You’ve been engaged to a woman for more than 4 years? Oh wait, maybe you’re trying to tell me that you proposed to this woman in spite of knowing she has an extinct libido? Either way, darling, that’s messed up, huh? Are you hoping this is “dry spell” is gonna somehow magically resolve itself once you’re married? I wouldn’t hold my breath for that, if I were you.

It’s true of course, birth control pills can seriously impact on a woman’s desire for sex. Your fiancée is probably one of these women. Maybe she ought to consult her physician about finding another type of pill that may have a less severe impact on her libido.

Many women find that triphasic birth control pills (which deliver differing amounts of hormones every week) interfere much less with their sex drive than monophasic pills (which deliver the same amount of hormones each dose).

She could also decide to discontinue the pill altogether, and choose another form of contraception, such as a condom or diaphragm. Just realize that once off the pill, her sex drive may only return very slowly.

You see how this predicament is a double bind for your fiancée. If she is more lax with her contraceptive efforts, just to please you and your sex drive; then she opens herself up for an unplanned pregnancy. And that’s not good for her, or you. Is there anything YOU can do to free her up from shouldering the full burden of contraception? Have you’ve considered a vasectomy? Probably not, huh? What man ever imagines he ought assume the responsibility for controlling reproduction?

While I wholeheartedly support the notion that married people deserve a rich and fulfilling sex life, unless there’s mutual agreement for another arrangement; that can’t happen if one of the partners is inequitably burdened by one thing or another. Perhaps, it’s time you and the little woman to have a frank talk about sharing the responsibility for contraception. And if this little talk is successful, maybe, just maybe, you’ll get laid again.

Good luck

Name: Tony
Gender:
Age: 40
Location: Houston
I’ve loved several women and even married and divorced one. Over the last few years, I notice having similar feelings for men around me…longing, sweaty palms, difficulty thinking and wanting to be with them alone. Is this love? Am I bisexual? Am I a sick man better of dead? I have not crossed the line and I still having great sex with women. But there’s now a guy that I think about when I’m with her! Am I gay? Bisexual? Sick in the head?

My first reaction is that what you present is not particularly uncommon. Many people, just like you, inexplicably find themselves behaving in a completely unexpected sexual manner. I’d love to know what triggered you to veer off your comfortable and predictable sexual path?

There’s never a scarcity of sexual fascists out there, people who believe that sexual tastes and preferences are carved in stone, or there’s only one “right” way to be sexual. They’ll persecute anyone who doesn’t conform to their strict immutable notions of sexuality and eroticism. Despite the proliferation of these hetero-fascists, homo-fascists, what have you; they are all very wrong about the indomitable human spirit.

For the most part, humans are not sexual automatons. Given a more permissive and sex-positive culture then our own, we’d all be more fluid in our eroticism and sexual expression. Are you one of the lucky few who has discovered the joy of this fluidity? Doesn’t quite sound like it to me, at least not yet. I think you’re still in the “scared shitless” stage.

For a guy who has yet to “cross the line” and actually act on your fantasy, you sure are preoccupied with your identity. Are you afraid that someone will take away your breeder card if you actually touch a dude in a sexual way? Does having same-sex feelings…sweaty palms and all…make you a gay? Doubt it! Being gay entails a lot more than a sense of longing for something you’re not supposed to have. Are you bisexual? I can’t say for sure, but you’re certainly not exclusively straight either. I suppose you have to come to grips with the self-identify thing when you have a bit more information about your burgeoning eroticism. What I know for sure is that you are not sick.

Who knows, your homoeroticism might very well be situational. It might not extend any farther than the guy you think about when you’re fucking chicks. I know all of this is can be pretty disconcerting and it can really mess with your head. But at least you know you are still alive sexually. So many people are sleepwalking through their erotic lives.

Will you act on your inclinations? Will you test the waters, so to speak? What harm could it do? Might just open up a whole new sexual world for you. On the other hand, if you do nothing, or try and repress these natural feelings, you’ll always know in your heart of hearts that you have the desire, if not the capacity, to express yourself sexually with a much wider range of humans than what you are currently used to. And something tells me that if you choose the path of self-denial, it will eat away at you until you satisfy your curiosity.

Good luck

Angie is 20 and she’s having issues, lots of issues.

Hello, I would ask you a question that has been on my mind for a while. I seem to have a problem orgasming without stimulating my clitoris. I suppose that doesn’t really sound like a problem but it’s really starting to annoy me. I would like to be able to enjoy an orgasm without having to stimulate my clit every time! I love having sex and it feels super duper good but why can’t I climax that way? I mean I am aware of where my G-spot is and my boyfriend said he’ll be focusing more on hitting it “spot” on. There’s also another thing I have noticed, sometimes my boyfriend will hit my cervix and it hurts a bit, but is this even normal? Should he even be able to hit it? Or is there something abnormal going on here?

Let’s see, when you say you “love having sex and it feels super duper good but why can’t I climax that way?” Are you referring to full-on cock in cooter fucking when you say, “having sex”? The reason I ask is that not everyone means the same thing when they use that trite euphemism.

Since you’re not here to fill in the blanks, so to speak. I’ll assume you want to know why you can’t have or haven’t yet had a vaginal orgasm. But before I answer, I just want to say that I hope you are not setting up an orgasmic dichotomy where there doesn’t need to be one. That would truly be unwise.

If you are at all familiar with your genital anatomy, you will know that the pleasure centers in that area of your body are all wired together. Your clit, G-spot, pussy, taint (perineum) and butthole are all on the same circuit, so to speak. Each erogenous zone is distinct, of course, but they act in consort with one another. However, not all your parts will generate the same amount of buzz. Since a woman’s clit is at the center of this network of nerves, it tends to dominate all the others and it is generally the quickest way to intense pleasure for most women.

Ok, now my answer. I can’t really say why your not climaxing while you’re fucking. Other than the fact that an exclusively vaginal centered orgasm is a myth. The vast majority of women don’t have vaginal orgasms. In fact the degree of insensitivity inside a woman’s vagina is so high that Kinsey wrote in his seminal work, Sexual Behavior in the Human Female published back in 1953: “Among the women who were tested in our gynecologic sample, less than 14% were at all conscious that they had been touched.” That’s pretty remarkable, wouldn’t you say?

The vaginal orgasm myth is perpetuated, in part, by many women’s confusion and/or lack of knowledge about their own anatomy. Some women believe that an orgasm felt during fucking is centered in their cooch. This suggests to me that they aren’t being precise in locating the center of that orgasm. Other women believe in the vaginal orgasm myth because they think they need to conform to a male oriented notion of female sexuality — fucking = cuming. And that’s simply wrong, don’t cha know. Just ask all the preorgasmic women out there.

But ya know what? I don’t own a pussy my own self. All I can only tell you is what I have learned from those people who actually have a honeypot. The people I’m referring to, we’ll call them females, tell me vaginal orgasms, mythological or not, may simply be dependent on a tone of a woman’s pelvic musculature. As amazing as pussies are, and they are amazing, if the muscles that surround them are not taught and toned enough, a fucking generated orgasm may elude the owner of said pussy.

Some women haven’t developed their PC muscles enough to cum through fucking alone. Are you doing your kegels, Angie? If you don’t know what I’m talking about, you have some serious remedial research to do.

The elusive vaginal orgasm may also have to do with your partner cock, particularly the girth of his unit and opposed to its length. My women friends tell me that a thicker cock may have more of a chance triggering a vaginal orgasm then a pencil dick. No surprise there, I suppose. Position will also play a role. Why not give a bunch of different positions a try and see if one or another makes a difference? You on top cowgirl style, or doggie style might work best. But it’s your coozie, my dear, and you ought to know it better than I.

As to your G-spot question. That’s another thing all together. I am so glad that you are familiar with your anatomy enough to have found your own personal G-spot. And it’s great to hear that you have an accommodating partner who is working on stimulating this sensitive area. Good for you both! However, while I wholeheartedly endorse and encourage your further investigations and sex play, I do have one caution. I share the concern of most of my women friends. We want you to avoid all the G-spot hype floating around in the popular culture these days. Most women have a good time with their G-spot exploration. They report that it is not particularly difficult to find, but it’s also much harder to pleasure. If a woman, you perhaps, gets it in her head that something amazing is supposed to happen with a G-spot stimulation, she might be setting herself up for disappointment. In the same way some women, you perhaps, set themselves up for disappointment if they buy into the myth of an exclusively vaginal generated orgasm.

I encourage you to see your genitals as a whole, not a bunch of separate parts that somehow work independently of one another. If your pussy is happy and your pussy is making you happy; is it really all that important how the happiness comes to be?

In comparison us men folk are not all that fussy. What gets us off; gets us off. I never hear from a guy who is disappointed because he’s not having an exclusively prostate generated orgasm. They do happen, but we’re not the least bit concerned when they don’t happen. I also never hear from a guy who thinks he should be orgasmic through manipulation of his balls alone. That can happen too, but we’re not holding our breath for them.

What I do hear from guys is that we often need a particular kind of dick-oriented stimulation to get us off. And this is where the men folk and the women folk are a whole lot alike. You, like us, probably need a particular kind of stimulation to get you off. Be it vaginal, clitoral, G-spot, or whatever. If you acknowledge that your genitals are a composite of parts that work together to bring you joy, then you’ll be less likely to be swayed by the claims, hype and misinformation about female sexual response.

Regarding the issue of your boyfriend hitting your cervix. Yeah, that’ll hurt, don’t cha know. I’d be willing to guess that he’s in the wrong position and being too athletic in his pumping when that happens. If he’s bumping your cervix, but you like the depth and athleticism of his manly thrusts, simply change position. That should remedy the problem.

Finally, I’d simply advise you to respect the uniqueness of your body and your sexual response cycle. If it’s your clit that delivers the big O, even though you are being pleasured elsewhere. Then by all means, stimulate your clit while whatever else is happening, and enjoy the ride.

Good luck

Holy Cow, darlin’, you sure do know how to let it all hang out, huh? Did you notice how may superlatives you used: “very abusive, many issues, total disaster, serious issues, totally hideous” to mention a few. It’s clear to me, and probably any other human that comes near you, that you are soooo not ready for a relationship. In fact, if you are as icky and psychologically fucked up as you say, if you can’t trust anyone, if you’re a dating klutz, if you are totally hideous and misshapen, then why not just let it go and spare any other person the torture of being involved with you? You’re right, what guy in his right mind would be interested in the likes of you?

Ok, you see what I’m doing here? I’m joining the resistance. You want to pile it on yourself, swell. I’ll join you. I’ll pile on too and together we’ll heap on the insults and contempt until you can’t stand it any more, until you reach your tolerance for self abuse (and not the good kind). And from what I can gather, that’s gonna take some piling on. Of course, you could quit this self-abuse at any time. Seems to me 44 years of negative and undercutting behavior is plenty…even for you.

None of us is without our issues, my friend, least of all me. But to navigate social situations, even casual ones, one needs to be able to judge what the traffic can bear. If you come on like gangbusters, like you did in your message to me, you’re finished even before you begin.

Whatever therapy you did in the past, it either didn’t work or it didn’t have any lasting effects. Find a therapist that will challenge you not stroke you. Find someone that will jump on your shit, someone who will care enough about you to disallow you from hurting yourself with such cruel remarks about yourself.

When I have a client like you in my private practice I always lay down the law. For every self-critical thing you say about yourself, you must say something nice about yourself. That shuts the client up in a hurry. Once he or she is quiet enough to listen we start pulling apart the tangle of their self-hatred.

You were abused as a kid. Sadly, so are lots of kids. But that’s in the past. I’m sure you have scars, but who doesn’t have scar tissue. You don’t know how to interact with others socially, that a skill that can be learned. You’re fat and out of shape? You’re going to the gym to address that. You’re depressed even on antidepressants? Well, no wonder you’re sick of yourself. And that has got to stop, NOW.

Before you consider asking anyone else to love you — with all your flaws — you’re gonna have to learn to love yourself — with all your flaws. If you can’t do that, then don’t expect anyone else to do it before you do. Get off your pity pot and get to work. You say you are successful in your professional life. (Frankly I don’t see how that’s possible given the litany of your liabilities.) But for the sake of argument, let’s say you are telling the truth. How did you come to be a successful professional without at least some redeeming qualities? That is unless you are a professional executioner, or a professional hit man, or a politician.

You see you can’t have it both ways. If you have skill enough to make yourself a success in your professional life, then you have skill enough to make yourself a success in your private life. With the help of this new therapist you’re gonna get — the one who is not going to let you get away with your shit — you’re gonna learn how to marshal and channel the aptitudes you have that make you successful in one area of your life, to make you a success the other areas of your life.

Good luck

Name: Jose
Gender: Male
Age: 20
Location: Norwalk, CT
how can i approuch a good stripper to get into sex? even tho they just strip some do more off work. How do I know they are willing to do it?

I’m gonna go way out on a limb here and guess that English is not your first language, right Jose? I think I understand what you are asking. Let’s just hope the women you approach will also understand you’re meaning.

So OK, you know this fine stripper and you want to have sex with her, right? Swell! First thing you oughta know is that not all strippers are hookers. Some simply strip because they make really good money. They don’t sell sex, mostly because they don’t have to. The strippers that do offer sexual favors for a fee, don’t do so where they strip. It’s bad for business and, I hasten to point out, it’s against the law— except if you’re in Nevada — and you’re not.

There are two real good ways to go about this hunt for stripper sex. First, you could ask the vixen out on a real date. Personally I think this is the best way of going about gettin laid by any woman. If the woman, stripper or whatever, is available for a date, and you’re not a totally creepy putz, she might take you up on the offer. Just remember, many strippers already have a boyfriend, and he wouldn’t look kindly on you trying to hustle his filly, if you catch my drift.

Also, some stripping establishments prohibit their employees from fucking with the customers. If that’s the policy at the joint you frequent, let it go. Don’t pester the woman for something that will jeopardize her job. However, if she does accept the date, and all goes well, and you charm the pants off her, literally, you just might get a little slap and tickle. I just hope we’re clear on the concept that if any woman, especially a sex worker, accepts a dinner invitation it is not the same thing as saying she’ll fuck you, right? GOOD!

The second option is to ask the stripper if she does escort work on the side. Again, some stripping establishments prohibit their strippers from fraternizing with customers in any way, shape or form, especially fucking them. You ought also know that if the woman in question is indeed an escort as well as a stripper, your “date” with her is gonna cost ya. These women are professionals; so you’d do well to treat them with the respect you’d offer any other professional woman.

Never, under any circumstance, offer to pay a stripper…or any woman for that matter…for sex. That would be pandering prostitution, and that’s against the law. If the woman in question is an escort, she will be exchanging her time, the pleasure of her company and her expertise for money; not sex for money. Get it? If she’s smart she won’t give you a second chance to get this right. So if you fuck up asking her the first time you may be out of luck forever.

My advice to you is, figure out ahead of time which way you want to go on this — a real date or escort hook up. Then approach her like a gentleman. If she’s not interested, respect her decision to decline your offer with grace and dignity.

Good luck

Have you ever wondered about the term, sex positive? If you’re like me you see it all over the place, especially on sex-related sites. I confess I use it way more often than I should. It’s become one of those industry buzzwords that has, over time, become so fuzzy around the edges that it’s now virtually meaningless. In fact, if the truth be known, I believe the term sex positive has been taken over by the sex Taliban who have made it a cover for their strict code of political correctness. Oddly enough, this is the very antithesis of its original meaning.

If you want to shame someone in the sex field—be it a sex worker, blogger or adult product manufacturer—you label that person as sex-negative. You may not know anything about that person other than you were offended by something they did, said or made. But still, you hurl the epithet as if you were exorcising a heretic. This is a very powerful tool for keeping people in my industry in line. But I’ve begun to wonder, who is setting themselves up as the arbiter of what is and what is not sex positive? I have to ask: What is the agenda? I mean, could compulsory ideological purity of some artificial standards of thought or behavior be “positive” anything? I say, no!

Like all good ideas that have gone bad due to overuse—or worse, sloppy use—the sex positive concept once had meaning that was life-affirming and enriching. Sex positive has been in the lexicon at least since the mid-1950s. It frequently appears in journals and research papers to describe a movement that examines and advocates for all the other beneficial aspects of sex beyond reproduction.

I’ve been using the term since 1981 when I opened my practice in Clinical Sexology and Sexual Health Care. The opening words of my mission statement read: “I affirm the fundamental goodness of sexuality in human life, both as a personal need and as an interpersonal bond.” Way back then, I was flush with my quixotic pursuit to stand steadfast against all the cultural pressures to negate or denigrate sexuality and pleasure. I dedicated myself to spreading the gospel that healthy attitudes toward sex not only affect a person’s sex life, but his/her ability to relate well with others.

This came relatively easy for me, because I’d learned something very important about evangelization in my life as a Catholic priest. (Another quixotic pursuit, but we’ll have to save the details of that misadventure for another time.) One of the first things one learns in seminary is how to proselytize, to sow the seeds of a creed, and then nurture them taking root by endless repetition of the articles of faith. Of course there is a downside to this, too. Repetition fosters mindlessness, stifles creative thought, and worse makes things boring.

But the creed statements of the world’s three great monotheistic religions are masterful works of theological art.

• Barukh ata Adonai Eloheinu Melekh ha’olam!
• Allaahu Akbar!
• In the name of the Father, and of the Son and the of the Holy Spirit!

Each contains the most profound kernel of religious truth the believer needs to know, but all are easy enough for a child to learn. And like I said, the secret is in the repetition. For the true devotee, these creedal statements are uttered dozens of times a day and to great effect.

Early on in my career as a sexologist, I decided to put the principles I learned in the Church into disseminating my new belief system. First, keep the message simple! I settled on: “Sex is Good—and Good Sex is Even Better.” This has been my mantra for decades. It contains everything you need to know about being sex positive, but it’s easy enough for a child to learn. Even now, I close each of my podcasts with this same article of faith. To this day it soothes me to hear myself say these words. And it comforts me in the same way blessing myself did in my priestly days.

Despite my apprehensions, I continue to be an apostle of the sex positive doctrine. I know that even though my industry has corrupted the concept, others have yet to hear the good news. And there’s something almost spiritual about seeing someone grasp the idea for the first time. Let me tell you about one such instance. Some while ago I was asked to offer a workshop for a group of doctors on the topic: Health Care Concerns Of Sexually Diverse Populations. Unfortunately, just a handful of doctors attended the workshop—which was pretty disconcerting, considering all the work I’d put into the presentation. I guess that’s why kinksters and pervs, as well as your run-of-the-mill queer folk, are often frustrated in their search for sensitive and lifestyle-attuned healing and helping professionals.

Since the group of doctors attending was so small, I decided to ask them to pull their chairs in a circle so that our time together could be a bit more informal and intimate. Frankly, I’ve never found it easy talking to doctors about sex; and discussing kinky sex was surely going to be very tricky. So, I decided to start off as gently as I could. My opening remarks included the phrases “sex positive” and “kink positive.”

Sitting as close to my audience as I was, I could see at once that these fundamental concepts weren’t registering with them. I was astonished. Here was a group of physicians, each with a large urban practice. Could they really be this out of touch? I quickly checked in with them to see if my perception was correct. I was right! None of them had heard the term, sex positive. The two who hazarded a guess at its meaning thought it had something to do with being HIV+. I had my work cut out for me.

I decided to share my creed with them. “Sex is Good—and Good Sex is Even Better.” I asked them repeat it with me as if I were teaching a catechism to children. Surprisingly, they did so without resistance. After we repeated the mantra a couple more times, I exposed them to the sex positive doctrine unencumbered by political correctness.

• Sex Is Good! Sex is a positive force in human development; the pursuit of pleasure, including sexual pleasure, is at the very foundation of a harmonious society.
• And Good Sex Is Even Better! The individual makes that determination. For example, what I decide is good sex for me, may be boring sex to someone else. And their good sex may be hair-raising to me. In other words, consensual sexual expression is a basic human right regardless of the form that expression takes. And it’s not appropriate for me, or anyone else, to call into question someone else’s consensual affectional choices.
• Sex Is Good! Everyone has a right to clear, unambiguous sexual health information. It must be presented in a nonjudgmental way, particularly from his or her health care providers. And sexual health encompasses a lot more then just disease prevention, and contraception.
• And Good Sex Is Even Better! The focus is on the affirmative aspects of sexuality, like sexual pleasure. Sexual wellbeing is more than simply being able to perform. It also means taking responsibility for one’s eroticism as an integral part of one’s personality and involvement with others.
• Sex Is Good! Each person is unique and that must be respected. Our aim as healing and helping professionals is to provide information and guidance that will help the individual approach his/her unique sexuality in a realistic and responsible manner. This will foster his/her independent growth, personal integrity, as well as provide a more joyful experience of living.
• And Good Sex Is Even Better! Between the extremes of total sexual repression and relentless sexual pursuit, a person can find that unique place, where he/she is free to live a life of self-respect, enjoyment and love.

Finally I told them they ought to think creatively how they could adapt this concept to their own practice. It was up to each of them to make this creed their own. As it turned out, this primer was just the thing to open my planned discussion of health of kinksters.

In a way this experience was a bit of a spiritual reawakening for me, too. Despite my misgivings about the contamination of the sex positive doctrine by malicious people bent on using it as a weapon against those they disagree with. I can’t tell you how refreshing it was to watch these sex positive novices hear, and then embrace, the message for the first time. It was nothing short of a religious experience.

In a world wracked by poverty, disease and war; where we threaten our very existence with climate altering pollution, nuclear proliferation and extreme population growth; is there room to talk about human rights that include sexual rights and sexual freedom?

I emphatically answer yes! In fact, I assert that sexual inequality and oppression is at the heart of many of the world’s problems. I contend that trying to address human rights without including the essential component of sexual rights and sexual freedom is ultimately doomed to failure.

An absence of sexual rights and sexual freedom leads to domestic and societal violence; human trafficking; suicide; a rise in Sexually Transmitted Infections (STIs); unplanned pregnancies, abortion, and sexual dysfunction.

You know how we are always being encouraged to Think Globally and Act Locally? Well while we busy ourselves securing and celebrating our sexual rights here in this nation, I think we’d do well to focus some of our attention on how our struggle binds us to the rest of the human community.

I offer three examples of what I’m talking about. I invite you to consider how a myopic sexual rights and sexual freedom agenda, divorced from the overarching issues of human, economic and social rights, can be ineffectual and even counterproductive.

***

In 2008 the research community was all aflutter about ‘conclusive’ evidence linking HIV transmission and uncircumcised males. While I’m certainly not ready to take this data on face value, let’s just say, for the sake of discussion, that the link is conclusive. A massive campaign of circumcision was proposed as the best means of HIV prevention. The medical community would descend on epicenters of the disease, scalpels in hand; ready to eliminate the offending foreskins from every male in sight, young and old.

But wait, there’s a problem. Most HIV/AIDS epicenters are in underdeveloped countries. In these places, access to enough clean water to drink or attend to even the most basic personal hygiene, like daily cleaning under one’s foreskin, remains an enormous chronic problem. Without first addressing the problem of unfettered access to clean water and adequate sanitation, which according to The United Nations is a basic human right, further disease prevention efforts are doomed.

I mean, what are the chances that surgical intervention would succeed—one that would involve significant and sophisticated aftercare—if there is not even enough clean water for drinking and bathing?

These well-meaning medical personnel suggest imposing a strategy that not only works against nature—our foreskins do have a purpose after all: a healthy prepuce is a natural deterrent to infection. But this intervention would also violate long-held cultural and societal norms—circumcision is abhorrent to many of these same cultures. Wouldn’t this proposed prevention effort to stem the tide actually make matters worse?

***

Indentured sex work is another indicator of how human rights, sexual rights and sexual freedom are intertwined. Until the economic and educational opportunities for women throughout the world improve—which is a basic human right according to The United Nations—women will remain chattel. Families in economically depressed areas of the world will continue to be pressured to sell their daughters (and sons) simply to subsist.

Closing brothels and stigmatizing prostitutes overlooks the more pressing human rights concerns at play here. Sex is a commodity because there is a voracious market. Men from developed nations descend on the populations of less developed nations to satisfy sexual proclivities with partners they are prohibited from enjoying in their own country. Young women (and boys) in developing countries are viewed as exploitable and disposable, because they don’t have the same civil protections afforded their peers in the developed world. And runaway population growth in countries that deprive their women and girls access to education and contraception inevitably creates a never-ending supply of hapless replacements.

Addressing the endemic gender inequality in many societies is key. Equal access to education and economic resources must come before, or at least hand in hand with any serious sexual liberation effort.

***

Finally, people in the developed world enjoy a certain level of affluence and economic stability which allows them to indulge in sex recreationally. Thanks to effective birth control methods we can ignore the procreative aspects of sex and replace it with a means of expressing a myriad of other human needs. Not least among these are status, self-esteem and self-expression.

If we’re trying to prove something to ourselves, or others, by the way we conduct our sexual lives, simple prohibitions against certain sex practices won’t work. If I’m convinced that unprotected sex with multiple partners and sharing bodily fluids is edgy, cool fun, without serious consequence, as it’s portrayed in porn; I will be more likely to express myself the same way. This is especially true for young people who are already feeling invincible.

Case in point: there has been a startling uptick in seroconversions among young people, particularly gay men, which indicates that disease prevention efforts, even in the world’s most affluent societies, are simply not up to the task. It’s not that there is a scarcity of resources, quite the contrary. It is more likely that these efforts are not connected to a fundamental understanding of the role sexuality plays in the general population. I believe that sexual expression and sexual pleasure are the overarching issues here. These too are fundamental human rights.

No amount of safer sex proselytizing is going to prevail unless and until we look at why and how we express ourselves sexually. As we unravel this complex jumble of motivations and behaviors, effective prevention strategies will manifest themselves clearly. We must develop a sex-positive message; one that celebrates sexuality, builds self-esteem and counteracts the prevailing media messages of sex with no consequences.

***

National Sexual Freedom Day brings into focus the micro-strategies needed to combat a macro problem. But it also shows that we cannot work for and celebrate sexual freedom in a vacuum. It’s imperative that we see how global health and wellbeing is completely dependent on basic human rights, including sexual rights that include gender and reproductive rights, the elimination of sexual exploitation and the freedom of sexual expression.