have positive effects on sex­ual function and responsiveness (loss of inhibition, in­creased sensitivity). High doses can be a problem and are associated with an increase in paranoia and anxiety. There is such a thing as too much of a good thing.

    • Again, menopausal women are more vulnerable than men to an overdose. So especially when it comes to edibles, start at a low dose and make sure you wait 90 minutes before taking any more, because it can take that long for it to kick in. And keep in mind that many edibles are sold in individual servings of 10 mg of THC, which is way more than most menopausal women should be ingesting.

    Complete Article HERE!

    Does Birth Control Affect Your Sex Drive?

    Here’s What You Should Know

    by Crystal Raypole

    Considering a new method of birth control? You’ve probably also spared a few thoughts (worries, even) for all those potential side effects you’ve heard about, such as decreased libido.

    It’s true that nearly every birth control method could cause some type of side effect. Yet for many people, side effects are relatively minor and worth the benefits of:

    Any type of birth control might affect libido, though the specific effects you experience can vary depending on the method you choose.

    Condoms might factor into vaginal irritation and other discomfort, while spermicide products could cause itching and other irritation.

    Hormonal birth control is incredibly effective at preventing pregnancy, but it can also contribute to some unwanted side effects, including decreased libido.

    You might generally agree that the benefits of birth control — namely, preventing pregnancy — outweigh a potential decrease in libido. All the same, a noticeable change in sexual desire may not necessarily be, well, desirable.

    When it comes to sexuality, your libido is only one part to consider. Physical arousal, the ability to orgasm, and any pain or irritation you experience during sex can all affect your interest in sexual activity.

    You could have a high libido, but find it difficult to feel aroused. (Yep, they’re two different things.) Perhaps you don’t have any trouble getting in the mood or experiencing arousal, but you often experience pain during sex. Maybe you have trouble climaxing easily, if at all.

    Birth control, especially hormonal varieties, might factor into some of these issues. But — and this is an important “but” to consider — not everyone experiences a decrease in libido when using birth control. Some people, in fact, notice an increased libido.

    A few possible explanations for why you may experience a heightened libido:

    • It’s understandable to feel less interested in sex if you’re worried about getting pregnant. Birth control can help relieve those fears, which might then increase your desire for sex.
    • Choosing a method of birth control you don’t have to use right before sex can make it easier to stay in the moment with your partner(s). This can make it easier to fully enjoy yourself without any distractions or worries about finding the right moment to hit pause.
    • If you use hormonal birth control to help ease symptoms of health conditions like polycystic ovary syndrome (PCOS) or endometriosis, you could also notice a higher libido as your symptoms improve.

    A 2013 reviewTrusted Source considered findings from 36 different studies on sexual desire in people using combined oral contraceptives, which are birth control pills that contain both estrogen and progestin.

    Among the 8,422 participants who took oral contraceptives, 15 percent, or 1,238 people in total, did report a decrease in libido. But another 1,826 people (just over 21 percent) said their libido increased. The majority of participants reported no change in libido.

    Authors of a 2016 reviewTrusted Source considered findings from 103 studies exploring the possible effects of contraceptives on sexuality. They found evidence to support the following positive outcomes:

    • The hormonal IUD may lead to less pain during sex and increased libido after a year of use.
    • Both hormonal and nonhormonal (copper) IUDs may increase libido, physical arousal, satisfaction with sex, and frequency of sexual activity.
    • The vaginal ring has been linked to increased libido, arousal, and sexual satisfaction, along with vaginal lubrication and improved orgasm.
    • The implant may boost arousal, sexual satisfaction, and the ability to achieve orgasm while helping reduce pain during sex and anxiety around sex.
    • Internal condoms can promote greater sexual comfort since they offer improved lubrication, can be placed ahead of time, are less likely to break, and can improve sensation during sex.

    Hormonal contraceptives work by releasing pregnancy-preventing hormones into your body. For some people, these hormones might cause various physical and sexual side effects, including:

    Any of these side effects can leave you less interested in having sex.

    Example

    Let’s say you and your partner(s) are cuddling on the sofa. They’re doing that thing you really like with their tongue on your neck, and you think “Yeah, sex might be nice.”

    Still, you aren’t all that turned on, and your body isn’t shouting “Yes, now would be good!” like it sometimes does.

    Or maybe you started taking the pill to help lighten up painful periods, but over the past several weeks, you’ve started feeling a little low.

    In the past, you’ve always aimed to have sex at least once a week, but lately you’ve felt so tired and drained that you haven’t reached out to your partner(s) for nearly a month.

    Some experts have theorizedTrusted Source changes in libido may happen because hormonal birth control reduces testosterone in your bodyTrusted Source. But researchers have yet to find conclusive support for this idea.

    Many people using contraceptives have lower testosterone levels than those not using contraceptives without experiencing any changes in libido.

    To sum up: Researchers haven’t come to any conclusions about how hormonal birth control might directly affect libido. Yet it’s pretty clear that many people do experience some changes.

    Complete Article HERE!

    Cannabis and Sexuality

    — How Consumption May Enhance Your Sex Life

    Jointly is a cannabis wellness app that launched in April 2020. Jointly’s mission is to help people discover purposeful cannabis consumption. Purposeful cannabis consumption starts with the question: why do you use cannabis?

    Although cannabis has a long tradition as an aphrodisiac, many people are just now discovering that cannabis and CBD can be used to enrich their intimate experiences.

    What does it mean to enhance intimate moments with cannabis? It could be a married couple looking to add a bit of creativity to their bedroom experience by splitting a cannabis-infused chocolate; a first date made more intimate and playful with a few hits from a vape pen; or a young woman who finds that consuming a small dose of THC makes it easier for her to reach orgasm in her solo sessions.

    Can cannabis or CBD help you enhance your intimate moments? Jointly can help you find out, but first let’s review what is known about cannabis, CBD and intimacy.

    Is Cannabis an Aphrodisiac?

    Various traditional medicine systems have prized cannabis as an aphrodisiac. In 1965, Shri Dwarakanath, the Adviser in Indigenous Systems of Medicine for the Government of India, described numerous Ayurvedic formulations that contained cannabis and were prescribed as aphrodisiacs in rural areas. Dwarakanath noted that cannabis-based aphrodisiacs were found in both the Ayurvedic and Arab medical traditions and seem to have been used for hundreds of years. Evidently, humans have long used cannabis as an aphrodisiac.

    But according to Nick Karras, a sexologist who has informally studied the effect of cannabis on people’s sex lives, “Dosing is essential when it comes to cannabis. Consume too much THC, and you may develop a closer relationship with your couch than your partner.”

    A counselor of Ayurvedic medicine, Biljana Dušić, MD, seconded this notion: in the Ayurvedic tradition a small to moderate amount of cannabis is considered a powerful aphrodisiac, but habitual, heavy use of cannabis leads to a loss of sexual desire.

    For enhancing intimacy, it’s probably best to start with a small dose.

    What Does the Science Say About Cannabis and Intimacy?

    Due to federal prohibition on cannabis, there is not enough research on how cannabis impacts sex or intimacy to state any firm conclusions. However, there have been several surveys and self-report studies that looked at how cannabis affected sexual frequency or subjective experience.

    In 2017, researchers at Stanford University conducted a survey of more than 50,000 adults and found that cannabis use is associated with increased sexual frequency and that it does not appear to impair sexual function.

    In 2018, researchers conducted an analysis of self-reported sexual effects of marijuana in a small group of men and women aged 18-25. They found that “the majority of marijuana users reported an increase in sexual enjoyment and orgasm intensity, as well as either an increase or no change in desire.”

    Another small survey of men and women explored how cannabis alters people’s sexual experience. The researchers found that 38.7% said sex was better under the influence of cannabis, 58.9% said cannabis increased their desire for sex, 73.8% reported increased sexual satisfaction, 74.3% reported an increased sensitivity to touch, 65.7% reported an increased intensity of orgasms, and 69.8% said they could relax more during sex. While these results are fairly compelling, the survey was only conducted on a few hundred participants who responded to an advertisement, so it is unknown if these results can be generalized.

    Biological Sex, Cannabis, and Intimacy

    The scientific literature indicates that both men and women can experience a subjective improvement in sexual experiences when they use cannabis. But there is quite a bit of research that biological sex impacts how cannabis affects sexual function.

    For females, the research has “almost consistently suggested a faciliatory effect of cannabis on subjective indices of sexual function.”

    A study published in July of 2020 looked at whether the frequency of cannabis use, the chemovar (whether it has THC, CBD or both), or the method of consumption had an effect on female sexual function among cannabis users. They found that increased marijuana use was associated with improved sexual function in females. Chemovar type, method of consumption and reason for use did not impact the outcome.

    A 2019 study explored how cannabis use prior to sex affected female sexual function and found that “with any use, the majority of women perceived improvement in overall experience, sex drive, orgasm and pain.”

    The science on how cannabis affects sexual function in males is less conclusive. A literature review published in 2011 found contradictory results between studies and called for “renewed use of research resources” to learn how cannabis affects male sexual function.

    Perception is Reality?

    Some studies looking at male and female sexual function found a negative physiological effect of cannabis, but a positive subjective effect. For example, in males “it appears cannabis may actually have peripheral antagonizing effects on erectile function by stimulating specific receptors.” And in females, “cannabinoid receptor agonists, such as cannabis, may impair sexual arousal.”

    Studies often focus on sexual arousal because there is a method for objectively measuring physiological arousal, whereas there is not an objective way to measure sexual desire.

    Researchers discussing the difference between subjective and objective measures of sexual function stated, “While individuals may report enhanced sexual functioning while under the influence of certain substances, these substances are…often associated with decreased physiological sexual functioning.”

    Of course, if people feel their intimate experiences are better when facilitated by cannabis or CBD, the objective physiological markers may not be as relevant.

    Enhancing Intimacy with Cannabis

    An informal survey was conducted between Eaze, a cannabis delivery service, and Lioness, a climax-tracking vibrator, on several hundred people. The Eaze-Lioness survey tracked the physiological markers of orgasm length and frequency. The survey found that “cannabis can increase the length, frequency, and quality of your orgasms and pleasure sessions whether you’re single or married, solo or with a partner, young adult or silver fox.”

    Of course, this survey was not a scientifically rigorous study and more formal research is needed before any conclusions can be drawn. However, many couples have found that consuming cannabis enhances their intimate moments, and the science supports it.

    A 2019 study looked at 183 heterosexual, frequent marijuana using couples, and found that using marijuana together, or individually but in the presence of the partner, increased the likelihood of the couple sharing an intimate experience within 2 hours of consumption. When couples used cannabis separately and alone (not in the presence of their partner), there was no increase in likelihood of intimacy.

    The researchers concluded, “marijuana use is associated with increased experiences of intimacy, love, caring or support with one’s intimate partner in the next 2 hours.” They suggested it was plausible that subjective feelings of relaxation, happiness and wellbeing after cannabis use led the couples to “experience—or perceive—intimacy” with their partner.

    Why Might Cannabis Enhance Intimacy?

    The endocannabinoid system plays a central role in “controlling reproductive function in mammals and humans,” and the cannabinoid receptor has been mapped to areas of the brain that play a role in sexual function.

    While it is clear that the endocannabinoid system plays an important role in sexual function, there are various other ways that cannabis or CBD can help people enhance their intimate experiences.

    For example, scientists have postulated that cannabis may enhance intimate moments by lowering stress and anxiety or decreasing pain associated with sex. Others note that cannabis can slow down the perception of time, thus prolonging sensations of pleasure. Cannabis can also heighten the senses, changing how touch feels.

    Whatever the mechanism of action, many people have found that cannabis and intimacy are natural bedfellows.

    Complete Article HERE!

    Humans have used drugs with sex for millennia

    – the reasons are much broader than you think

    By &

    On their own, sex and drugs are cultural taboos. Combining them only adds to our reluctance to talk about them. But understanding how sex and drugs are connected isn’t something we should shy away from or perceive as deviant.

    Humans have intentionally used drugs to facilitate and enhance their sexual experiences for millennia. Ancient Egyptians used extracts from the blue lotus flower to increase sexual desire. More recently, in the 1960s, psychedelic advocate Timothy Leary stated: “LSD is the most powerful aphrodisiac ever discovered by man”.

    Despite this long history, our understanding of the relationship between sex and drugs remains limited. Researchers have traditionally had a tendency to focus on associations between drug use and “risky” sexual behaviour, such as lack of condom use or having multiple sexual partners.

    Studies have also highlighted links between drug use and “impaired” sexual function, such as difficulties in maintaining an erection or achieving an orgasm. This leaves us with a picture of sex on drugs that is disproportionately focused on the negatives.

    Beyond chemsex

    More recently research exploring the relationship between sex and drugs has focused on “chemsex”. Chemsex usually refers to men who have sex with other men using drugs like methamphetamine or mephedrone to enhance and prolong their sexual experience.

    While this is important, it doesn’t capture the experiences of people who have different gender and sexual identities. Harm reduction campaigns about combining sex and drugs is targeted at gay and bisexual men, meaning that other groups who engage in this activity are unlikely to take such information on board.

    Because of the emphasis on chemsex, we know little about women’s experiences of sex on drugs and what enhancement might look and feel like in these contexts. Since the FDA approval of Viagra for treating erectile dysfunction in the 1990s, there have been calls for the development of a female counterpart. But what medical condition such a drug might “treat” for people with vaginas is unclear.

    Sex and sexuality

    Our restricted view of the relationship between sex and drugs is beginning to be corrected as new research emerges attending to pleasure and benefit.

    One recent study reveals a diverse group of people across a range of sexual and gender identities who use drugs to enhance sex, with equally diverse motivations and experiences. For some it was about improving emotional connection, while for others desire was heightened or bodily sensations were increased. Some also found that sex enhanced the experience of drugs as well as drugs enhancing the sexual experience. The study demonstrates the limitations of thinking about sexual enhancement in purely physical terms by highlighting the ways that drugs can enhance emotional aspects of sex.

    Another study explores how LGBTQ people use drugs to transform and enhance their experiences of gender, often in relation to sex. Drugs allowed them to express their gender and sexual identities in different ways and challenge traditional binaries. For many of the participants drugs provided the opportunity to play and experiment with gender, with some gay men describing the liberation and social bonding of putting on drag while using drugs.

    The drugs we use with sex

    The drugs that people combine with sex tend to reflect wider substance consumption patterns. Using data from the Global Drug Survey, a 2019 study found that the three most commonly used drugs with sex were alcohol, cannabis and MDMA respectively. This was true for participants across gender and sexual identity categories. The study also found that while the use of “chemsex drugs” (methamphetamine, mephedrone and GHB/GBL) with sex was highest among gay and bisexual men, other groups also report having sex on these drugs.

    Alcohol is the drug that most people will be familiar with and some may have intentionally used it to relax prior to sex. For the most part, alcohol is used to facilitate sex whereas drugs are used to enhance the experience. However some will use combinations of drugs rather than sole use of a substance.

    Alcohol and cocaine are used in combination – as cocaine is a stimulant, it offsets the depressive effect of alcohol. Cocaine, like other stimulants such as methamphetamine, is used to prolong the sexual experience.

    Illicit or recreational drugs aren’t the only ones used for sex, some medications are too. The pain killer Tramadol is known to be effective in overcoming premature ejaculation in men, although some use this drug without a prescription or medical supervision.

    Understanding the benefits of using drugs to enhance sexual experiences is an important topic of research in its own right, albeit a neglected one up to now.

    But further knowledge of pleasure and how it works could help us to understand the sex-related problems people experience too. It would be a shame if our cultural shyness about sex and drugs prevented us from improving an aspect of life we all have the right to experience.

    Complete Article ↪HERE↩!

    Drugs that interfere with sexual function

    By Naveed Saleh MD, MS

    Sexual function is multiphasic and involves sexual desire, arousal, and orgasm. Men and women can experience issues at any phase, with presentations including decreased desire, premature/retrograde/absent ejaculation, erectile dysfunction, anorgasmia, painful sex, and absence of swelling/lubrication in women.

    Some commonly prescribed drugs cause disaster in the bedroom.

    Sexual dysfunction can be a side effect of various prescription medications, as well as the conditions that they treat. Some of these treatments, such as antidepressants and antihypertensives, likely come as no surprise to the clinician, and are commonly implicated etiologies. Although sexual dysfunction due to drugs happens in both sexes, the preponderance of extant research has focused on men.

    Here are seven types of drugs that also 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 men and leading to erectile dysfunction.

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

    HIV meds

    Results from a cross-sectional observational study (n=90) published in AIDS indicated that HIV-infected men with stable disease experienced sexual dysfunction while on antiretroviral therapy.

    “Older age, depression and lipodystrophy, combined with the duration of exposure to protease inhibitor, determined a lower score on various sexual dysfunction domains,” the researchers wrote.

    “There is a high prevalence of erectile dysfunction in HIV-infected men, with age and the duration of exposure to protease inhibitor being the only identifiable risk factors,” they concluded.

    Cancer treatments

    Both cancer and cancer treatment can impair sexual relationships. Moreover, cancer treatment itself can further contribute to sexual dysfunction. For instance, long-acting gonadotropin-releasing agonists used to treat prostate and breast cancer can lead to hypogonadism that results in lower sexual desire, orgasmic dysfunction, erectile dysfunction in men, and vaginal atrophy/dyspareunia in women.

    Antipsychotics

    Per the research, men taking antipsychotic medications report erectile dysfunction, less interest in sex, and lower satisfaction with orgasm with delayed, inhibited, or retrograde ejaculation. Women on 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. “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.” Antipsychotics may also affect other neurotransmitter pathways, including histamine blockade, noradrenergic blockade, and anticholinergic effects, the authors added.

    Antiepileptic 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.

    Specifically, antiepileptic 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 antiepileptic 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

    Histamine likely plays an important role in penile erection by activity of the H2—and possibly the H3—receptor, per the research. In fact, histamine has been suggested as a diagnostic tool to study erectile dysfunction. Consequently, it should come as no surprise that antihistamines—such as diphenhydramine, dimenhydrinate, and promethazine—may lead to erectile dysfunction.

    Bottom line

    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!

    The Woman Taking Weed Gummies to Get in the Mood

    A woman and her boyfriend eat weed gummies before hooking up, take turns watching porn alone in their shared bedroom, and talk about their sex life: 26, in a relationship, L.A.

    by

    DAY ONE

    9:45 a.m. I wake up and hear my boyfriend working in the next room. This is my second week of unemployment since I recently got laid off — I worked in the TV industry. I still count myself lucky since my family is helping me out financially and I have some money saved. But still it’s unnerving.

    9:50 a.m. I make coffee and sit with my boyfriend on the couch as he works. We’ve basically been living together for the past month, and it’s been really nice. When we started dating a bit over a year ago, he was very circumscribed when it came to his alone time. But the longer we’ve been together, the more comfortable he’s gotten spending extended time with me. I am so glad we took it slow in the beginning. This is my first relationship and I think I could have easily wanted to be with him nonstop, which wouldn’t have been the best for us.

    3:00 p.m. I meet up with my good friend, C, at a nearby park for a socially distanced hang. C wanted to get my advice on a friend she wants to hook up with. She wants my advice because I’m the person who always makes the first move — or I used to be. Now I’ve been in a serious relationship for over a year. That person who was always making the first move, often against her better judgement, feels far away now.

    5:00 p.m. I get home, excited to hang with my boyfriend. We’re very physically attentive to each other. We’re always touching or hugging or laying on top of each other. We don’t have a ton of sex, maybe like one to three times a week. This used to make me anxious — I felt like since we were early in our relationship, we should be having sex all the time. But I’ve since realized that as long as we have physical affection — which we always do — that’s what matters the most. Plus I’m on an SSRI, which has tampered my sex drive.

    11:00 p.m. The best part of every day is cuddling with my boyfriend before going to bed. I usually fall asleep in his arms.

    DAY TWO

    9:00 a.m. My boyfriend and I booked a trip to a nearby mountain range, so we make coffee and get on the road.

    3:00 p.m. After a long drive, we finally arrive at the Airbnb. It’s really nice! My boyfriend still has to work half the day, so I decide to explore a hiking trail nearby. It says it’s less than a mile to the top. That shouldn’t be too bad!

    3:30 p.m. I think I’ve lost the trail and I have no water. I get very scared. But I do have cell reception, thank God. I decide to just keep walking on a trail that I’ve found — it’s got to lead me somewhere.

    4:15 p.m.I get back to the Airbnb exhausted. He and I watch Avatar.

    10:00 p.m. We’re still watching TV, but I’m getting restless. I reach over and touch his penis underneath his pants. That gets him excited and he asks me if I want to have sex. I’m on the fence so we decide to finish the episode then go upstairs and see how we feel.

    10:20 p.m. We’re in bed and he starts kissing me. He’s such a sweet kisser. I ask if he wants to have sex — he grabs the lube, which we always use, and gets on top. I like when he’s on top because I can see him, but it usually doesn’t get me that turned on. We decide to switch to doggy, which is my favorite — the only downside is we can’t see each other’s faces when we come. We fall back on the bed, both of us covered in sweat, and he holds me. I kiss his forehead and we fall sleep.

    DAY THREE

    10:00 a.m. Our Airbnb doesn’t have AC. It’s not that hot, but it’s a bit too warm for our comfort, so neither of us sleeps great.

    11:00 a.m. We decide to go on a walk along the lake and end up talking about our families’ dysfunctions. Bonding over parents who have difficult relationships has definitely been a cornerstone of our relationship!

    3:00 p.m. He’s taking a nap, and I’m bored so I turn to a common pastime: checking in on guys I used to hook up with a long time ago. I look up a guy who’s one of the first people I ever got with. Right after, he started seriously dating a girl that he was with through all of college. I was sure they’d get married. But scrolling through his Facebook I saw that he no longer listed them as in a relationship. And she wasn’t in his profile picture — the first time in eight years? I text my friend who vaguely knows the guy and loves the tea. He is equally shocked.

    11:30 p.m. We’re laying in bed when he comes closer and hugs me. He kisses my breast and I tell him to keep doing it. He does and I start grabbing his dick, but he tells me he’s too tired to have sex. Sigh. I’ll have to wait until tomorrow.

    DAY FOUR

    10:30 a.m. Wake up covered in sweat. Cuddle.

    11:30 a.m. We decide to go on a nearby hike. It’s only two miles round-trip, so shouldn’t be too bad. But when we reach the summit it’s somehow … not great? Lots of trees block the view. My boyfriend asks me if I want to listen to a Bon Iver or Phoebe Bridgers song. I say no; I’m too hot.

    8:00 p.m. We make dinner and both take weed gummies. We both ingest a lot of weed. We are not big drinkers. We decide to watch a movie neither of us has seen in years. We’re almost done with it when I start to get horny. Weed always makes me horny, which is one of the reasons I like it so much. I lean over and grab his dick through his pants and start kissing him. I tell him that I want to have sex after the movie. He immediately grabs the remote and turns it off; we start making out.

    9:30 p.m. We go upstairs to the bed and continue making out with our clothes on. I start to rub his dick and he gives me direction; I can tell he’s feeling really good. I ask if I can get on top and he happily agrees. It’s a position I rarely used to do when I was single, but now I enjoy. I pull out my vibrator, but it’s too difficult to use so we switch to doggy. I love dirty-talking and feeling submissive in this position. We both finish and lay back down and cuddle. I tell him I noticed he’s not nearly as sweaty as he usually is. “That’s because you put in all the work,” he says.

    DAY FIVE

    9:00 a.m. Our alarm wakes us up — we have to be out of the Airbnb early. We start cleaning up our stuff and hit the road.

    11:00 a.m. My boyfriend and I talk about the way we used to fuck compared to the way we do now. He tells me that when we first started hooking up, it was clear that I’d had a lot of one-night stands. The way I had sex … I was very in control and I knew what I wanted. It was me making myself come, and the other person was just there witnessing it. But now I feel so much more joy in knowing how to make someone else come — feeling connected to someone else’s pleasure.

    2:00 p.m. We arrive home and collapse, tired from the drive.

    DAY SIX

    9:00 a.m. My boyfriend gets out of bed to start work. I stay asleep.

    10:00 a.m. I pull myself out of bed and look at my computer. I try sending out some emails to find a new job.

    6:00 p.m. We order Postmates and curl up to watch more Avatar.

    DAY SEVEN

    10:00 a.m. I wake up and my boyfriend’s already out of bed.

    11:00 a.m. I’m bored at my computer and kind of horny. I so rarely feel this way on my own, and I want to ride the wave. My boyfriend’s hard at work so I head into the bedroom to watch porn.

    12:45 p.m. I go shopping and come back with bags of groceries. My boyfriend’s nowhere to be found. I start putting them away when I hear him come out of the bedroom. He tells me that he was jealous of my porn-watching and decided to watch some for himself and get off. Maybe that’s the key to our relationship: We feel comfortable telling each other what we need without worrying what the other might think.

    Complete Article HERE!

    More than half of men over 60 may have problems in the bedroom

    By Steven Petrow

    Ask a roomful of men in their 60s whether they have any kind of sexual dysfunction — such as problems with erections, sex drive and overall satisfaction — and about 60 percent should raise their hand, studies suggest. They probably won’t, since the topic is fraught with stigma, shame and fear of rejection, but statistically they are likely to be a part of this unhappy club.

    That’s cold comfort to people like me, because I would have to — if I were to be honest — raise my own hand.

    I didn’t have to wait until I was 60, though, to join the club. I got in about 35 years ago as a side effect of cancer surgery. Picture me then, sitting on a cold examination table at Memorial Sloan Kettering Cancer Center in New York, in a hospital gown that didn’t cover my backside. Having just confirmed my testicular cancer diagnosis, the oncologist went on to tell me about a common side effect called “retrograde, or dry, ejaculation,” in which things don’t flow where they should during sex — instead of exiting my body, semen would flow into my bladder. He did assure me that it wouldn’t diminish my sexual pleasure.

    I was 26 at the time, and I felt completely alone. Sexual dysfunction isn’t usually considered a young man’s issue, and this was long before there were online support groups for every disease known to humankind.

    My oncologist’s prediction didn’t matter much because I entered a years-long period of celibacy in which I tried to get comfortable with my “new normal.” At the time, I was less confident in myself and didn’t have the language to explain my condition.

    “For many of these treatments, whether it’s surgery or radiation and whether it’s prostate cancer or bladder cancer, about 85 percent of men will report some difficulty with erections,” says Christian Nelson, chief of the psychiatry service at Memorial Sloan Kettering. “The most prominent sexual dysfunction we see related to those treatments are difficulty with erections, or erectile dysfunction.”

    Nelson wasn’t surprised to learn I had been celibate for a number of years after surgery. He has learned that when things don’t work as they should for many men, “there’s upset and sometimes shame . . . that can lead to avoidance.” His practice helps guys identify and use the medications and penile injections that will “help them re-engage sexually, re-engage in dating, re-engage in intimacy.”

    But you don’t need cancer treatment to get into the sexual dysfunction club. Admission can be granted through smoking, diabetes or hypertension, but mainly through growing older, says Brant Inman, the co-director of Duke Prostate and Urologic Cancer Center who has studied male sexual function.

    His study found that erectile dysfunction hit 2 percent of men ages 40 to 50, 6 percent ages 50 to 60, 17 percent ages 60 to 70 and nearly 40 percent ages 70 and older. A Canadian study showed even higher rates among all age groups.

    Inman says that for men under 40, erectile dysfunction is more commonly caused by psychological issues (anxiety, depression, stress), while for older men it is more likely caused by “vascular, impaired blood flow to the penis.”

    I spoke with several men for this column, all of whom asked me not to use their names for privacy reasons. One of them, a 60-year-old art dealer from Manhattan, told me he hasn’t been able to achieve an erection for years, which he finds “incredibly frustrating and embarrassing.” He says he tells partners that it is because of his meds, which it may well be (he has taken antidepressantsthat can have sexual effects). One partner told him, “it’s not the destination that’s important. It’s the journey” — a gentle acceptance that, as he put it, helped him to relax.

    A 45-year-old advertising executive said he was too embarrassed to talk to his doctor about erection problems that had begun to plague him and instead bought Cialis and Viagra from a friend. The Cialis helped somewhat, but he still couldn’t reach orgasm — and even then, he wasn’t comfortable talking to his doctor, especially after having obtained his drugs through a murky way.

    Inman says he understands the embarrassment, but asked, rhetorically, “Would you buy your cholesterol or blood pressure lowering medication from a street vendor?” Of course not, he says, because you can’t be sure of the dosage (milligrams of active agent) or quality (active agent vs. filler), which could be dangerous.

    It’s not just with doctors, however, that full disclosure can be fraught for men experiencing sexual dysfunction. When and how to tell a partner feels like a big issue, one I faced as a young man. Before undressing? Post-intimacy? It depends, Nelson says.

    It’s certainly easy enough to take a pill without telling your partner, he says, but if performance is unpredictable or for other types of treatment, such as injections to help with an erection, it’s dicier.

    “I certainly have some men who haven’t told new partners that they use injections,” he says. “They step into a bathroom, inject, and 10 minutes later they engage in sexual relations.” But he recommends a discussion beforehand when someone plans to use an injection so there are no last-minute surprises

    Sometimes, being frank about your own sexual dysfunction leads to a discovery that you’re not the only one. That’s what happened to me with a man I dated for a while. After we had gotten to know each other, he told me he’d had radical prostate cancer surgery and needed injections to have sex. This led me to talk about my own condition. The result was a deeper level of intimacy — and less anxiety.

    Recently, after a divorce, I reentered the dating pool and discovered I was no longer so alone in terms of sexual issues. My anecdotal evidence with guys my age or older indicates many are challenged by some form of sexual dysfunction, some minor (slower to get going) some more serious, needing medical intervention.

    “People are just afraid” to talk about many of these issues, including doctors, Inman says. It’s important to try to destigmatize the issue. Indeed, it’s still a delicate subject, and someone has to raise his hand to start the talking.

    Complete Article HERE!

    What Causes Low Sex Drive In Women?

    And How Can I Increase Mine?

    There are real treatments available.

    By

    Not in the mood to get busy tonight? Don’t panic just yet. Libido in women is complicated. There are a whole host of factors that influence sex drive and affect why you might not want to have sex (tonight, this week, or even for the last several months).

    But if it’s more of a persistent concern and it’s causing you distress, it’s worth looking into further and discussing with a trusted medical professional; the gyno is the first stop for most women. Your libido could be falling flat from something as common as stress or the birth control you’re taking, or it could be a sign of a bigger health issue. But you won’t know the underlying cause or how to solve it until you bring the issue to your doc’s attention. Okay, now let’s dive deeper.

    Libido can ebb and flow for all sorts of reasons.

    First, I want to remind you that there’s no such thing as a “normal” sex drive. Take the stats out there about how often other people typically have sex with a grain of salt; it varies for everyone (and, hey, people lie!). Female sex drive is nuanced, and your libido rises and falls naturally.

    For example, you might have a higher sex drive around the time of ovulation (the body’s way of telling you to get frisky during your fertile time, even if you’re not actively trying to become pregnant). Or, you may not feel like being sexually active during other times of the month, like when you’re on your period (though if you’re into period sex, it can be enjoyable too).

    You can also experience changes in your hormones or neurotransmitter levels from certain medications you’re taking (antidepressants, for example, could lower your drive or alter your ability to orgasm), which, in turn, can mess with your sex urge. The same can happen if you have an underlying hormonal condition like a thyroid disorder or polycystic ovary syndrome (PCOS).

    Another player when it comes to sex drive that you might not necessarily expect is hormonal birth control. Most BC pills (or patches and rings) contain the hormones estrogen and progesterone, which are necessary for regulating your cycle. What the pill is doing is preventing ovulation. And as a result, the typical peaks and dips of those hormone levels don’t occur, so you’re not experiencing that surge of estrogen during ovulation, which is typically what makes women want to have sex during that fertile period.

    Plus, the amount of testosterone you produce also naturally decreases significantly if you’re on the Pill, which also might make your drive slip a bit. For other women, though, feeling confident and secure in their method of birth control could make them feel more like having sex. It really depends on the person and their particular hormone levels.

    Or, major life changes may impact your sex drive, like if you’ve had a death in the family, recently lost a job, or are going through a bout of depression. If your mental health or emotional circumstances could have something to do with it, you may just need to be gentle with yourself and work with a mental health pro to address the issue.

    It’s also totally possible that you’re just in a self-esteem rut and aren’t feeling as sexual. The bottom line is, it’s important to be honest with your gyno and/or therapist about alllll of these factors so that they can consider all possible factors that could be affecting your libido.

    Or, you may actually have hypoactive sexual desire disorder.

    Beyond the typical contributing factors to low libido, you might be showing signs of a well-recognized medical condition called hypoactive sexual desire disorder, or HSDD. It presents as low sex drive, but to the maximum extent. HSDD is characterized by having a pretty much completely absent sexual drive and lack of fantasizing about sex in general.
    Most patients who struggle with HSDD compare it to a light switch—they used to have regular sexual desire, but for no identifiable reason, they all of a sudden have *zero* sex drive, no matter the partner or the situation. In cases of HSDD, there’s also always distress associated with low libido, meaning an emotional component of being upset or distraught over the fact that you’re not thinking about sex.

    It’s a little bit tricky to diagnose HSDD. Patients fill out a brief questionnaire about their low sex drive and how it’s affecting them emotionally, and doctors screen their responses to diagnose the disorder. If, when docs assess a patient’s answers, it seems the cause of low drive could be related to something like relationship or marital problems, or a different medical or medication issue, your MD will work on addressing and treating that with you first.
    But if you do get a HSDD diagnosis, don’t panic. Believe it or not, HSDD is common among young women—one in 10 premenopausal women suffer from it—and it’s not something to be ashamed of at all.

    To treat low sex drive, you have a few different options.

    Treatment, as you can probably guess, depends on the underlying cause. But your doctor will likely recommend one (or more) of the following courses of action.
    1. Consider seeing a sex therapist.2. Revisit books and movies that might help light your flame.
    This practitioner will manage the emotional and psychological components of low sex drive and will also address how your drop in libido might be affecting your relationship, or your desire to form a new relationship.

    When I work with people suffering from HSDD or low libido in general, I notice that some have a fear that this may cause their partner, if they have one, to stray or leave them. This is also something you can delve into further with a sex therapist, if your low libido is bringing up intrusive thoughts like this. In my practice, I often recommend reconnecting with your partner with a regular date night. Basically, it’s a “prescription” for intimacy.

    To find a mental health practitioner with expertise in sexual health in your area, check out Aasect.org.

    2. Revisit books and movies that might help light your flame.
    You may simply need to do some solo homework to get back in your groove. This can include a variety of different tasks (that you’re comfortable with, of course). For some patients, watching porn or reading erotica does the trick for getting sexual thoughts back on the brain. You can incorporate this during solo time so that you can start fantasizing on your own, and then you can involve your partner in the scenario.

    Another thing that helps sometimes is going out on a limb with sexual activity. That could mean a fun role play scenario for some people. For others, that could mean having sex in another room of the house besides the bedroom to keep things interesting.

    3. Talk to your doc about medications and supplements that can boost your drive.

    If you have HSDD, medication might be necessary to treat the condition. In 2015, a drug called Flibanserin was approved by the FDA to treat HSDD in pre-menopausal women. It’s a daily pill that may have some side effects, like dizziness, nausea, and fatigue, according to the drug’s website.

    More recently, another drug called Vyleesi got approved. It is uniquely administered with an auto-injector (it’s like an Epipen) that you can take on demand to get you prepped for sex. Vyleesi works on melanocortin receptors, or energy regulators, in the brain. Studies showed increased desire and decreased distress in those taking Vyleesi. One common side effect is nausea. [Ed note: Dr. Dweck has worked as an HSDD educator with the parent company of Vyleesi.]

    Other options include off-label use of testosterone supplementation via prescription or over-the-counter herbal supplements to enhance sex drive.

    If months go by and you’re not able to get back to your normal level of sexual desire, that could be the right time to also alert your health-care provider that you’re not feeling like yourself.

    But the main red flag is not how long your drive is low (for some people it’s weeks, months, or longer)—it’s the question of whether your low libido is distressing to you. That’s when you should bring it to your gyno’s attention.

    Complete Article HERE!