Masturbation and Men—The Double-Edged Sword

By Dr Dick

For some men, this freelance sexual investigation can, and often does, produce some very interesting, unique and even downright strange styles of self-pleasuring, that sadly, often do not lend themselves to partnered sex. But according to Dr. Dick, with proper motivation and some focused redirection, men can learn to climax with a lover as well as on their own.

A Foundation of Masturbation

Those of you who know me know that I am a fierce advocate of masturbation. I contend that self-pleasuring is the foundation of a happy, healthy sex life for both women and men. I’m also a proponent of couples masturbating together. The mutual joys and the important information shared in this way are indispensable.

But masturbation can be a double-edged sword, so to speak. I say this because most of us guys learn to pull our pud early in life—and most of us discover how to do this on our own. This freelance sexual investigation can, and often does, produce some very unique, and even downright strange, styles of self-pleasuring. And there in lies the rub, no pun intended. Some masturbation techniques, pleasurable though they might be, do not lend themselves to partnered sex. And so, over the course of the next several weeks, we’re going to take a, well, hard look at male masturbation—from right to wrong, and everything in between.

Here we have Wayne, a 26-year-old man from Philadelphia:

Hey Dr. Dick,
I have a little issue that has stumped me, my doctor, and numerous urologists. I figure there’s no harm in asking one more person. I have never—not once—been able to come normally. I suppose there is a normal way, considering every other guy I’ve ever met has been able to do it “by hand,” but the only way I’ve ever achieved orgasm is by laying on my stomach, putting pressure with a slightly closed fist on the spot where my dick meets the rest of my body, and sliding back and forth.

Weird aside: This was a way to lift myself up off the floor and “fly” as a young kid. Then one day, I found out that it was pleasurable. I know…weird little kid.

Anyway, fast-forward to my twenties and becoming sexually active, and now I have a concern. I want to be able to come by having intercourse or just jacking off, but I’ve never been able to. I can get very close—never have a problem getting hard—but the deal just doesn’t happen. Any thoughts?

Interesting masturbation technique you got there, my friend. While it’s unique, it is not the most distinctive style I’ve encountered in my career. Someday I oughtta write a book. What’s most amazing to me about what you write here is that this predicament of yours has stumped all the physicians you’ve consulted. I suppose that says volumes about how informed most doctors are about human sexuality.

Simply put, Wayne, over the years you’ve habituated your body to respond pleasurably to a particular stimulus. Ever hear of Pavlov’s dogs? Right! What we have here is precisely the same thing. You apply the stimulus: laying on your stomach, putting pressure with a slightly closed fist on the spot where your dick meets the rest of my body, and sliding back and forth, and your body responds with an orgasm.

Most all of us, both female and male, discover the joy of self-pleasuring accidentally. Your first encounter with masturbation, although you probably didn’t know that’s what it was called, was through your boyhood attempts to fly. And fly you did! As you suggest, most other people discover self-pleasuring in a more conventional way, through touch. Thus the more “normal” (and I use that word in quotes) means of getting one’s self off is manually.

Your unique style of self-pleasuring is completely benign, but it doesn’t really lend itself to partnered sex, as you say. I mean, how awkward would fucking be if you had to get off your partner and on to the floor to come? The same is true for the men out there that jerk off with a very fast motion or a heavy death grip on their dick. They will, no doubt, find it difficult to climax during partnered sex.

So is there a solution? Sure there is. And it’s not a particularly difficult nut to crack…so to speak.

Let me tell you about a former client of mine. He was about your age when we met several years ago. He presented a similar concern to yours. He learned to masturbate in the same position as you, lying on your stomach, but he got off by humping a pillow. Try as he might, he never was able to get off any other way. It was driving him crazy. He couldn’t date anyone, because he was too embarrassed about the whole pillow thing.

Over the next four or five weeks, I helped my client learn a new way of self-pleasuring that would lend itself to happy partnered sex. The object was to rid himself of the need for the pillow altogether, and we did this is incremental steps. Luckily, my client was a horny little bugger. He masturbated at least twice a day—sometimes even more frequently. I decided to use his natural horniness as part of the intervention.

My client had to promise me that he wouldn’t masturbate in his traditional way for an entire week—absolutely no pillow sex! If he failed to keep his promise, he would have to start all over from day one. At first he couldn’t see the purpose of this moratorium, but I insisted. By the time I saw him next, the poor boy had blue balls for days. So he was primed and ready to go. His next exercise was to change position for his first masturbation after the weeklong moratorium. He could masturbate with his pillow, but he had to lie on his back. He was not permitted to roll over on to his stomach. This wasn’t immediately successful, but his pent-up sexual energy finally carried the day and he got off in the first new position—on his back—since he learned to masturbate.

The following week, I gave him a new exercise: While on his back, he could use the pillow to rub himself, but only to the point where he was about to come. At that point, he was to put the pillow aside and finish himself off with his hand. This was only slightly more difficult than the previous exercise, and within two attempts, he finally got himself off with his hand for the first time in his life. The rest of his therapeutic intervention was simply following this behavior modification course of action till he didn’t need the pillow at all.

I assume you see where I’m going with this, right? You could do this same sort of intervention on your own to learn a new and more traditional way of masturbating, but you’d probably have more success working with a qualified sex therapist. Why not look for one near you by visiting the American College of Sexologists online?

The firm desire to change a behavior or habit is the most important aspect of the process of change. Second is denying yourself the convenient and habitual stimulus—in your case, your flying masturbation style—will drive you to find a replacement means of getting off—a more traditional, manual style. Weaning yourself off one style of masturbation incrementally ’til you are successful in replacing that style with another is the most efficient means of behavior change. I encourage you to give it a try.

Good luck!

How to Be Submissive

— The AskMen Guide for How to Be Submissive in Bed

By Eve Parsons

When you hear the word “submissive,” what do you think of?

Many people think sexual submissiveness is all about allowing yourself to be (consensually) “punished” or otherwise denigrated, but the reality is much more complicated.

And thanks to either sensationalist or outright false portrayals by movies and pop culture, myths and misinformation continue to abound when it comes to this unique area of sexuality.

In this piece, we spoke to several leading sexperts in the world of BDSM and beyond who know what it means to navigate submissive play time in a healthy, safe way.

So if you’re curious about exploring your submissive side, or wondering what that might look like, read on.


What Is Sexual Submission?


“Sexual submission is a form of power exchange and a way to experience a consensual negotiation of surrendering power or decision-making to another person,” says Mark Cunningham, a licensed marriage and family therapist, AASECT-certified sex therapist, psychedelic therapist and owner of Adaptive Therapy.

Ideally, says Cunningham, these actions are things that are discussed and mutually agreed upon prior to the experience.

“These negotiations define how one person may demand or take action toward another person,” he says.

If that sounds a little vague, it’s in part because submission is a broad concept. BDSM play is not a “one size fits all” or uniform area of sexual expression in the least.

“There is almost no ‘always’ when it comes to BDSM play,” says BDSM educator and author Jay Wiseman.

Being a submissive can thus vary widely depending on what you and your partner agree to.

“Sexual submission can involve the use of props, toys, ropes, nipple clamps, cages, and so much more,” says Cunningham. “Or it can purely be a psychological or behavioral relationship that does not involve any use of items.”

In other words, how you play is all down to you and your partner (or partners).

It’s also important to remember that “submission and kink are not always related to one another,” clarifies Leighanna Nordstrom MA, MFT-C of Break the Mold Therapy. “Kink is about non-normative sexual expression (i.e., trying all the things you didn’t learn about in traditional sex ed); submission is about power and control (i.e., allowing someone to determine how you feel and behave during certain scenarios).”

Meaning, you can be in an otherwise “vanilla” relationship, but still have a little power exchange dynamic in a sexual relationship, or you can use submission as a vehicle to explore various kinks, such as those that often fall under the umbrella of humiliation play.

Being a Sub Isn’t Set in Stone

It can be useful to see “submissive” and “dominant” power dynamics as appetites, instead of hardened identities. (And being a submissive also does not necessarily make one a “bottom” automatically either, contrary to many people’s assumptions — it’s definitely possible to bottom while domming, and vice versa.)

In a tutorial video, the world-renowned sexologist, educator and author Midori discusses the differences between topping and bottoming, and how these terms can work in the context of BDSM power exchange — but can also apply even if you’re more on the vanilla side, too.

“Top is usually the person doing an action — being in charge, doing the tying, doing the spanking, or being physically on top, or going ‘into’ the other person’s body with a finger, tongue, dildo or penis. Top may or may not include being dominant or sadistic,” Midori explains.

“Bottom is the person who is receiving the actions: being spanked, poked, nipple-clamped, penetrated, or following the orders. Bottoming may or may not involve being submissive [all the time] either,” she adds.

Therefore, this is why, as Midori suggests, it always a good idea to ask a current or potential new partner what exactly they mean when they say: “I’m a submissive” or “I’m a bottom” — and really listen to their explanation, because all too often people make the mistake of assuming that expressing sexuality is a uniform experience or undertaking when this is not the case.

Additionally, Midori cautions against assuming that our sexual appetites for how we want to experience sexuality are set in stone: “Sometimes we get really stuck in the idea that ‘I am a top’ or ‘I am a bottom’ [but] don’t narrow yourself, paint yourself into a corner being attached to an identity; these are ‘appetites,’ not identities,” she explains.

As such, it is totally normal for your appetites to change or evolve over time — it’s merely human nature.

As Nordstrom says, “If you’re reading this, you may be developing a new appetite for submission in sex. This could be because your appetite for dominance has been more than sated, or because you have become curious what other possibilities sex could hold if you were to experiment.”


Exploring Sexual Submissiveness & Masculinity


If you’re curious about sexual submission but worried that your sexual partner(s) might see you as less manly if you’re not fulfilling the dominant archetype, that’s understandable. It’s normal to experience anxiety when we crave the acceptance of a partner and are not sure how they will react.

However, if you “zoom out” and look at the bigger picture, you can see where this anxiety is ultimately born from outdated social stigmas and sexist stereotypes of manhood and gender roles.

As Cunningham suggests, ask yourself a question: “First, whose values/definition of masculinity are you using to define your masculinity, and do you agree with that or is this something you have simply adopted without much reflection?”

Cunningham also notes that “many top leaders in positions of power like CEOs, or high-ranking military members for example, are drawn to submissive play because of the freedom, excitement, and healing that they can experience in moving outside of their ‘normal’ mode of operation as a leader or position of power.”

“Sex is a powerful way for us humans to cope and express parts of ourselves that we may struggle to access in our day-to-day lives,” he adds.

In other words, you could be the most powerful man in the world, with days filled with success and conquering, but at night you might find yourself wanting the release of surrendering to a partner who’ll be in control.

Kink and power exchange can be a great, temporary escape from reality and the baggage that comes with the performative roles we all play in mundane society.

In short, you are not “lessened” in the least by wanting to explore submission; being brave enough to admit your true desires and allowing yourself that opportunity means you can be enhanced by a new depth of connection and variety in your sex life.


How to Talk to a Partner About Your Submissive Desires


Ok, I want to explore: What are some ideas for communicating with my partner about my submissive desires and fantasies?

Assuming your breakfast conversation does not get particularly kinky, you might be in need of an “icebreaker” or two. Not to worry! There’s no need to make this terribly complicated or convoluted…

“Having a ‘catalyst event’ for bringing up the conversation can be an easy “in,” says Nordstrom. “You might say, ‘Hey, I was reading this magazine, and it made a suggestion about having positive, playful conversations about sex with your partner. I’d love to try it! Would you?’”

Or, Nordstrom adds, “Instead of springing your newfound submissive appetite onto your partner, consider trying to have a positive conversation about your whole sex life, and work the submissive appetite into the conversation.”

In other words, “zoom out” and share with your partner what you already really enjoy about being with them–and then ask them what they’re enjoying — and would like to try. This way, you both have the opportunity to be and feel heard.

As another “in,” Wiseman also suggests commenting on a book, movie, TV show or other piece of pop culture that depicts a D/s dynamic.

And notwithstanding submissive desires, having an understanding of your partner’s fantasy life can help you to better understand where they are coming from and what might excite them.

Nevertheless, it’s always good to remember that it totally is normal for someone to have sexual fantasies that they do not necessarily want to act out in real life—so never, ever take for granted the need to establish clear consent.

Now, if you and your partner already enjoy open communication about your sex life (yay!), then by all means go ahead with a straightforward Q&A session.

Midori suggests you ask your partner how they would like to feel in a dominant role.

“This isn’t about what toys to use or what you end up doing,” she explains. “This is about the core of [their] pleasure, leading to your hot submission. [Do they] want to feel adored, cruel, gentle, imperious, fickle, selfish, nurturing, powerful, or….? Then ask yourself how you want to feel: surrendered, willful, obedience, devotional, small, strong, enduing, obliterated, vulnerable, or…? And [then] find an overlap of emotional journey in your scene.”

Additionally, give yourself and your partner some grace, especially if you are navigating uncharted waters together.

“It is very common to have fear, uncertainty, confusion and many other challenging feelings in addition to excitement and curiosity when considering submissive exploration,” says Cunningham. “Do your best to name and even journal about your feelings and thoughts and to share these with your play partner so you can feel a greater sense of connection, understanding and ultimately intimacy.”

But remember: this erotic play time should also be a source of unabashed joy and delight; being open to the experience fuels the enthusiasm, Nordstrom says.

“When it comes to trying out any new sexual behavior, I have to remind my clients that sex is play!” she explains. “This means that it may be cumbersome, awkward, messy, confusing, or funny. But it shouldn’t be a job with an expected outcome. Going into new sexual scenarios in a curious mindset opens doors for anything to happen, instead of just focusing on one specific outcome.”


Best Practices for Exploring BDSM Submissiveness


According to Wiseman, good ‘best practices’ include getting adequate education and talking ahead of time about what will occur. In other words, sexual submission is not something you ever do (or expect your partner to do) ‘spontaneously,’ and certainly never under duress.

As with many other pursuits, when you are new to BDSM, it’s best to start slowly, as Nordstrom suggests: “My recommendation when partners are playing around with power dynamics is to always start slow, evaluate how different sexual acts are working, adapt behaviors as needed, and then go deeper into the dom/sub roles.”

“I cannot stress the importance of consent enough,” Nordstrom adds. “Creativity can take over when partners engage in BDSM. That said, it’s still VERY important to check in each time a new idea gets added to the sexual scenario. With consent comes trust (i.e., I believe you will ask me before you do something new to my body AND I believe you will tell me if I’ve done something that went too far).”

Nordstrom continues: “Safe words or actions are vital to any kink/BDSM scenario. Simple, easy to say words are best for safe words. “No” is not a good safe word, because, depending on the intensity of the scene, you may be begging your partner to stop when what you really want is for them to keep going.”

And this is where sexual submission can baffle outsiders.

“The funny thing is that in a power exchange relationship, the person who is in the submissive role is actually in a greater degree of control, because of their prior defining of their soft/hard boundaries and in their ability to create the play scene and rules with the dominant or master partner(s),” Cunningham explains.

As such, it is important to understand that the best BDSM scenes involve mutual collaboration between the submissive and the dominant well ahead of play time. If the power exchange feels one-sided or reluctant, then it’s really not a true exchange and the excitement is lost.

“Kink desires are much like appetites,” Midori says. “Creating a scene with your partner is like planning, cooking, and sharing that meal together. Even when you are surrendering in the scene, the creation is collaborative. Both of you have to like the ingredients and the whole meal for it to be fantastic.”

Complete Article HERE!

Nearly a fifth of teenagers say internet main information source on sexual health

— Youngsters are turning to online sources to learn about sex which is leaving them vulnerable to potentially ‘dangerous’ information, a charity warned.

A poll suggests that 30% of young people turned to social media as their main source of information about sexual orientation and gender identity

By Eleanor Busby

Nearly a fifth of teenagers say the internet is their main source for information about sexual health and healthy relationships, a survey suggests.

Young people are turning to online sources to learn about relationships and sex which is leaving them vulnerable to potentially “dangerous” and “untrustworthy” information, the Sex Education Forum charity has warned.

A poll, of 1,001 students aged 16 and 17 in England, suggests that 30% of young people turned to social media as their main source of information about sexual orientation and gender identity, ahead of school (25%).

The survey, carried out by Censuswide on behalf of the charity in February, found that 22% of young people said the internet was their main source of information on pornography, while 15% said they turned to pornography itself as their main source of information on the topic.

Around a fifth said social media and websites were their main source of information about unhealthy relationships (21%), healthy relationships (18%) and sexual health (18%).

The findings, which have been shared with the PA news agency, come after the Government announced a review of its statutory relationships, sex and health education (RSHE) guidance for schools more than a year ago.

Delegates at the annual conference of the National Education Union last week warned that social media influencers, such as Andrew Tate, are contributing to a rise in sexism and misogyny which young girls are facing in schools.

The Sex Education Forum poll suggests nearly half of students learned nothing at all or not enough at school on power imbalances in relationships (49%), porn (49%) and how to access local sexual health services (46%).

More than two in five reported learning nothing at all or not enough at school on attitudes and behaviour of boys and men towards girls and women (44%) and on gender identity (44%).

The charity’s report on relationships and sex education (RSE) said: “It is clear that schools feel under-confident about delivering on some areas of the curriculum that are statutory, but are particularly taboo and politicised.

“The problem is that these gaps leave young people vulnerable to misinformation as they seek out knowledge from online sources like social media, or have no access to advice at all.”

Last month, the Women and Equalities Committee said there was compelling evidence that RSE is “failing young people” as it warned of soaring rates of sexually transmitted diseases,

More than four in five (81%) of the teenagers who were surveyed said they agreed that primary school children should be taught about the importance of consent for things like touching another person’s body, while 73% said they believed they should be warned about the harms of pornography.

More than half (56%) said children should see examples of same-sex relationships – included in stories, scenarios and discussion – in primary schools, while 53% said children should learn what trans and non-binary mean.

Teenage girls were more likely to say children should be taught about the importance of consent in primary school than their male peers (85% compared with 77%), the survey suggests.

Since September 2020, relationships and sex education has been compulsory in secondary schools in England, while relationships education has been compulsory in primary schools.

In March last year, Rishi Sunak announced a review of RSHE guidance for schools following concerns that children were being exposed to “inappropriate” content.

But the Department for Education (DfE) has yet to publish a consultation on the guidance.

When asked to select from a list of possible actions the Government could take to help improve RSE, more than half called for training for teachers to develop more confidence with the subject (57%), and flexibility for schools to cover RSE topics at the age that their pupils need (52%).

Lucy Emmerson, chief executive of the Sex Education Forum, said: “More than a year after announcing a review of the subject, we are still waiting for Government to release its promised consultation and refreshed guidance for relationships and sex education (RSE).

“While we hope these launch following the Easter recess, Westminster has been delaying this critical review despite the increasingly complex relationships landscape for young people and the well-documented harms impacting them, from sexual abuse and violence to poor sexual health.

“I am alarmed to find that students feel today’s biggest issues, including pornography and attitudes of men and boys towards women and girls, are not being adequately covered.

“Hearing that young people seek questionable or even dangerous information on outlets like social media to fill gaps on key topics should be a wake-up call that better provision is needed from schools for the safety of our pupils.

“Government must heed the voices of young people and release improved guidance that deals with their realities – and soon.”

The charity is calling on the Government to prioritise flexible “age and stage” relevant content and providing more teacher training.

Ms Emmerson added: “Neglecting young people’s views does the next generation a disservice by leaving them dependent on potentially untrustworthy online sources for information and ill-equipped for healthy relationships.”

Margaret Mulholland, inclusion specialist at the Association of School and College Leaders (ASCL), said: “It is extremely worrying that children are turning to the internet for information about sexual education and relationships as this information may be unreliable and harmful.

“We are very concerned, in particular, about the rise of online misogyny and the impact this is having on the behaviour of some young people.

“Schools play a crucial role in providing reliable and responsible information on these issues through their relationships, sex and health education programmes.

“However, they have been poorly supported by the Government in terms of resources and training and are expected to deliver this sensitive and complex topic within packed timetables and severe funding pressures.”

A Government spokesperson said: “As part of the current review of the RSHE curriculum, we are looking at where certain topics can be strengthened, in an age-appropriate and factual way.

“We want to ensure all children are safe online and so, through our world-leading Online Safety Act, social media firms are being required to protect children from being exposed to harmful material online, and the Education Secretary recently took robust action by prohibiting the use of mobile phones in schools.”

Complete Article HERE!

A Practical Guide to Modern Polyamory

— How to open things up, for the curious couple.

By , , , , and

If you live in New York, it’s very possible you’ve recently found yourself chatting with a co-worker, or listening to the table next to you at a restaurant, and heard some variation of “They just opened up, and they’re so much happier.” Or “My partner’s partner truly sucks.” Ethical non-monogamy isn’t new (The Ethical Slut, the polyamorous bible, came out in 1997), and it isn’t exactly mainstream, but it isn’t so fringe either (or reserved for those who live in the Bay Area). A curious person might be tempted to download Feeld or let their partner know over salmon they’re ready to let in a third. But though people don’t talk about it in hushed tones anymore — Riverdale just ended with Archie, Betty, Jughead, and Veronica in a quad, after all — it isn’t such a simple thing to do well. There are a million things that can go awry, from the small and awkward (oversharing about a date) to the enormous and life-imploding (ending an otherwise fine relationship). The poly-curious among you likely have questions about the day-to-day operations — how do you tell your kids about it? Where do you find people to date? What if your partner gets way more matches than you do? What if their new partner is way hotter than you? To that end, we’ve created an exceedingly in-depth guide. We talked to nearly 40 people — some who’ve had open relationships for decades, others who only recently opened things up — to figure out how to capably, or at least less messily, date non-monogamously.

Is There Only One Way to Do It?

There are many, and choosing which one suits you depends on a lot of factors: Are you currently in a relationship? If you are, do you want other relationships to take equal priority? Do you want to fall in love with other people or just have sex with them? A non-exhaustive taxonomy.

Open Relationship: In a strictly technical sense, this is when you and your partner can have sexual, but not romantic, relationships with other people.

Swinging: A couple who have sex or dates with other people as a duo.

Hierarchical polyamory: When you and your partner can have relationships — romantic or sexual — with other people but have agreed to remain each other’s primary partner. You might pursue these relationships as a couple or separately.

Nonhierarchical polyamory: There are no primary partners in this scenario — everyone is on an equal footing.

Solo-poly: A single person pursuing multiple intimate or sexual relationships while trying to avoid riding the Relationship Escalator. This means you’re not particularly interested in, say, sharing a home or bank account with any one person.

Wait, What Is a ‘Metamour’?

Becoming non-monogamous doesn’t mean you have to join a ten-person polycule or memorize ‘The Ethical Slut.’ Still, there are terms that many non-monogamous people will use while discussing their arrangements, and it’ll make things easier to familiarize yourself with at least a few.

Comet partner: A romantic or sexual partner who might live far away or appears in your life only occasionally. When around, you pick up your tryst, but there are no obligations to one another between these meeting points.

Compersion: The pleasure you derive from your partner enjoying romantic or sexual happiness or success with a person who isn’t you. The opposite of jealousy.

Kitchen-table polyamory: A style in which everybody in a polyamorous network — primary partners, tertiary partners, metamours — is encouraged to form close and friendly relationships with one another (without necessarily being romantically involved) to the point where they can all sit down and have dinner without its being weird.

Metamour: Your partner’s other partners whom you are not also dating.

Monogamish: Often attributed to relationship columnist Dan Savage, this arrangement is at the halfway point of monogamous and open: You and your partner are exclusively committed to each other but allowed purely physical encounters on the side. Think of Cameron and Daphne from White Lotus, season two.

New-relationship energy (NRE): The all-consuming, chemistry-altering high that accompanies the early period of being romantically involved with a new person. NRE, and the chance to experience it many times, is cited as one of the biggest perks of polyamory, but it’s also one of the biggest sources of anxiety when a partner is experiencing it with someone else.

Nesting partners: The partner(s) with whom you live. Not necessarily a primary partner.

One-penis policy (OPP): Probably the most-hated concept in the world of ethical non-monogamy; this is often when a cis straight man only allows his female partner to sleep with another person who doesn’t have a penis.

Polysaturated: When you’ve reached maximum capacity on partners and/or time.

Primary partners: For people who practice hierarchical non-monogamy, this is the relationship that comes above all others in terms of time, commitment, loyalty — sometimes the person you share a home, finances, or children with. If you have a primary partner, you might refer to your other partners as secondary or tertiary.

Relationship escalator: This refers to the way in which monogamous people, by default, “level up” their romantic relationships: how they go from dating to becoming exclusive to living together to getting married to merging finances to having children. A process that many non-monogamous people want to avoid or at least question.

Vee structure: A three-person arrangement in which one person acts as the “hinge,” or point of connection, while the other two don’t have a romantic or physical relationship with one another.

Veto Power: If you’re in a primary partnership, you may grant each other the ability to call for a change in each other’s outside relationships — whether they’re spending too much time with a person or you simply object to them dating that person as a whole. A controversial concept within the poly world.

How Do I Broach This With My Partner?

There are so many ways this conversation could go wrong. So we asked three couples who handled it well — and one who might have handled it better — to tell us how they first proposed it.

Julia told Matt she had a crush.

Julia: After we had our child, I went through a few years of lacking sexual interest. It got to the point where it felt like I might never be interested in having sex again and that would be fine. That began to change in May 2022. I started having a crush on someone. I didn’t know if I was even going to tell Matt, but I didn’t want to repress this part of myself. And I didn’t want to cheat on him. Eventually, I told him about this crush, how I was feeling different and vibrant. I said, “I’m feeling more open about my sexuality and more interested in exploring it.” He said, “Are you asking to open the marriage?”

Matt: We talked and cried for hours. But I knew it made no sense to hold her back. I was like, I’m not going to get in your fucking way.

Julia: It was still an unresolved idea, and we sat with it for a week. I never wanted to push it, I wanted to wait for him to be the one to suggest it. Eventually, he said, “I don’t want to hold you back from being yourself.”

Misty reminded Ari of an old conversation.

Ages: 29 and 29
Open for: 3 years

Misty: The conversation happened after Ari came out as nonbinary. I brought up these conversations we had had in college about having threesomes. I used to say, “I would only do it if it was two guys. I’m not gay.” He’d say: “I’d do it if it were two girls. I’m not gay.” So at the time we thought, Okay, well, then we’re never going to do this.

Ari: You had just come out as pansexual. You said, “Maybe we can talk about what it would look like for me to start exploring that part of my sexuality.” I was shocked at my own response because in the past I’ve been very territorial and heavily monogamous. But I was like, “Yeah, let’s start talking about it.”

Misty: You had the moral high ground of, “Oh, my wife is coming out to me. This is me honoring someone’s queerness.” Literally a few months later, at my birthday party, there was a girl there we were really into, and the threesome happened. The next day, we were like, “Wow, that was fun. Should we download Feeld?” I do think the first conversation was deceptively easy.

Steven and Andrew talked about flirting.

Ages: 45 and 39
Open for: 7 years

>Steven: Andrew can tell me every single day that I look great, that I look sexy. And of course I want to hear those things, but there’s a difference between your husband telling you that and someone you’re not married to saying it.

Andrew: Every year, we’d go to this Christmas party. It was lots of gay men on Broadway. They were all beautiful, and it was a party full of flirting. I remember one time asking Steven afterward, “How do you feel about me flirting with other people?” Because I felt the same way Steven did — a beautiful man at that party can make me feel sexy in a way that my husband can’t. So we discussed those feelings and talked about how we both thought it was healthy. That was a gateway for us.

Eva gave Tomas an ultimatum.

Ages: 30 and 30
Open for: 8 years

Tomas: I was in Europe, she was in the U.S., and she wasn’t happy with the relationship. We got to a stage where she said, “Either we open it up or we have to break up.”

Eva: I obviously know now that in the literature there’s this idea of non-monogamy by coercion, and that isn’t great. But it was challenging to do long distance. Also, Tomas was my first serious relationship, and I had this fear that I would settle too early. I wanted to date other people.

Tomas: It was not something I ever considered. I always saw myself in a monogamous relationship and married with kids and all that. But we talked about it over a few months, which helped.

Eva: At the beginning, he thought I was trying to find a way to replace him. Over time, when he realized that wasn’t happening, he was more fine with it.

Should We Come Up With Some Rules?

When couples start being non-monogamous, there are, in general, two kinds of rules they tend to set. The first is about the structure of the arrangement. Are you seeing new people as a duo, or is it okay to pursue an outside relationship on your own? Are you remaining each other’s primary partners, or are you eliminating the hierarchy entirely? Breaking these kinds of rules can feel like a violation or at least require serious negotiation. A few years ago, Alice and her husband opened their marriage. They knew they wanted to date together and had started seeing another couple but hadn’t set firm rules. One day, the four of them were together at a food festival in Brooklyn. “I had to go off somewhere, and the other husband had to go off somewhere. So my husband and the woman were left at this food festival and ended up going back to our apartment together and then slept together,” she says. “We hadn’t clearly said, ‘No, that’s not allowed.’ It was murky. But I felt really betrayed and devastated, which I think is hard for people outside of the lifestyle to understand.”

The second kind of rules are of the more tactical, logistics-y variety. Keep your wedding ring on always, for example, or no sleepovers at home, or no more than two dates with other people per week. Nearly every couple we spoke to said that these types of rules are more like training wheels: important to set up and follow in the beginning to make everyone feel safe but likely to fall off as people get more comfortable. Brittany and Roy gave each other curfews, which they stuck to in the beginning, until needing to be home at a certain time started to make them feel constrained and they realized they didn’t really care. It became a specific request for specific circumstances, like if one of them was sick. Blake and Paula had the “no sex in the shared bed” rule for a while, “but at a certain point I was like, ‘I personally don’t care anymore whether you have sex with someone else in our bed,’” says Paula. “This does not seem important to me. ‘Go forth and let’s see how it feels.’ And then you did it and I did it. And we were both like, ‘Oh, this is fine. We don’t care.’” Some non-monogamous people are skeptical of rules in general. “I think a path for success for an open couple is to be able to be very present, treat every moment as if it’s unique,” says Robert. His partner, Olivia, adds, “If you had a set of rules, it would almost feel very strict, like monogamy.”

Where Do I Meet People?

Unless you live in Brooklyn or San Francisco (and even if you do), chances are you’re meeting people on the apps. Many default to Feeld, the non-monogamy and kink-friendly dating app, but you could do just as well somewhere like Hinge, matching only with others who label themselves non-monogamous. If you and your partner are dating separately, you might consider acting as each other’s wingman. After Toni opened her marriage, she found that she was having trouble meeting women. “I joined several apps, and nothing was really happening for me,” she says. Her husband, Tom, started matching with people he could potentially set her up with on Feeld. To one woman, Clarissa, he wrote, ‘Hey, my wife would love to speak with you separately without me, are you okay if I connect you?” then put Clarissa and Toni in a group chat. The two of them dated for a few months.

Does My Wife Want to Hear About My Night?

Some couples who date separately follow a “don’t ask, don’t tell” policy — this can work well for those who like a little secrecy or just don’t want to talk about everything. But more often, couples like to share at least some details about how their respective love lives are going. Some ways to make those conversations less fraught.

Don’t debrief immediately.

“When we get home from a date with somebody else, that’s not the time to talk about it,” says Ethan, who opened his marriage three years ago. In that moment, he says, the most important thing is to reassure your partner: “Hey, I came home to you, and I want to be with you.” He adds, “Then, after some time has gone by, you can say, ‘How did the date go?’ It’s easier the second day.”

And don’t go into every detail.

Even if you and your partner want to be transparent with each other, it doesn’t necessitate giving a play-by-play. For one thing, too much information could send your partner into a spiral of anxiety or insecurity. Plus it’s not always the most considerate to the partners who aren’t in the room. “It feels a little bad to talk about every little thing you did with somebody, especially if they don’t have the ability to tell their own story,” says Blake, who has been partnered for ten years and poly for seven. “It’s just bad manners.”

But do consider sharing breakthroughs.

The one exception to Blake and his wife Paula’s rule is when they have a sexual first. “The first time I fisted someone, I was like, ‘Oh my God, Blake,’” Paula says. Another time, Blake called her with news. “I was like, ‘I fucked a guy in the butt,’” Blake says. “We celebrated.”

And findings.

“There’s one guy that I was with, and it was just a fabulous experience,” says Emily, who is married to Ethan. “I told him I couldn’t squirt. He said, ‘I am telling you, you can,’ and at the end of a four-hour session with him, I squirted for the first time.” Upon hearing about this, Ethan felt insecure. “But then I said, ‘Okay, what did he do? Let me learn,’” he says. “Now I think we need to send him Christmas cards.”

Should We Sleep With Them on the First Date?

If you’re a couple on a date with another couple, there are things to consider that you don’t have to think about as a single on a date with another single. “We’ve been a lot of couples’ first dates after they’ve opened up their relationship,” says Amelia, who frequently dates other couples with her husband, Chris. Below, the two share some advice.

Amelia: We’ve been together eight years, and it’s exciting to see that charming first-date persona anew in your partner.

Chris: But we often notice that other couples seem unsure of what they want out of the situation. We will say, “What are you guys hoping for?” And they’ll say, “We never really talked about it.” So we’re often putting the brakes on. People will want to go out for drinks, then go back to their place, and it’s like, “No, it would be better if you guys went home, processed your feelings, and then let us know if you’re both interested.” A red flag is when one partner seems overly excited and the other is pulling back. And sometimes two people just clearly want different things. So we try to really communicate — like, we’ll say, “Hey, are you in this pile of eight people because you want to be, or are you in it because you feel like you need to be?”

Amelia: When dating together, we have pretty good game: We’ll tee each other up to be charming. But sometimes we just have more of a connection with only one of the people in the couple: Our current girlfriend and boyfriend both started out as part of other couples. Things didn’t work out with the other partner, but we kept seeing them.

Am I Being Nice Enough to My Boyfriend’s Girlfriend?

If you’re not in a “don’t ask, don’t tell” situation, you may find yourself getting to know your partner’s partners, otherwise known as your metamours.

Don’t think of them as rivals.

When it comes to her husband’s girlfriends, Ali goes out of her way to avoid acting territorial. “I’m not in competition with these women. It’s not like, I’m more important because I am his wife. I am here to make sure that their needs are being met as well as mine,” she says. In the past, she’s given her phone number to new people her husband is dating in case they’re feeling unsure about him and want to talk. She’ll also intervene to make sure her husband is being a good boyfriend. “He has a girlfriend that he’s been with for two years,” she says. “I know the relationship is important, so sometimes I’ll facilitate. I’ll ask, ‘Have you FaceTimed or seen Daphne lately?’”

It’s okay to say, “Hey, this is our thing.”

Alejandra recently went on a trip upstate with Diego (her primary partner), Ivy (Diego’s partner), and Nathan (Ivy’s partner). It was the first vacation the group had taken together, and Alejandra pulled her metamour, Ivy, aside. “In bed, I refer to Diego a lot as ‘Daddy,’ and the one thing that I asked Ivy not to do in front of me on this trip was call him that because that might make me uncomfortable,” Alejandra said. “Ivy was like, ‘Oh, that’s totally fine. I’ve never called him that in my life.’ I was like, ‘Great.’”

But also, it’s not all on you.

A lot of the responsibility lies with the hinge, or mutual partner, in making sure nobody feels neglected. “When you are the middle person, you need to make sure that you’re giving equal amounts of attention to those two people,” Alejandra says. “It can be mental gymnastics: Okay, I held this person’s hand. So I have to hold this person’s hand. Oh, I gave this person a kiss. Oh, fuck, I want to make sure that everyone feels loved.” On their trip upstate, Diego, the hinge, was openly affectionate with Ivy in front of Alejandra, but later, when Alejandra began feeling insecure, he reassured her. Alejandra describes the situation: “I’m like, I’ve gained about 20 pounds, so I do not feel super-comfortable in my skin, and Ivy’s gorgeous. As soon as I felt that, I just started talking about it in front of everyone, and Diego told me some nice things, that I’m superhot and fuckable, and that’s what I needed. He did a great job. I would love to go on a little trip with them all again.”

But if your metamour is giving you a genuinely bad feeling, don’t ignore it.

Ali recalls a former metamour who grew angry after she and her husband tried to set boundaries. “She told him she had HPV, which is not a scary thing to most people, but I have a family history of cancer,” Ali says. “I said that certain sex acts are off the table, and she ended up exploding on him on his birthday while he was with his family, just keeping him on the phone for hours and hours.” The relationship ended on its own, but if it hadn’t, Ali would’ve intervened. “The language would have been, ‘I noticed so-and-so is treating you in this way, and I feel like you deserve better.’”

How Much Time Does This All Take?

You might be thinking at this point, I have a job, and a partner, and friends, and hobbies. How in the world am I going to make time for dating, and then talking about dating, on top of all of that? Some non-monogamous couples keep shared Google calendars or reserve one night a week for each other. Julia, who is in an open marriage with her husband, Matt, breaks down how they manage their week-to-week and what she’s had to give up to make room.

Matt and I have an agreement about how much time we can spend with another person weekly. Spending a whole evening out once a week, either Thursday, Friday, Saturday, or Sunday, is totally fine; usually, it’s after we have dinner with our young child, so from 7 p.m. till 1 a.m. And then we’re okay with each other sleeping over somewhere else once every two weeks.

Right now, I feel at capacity with one secondary partner and my husband. If my one secondary partner were way more casual, then maybe I could date two people. In order to keep my nuclear family my priority, the amount of time I put toward this other relationship has a maximum. I’d guess it takes up, or keeps me away from Matt, eight to 12 hours a week, depending on if I stay over at my partner’s or not.

I think I’ve ended up sacrificing my more introverted hobbies. So I’ve done less reading. The gardening and yard work and just a lot of home-improvement stuff I let go to the wayside. I’ve done less crafts. I think Matt has too. I know he’s put aside house projects because he needs time to go on dates. He used to do a lot more woodworking.

img class=”image-zoom-container forward” src=”https://pyxis.nymag.com/v1/imgs/13a/065/463e631053ffc925d2135da3456b17785a-coming-out-final.rvertical.w570.jpg”>

Should We Tell Our Kids?

Some poly people prefer not to tell every single person in their lives — it simply seems unnecessary, or they don’t feel like explaining or receiving judgment. Others find it more challenging, logistically and emotionally, to keep it private. (What if someone spots you out and thinks you’re cheating? Or you need to tell work you’re leaving early to pick up your partner’s child?) Writer Molly Roden Winter explains how she navigated talking to her children about her and her husband’s open marriage.

My husband and I never planned to tell our children about our open marriage. But seven years after we took our first fumbling steps toward non-monogamy, I got off a plane to find a series of text messages from my then-13-year-old son, Daniel. “Mom,” he wrote, “are you and Dad in an open marriage?” My husband, Stewart, had left his OKCupid profile open on his laptop, and Daniel had seen it.

I found a spot against the wall of the Houston airport to call him. When Daniel picked up, I began by telling him how happy his father and I were, how we were always honest with each other. But Daniel’s main question surprised me. “I get that Dad has time for it,” he asked. “But when do you do it?” This question brought me relief: Like many mothers with a full-time job, I’d worried that I wasn’t spending enough time with my children, and using precious nonworking hours to go on dates made me feel particularly guilty. Here was proof that, in Daniel’s mind at least, I was around so often he couldn’t fathom my managing to be anywhere else.

Daniel, the eldest of my two boys, had always been eminently reasonable. As an infant, he cried only when he needed something, and in elementary school, Daniel’s teachers often commented on his extraordinary comfort level with adults and his ability to mediate conflicts among his peers. With him, I had always leaned toward honesty: I’d told him about my limited drug use as a teenager, my fraught relationships with eating and body image, and my family’s history of mental illness. But speaking to my son about my sex life felt far more difficult. “I don’t do it very often,” I lied.

Daniel seemed satisfied, but over the next few weeks, once I returned to Brooklyn, he was consumed with curiosity about my whereabouts. “Where are you going?” he asked. “Are you really going to see a friend? Are you sure you’re going to the gym?” Stewart, meanwhile, continued to come and go as he pleased. “Why doesn’t Daniel ask where you’re going?” I asked Stewart one night. “Why doesn’t anyone seem to care if fathers have sex, but every mother is supposed to be the goddamn Virgin Mary?” Stewart offered to speak to Daniel, who afterward apologized to me. “I’m sorry I’ve been asking where you’re going all the time,” he said. “I know it’s private.”

“It’s okay, honey,” I answered. “It’s just that I don’t think you actually want to know if I’m on a date. And sometimes I really am just going out with friends or to the gym.” Daniel nodded. He’d try not to ask, he said, “but if I do, can you just lie if you have a date?” He seemed to agree: My dishonesty was also in his best interest.

While Daniel had always been compliant and even-tempered, his younger brother, Nate, had a penchant for emotional extremes. At the end of our phone call in the Houston airport, I’d asked Daniel to put away his father’s laptop; while he may have been mature enough to handle the truth, I hoped to keep our open marriage hidden from his younger brother as long as possible. But four years after Daniel called me in Houston, I was in my bedroom when I heard a scream from downstairs. Nate burst in with Stewart’s old iPhone in his hand. “Mom!” he shouted. “Dad’s cheating on you!” He had found pictures of Stew with his girlfriend.

Rather than asking questions stoically and matter-of-factly, as Daniel had when he first discovered Stewart’s dating profile, Nate’s eyes were wide, his breathing rapid. “Are you getting a divorce?” he asked. No, I said. He asked me who the woman was. “You don’t need to know who,” I said. “The important thing is I know who she is, and Dad isn’t cheating on me. Cheating means you lie, and Dad and I always tell each other the truth.”

There I was, standing on the same line between boundaries and honesty, exactly where I’d stood with Daniel four years earlier. Yet what I’d learned from Daniel was only halfway applicable. While Daniel was a classic introvert — often cutting discussions short in order to process his feelings alone — Nate was more like me, an extrovert who preferred to talk through complex emotions. Tell Nate too much, and he’d be anxious. Tell him too little, and he’d fill in details with his own worst fears. I checked my mind and my gut for signs of the old shame, but it registered only as a weak flicker. Calmly, I told Nate that his father and I had an open marriage. “Should we FaceTime Dad at his office?” I asked. While Stewart and I had spoken to Daniel separately when he first found out, I’d come to understand the importance of presenting a united front. Stewart and I proceeded to tell Nate our beliefs about open marriage — our commitment to each other, the emphasis on honest communication, the affirmation of each other as our life partners of choice. There was one question Nate came back to over and over again. “Just promise me you guys still really love each other,” he said.

In the months after, additional questions arose. “Are you sleeping with my orthodontist?” he asked. “No,” I responded. “Non-monogamy doesn’t mean you sleep with everyone. And I would never get involved with someone you know.”

“Cool,” he said, relieved. Then, a few days later: “Do you and Dad still like having sex with each other?” I said “yes,” to which Nate replied, “Okay, okay. Don’t say anything more!” Over time, Nate’s questions became less frequent. Stewart and I had always been affectionate with each other in front of the kids, but now I often saw Nate peeking around corners when Stew and I hugged, or jumping between us happily when we held hands on weekend outings or family vacations. And if Stewart and I fought in front of the kids, we tried to make sure they bore witness to our reconciliation as well.

Daniel, who is now an adult, recently confessed that back when he was 13, he’d been more upset about the open marriage than he’d let on. Like Nate, he’d equated open marriage with infidelity, fearing that any arrangement outside the conventions of monogamy was verboten. Would his parents stay together? Would the foundation of our family crumble beneath his feet? “It’s okay, though, Mom,” he said, registering my panic. “I’m fine with it now.” What helped, he said, was that nothing actually did change: My and Stewart’s marriage remained strong. Plus, he said, he grew up. It is tempting to believe that the choices we parents make are helping to shape our kids into confident, secure adults, but our children, ultimately, will become who they will become — maybe thanks to us, maybe in spite of us, and maybe a little bit of both.

And What About My Co-workers?

Katie Coyne, the environmental officer for the city of Austin, suggests being casual about it.

I’m married, and we’ve been poly for about two years. I have a public-facing job. It’s really important for me to feel like I’m not hiding anything about myself or hiding people who are important to me. I have it sort of worked out now. With people I’m closer with, I’ll just slide it in casually. For instance, when I was dating someone who has kids, I was going to soccer games and doing some part-time co-parenting. So at a happy hour with my staff, when someone asked what I was doing over the weekend, I said, “I’m going to my partner’s kid’s soccer game.” He was like, “Oh, I didn’t know you and your wife had kids.” I said, “Oh, we don’t. It’s my partner; I’m polyamorous.” The only person I was afraid to tell was my boss because he’s pretty religious. But the day after another partner and I broke up, we had an all-day executive-team coaching retreat. At the end of the day we were going to happy hour, and I said to him, “Hey, most of the rest of the executive team knows this about me, but I wanted to tell you that I am upset because my girlfriend and I broke up last night. I’m polyamorous.” He didn’t know how to react, but he’s adapted. A few months ago, I even took a date to a fundraiser. One of the organizers was like, “Oh, is this your partner?” And I said “No, actually, we’re on a date!” And my boss was like, “Great to meet you.” Everyone’s kind of rolling with it.

What Can Go Wrong?

More people means more interpersonal dynamics — double or triple the giddiness, maybe, but also double or triple the jealousy, anxiety, abandonment, and painful breakups.

The hierarchy might shift.

For the first five years of our open relationship, Eva and I were each other’s primary relationship. Any outside relationships never got super-serious. I was under the impression that that would always be the case. Then, two years ago, Eva met this other person and they fell in love. She started spending more nights at his house, and the relationship developed to a stage where Eva was very emotionally involved. Now her other boyfriend and I are on an equal footing in terms of the importance in the relationship. We celebrated her birthday together this year. — Tomas

You might become a third wheel.

One time, we met a girl who showed interest primarily in Ethan but said she was also interested in me. We had her over for drinks, and when things carried into the bedroom, it was clear that the focus was really him. It was our first threesome. At one point, we were talking about what we all wanted. So I said to Ethan, “What do you want? I want you to have what you want.” And he said he wanted to fuck the other girl. Then they went off to do their thing and I wasn’t involved. It hit me like a ton of bricks. I left the house. —Emily

Your partner might date someone who wants you gone.

The first time that Blake fell in love with someone else, it felt clear to me that she hoped that she would win him over and that he would leave me for her. When I met her in person, it didn’t feel to me like, Oh, she’s not ready to meet me. It felt like, She’s bummed about me. She was sad. She did not want me in the picture. Since then, I’ve met other women Blake has been in love with and it’s been great. And I’m able to look back and say, “The vibes were really off.” —Paula

They might realize they’d rather be monogamous.

We met on OKCupid and had both set ourselves as non-monogamous. We’d both just gotten out of eight-year relationships. She and her ex had decided to be non-monogamous to try to save their relationship. Over the course of ours, she basically figured out a poly relationship was not really what she wanted. I was encouraging her to date. I thought over time she’d become more comfortable. But she didn’t. She’d get really anxious and have a lot of fear and jealousy when I was trying to date. She’d say, “Hey, please don’t do this. I’m not ready for it.” There was this sense that I was somehow hurting her, and she felt like she was cheating on me when she went on dates with other people. I felt constricted. And then there was the fact that we kind of wanted different things — like, she wanted to have a child very soon. Over time, once we realized this feeling wasn’t going away, we started talking about ending the relationship. We’d do this thing sometimes where we’d lie around and scroll through OKCupid and try to find people for each other. She came across this one guy’s profile one day, and I was like, “Oh my God, you have to, like, go out with him. He’s just like me except better for you than I am.” And she did, and she ended up married to him, and they had children soon after. —Nikhil

You might tire of your secondary status.

I was dating somebody — I’ll call him Michael. And he was in a primary relationship with Michelle.

At the time, they were making a lot of space for loving other people and inviting those lovers or boyfriends into their home and on vacations with them. I was their secondary. I was very connected to them, and I very much fell in love with Michael. Michael very much fell in love with me. I was supporting Michael while he prepared to propose to Michelle. But then I went through a really rough period. I needed more emotional support than he could give me. I was impulsive and broke up with him. I knew Michelle was consoling him for many months afterward. A few years later, Michelle reached out to me. She’d asked seven of his lovers and former lovers to come surprise him for his birthday. We tied him up and throttled him in complete silence. So it was ultimately a happy ending. —Sonya

They might leave you behind.

Seven years ago, I met this woman. I was mostly monogamous and single. She was very up front that she had a boyfriend and they were open. We started dating, and for those two years, I wasn’t dating multiple people — I just was dating her, and she really just wanted one female companion and him. The beginning of the end was when her and her boyfriend’s relationship started to become codified in traditions. He proposed to her, and it threw me. It made the balance beam that I was on feel uneven and one-sided. He invited me to the wedding, but she was like, “Uh, no.” She said she didn’t want to have to explain to her family who I was at the wedding. It felt like she chose him over me, like, “You’re not fully included.” I think I saw her one more time after the wedding, but it was just awkward. —M.J.

You two might drift apart.

A few years after my husband and I opened our marriage, I met this woman. We fell in love really, really fast. One morning, after she slept over, my husband said, “Seeing you this excited about someone else really freaks me out.” But I’d seen him happy with people over the years we’d been open, so he let me give it a shot. Eventually, he even suggested she move in. Now, I live in very separate worlds with them in the same house. He’s a very tidy person. She loves to play music, cook, be messy. He’s reserved; she loves to give attention. My husband and I haven’t had sex in over a year. We love each other, but our connectedness just doesn’t run as deep as mine and hers. —Caroline

Or it might just break your relationship.

>My partner and I started dating in college, and we stayed together after. She was always interested in alternative relationship modalities, and over the years she brought it up a couple of times. I’d be like, “Okay, that’s interesting. Let me think about it.” Eventually, when we moved cities, I was like, “Why don’t we give this a shot?” In the beginning, it felt really fun. Then she got more serious with someone and it became more difficult to talk about with each other. She was never anything but transparent about the facts. I would ask her what she was doing one day, and she’d say, “Oh, I’m seeing this person.” At one point, they started taking trips together, so I knew they were getting more serious.

I felt upset and wondered if I should be doing something similar. I started looking around more on Hinge and found somebody I had amazing chemistry with. Eventually, my feelings toward her and hers toward me grew so strong that I was like, I have to make a decision. It’s gotten out of hand, emotionally. The main relationship was suffering. Neither of us was putting the same attention into that that we were into the other relationships.

I ended up breaking things off with my partner. The conversation was consuming. I feel like I’ve never been so focused on something. I walked around the city for days and days thinking, What should I do? At one point, she asked, “Well, would you change your mind if I ended things with the other person?” I said, “Honestly, I don’t know. The cat’s kind of out of the bag.” And she said, “Well, honestly, I don’t know whether I’d be able to do it and hurt the other person in this way.” I don’t know if we’d have stayed together if we’d stayed closed. Or if it would have been the right decision to stay together. —Lucas

All names have been changed at the request of the subjects.

Complete Article HERE!

What Is Sexual Performance Anxiety?

BY Carley Millhone

Sexual performance anxiety is a form of performance anxiety that causes intense fear or worry before or during sex. Many people feel nervous before having sex. However, if you feel so anxious about sexual expectations or body image that you can’t perform sexually, you may have sexual performance anxiety.1

Sexual performance anxiety can affect anyone, but it is more common in people in males. Eventually, sex-related anxiety can make it impossible to have sex with your partner and may eventually strain your relationship. Sexual performance anxiety can also lead to other sexual disorders, like erectile dysfunction.1

Fortunately, there are a few ways to address and get past sexual performance anxiety.

Like other forms of performance anxiety, sexual performance anxiety can affect you mentally and physically. People with sexual performance anxiety are so overwhelmed by sex-related worries, negative thoughts, or fears that they have trouble engaging in sexual activity. These negative thoughts or fears may happen before or during sex.1

As a result, you may be unable to maintain an erection, climax, or ejaculate. You can completely lose your desire to have sex. You may also experience physical symptoms of anxiety, like increased heart rate, upset stomach, and shaking.2

Sexual performance anxiety symptoms commonly found in males include:2

Symptoms of sexual performance anxiety in females may include:2

People can have different fears, experiences, and worries that can affect sexual performance. Potential causes of sexual performance anxiety include:13

  • Feeling worried about your partner’s sexual expectations or satisfaction
  • Feeling concerned about how masculine or feminine you come across during sex
  • Lacking self-esteem or having a negative body image
  • Being physically or emotionally unattracted to your partner
  • Feeling anxious about past negative sexual experiences
  • Feeling fear or anxiety related to sexual trauma

How exactly do stressful and anxious thoughts affect sexual performance? When you become stressed or anxious, your body kicks off its stress response by producing more of the stress hormone cortisol. When cortisol levels rise, levels of the sex hormone testosterone drop—decreasing your sex drive, or libido. In males, low testosterone is also linked to erectile dysfunction.4

People with substance use disorders, anxiety, and depression may also experience sexual dysfunction and disinterest that can lead to sexual performance anxiety. Medications used to treat anxiety and depression can also negatively affect libido and sexual performance.5

Lack of sex due to sexual performance anxiety can harm romantic relationships. Studies show couples who engage in higher rates of sexual activity build greater intimacy and have a lower divorce rate.6< Being unable to have sex or enjoy sex can make partners feel less connected and intimate. As a result, your partner may feel like you are avoiding intimacy because you do not desire or care for them. People with sexual performance anxiety may also start to feel cautious of their partners, which disrupts trust and intimacy.3< Identifying your triggers and finding ways to destress can often help you learn how to manage the negative thoughts and feelings affecting your sex life. Coping strategies include:2

  • Mindfulness meditation to better understand your thoughts and desires related to sex7
  • Yoga to help manage stress and improve the mind-body relationship as it relates to sex, which can also help manage premature ejaculation8
  • Masturbating to learn more about what you enjoy and feel during sex
  • Seeing a sex therapist to identify thoughts or feelings that lead to sexual performance anxiety.

Talking with your partner can also help you cope with sexual performance anxiety. Open communication can help partners better understand your feelings and struggles related to sex. Your partner may also offer valuable insight into the false, preconceived thoughts that prevent you from performing sexually—like your body image or performance concerns.2< Accepting sex isn’t perfect or spending more time focusing on foreplay can also help improve intimacy. Other ways you can help build intimacy without sex include:9

  • Cuddling
  • Kissing
  • Hugging
  • Holding hands
  • Spending quality time together

Reach out to a healthcare provider if your anxieties around sexual performance and dysfunction are affecting your relationships and quality of life. They can refer you to a licensed sex therapist, psychologist, or psychiatrist for therapy services. You may also be able to contact these mental health professionals directly.

Some symptoms of sexual performance anxiety may also point to an underlying sexual dysfunction disorder.1 If you’re unable to perform sexually for a few months, see a healthcare provider to make sure you don’t have an underlying condition.

Sexual dysfunction symptoms that warrant a visit to your primary care provider, urologist, gynecologist, or OB-GYN include:1011

  • Premature ejaculation
  • Delayed ejaculation
  • Erectile dysfunction
  • Reduced or no interest in sex
  • Vaginal dryness
  • Pain during sex
  • Inability to orgasm

Sexual performance anxiety treatment often depends on the cause, and research on the overall success of these treatments is limited. However, treatment typically involves a combination of therapy and medication.2

Cognitive Behavioral Therapy (CBT)

Talking out your feelings with a therapist is a common approach to treating sexual performance anxiety. Cognitive behavioral therapy (CBT) is a common talk therapy used to treat performance anxiety.12

CBT helps people learn to reframe negative thoughts around sex that make it difficult or impossible to perform. This helps build awareness of triggers while learning to actively dismantle and redirect them.2

Mindfulness sex therapy can also help people with sexual performance anxiety learn to understand their bodily sensations and become aware of how they react to sex. This type of therapy often incorporates CBT practices.2

Couples Therapy

Couples therapy helps people with sexual performance anxiety communicate their feelings with their partner and explore feelings that may affect sexual performance. This therapy focuses on the couple as a whole, not just the partner with sexual performance anxiety.2

This approach can help remove shame, fear, and miscommunication between couples. Couples therapy helps create an open dialogue related to sources of emotional distress or negativity while creating active solutions to solve them.2

Medication

Erective dysfunction medications like Viagra (sildenafil) and Cialis (tadalafil) may help males with sexual performance anxiety who are unable to maintain an erection. These medications increase blood flow to the penis to help keep an erection.13

Limited research shows anxiety medications like BuSpar (buspirone) and antidepressants like Wellbutrin (bupropion) and Desyrel (trazodone) can help reduce sexual performance anxiety. Unlike some anxiety drugs that decrease sexual function, these medications can affect brain chemistry in a way that may improve sexual arousal and sex drive.7

Sexual performance anxiety affects sexual performance before or during sex. If you have this type of performance anxiety, you may be unable to have sex, become aroused, or climax. Males with sexual performance anxiety often have issues with erectile dysfunction.

If you or your partner is experiencing sexual performance anxiety, having open communication and seeing a healthcare provider, like a licensed sex therapist, can help. Cognitive behavioral therapy, couples therapy, or medication may also help.

Complete Article HERE!

Lack of sex education in GOP states puts students at risk

An assortment of contraceptives such as Plan B and condoms provided by Planned Parenthood Generation Action at the Sex and Relationships photoshoot. Sex-ed is an important part of K-12 education, and the risk of losing the curriculum in schools can lead to an increase in unwanted teen pregnancies and STIs.

By Sunjae Lee

Although it may be a cliche, there is some truth to the trope ‘it takes a village to raise a child’ — whether it be through teachers, pediatricians, athletic coaches or politicians who create laws directly affecting youth. But in some states across the U.S., the adults in charge of youth policies are not doing their part in ensuring quality education for all.

According to an Associated Press article, GOP-led states are at risk of losing sex education curricula in their schools. This idea was amplified after the emergence of the “parents’ rights” movement, whose main concern is dismantling inclusive LGBTQ+ sex education. Republican leaders and parents are trying to ensure that it is the parents’ choice to allow their children to take part in any sex education.

So what can we expect in the absence of sex education at K-12 institutions if these policies are implemented?

Lack of sex education for all youth may lead to an increase in unwanted teen pregnancies and sexually transmitted infections (STIs). Since GOP state leaders tend to oppose abortion rights, minimizing unwanted pregnancy is crucial in these states to protect teens from potential physical, emotional and financial harms. In fact, teen birth rates are much higher in states that ban abortion and have minimal sex education curricula.

Moreover, the number of contracted sexually transmitted disease (STD) cases has risen again since the COVID-19 pandemic — reaching more than 2.5 million cases of syphilis, gonorrhea and chlamydia according to the CDC’s 2022 statistics.

GOP-led states are especially at higher risk; out of the top 10 states with the highest rate of STDs, eight are Republican-controlled states.

Many of the Republican voters who oppose mandatory sex education argue that it is the parents’ responsibility to determine what constitutes appropriate sex education for their children. But this begs the question: is sex education really taught at home?

According to OnePoll, one in five parents are not willing to have conversations about sexual matters with their kids at all. Even the parents who discuss sex education with their kids tend to avoid more complex topics, such as birth control and consent.

While sex education in schools is taught by qualified instructors, parents may not have the same level of professional expertise. Not only do they tend to avoid harder topics, but their own lack of education can lead to misinformation. For instance, older generations who are more socially conservative may be more likely to still believe in myths regarding sexual assault, such as victim-blaming for dressing or acting in a “sexually provoking way,” or believing that victims could have prevented it if they wanted to. A study from the International Society for the Study of Individual Differences’ journal proves that individuals with sexually conservative views are more likely to accept these myths.

Furthermore, teenagers are more likely to seek sexual information from peers and teachers than parents. We must keep these resources open, allowing for spaces where minors feel comfortable participating in honest outreach discussions.

The controversy surrounding sex education in public schools has been a longstanding issue, but it significantly escalated recently in GOP-led states due to opposition from parents and politicians who are reluctant to incorporate LGBTQ+ topics. The “Don’t Say Gay Bill” in Florida exemplifies the strong aversion for such discussions in politically conservative states. Given that the inclusion of LGBTQ+ sexual health in the curricula is the biggest concern among Republican-controlled states, should schools offer LGBTQ+ exclusive sex education to satisfy everyone?

The main reason why LGBTQ-inclusive sex education is important is that gender and sexually-marginalized youth are at a higher risk for sexual health issues such as STIs, sexual activity under the influence and dating violence.

LGBTQ+ youth are also far less likely to have open sex discussions with their parents. Even if they do, unless their parents are part of the community themselves, it is often difficult for kids to receive useful and accurate information specifically concerning their sexual health. It is important that schools protect LGBTQ+ youth by providing adequate education to prevent against poor health outcomes and lack of support within their homes.

Sex education is a shared responsibility between schools and parents. While schools need to provide children with quality health education, they also need a welcoming environment at home to seek answers. Instead, youth are struggling to find proper information in a world where open discussions about sex and sexual diversity are considered taboo. In each of our villages, adults and educators are responsible for ensuring safe environments and comprehensive education for all youth, including the LGBTQ+ community.

Since not everyone is privileged enough to receive quality sex education at home, K-12 schools provide necessary education for everyone regardless of socioeconomic status, family background and sexual orientation. When giving equal educational opportunities is the main function of primary and secondary schools, how is it acceptable to exclude one of the most important subjects?

Sex education is directly related to a person’s physical, emotional and social well-being. The World Health Organization defines sexual health as “a state of physical, emotional, mental and social well-being in relation to sexuality.” Teaching adolescents about sexual health ensures a better quality of life overall.

According to a study from the Journal of Adolescent Health conducted with adolescent women, better sexual health is associated with better social integration, higher self-esteem, less substance use and lower self-reported depression. Another study from the Frontiers in Reproductive Health Journal suggests that among male adolescents, mental and reproductive health are intertwined; poor sexual health leads to poor mental health and vice versa.

Hence, comprehensive sex education can prevent many health issues and encourage healthy habits in various aspects of life. Minimizing sex education curricula means young people who are not fortunate enough to have sexually accepting and knowledgeable parents will have to learn on their own while risking their sexual health.

Conservatives’ irrational fear of healthy relationships being formed between members of same sex and non-binary gender identities, along with their false beliefs of comprehensive sex education encouraging reckless sex, are putting children at risk — including their own. What may hurt their kids is delaying essential education, as well as restricting exposure to healthy homosexual love or confident transgender people. The exclusion of proper sex education may leave people with irreversible consequences, such as unwanted pregnancy, HIV or sexual trauma.

Children should be set up for success, not put in a position where they have to rely on misinformation or the internet to be taught healthy sexual habits.

Complete Article HERE!

What doctors wish patients knew about getting a vasectomy

By Sara Berg, MS

When discussing reproductive health choices, one procedure has been gaining attention—especially since the fall of Roe v. Wade—for its effectiveness: the vasectomy. As individuals and couples explore long-term contraception options, vasectomies have emerged as a popular choice for those seeking a permanent solution—rates have increased by 26% in the past decade. With its relatively low risks and high success rates, this procedure is reshaping conversations about family planning.

The AMA’s What Doctors Wish Patients Knew™ series provides physicians with a platform to share what they want patients to understand about today’s health care headlines.

In this installment, three physicians took time to discuss what patients need to know about getting a vasectomy. These AMA members are:

  • Jason Jameson, MD, a urologist and chief of urology at the Phoenix Veterans Affairs Medical Center, who serves as a delegate for the American Urological Association in the AMA House of Delegates.
  • Amarnath Rambhatla, MD, a urologist at Henry Ford Health and director of men’s health at the Vattikuti Urology Institute in Detroit.
  • Moshe Wald, MD, a urologist at the University of Iowa Hospitals & Clinics and an associate professor in the department of urology at Carver College of Medicine in Iowa City.

Henry Ford Health and University of Iowa Hospitals & Clinics are members of the AMA Health System Program, which provides enterprise solutions to equip leadership, physicians and care teams with resources to help drive the future of medicine.

There are seasonal spikes in vasectomies

“We sometimes see seasonal spikes in vasectomies. We see it in March and then also in November and December before the end of the year,” Dr. Rambhatla said. “We think it spikes at the end of the year because everyone has met their deductible for the year.

“In March, it’s been loosely associated with March Madness, he added, noting “the running joke is that men get their vasectomy around the NCAA basketball tournament and ask their wives for permission to lay on the couch for four straight days so they can watch the basketball tournament.”

“The other interesting thing we’ve seen is with the Roe v. Wade reversal. There are studies showing an increase in Google trends, searches and consultations for vasectomies after that,” Dr. Rambhatla said. “So, it seems like some men are more inclined to be in control of their fertility status after that ruling.”

It’s a minor surgical procedure

“A vasectomy is a minor surgical procedure, which is aimed at eventually achieving permanent birth control,” said Dr. Wald, noting “the procedure is typically performed in a clinic setting under local anesthesia, which means injection of numbing medication into the area.

“However, in some cases, based on anatomy and on the patient’s preference it could also potentially be done in the operating room under sedation or general anesthesia,” he added. “But the vast majority are being performed  in the clinic under local anesthesia.”

“The procedure involves the surgical interruption of a tube called the vas deferens. The vas deferens is the tube that drains sperm from the testicle outwards and a man typically has two of them, one on each side,” Dr. Wald said. “So, the idea is to interrupt these tubes, and then allow enough time for  the sperm that at the time of the vasectomy was already beyond the vasectomy site to wash out.”

The procedure “usually takes about 20–30 minutes. One or two small cuts are made in the scrotum with a scalpel or no-scalpel instrument,” Dr. Jameson said, noting “the vas deferens are cut and tied or sealed with heat. The skin may or may not be closed with sutures.”

But “if the vas deferens are not easy to feel due to body characteristics—obesity, previous scarring—the procedure may be more challenging to perform,” Dr. Jameson noted.

It’s OK to drive yourself home

“Most of the time patients are OK to drive themselves home after the procedure. Occasionally I’ll have some patients who are a little nervous or anxious about getting a vasectomy,” said Dr. Rambhatla. “So, we can prescribe them medication to help calm down their anxiety for the procedure.

“In those situations, they need to have a driver with them because that medicine can alter their ability to drive,” he added. “Otherwise yes, you could drive yourself home.”

Don’t be nervous, it’s straightforward

Patients “should definitely relax. It’s a straightforward, easy procedure,” said Dr. Rambhatla. “The most common feedback I get from men after the procedure is: Oh, I thought it was going to be a lot worse than that.”

“Sometimes their friends will mess with them before the procedure and say it’s going to be a terrible experience and it is just good old fun,” he said. “But most of the time, people say it wasn’t so bad and they had nothing to worry about.”

Follow up requires a semen test

A vasectomy is “not immediately effective. If you can imagine a tube through which sperm is passing, the vasectomy is basically occluding that tube so sperm isn’t passing through anymore, but there’s still sperm on the other side of that tube we’ve occluded,” said Dr. Rambhatla. “And so, all that old sperm needs to be cleared out for men to become sterile.”

“We check a post-vasectomy semen analysis about three months after the procedure to make sure all that old sperm has been cleared out,” he said. “And sometimes some men may take longer, so it can take up to six months or so to clear out all the old sperm.”

Vasectomy is very effective

It is important to note that a “vasectomy would never provide a 100% guarantee. The only way to reach a 100% guarantee of no pregnancy is simply to avoid sexual intercourse altogether,” said Dr. Wald. “Even after a man gets a vasectomy and later gets a semen test that will show no sperm cells in the semen, there is still a very small risk for an unwanted pregnancy in the future.

“That risk is estimated in many studies at one in 2,000, which is, for example, much better than condoms. But it’s not zero and never will be,” he added. “That risk of roughly one in 2,000 by most series is after a man has a post-vasectomy semen test that showed no sperm. If somebody had unprotected sexual intercourse after a vasectomy before having such semen test at all, his chances for pregnancy could be close to 100%.”

This is meant to be permanent

“The best candidates for a vasectomy are couples who are done having kids or men who may be single and know that for sure they do not want any kids in the future,” said Dr. Rambhatla. That is “because we do consider it a permanent form of sterilization. It can be reversed, but really we want people going into it with the idea of permanent sterilization.”

Dr. Wald agreed, emphasizing that “If there’s any question about that, then I would advise against the vasectomy at that particular time.”

Vasectomies don’t always work

“There is a risk of failure. Even if done by an experienced physician, vasectomies could fail. Not necessarily due to surgical error—which is a possibility,” Dr. Wald said, noting “there have been multiple studies that showed the potential reconnection that can happen.”

“Sometimes there could be microscopic channels that can sprout from one end of the interrupted tube and at least in a transient manner allow for some sperm to sneak into the other side,” he said. “The risk varies a lot depending on if the patient had or did not have a semen test following the vasectomy that was negative for sperm. If he did that, his risk for such failure is very small.”

It may be covered by insurance

“Most private insurers cover some or all of the cost of vasectomies,” Dr. Jameson said. “For men without coverage, various self-pay options may be available in certain local facilities.”

“It’s a lot cheaper for insurance to pay for men to have a vasectomy than pay for them to have another child,” noted Dr. Rambhatla, emphasizing “most insurance companies are happy to cover a vasectomy.”

Vasectomy reversals are complicated

“Vasectomies are theoretically surgically reversible. The problem is that vasectomy reversals are a very different thing,” Dr. Wald said, noting that “vasectomy reversals are true surgery performed in the operating room. It is very expensive if not covered by insurance and it does not always work, even if done by an expert.”

The success of a vasectomy reversal “depends on various factors such as how long it’s been since the vasectomy, what your fertility status was prior to the vasectomy and what your partner’s fertility status is,” said Dr. Rambhatla. “Because sometimes we see men with new partners who may have different fertility potential than their previous partner or now their same partner is older, and her fertility potential has changed.”

“And the closer you are to the vasectomy period, the better success rates with the reversal,” he said. “Generally, if this is done within 10 years, there’s a good chance that we can get sperm back in the ejaculate. But sperm in the ejaculate doesn’t necessarily translate to a pregnancy.”

There is a risk of bleeding

“From the surgical standpoint, this is a fairly small procedure, so the risks are not to the magnitude of anything life threatening, but there are certainly risks that are worth mentioning,” Dr. Wald said. “There are the most obvious risks of bleeding and infection. Bleeding, if it happens, is not even close to being anything life threatening.

“Such bleeding happens not externally, but rather internally into the scrotal sac and it could cause bruising, swelling and patient discomfort, and it can take a few weeks to gradually absorb,” he added. “It typically involves the surgical wound or the skin, but sometimes can be deeper and even involve the testicle. These are almost always managed by antibiotics, but it’s a risk.”

“The risk of bleeding with vasectomy increases with blood pressure,” Dr. Jameson said. That’s why it is important to have blood pressure controlled before getting a vasectomy.

Watch out for abnormal pain

“What is not that obvious is the risk of chronic testicular pain. I’m not referring to the obvious post-procedural pain, but a chronic condition that can last months, years or even be there for life,” Dr. Wald said.

According to the American Urological Association, about 1% to 2% of men may experience ongoing pain or discomfort, explained Dr. Jameson. The pain is often treated with anti-inflammatory medications such as ibuprofen.

“This chronic type of pain is a treatable condition, but in some men such treatment could involve surgery that could be bigger in its magnitude than the original vasectomy,” Dr. Wald said.

Men can develop antibodies to sperm

“Not all, but most men who undergo a vasectomy do develop antibodies to sperm. This is because sperm is typically separated from the immune system,” Dr. Wald said. “However, a vasectomy is one of the most common causes where sperm is exposed to blood  and the immune system, and that could lead to the formation of anti-sperm antibodies.”

“This is not something that is posing a general health concern and patients will not feel it,” he said. “But the problem is that if somebody does seek fertility later in life and undergoes a vasectomy reversal, even if the vasectomy reversal works, these antibodies do not go away and can coat sperm, slow sperm down and impair its function.”

It should not affect sex

“A vasectomy does not change sexual function. It does not protect against sexually transmitted infections,” said Dr. Rambhatla. “It’s simply a way to prevent sperm from coming out in the ejaculate.”

Additionally, Dr. Jameson noted, according to the Urological Care Foundation, that a vasectomy should also not cause any erection problems—ejaculations and orgasms should feel the same. And while there is no sperm, the amount of semen does not decrease more than 5%.

Avoid extensive activity

“Typically, if the procedure is done towards the end of the week, then the patient can simply take a long weekend and then plan to go back to work Monday,” Dr. Wald said. “It’s not something that requires you to be in bed, but definitely avoid extensive physical activity.”

That means “no heavy lifting, running. Any gym type activities should be refrained from,” said Dr. Rambhatla, noting that “walking is OK. Just no strenuous activity.”

Additionally, “men with more activity and heavy lifting at work may need more time off as you should avoid heavy lifting for a week,” Dr. Jameson said.

Address pain control

“In terms of pain control, usually most people do well with alternating between Tylenol and ibuprofen as needed,” said Dr. Rambhatla, adding that icing for the first couple days also helps.

Patients can “resume sexual activity once the pain and swelling have resolved,” he explained.

Wear snug underwear and ice area

After a vasectomy, it is common to have swelling and minor pain in the scrotum for a few days, Dr. Jameson said, noting that “wearing snug underwear or a jockstrap can help ease discomfort and support the area.”

Additionally, “patients are typically asked to wear a jock strap with a pretty bulky dressing for 48 hours, and also to ice the area intermittently for 48 hours,” Dr. Wald said.

There are other forms of contraception

“Other birth control methods include condoms or birth control pills for females,” Dr. Jameson said, noting “both of these methods are effective but must be consistently used, and the one-time cost of a vasectomy may be cheaper over time than the cost of other birth control methods.”

Additionally, “tubal ligation in females is another surgical option for birth control and is performed by gynecologists,” he said.

Complete Article HERE!

My Cervical Cancer Diagnosis Changed the Way I Think About Sex

— I’ll never approach sexual risk the same way again

By Andrea Karr

I’ve long been a fan of condom use and STI testing. I’m the woman who carries a rubber in her wallet *just in case* and heads to the lab a couple times a year to have my blood and urine screened for gonorrhea, syphilis and other sexually transmitted infections.

Occasionally, I’ve foregone the condom. I’d like a guy and we’d sleep together a few times. One night, he’d suggest that it would feel way better if we skipped protection. He’d keep the conversation light but would make it clear that we’d both have more fun if I’d loosen up. I wouldn’t want to come off as a killjoy or prude, so sometimes I’d give in. Each time it happened and I received a clear STI test afterward, I’d sigh with relief and go on with my life.

But then I was diagnosed with cervical cancer after a routine Pap test when I was 35. The fastest increasing cancer in females in Canada and third most common cancer in Canadian women ages 25 to 44, cervical cancer is almost always caused by human papillomavirus (HPV), an STI with more than 200 strains that can also cause vaginal, vulvar, penile, anal and oropharyngeal (a.k.a. throat, tonsils, soft palate and back of the tongue) cancer. HPV often has no symptoms, and cervical cancer can take one or two decades to develop after infection. Though condoms don’t guarantee protection, they reduce the risk of transmission.

Cervical cancer is no joke for a woman’s wellbeing and fertility. I was very lucky that my cancer was caught at the earliest stage: 1a1. I required two small surgical procedures (called LEEPs) to remove the cancerous cells, and now I get checkups every three months. If it was caught later, I might have needed a hysterectomy, radiation and/or chemotherapy, which could have harmed my eggs or put me into early menopause.

The phrase “it’s cancer” is something we hope to never hear in our lifetime. Those little words changed my life. As a result, I spent a lot of time looking back on my sexual relationships. I regretted ever having sex at all at first. Sex is what gave me cancer! But then I realized that just being alive carries risk, and I don’t want to avoid intimate relationships, which can be so crucial to physical, emotional and mental wellbeing, just because I could get hurt.

Instead of abstaining from sex, I decided I wanted to get educated about my risk, then develop clear boundaries that I can confidently communicate to a partner. I also want to break down the guilt or shame I feel about being a “killjoy” or “prude.” I have a great justification: a history of gynecological cancer. But no one should need a life-altering event to justify having sexual boundaries.

Still, it’s not easy. “As a woman, you’ve been told your whole life that if you stand up for yourself, if you don’t go with the flow, you are difficult, and that it’s not feminine to be difficult,” says Frederique Chabot, sexual health educator and acting executive director at national organization Action Canada for Sexual Health and Rights. She’s referring to the way most girls and women are socialized growing up. “In romantic or sexual scenarios, there are many things that can put you at risk of retaliation, of reputational damage, of harassment. There is the pressure put on women to say ‘yes,’ people asking, asking, asking, asking. That’s not consent. That is getting pressured into doing something you’re not willing to do.”

A woman's legs and a man's legs intertwined in bed

I’m now comfortable with having a detailed chat about sexual history, STI testing, HPV vaccination and condom use before I get into bed with someone. Of course, it’s not only on me. Men are at risk for HPV and other STIs too.

So far, I’ve had this conversation with two guys. One responded badly; now he has no place in my life. The second agreed to have a fresh STI test before we had sex. He also looked into the HPV vaccine, which he ended up getting, and he is okay with consistent condom use. We’ve been dating for almost a year.

I know that every woman in the world won’t share the same boundaries as me. That’s okay. But there are potential risks to sexual contact, even though our hook-up culture likes to pretend otherwise. It’s about deciding how much risk you can live with and then feeling empowered to communicate that. I won’t let my desire for acceptance compromise my sexual health going forward. I hope, after hearing my story, no one else will either.

“Instead of abstaining from sex, I decided I wanted to get educated about my risk, then develop clear boundaries that I can confidently communicate to a partner.”

Ways to be proactive

HPV vaccination

In Canada, Gardasil 9 is the go-to HPV vaccine and it protects against nine high-risk strains of HPV that cause cancer and genital warts. Health Canada currently recommends it for everyone aged 9 to 26, and it’s offered for free in schools sometime between grades 4 and 7, depending on the province or territory. Though it’s most effective when administered before becoming sexually active, it can still have benefits later in life. I wasn’t vaccinated at the time I was diagnosed with cervical cancer, and all my healthcare practitioners told me to get vaccinated immediately. The Canadian Cancer Society recommends the HPV vaccine for all girls and women ages 9 to 45Regular Pap tests

In Canada, most provinces and territories rely on Pap tests to check for cellular changes that, if left untreated, may lead to cervical cancer. Generally, the recommendation is to go to your doctor or a free sexual health clinic every three years (if everything looks normal) starting at age 21 or 25. I had no symptoms for cervical cancer; it was caught early thanks to a routine Pap test. You still need to go for regular Pap tests even if you’ve been vaccinated, you’ve only had sex one time or you’re postmenopausal.

HPV testing

Free STI tests that you can get through your family doctor or a sexual health clinic do not check for HPV. They usually test for chlamydia and gonorrhea (and maybe also syphilis, HIV and hepatitis C). If a sexual partner tells you they’ve had a clear STI panel, they’re probably not talking about HPV since it’s a test that comes with a fee.

P.E.I. and B.C. are transitioning from Pap testing every three years to HPV testing every five years. HPV testing is more accurate than Pap testing. It can detect certain strains of high-risk HPV with about 95 per cent accuracy, while Pap tests are only about 55 per cent accurate at detecting cellular changes on the cervix, which is why they need to be done more frequently.

The shift to provincially covered HPV screening in other provinces is slow. Ontario, for example, may be years away from the transition.

DIY testing

Canadian company Switch Health has launched a self-collection HPV test that can be ordered online for $99. You do your own internal swab, mail your results to the lab and get your results from an online portal—it can take as little as a week. It screens for 14 high-risk strains of HPV, including types 16 and 18, which cause 70 per cent of cervical cancers and precancerous cervical lesions. If you test positive for one of the strains, you should see your family doctor, and if you don’t have one, Switch “will work to set you up with one of our partners for a virtual or in-person appointment,” says co-founder Mary Langley.

The cost may be a barrier, plus privately purchased DIY tests aren’t supported by the infrastructure that there is for Pap testing. “There are quality control checks in place. There’s evidence review on a regular basis. Many people will receive letters from [their provincial health agency] telling them they’re due for their Pap,” says Dr. Aisha Lofters, a scientist and family physician at Women’s College Hospital in Toronto. But if you aren’t getting regular Paps because you don’t have easy access to a doctor or you’re uncomfortable going in for the test, it’s a lot better than nothing.

Complete Article HERE!

How to be a sex positive parent?

— It is important to instill sex positivity in your kids. If you have been wondering how to be a sex-positive parent, here are some expert-approved ways that can help.

By Arushi Bidhuri

Sex is a natural part of our lives and it only makes sense to talk about sexuality in all its fairness. Yes, conversations about sex are still hushed and laden with stigma, but embracing a sex-positive approach as a parent becomes an important tool to shape the future of your child. With so many sexuality terms being thrown around, it is more important than ever to be a sex-positive parent and to teach kids how to be sex-positive.

For the unversed, sex positivity is a way of being that gives importance to pleasure and freedom, instead of shame and judgment. If you are confused about sex positivity and how you can instill it in your kid’s life, read on.

What is sex positivity for children?

In the most simple terms, sex positivity is believing that sex is a positive thing in a person’s life. Psychiatrist Dr Sanjay Kumavat explains, “Sex positivity is the way children are brought up with age-appropriate and adequate knowledge about their orientation, and the concept of sex. This comprises knowledge sharing with respect to sex organs, the importance of healthy relationships, all aimed at letting them know about sexuality positively.”

What makes a parent sex-positive?

There is never a right time to have the “talk” with your kid. However, it is still important to know that you must not avoid talking about sexuality with your children. It is important for their overall development. For a parent to be sex-positive, they need to be comfortable and have a clear understanding of what sexuality means.

“Sex-positive parents are not embarrassed to talk about sexuality openly and adequately. Adequate is the word I emphasise, because it should not be too much or less, and they should not be embarrassed about communicating about these issues. They should start talking as soon as the child starts developing secondary sexual characters, and when they see that the child is showing some interest in sexuality, like showing interest in cross-gender relationships and friendships,” says Dr Kumavat.

How to be a sex-positive parent?

If you have been wondering how to be a sex-positive parent without going overboard, here’s what you can do.

1. Have open communication

The first thing is to be open to your children by communicating your ideas and thoughts clearly. Be very open and always watch for the signs that your child is showing some interest in sexuality.

2. Do not judge

Parents should not suppress children. If they ask you queries, be open to clear their doubts. Even if parents find the queries stupid or which will require too much information sharing, the doubts shouldn’t be suppressed. Keep communicating with children and give them adequate information by resolving their queries and avoiding snapping at them, advises the expert.

3. Teach them about consent and safe sex

Make them aware of being guarded about sexuality, and the precautions to be taken. Talk to them particularly about sexuality under the influence of drugs and alcohol, or sexuality crossing the limits, which is not age-appropriate. Talk about appropriate touch, and how it should be an act of respect and compassion.

Also Read: 5 things to know about condoms to avoid unwanted pregnancy

4. Be vigilant

With so much information available, it can be confusing for kids to know what information they should consume or avoid. One of the biggest influences on kids these days is social media. Make sure that you know the kind of information your child is consuming through these platforms. Give them some guidance about what the problems are with believing things on this website, and the misinformation that is shared, recommends Dr Kumavat.

5. Limit internet access, but do not judge

It is important to help your child understand the ways to separate right from wrong. You have to make sure your kids are not hooked or addicted to certain kinds of inappropriate sites. Such kind of openness and guardedness also should be there as necessary. Don’t give too much access to the Internet – it has to be monitored and a judicious approach must be taken when giving internet access, says the psychiatrist.

Takeaway

Being sex-positive means that you think of sex as a positive thing and do not associate it with shame and guilt. It is vital to instill these values in your child to make sure they do not judge the world too harshly or feel judged for the choices they make. Your child should feel comfortable talking about sexual matters, feelings they get, ideas or thoughts that cross their mind, or how someone’s touch makes them feel. They should be able to define sexuality in a positive sense – one that allows them to be free and not caged. And there is not a better feeling for a parent to help their child understand who they are and be true to themselves.

Complete Article HERE!

How to Have Less Awkward Shower Sex

— These are the best positions (and toys) to try for less awkward sex in the shower.

By Brianne Hogan

The fantasy of shower sex (hot and steamy) typically doesn’t live up to its reality (damp and slippery, and maybe even a little dangerous). Like sex on the beach, shower sex sounds sexy in theory but is more often than not an uncomfortable and awkward experience.

“A lot of people see shower sex in the movies and think it looks great, but when they try it, they feel a bit let down,” erotic film director Erika Lust of ERIKALUST says. “From personal experience and through directing sex scenes in my films, there are a couple of reasons as to why it may get a bad reputation. One, the setting isn’t right. The shower may not have any handles or anywhere to lean or grab, making it a bit awkward and restricting positions. Two, It’s too built up. It’s better to not have any expectations and go with the flow. Don’t get caught up on what it should look or be like. And three, foreplay is skipped. People can get too excited with all that’s going on around them that they skimp on foreplay. Foreplay is a really important step to build intimacy and excitement, and shouldn’t be skipped.”
But still, all this yearning for toe-curling shower sex can’t be all for nothing.

“Taking a shower together is a really intimate and sometimes vulnerable moment,” Lust says. “Especially washing each other. And intimacy is hot. It’s also, for many, something new and exciting—there is something about the water, the skin-on-skin contact and the closeness that just makes shower sex so hot.”

Maybe it won’t be as seamless as movies make it out to be, but according to experts, shower sex can still be an orgasmic experience for some with the right preparation and positions.

How to have safe shower sex

Before you rub soap all over your partner’s body as foreplay, intimacy expert Kiana Reeves says the biggest key in making any sexual experience enjoyable is communication and comfort with your partner(s). “You want to make sure you and your partner feel comfortable with a shower sex session, and it can even help to discuss beforehand any positions that would make you uncomfortable, along with any potential safety considerations,” she says.

Also, if you’re in need of birth control, Zach Zane, sex and relationships expert at Fun Factory, says IUDs and daily birth control medications are effective for birth control in the shower, and while condoms can indeed be effective too, “they are more likely to tear or break if you are not using silicone-based lube, so we highly recommend using silicone lube for shower sex.”

Speaking of lube, Zane says what most people are doing wrong in the shower is not using any lube or using the wrong kind of lube. “Water is actually not a lubricant,” he says. “Think about it; when you use water-based lube, it’s not just a bottle of water. There are other ingredients in there that make it more viscous and last longer. When having shower sex, you really need to use lube, and you should consider using silicone-based lube (or oil-based) lube because the shower water won’t wash those types of lubes off easily. Shower water will quickly wash away water-based lube.” However, he notes that “oil-based lubes are not compatible with condoms.”

Best positions for sex in the shower

Because you’re working in a tight space with less surface area to balance on, finding a good position can be awkward for most of us. “I’ve found it’s helpful to go into the experience with an exploratory mindset, so it gives you the freedom to try out different positions and explore what works and what doesn’t,” Reeves says. “It’s totally normal for it to take a few positions or pleasure seshes to find one that feels ‘right,’ so going in with that mindset can help alleviate any awkwardness or self-consciousness you might feel. But it’s still normal for things to need some practice to work themselves out!”

No matter how you’re positioning yourselves, Lust recommends using a non-slip mat, and to make use of shelves or handles to grab onto for extra stability. Also, “Use the shower head,” she says. “Most of us are no stranger to using a shower head for pleasure; in fact it was probably a lot of peoples first sex toy. If possible, detach the shower head and use it to pleasure the other person and lightly tickle their genitals.”

To help get you started, Lust suggests try standing. “It’s simple but very enjoyable,” she says. “Have one person lean against the shower wall while the other penetrates from behind. This is great because you can position the shower head to trickle water down the back.”

If possible, she also suggests taking a seat. “Whether on the edge or on the shower floor, this will allow one person to straddle the other with minimal risk of slipping,” Lust says. “Maybe position the shower head slightly away so it isn’t restricting anyones eyesight.”

Finally, if you find that you can’t find a position that feels good for penetration, Reeves suggesting trying oral or hand sex.

Best toys to use when having sex in the shower

Toys can be another great way to experiment with shower sex. Zane recommends the BOOTIE RING, which is a butt plug connected to a cock ring. “I’d insert the toy before heading into the shower. And then, the cock ring portion of the toy will help you sustain an erection,” he says. Additionally, he likes the B BALLS DUO, “a weighted butt plug that you can insert before having shower sex for additional pleasure.”

For those into pegging, Lust suggests trying SHARELITE. “It is completely waterproof as it is made out of body-safe silicone,” she says. “The beauty of SHARELITE, is that it is a harness-free dildo so there are no straps getting wet and potentially chafing.” Another toy Lust recommends is Maya by Love Not War. “It is a recycled bullet that is 100% waterproof, with a tapered tip made for exploring,” she says. “Since this toy is made of aluminum, it is great for temperature play too. The head unscrews and can be submerged in hot or cold water.

Complete Article HERE!

33 ways to have better, stronger orgasms

— Everything to know about the 11(!) types of orgasm.

By , and

Look, everyone wants to have a mind-blowing orgasm every time they have sex. But unfortunately, it’s not always that easy.

Only about half of women consistently climax during partnered play, and nine percent have never orgasmed during intercourse, per one study published in Socioaffective Neuroscience & Psychology. (Worth mentioning: The percentage of pleasure-seekers who do consistently O during sex is higher for women in same-sex relationships.)

So, why is the orgasm gap so big? For one thing, your entire body has to be ~in the mood~ when you’re attempting to orgasm, says Donna Oriowo, LICSW, CST, a certified sex therapist and owner of Annodright based in Washington, D.C. ‘Orgasms require both the physical and the mental, emotional component,’ she adds. This, along with a few other reasons (that Women’s Health will get into below!), can make them hard to come by.

If this gap sounds all too familiar, you don’t have to feel like all hope is lost. Here, sex experts explain everything you need to know to have an orgasm, whether you’re trying to ring the bell for the first time or take your O to another level of pleasure.

What’s an orgasm, exactly?

Let’s start with a basic definition. ‘Clinically, an orgasm is the rhythmic contractions of the genitals,’ Jenni Skyler, PhD, an AASECT-certified sex therapist and director of the Intimacy Institute, previously told Women’s Health US. It’s marked by vaginal contractions, an increased heart rate, and a higher blood pressure.

But how an orgasm feels, exactly, will vary from person to person. Skyler typically describes it as a ‘pinnacle of pleasure, or the capacity for the whole body and genitals to feel alive and electric.’

What are the different kinds of orgasms?

Each type of orgasm is named for the body part that’s stimulated in order for them to occur, including:

Clitoral Orgasm

The clitoris is the small, nerve-dense bud at the apex of the labia that serves no function other than to provide sexual pleasure (!). When orgasm happens as a result of clitoral stimulation—be it from your partner’s hands or tongue, or a clitoral vibrator—it’s called a clitoral orgasm. FYI: This is the most common type of orgasm for those with vulvas, says Ian Kerner, PhD, LMFT, a certified couples and sex therapist based in New York, New York, and the author of She Comes First.

How to have a clitoral orgasm:

  • Use lube. Remember: the clitoris is sensitive. If there’s not proper lubrication, ‘you can cause [yourself or your partner] pain unnecessarily,’ Oriowo says, especially if you start off using lots of pressure. Which brings me to…
  • Start slow and gentle. Add gradual pressure and stimulation as time passes. Feel it out, literally. That way, you can let your orgasm build and avoid experiencing any pain or discomfort.

Vaginal Orgasm

Less than one in five of those with vulvas can orgasm from vaginal intercourse alone, according to the Mayo Clinic. If you have an orgasm from vaginal penetration, without any direct clitoral stimulation, that’s a vaginal O!

How to have a vaginal orgasm:

  • Lube, lube, and more lube. Again, use lube to minimise any discomfort or irritation, Oriowo says. There’s nothing worse than *that* burning feeling that can result otherwise.
  • Find the right rhythm. Whether you’re solo or partnered, you’ll want to figure out what you like, and then (if you are with someone else), communicate your preferences. Then, the name of the game is ‘maintaining the rhythm when the person is having an orgasm—don’t change it up,’ Oriowo says.

Cervical Orgasm

Your cervix is the vaginal canal’s anatomical stopping sign. Located at the wayyy back of the vaginal canal, the cervix is what separates the vagina from your reproductive organs. But beyond just what keeps tampons from traveling into your bod (#bless), the cervix can also bring on some serious pleasure when stimulated.

How to have a cervical orgasm:

  • Be gentle. Since a lot of people can experience pain in this area, again, it’s best to start gently. If you experience any new sensations while dabbling in cervix play, make sure that they’re not painful, Oriowo adds.
  • Use a toy. Sometimes, a penetrative vibrator can hit those deep spots that a human being can’t. ‘A toy can shake things up with the cervical orgasm,’ she says.

G-Spot Orgasm

Often described as feeling more full-bodied than clitoral orgasms, G-spot orgasms occur from stimulating the G-spot, a nerve-packed patch of sponge located two (ish) inches inside the vaginal canal.

How to have a G-spot orgasm:

  • Warm yourself up. Use your fingers and warm up by touching (or having a partner touch) the G-spot area to prepare for deeper penetration, Oriowo says.
  • Move with purpose. If your goal is a G-spot orgasm, the same-old, same-old moves might not work. Instead, practice ‘picking your positions in a way that will help you to really get to the G-spot,’ she adds.
  • Nipple Orgasm

    A nipple orgasm is ‘a pleasurable release of sexual arousal, centred on nipple stimulation and not caused by stimulating the clitoris [or penis] directly,’ Janet Brito, PhD, a nationally-certified sex therapist and the founder of the Sexual Health School in Honolulu, Hawaii, previously told Women’s Health US.

    How to have a nipple orgasm:

    • Use a toy. ‘There are so many nipple toys that I think get left in the dust because we tend to buy toys for our genitals, but not necessarily our nipples,’ Oriowo says. So, invest in some nipple clamps or even a clit-sucking toy that you can use in *both* places.
    • Dabble in sensation play. It doesn’t have to be with a traditional toy, either. Ever tried a feather? An ice cube? You’ll def want to try different things to ‘enhance the pressure that we receive in that area,’ Oriowo adds.

    Anal Orgasm

    An anal orgasm is exactly what it sounds like: any kind of orgasm that ensues from anal stimulation. For some, this means stimulation of just the external anus (for instance, during a rim job). And for others, it means stimulation of the internal anal canal (for instance, with anal beads, a penis, or finger).

    How to have an anal orgasm:

    • Rimming = your best friend. Rimming, or analingus, is the act of someone performing oral sex on the ‘rim’ of the anus. It’s an important part of anal play because many of your nerve bundles are around the opening of the anus, not deep inside it, Oriowo says.
    • Ease into it. If you’re new to anal play and you’re interested in using toys, you’ll generally want to use something the size of a finger, Oriowo says. (And not the size of a penis!) And, of course, use lube. ‘However much lube you thought you needed… put a little bit more,’ she says.

    Blended Orgasm

    This is any orgasm that comes from stimulating two or more body parts. Nipples + anus = blended orgasm! Clit + vagina? Also a blended orgasm. ‘Bringing in sensations to the other areas of the body can also help to increase the strength of any orgasms,’ Oriowo adds. So, blended orgasms might feel extra intense.

    How to have a blended orgasm:

    • Be intentional upfront. Ask yourself which areas you want to stimulate, Oriowo says. If the clit is too sensitive for dual stimulation, for instance, target the G-spot or cervix instead, and add in some nipple play, too.

    Oral Orgasm

    An oral orgasm can be induced by someone going down on you, and it requires a couple of things, Oriowo says. For instance: Awareness of the giver’s lips and teeth, which can ‘enhance the sensation that a person is experiencing,’ she explains. So, you may want to graze your teeth along someone’s clit, but you defs won’t want to bite them—accidentally or not. (Ouch!)

  • Also, ‘paying attention to what your partner is responding to’ is super important, she adds. ‘If they’re saying they’re about to have an orgasm, continue doing what you are doing at the same pace and pressure.’ Noted.

    How to give an oral orgasm:

    • Incorporate teasing. Yup, sometimes just the anticipation of physical sensation can be enough to increase someone’s arousal. Try just ‘whispering near the vagina, but not quite touching it,’ Oriowo recommends, then move from there.
    • Use your tongue. ‘You can do oral in so many different ways,’ Oriowo says. Maybe you try light, tickling touches with the tip of your tongue, interchanged with a broad, deep stroke with your entire tongue.

    A-Spot Orgasm

    The A-spot is between the vaginal opening and the bladder, ‘about two inches higher than your G-Spot, along the front vaginal wall,’ Oriowo says. You know how you have some spongy tissue in your G-spot area? Well, the A-spot is a bit deeper. If you can’t feel it, that doesn’t mean it’s not there, she says—it just means that your A-spot might not be as sensitive.

    How to have an A-spot orgasm:

    • Incorporate a toy. Because this area is deeper than the G-spot, you might want to use a toy to reach it rather than a finger. Still, you can try to move your fingers from side to side (rather than a penetrative in-and-out motion), and you might be able to find the A-spot better.

    U-Spot Orgasm

    The U-spot orgasm is a urethra-based orgasm, Oriowo explains. Therefore, her biggest tip is to be gentle when stimulating the area, then listen to what your partner is requesting (or what your body is telling you, if you’re going solo). After all, ‘this is the area where urine exits the body,’ she says. (Oh, and you’ll definitely want to lube up, too.)

    How to have a U-spot orgasm:

    • Start with fingers. This tip especially applies to those who are just starting to explore the area. ‘The fingers give you a little bit more control,’ she says. Oriowo also recommends exploring down there by yourself first before doing so with a partner. ‘Then, you know what kind of pleasures you’re already capable of,’ she adds.
    • Then, show and tell. After you’ve gotten the swing of things, guide your partner through the process so they don’t end up accidentally hurting you. That way, they can learn ‘how to do it on their own without your guidance eventually,’ she continues.

    Exercise-Induced Orgasm, or Coregasm

    Amazing news for anyone who loves working out: Some people are able to engage the core and pelvic floor in a way that will result in an orgasm. ‘Orgasms are created through the increase in tension and then its release,’ Oriowo says. ‘Engaging your abdominal muscles, often [is] going to be pulling on, or stimulating, the pelvic floor muscles, as well.’ And the rapid release can create a beautiful O.

    Can I have multiple orgasms in a short time period?

    Yes! This happens when you’re in a semi-aroused state and your genitals are resting a bit, Kerner says. ‘Assuming you potentially transition into the right kind of foreplay activities, you would be primed to experience genital stimulation again that would result in a second orgasm,’ he explains.

    Anyone can have multiple orgasms, but it does depend on the person—some people are more likely to have multiple Os than others, Brito says. And again, depending on the person, their second (or third) orgasm after the first may or may not feel as powerful.

    Jennifer Wider, MD, a women’s health expert, author, and radio host, encourages practicing Kegel or pelvic floor-strengthening exercises to strengthen your pelvic muscles in pursuit of an orgasm. By doing these contractions during the initial orgasm, a second or third may be possible, when combined with stimulation to another area.

    ‘Remember, the clitoris is usually a bit sensitive after the first orgasm, so moving to another erogenous zone and going back to the clitoris after a short break can help,’ she says.

    How to have an orgasm:

    Achieving consistent, mind-blowing orgasms is kind of like winning the lottery. Sounds amazing, but basically a pipe dream, right? With these little tricks, it doesn’t have to be.

    1. Prioritise cuddling.

    In the name of boosted oxytocin, rather than saving spooning for after sex, spend some time snuggling up pre-play.

    Known as the ‘love hormone,’ oxytocin might be the key to better orgasms, according to a study in Hormones and Behavior. The study found that couples who received oxytocin in a nasal spray had more intense orgasms than couples who took a placebo.

    Since you probably don’t have oxytocin nasal spray on your nightstand, try giving yourself the same jolt of the hormone naturally by hugging, cuddling, or making other gestures to show your love to your partner. Your post-cuddle O might just surprise you.

    2. Don’t skip right to penetration!

    According to Kerner, having an orgasm requires a few key ingredients:

    1. Vasocongestion (i.e. blood flow to your pelvis);
    2. Myotonia (muscular tension throughout your body);
    3. The brain’s natural opiate system being turned on (because it triggers oxytocin)

    The best way to get these ingredients? ‘Gradual[ly] building up arousal, rather than a race to orgasm,’ he says. In other words, slow down and build both physiological and psychological arousal. Trust, the end result will be worth the wait.

    3. Focus on positions that favour the clit.

    Wider suggests focusing on sex positions that directly stimulate the clitoris during penetrative sex. ‘That can provide a consistent orgasm in the majority of [people with vulvas],’ she says. Try rider-on-top, which allows you to grind your clit against your partner, or rear entry, with you or your partner stimulating your clitoris. Kerner agrees that being on top generally makes it easier for people with vulvas to cum.

    4. Use a vibrator.

    Vibrators are literally made to help you orgasm, after all. ‘Vibrators increase the frequency and intensity of orgasms—whether you’re alone or with a partner,’ says Jess O’Reilly, PhD, a Toronto-based sexologist and host of the Sex with Dr. Jess podcast. She suggests starting with a vibrator that will target your clitoris, G-spot, or both. A few to get you started:

    5. Think about your cycle.

    If you feel like your orgasms have been meh or not even there lately, consider trying to time sex around your cycle. Generally, your libido peaks during ovulation—that’s about two weeks before your period shows up—so the chances of having an orgasm will go up during this time period, Wider says. ‘There may be an evolutionary basis for this, because those with vulvas are most fertile at this time during their cycle,’ she adds.

    FYI: This is especially important if you’re exploring cervical orgasms. That’s because, as O’Reilly previously told Women’s Health US, some people are more likely to have cervical orgasms during ovulation. If having your cervix touched feels painful but you’re still curious, try it during a different time of the month to see if it feels better.

    6. Make sure you have lube on hand.

    Lube reduces uncomfortable friction and allows you to ‘safely engage in a wider range of acts, techniques, and positions,’ O’Reilly says. Not only that, it also ‘leads to higher levels of arousal, pleasure, and satisfaction,’ she says.

    7. Whip out a fantasy.

    Adding a little psychological stimulation to the equation can help enhance physical stimulation, which is why Kerner recommends fantasising on your own or with your partner. ‘Fantasy is also a powerful way to take your mind off other stressors or any other anxieties you may be experiencing,’ he says. And, for the record, ‘it’s okay to fantasize about someone other than the person you’re having sex with,’ Kerner says. (Maybe just keep that info to yourself, though.)

    8. Try sensation play.

    ‘The simple act of turning off the lights, closing your eyes, using a blindfold, or wearing sound-canceling headphones can help you to be more mindful and present during sex—and lead to bigger, stronger orgasms,’ O’Reilly says. ‘This is because the deprivation of one sense can heighten another, so when you remove your sense of sight or sound, you may naturally tune into the physical sensations of the sexual encounter.’ But before you tie an old tube sock around your boo’s eyes, just be sure to ask for consent first.

    9. Feel yourself up in the shower.

    Sure, you shower to get clean, but you can also have some fun when you’re in there. ‘It’s very simple: As you shower, rather than touching to wash yourself, take one minute to touch for sensuality and pleasure,’ O’Reilly says. ‘Feel your skin, take a deep breath, and bask in the heat and warmth that surrounds your body.’ This can help you de-stress and get in touch with what feels good to you—and that can do you a solid when you’re in bed later, she says.

    10. Take an orgasm ‘break.’

    On a similar note, ‘sometimes taking a masturbation and orgasm break for a day or two can be a good “refresh,”‘ Kerner says, noting that people sometimes ‘report stronger orgasms during masturbation after taking a short break.’ If you can, try taking sex or solo love off the table for a day or so and see where that gets you. A simple reset may be just what you need to ramp things up.

    11. Make the most of *that* time of month.

    Raise your hand if Os are, like, significantly better on your period. (My hand is all the way up.) While that may not be the case for everyone because orgasms feel different for every person, it’s good to take note of when your Os feel the best. ‘Some people do say that they’re more likely to feel aroused before their period or during their period, and that might have to do with hormones, but then other people say that’s not true for them,’ Brito says.

    As an added bonus, period sex has the power to literally make you feel better physically. ‘Orgasm has analgesic effects,’ Kerner adds. ‘If you experience sometimes pain or heavy cramping or even headaches during PMS, orgasm could actually help to relieve some of those symptoms.’

    12. Make your fave positions feel that much more intense.

    Stick to your fave sex positions, but get your clit in on the action with the help of a clitoral vibe. Or, take matters into your own hands by bringing your digits downstairs.

    ‘A nice combination is pressure and friction against the glands of the clitoris,’ says Kerner. ‘That is sometimes why a combination of external and internal stimulation can really enhance and get the most out of the potential for orgasm.’ Make sure your focus is within the first few inches of the vaginal entrance, he says.

    13. Be present.

    It can be super easy to get distracted before or during sex. But the best Os come from when you (either alone or with your partner) are in the mood for it.

    ‘The main thing that can affect a woman’s orgasm is not being fully absorbed or present—fully absorbed in the flow of the sexual experience or having that flow interrupted,’ Kerner says. So, try your best to get rid of distractions or other environmental factors.

    You can also practice some mindfulness before you head to the bedroom…

    And on that note, make sure you and your partner’s arousal is synced up. To do that, communicate before, during, and after sex to make sure the experience is going well for all involved.

    14. Don’t let intercourse be the main event.

    Outercourse, which is exactly what it sounds like—everything but penetration—deserves just as much attention, if not more. Make sure there’s a healthy balance of outercourse versus intercourse during sexy time. ‘There’s lots of outercourse positions that provide better or more higher quality clit stimulation,’ Kerner says. ‘That’s gonna generate an orgasm.’

    15. Practice positive handwriting.

    Communication is everything in relationships, and when it comes to sex, it’s even more so. Positive handwriting is when you help guide your partner’s hand around your body, showing them how you like to be touched rather than have them try to guess how you like it.

    ‘That teaches them the rhythm that you want or the circular motion or the speed,’ Brito says. ‘By you knowing yourself, you’re able to teach your partner how to do it for you.’

    16. Take the pressure off of being goal-oriented.

    Obviously, everyone wants to experience ~the big O~, but TBH, just being along for the ride is fun enough. When you have a goal, you’ll automatically feel more under pressure, and sex is supposed to be fun, not stressful.

    ‘The main thing is not having that as a goal in mind,’ Brito says. ‘When it becomes more goal-orientated, it gets a little bit bit harder to do that because now you’re in a performance mode.’ Try to focus on the sensations you’re feeling instead.

    17. Try yogic breathing.

    ‘Some people have luck elongating their orgasm through breath work,’ Wider says. For a longer and stronger orgasm, she suggests yogic breathing, which is a breathing technique used in yoga where you control your breath according to postures.

    Wanna DIY? Take a longer breath right before you climax and then breath through the orgasm instead of holding your breath during it, Wider recommends. That ‘may actually extend the length of it,’ she adds.

    18. Figure out what kind of foreplay you like best.

    This extends your level of arousal, Kerner says. Touching, talking dirty to one another, feeling up your erogenous zones, role playing, and sharing fantasies can all help draw out the period of foreplay and in turn, help make your orgasm *that* much better. You can also try getting in ~the mood~ by listening to a sexy audiobook, reading something, or watching porn, if that’s not usually your vibe.

    ‘For some people, it might help them to engage in some type of erotica,’ Brito says. ‘That can help someone have a better orgasm because their mindset is there.’

    19. Make it a full-body experience.

    Don’t just focus on the downstairs neighbor. ‘You wanna be able to activate the nerve fibers throughout your body that are sensual and respond to stimulation—so you don’t wanna just start with your genitals, you wanna start with a more full-body experience of yourself,’ Kerner says.

    Whether it’s really engaging all of your senses or experiencing with touching different parts of yourself, like your nipples, don’t count any body parts out.

    20. Don’t shift your stimulation right before you’re about to orgasm.

    Kerner says it’s a common instinct to do something different right before a woman reaches orgasm, like shifting their position or way of stimulation. ‘That can really interrupt the orgasm itself in ways that might make it harder to get back on track,’ he says. ‘It’s important that whatever is happening that is generating orgasm, that that continues in a consistent, persistent way.

    So, figure out what your partner likes, and if it’s going well, follow through!

    21. Lean into pregnancy sex.

    Like ovulation orgasms, pregnancy orgasms have the potential to feel *real* good. ‘There’s so much blood that’s sort of just pulling in the pelvis and in the genitals, and so much of arousal is about blood flowing into the genitals,’ Kerner says. So pay attention to those pregnancy Os, because they might be higher quality than during other times, he says.

    22. Remove judgment.

    It’s easy for people to feel shame or guilt around masturbation, sex, or general sexual pleasure depending on one’s upbringing, Brito says.

    ‘Ideally, you’re approaching your body in a loving, caring, compassionate way and being very curious and open to exploring your body parts, including your erogenous zones,’ she adds. ‘It’s like, ‘This is another body part, and I’m open to exploring this area in a loving way.’ It’s a form of self-care.’

    And she’s right—it’s your ‘you’ time! Make sure you have a healthy mindset so you can fully enjoy it.

    23. Be aware and vocal of how the sensations feel.

    It’s easy to get out of sync with your partner during sex, so make sure you’re on the same page by communicating. ‘Sometimes sex is painful and a woman isn’t aroused enough, or the sex causes some kind of pain,’ Kerner says. ‘Generally, men don’t experience sexual pain during sex in the way that women can.’

    If anything isn’t feeling right, make sure to be assertive about it with your partner.

    24. Don’t be afraid to step outside your comfort zone.

    In addition to removing judgment from your mindset, you’ll also want to stay curious and open-minded when it comes to exploring your body, whether it’s with a partner or not. If you’ve always been a little intrigued by anal toys or BDSM, consider tapping into something new. After all, sometimes the most unexpected things give you the greatest Os. (And you can quote me on that.)

    25. Combine types of touch.

    Didn’t you hear? Only stimulating the vagina is, like, so yesterday. Combining different types of touch can look different for everyone—it could be using your hands to stimulate your nipples while you’re getting fingered, or fully using a sex toy while getting massaged all over your body. ‘The more types of touch you engage in, the more intensive it could be,’ Brito says.

    26. Embrace the mini Os.

    Sometimes, people with vulvas experience ‘wavelike feelings of orgasms, or mini orgasms sometimes leading up to an actual physiological orgasm,’ according to Kerner. Often, they think they’re having multiple orgasms, but they’re actually just little peaks and highs before the climax. And they still feel great, so be on the lookout (feel-out?) for any feelings representative of that description.

    27. If you’re not feeling it, consider why.

    Sex is never fun if you aren’t feeling good about yourself, and self-esteem issues are a particular roadblock on the way to an orgasm, Kerner says. If you suddenly aren’t in the mood or you’re feeling bad about yourself mid-act, think about why, and try to get to the root of the issue.

    28. Invest in a new toy.

    Sometimes you gotta mix it up—I get it! If you’ve had a bullet vibrator for while and you’re ready to jump into more intense toys head-on, go for it.

    The type of vibrator you try will depend on the type of stimulation you enjoy—and the type of orgasm you’re interested in exploring. A vibrating butt plug or string of vibrating anal beads will bring a whole lot of ‘oh baby!’ to your backside, while vibrating nipple clamps will make you tingle and giggle without any between-the-leg lovin’.

    29. Use lube on more than just your downstairs area.

    If you’re willing to get a little creative, lube can seriously elevate your sex game in surprising ways. Try to lube up your favorite toy before some solo sex, or even use some on your nipples. Just remember not to use oil-based lube with condoms (it’ll disintegrate the latex) or silicone-based lube with silicone toys (it’ll damage your toys and cause an environment rife for bacteria), Jordan Soper, PsyD, CST, an AASECT-certified sex therapist and licensed psychologist previously told Women’s Health US.

    30. Maintain stimulation throughout the entire O.

    It might sound obvious, but make sure to keep the stimulation going until you know it’s over. ‘Maintaining stimulation through an orgasm, the entirety of an orgasm can get the most out of the duration of an orgasm,’ Kerner says. Longer orgasms? Yes, please.

    31. Tighten your pelvic muscles.

    This tip is especially helpful for G-spot orgasms. ‘The G-spot is located inside the vagina up toward your navel,’ Wider says. Not only will firm, deep penetration help to hit the spot, but also, some [people with vulvas] find it’s helpful to tighten their pelvic muscles during rhythmic sex,’ she adds. Again, you can try Kegel or pelvic floor-strengthening exercises to help this area.

    32. Try edging.

    Edging is when you’re masturbating or engaging in sexual activity, creating a buildup, and stopping before you orgasm, then continuing the cycle over again. Literally, what’s hotter than bring yourself and/or your partner to almost climax, but then not allowing yourself or them to? Sheesh. ‘That can definitely make you have a more intense orgasm,’ Brito says.

    33. Know your body.

    At the end of the day, you know your own body best. Sex toys aren’t for everyone, just like manual stimulation isn’t for everyone, either. Take time to be with yourself and figure out what you like best to maximize your experience, either alone or with partner(s). ‘Do what works for you, arousal levels should build gradually—some [of those with vulvas] enjoy manual stimulation, others prefer toys,’ Wider says.

    Once you know what you like, you can help others in assisting to give you your best orgasm yet.

    Frequently Asked Questions

    Is there a difference between a ‘male’ and ‘female’ orgasm?

    First off, people with vulvas *can* ejaculate through the form of squirting. However, they ‘can both squirt and have an orgasm at completely separate times,’ Oriowo explains.

    On the other hand, people with penises typically experience orgasms that include ejaculation a majority of the time. It is possible for them to have an orgasm without ejaculating, she says—it’s just rarer. Also, some might say that it’s ‘easier’ for those with penises to orgasm than those with vulvas, which leads me into the next question…

    What is the ‘orgasm gap’?

    This is the difference ‘between how often men have orgasms versus how often women who have sex with men have orgasms,’ Oriowo says. ‘Women who have sex with women are more likely to have orgasms than women who have sex with men.’

    I don’t think I’ve had an orgasm before—what can I do?

    There are a few things to get you started.

    Get psychological.

    Aside from exploring your body—likes, dislikes, the whole shebang—’sometimes, we are having mental emotional hangups that are preventing us from being able to connect with our bodies,’ Oriowo adds. For instance, sometimes shame plays a role when you first start to masturbate, she says.

    If it’s affecting you, she recommends looking into therapy or using a workbook or guide that goes over those feelings. Overall, you’ll want to think about the narrative you have around pleasure, masturbations, and orgasms that are preventing you from being able to have one.

    Consider your lifestyle choices.

    Both smoking and drinking a lot of alcohol can negatively impact your ability to experience orgasms. Smoking can affect your circulation, and increases the risk of erectile dysfunction for men. Because people with vulvas have similar tissue sets, especially in the clitoris, ‘that is going to impact the sensations that you’re having and the blood flow to your own clitoris,’ which is what causes an orgasm to feel so good.

    Alcohol, on the other hand, impacts the ability to feel sexual stimulation. So, maybe skip that third pre-sex glass of wine, and instead fully feel the sensations that might lead to an orgasm.

    Hydrate, hydrate, hydrate.

    Yup, you can add better chances of orgasming to the long list of positive effects that hydration has on the body. ‘Hydration really helps with best orgasm results,’ Oriowo says. ‘We are literally walking around here dry, wanting our bodies to perform at peak levels for our orgasms—but lack of hydration can also lead to lack of vaginal lubrication, natural lubrication.’ So, drink that water!

    Drinking enough water will also help blood flow and your muscles will be hydrated enough to move, both of which will help your orgasm. Wins, all around!

    Complete Article HERE!

Here’s how to tell if a throuple might be right for you

— It’s not the same as an open relationship.

By and

The beautiful thing about non-monogamy is that it can take on many, varied forms: A non-monogamous dynamic can look like one polyamorous person having multiple romantic and sexual partners, or several individuals all in a non-hierarchical relationship together. One term you might’ve heard is ‘throuple,’ or triad, which describes a certain kind of committed relationship structure between three people.

Not to be mistaken for an open relationship (where people in a relationship have sex with people who are not their partner) or a threesome (sex between three people), a throuple is a balanced, consensual, and committed relationship. And while the term might be new to you, there’s nothing new or unusual about the concept, says Ann Rosen Spector, PhD, a clinical psychologist in Philadelphia. ‘It’s totally possible to be in love with more than one person at one time,’ she says.

So, what is a throuple, exactly—and what should you know if you’re interested in being in one? Read on for the full lowdown, according to therapists and social workers who work with polyamorous folks.

What is a throuple relationship?

A throuple, or triad, is a balanced, consensual, and committed relationship between three people. ‘What it means is that each person is in a relationship with another—it’s a three-way relationship,’ says Carolanne Marcantonio, LCSW, an AASECT-certified sex therapist with Wise Therapy in New York.

Like a couple, or a relationship between two people, the members of a throuple might have a ‘closed’ relationship, or an ‘open’ one. In some cases, ‘one person could be open to dating others, but another person in the triad isn’t,’ Marcantonio adds. ‘It really just depends.’

Different people in different dynamics might have their own definition and rules for the three-way relationship, so if you meet someone in a triad (or you’re about to join one!), it’s always a good idea to clarify what being in a throuple means to them.

What’s the difference between a throuple and other forms of polyamory?

Anything that isn’t a monogamous, exclusive, two-person relationship falls under the non-monogamy umbrella, says Anna Dow, LMFT, a therapist with Vast Love. And there are infinite types of polyamorous relationships, adds Marcantonio: ‘The sky’s the limit.’

Here are a few more polyamory-related words to know:

  • Quad: Four people who are in a committed relationship with each other
  • Polycule: A network of individuals who are all in relationships with each other
  • Kitchen table polyamory: A network of individuals who are in relationships with each other; if someone new is brought into this dynamic, they must generally get along with the rest of the group (think: feel comfortable sitting together at a large kitchen table)
  • Parallel polyamory: When a polyamorous person has multiple partners who don’t really interact with each other (essentially, the opposite of kitchen table polyamory)
  • Polyfidelity: When a throuple, quad, or larger polycule are ‘closed’ and do not see people outside of their group

Why might someone want to be in a throuple?

In some cases, a couple might meet a third person, become interested in them, and decide to bring that person into their relationship, says Spector.

In other instances, someone might know they’d like to join an existing couple, and seek out this kind of relationship dynamic. ‘If someone is oriented towards knowing that they can love more than one person responsibly, and if they feel like they can enter a relationship with an existing couple—and there’s chemistry, and connection between both and everyone agrees that they’d all like to be dating together—wonderful,’ says Marcantonio.

‘Being in a healthy throuple requires consistent communication and trust’

Aside from the joy of getting to date two people you like (or love), being in a throuple can help you get all your needs met, adds Spector. Think about it like this: When you have a third person involved, chances are, you’ll expose yourself and your original partner to qualities that both of you may want but can’t offer each other.

If you feel like you’re fully ready and wanting to add a third, Spector suggests letting your current partner know by gauging their interest. You can say something like: ‘I’d like to invite someone else into our relationship. How would you feel about having X join us and becoming a throuple?’

What are some tips for being in a healthy throuple?

Just like in any kind of relationship, being in a healthy throuple requires consistent communication and trust. ‘It’s the same as a monogamous relationship—the only difference is, it’ll be happening with two other folks,’ says Marcantonio.

However, there are some specific things you’ll want to watch out for, per relationship therapists:

1. Make sure you set ground rules first.

Different triads have different preferences, needs, and boundaries. Some examples of questions you’ll want to discuss, according to Marcantonio: ‘If everyone is open to all having other partners outside the triad, what does cheating look like? Do we all tell each other and have complete transparency when we’re talking to someone on the app, when we’re planning something, when we’ve had sex?’

Aside from discussions about sex and dating outside of the throuple, you’ll want to talk about your own dynamic as a trio, too, adds Spector. Would you prefer to only have sex as a throuple, for example, or is it okay for two people to have sex without the third?

‘It really depends on the triad and how they would like to set up the rules,’ says Jennifer Schneider, LICSW, LCSW, a psychotherapist specializing in LGBTQIA+ clients and those who identify as polyamorous or ethically non-monogamous. ‘It may be that a throuple sits down with each other and actually spends a few hours hammering out what might be relationship agreements.’

2. Continue to communicate.

People’s needs can fluctuate over time. So, continued communication is important, says Marcantonio. Spector recommends setting regular check-in times with your partners—and also checking in on your own needs, too.

3. And be sure you’re communicating *directly*, too.

One of the biggest issues a throuple might face is triangulation, says Marcantonio. ‘Triangulation in a relationship is when there’s one person who avoids directly interacting, usually with the person they have a conflict with,’ she explains. ‘So instead, they use the third person to confide in, to talk to.’

This can inadvertently put one person in the middle, Marcantonio adds. It can happen in friend groups, family dynamics, and—of course—romantic relationships that involve more than two people. So, if you have an issue or frustration with one of your partners, make sure you’re talking to them directly.

4. Get comfortable with any feelings of jealousy that might crop up.

It’s a common misconception that polyamorous folks don’t deal with jealousy. But, in fact, they can and do, says Schneider. It’s a natural human emotion. ‘It does take a lot of self-awareness and reflection to be in a poly relationship, because you will have feelings that come up that you need to sit with,’ Marcantonio adds.

If you find yourself feeling twinges of envy, Marcantonio recommends ‘staying curious’ and digging into the root of the issue. Is this something you can navigate on your own? Is this something you’d like to discuss with your partners? Did something trigger this emotion? These can be tough questions to work through, so if you’re struggling, you might want to check out a resource like The Jealousy Workbook by Kathy Labriola, which is chock-full of tools and exercises for people in polyamorous ‘ships.

What are some of the myths about throuples?

1. They’re purely sexual relationships.

When some people hear ‘throuple,’ they might hear ‘threesome.’ But this dynamic signifies an emotional, intimate relationship between three people. They go on dates together, have deep conversations together, and confide in one another.

‘It’s not all about sex,’ says Marcantonio. ‘It’s people who really uniquely enjoy having deep, intimate connections that go beyond sex.’

2. You have to have a certain sexuality, or be a certain gender, to be in one.

Throuples can be made up of people of any gender identity and any sexual orientation who choose to be together, Spector says.

‘Pop culture depicts them as primarily female-female-male threesomes in an imbalanced way that often fetishises the relationship structure,’ adds Dow. ‘In reality, however, throuples are just typical relationships comprised of people of any genders. And like all relationships, each one has its own set of benefits and challenges.’

3. They’re not natural.

News flash: throuples, quads, and other forms of polyamory are nothing new. Marcantonio recommends checking out the book Sex at Dawn by Christopher Ryan for further reading on the history of non-monogamous relationships. ‘We were much more communal many, many decades ago,’ she adds.

Ultimately, being in a throuple might not be for everyone—as humans, we all have different needs and preferred relationship structures. ‘Some people are more wired for monogamy, and that’s what they like and want. Others are able to do poly; they might be more wired for that, and that works great,’ Marcantonio says. ‘There’s no one ‘natural’ way to have a relationship.’

Meet the experts: Ann Rosen Spector, PhD, is a clinical psychologist in Philadelphia. Anna Dow, LMFT, is a therapist who specializes in non-monogamy at Vast Love. Carolanne Marcantonio, LCSW, is an AASECT-certified sex therapist with Wise Therapy in New York. Jennifer Schneider, LICSW, LCSW, is a psychotherapist specializing in LGBTQIA+ clients and those who identify as polyamorous or ethically non-monogamous.

Complete Article HERE!

How to Explore Your Sexuality, according to Science

— Some researchers say that the standard definition of sexual orientation is incomplete—and offer a tool for expanding it.

By

Stacy Watnick: The first thing that I do with clients is I tell them that we’re going to go slow—because there are three things that most clients … do not talk about in therapy, and those are religion, politics and sex.

[CLIP: Intro music]

Kate Klein: There’s this, like, whole world underneath people’s clothing that no one talks about.

Sari van Anders: Our science, in some ways…, is…catching up with people’s existences.

Meghan McDonough: I’m Meghan McDonough, and you’re listening to Scientific American’s Science, Quickly. This is part one of a four-part Fascination on the science of pleasure. In this series, we’re asking what we can learn from those with marginalized experiences to get to the bottom of BDSM, find the female orgasm and illuminate asexuality. In this episode, we’ll discuss new ways to question your sexuality, according to science that draws from feminism and queer theory.

But first, let’s get real basic.

Stacy Watnick: Tell me, when I say the word sex or sexuality to you, what comes up?

McDonough: That’s Stacy Watnick, a clinical psychologist based in San Diego, California. She specializes in relationship issues and sexuality. She’s noticed certain patterns in her clients when she asks this question.

Watnick: First, surprise—that there’s such a range of experiences in their body and in their mind about it…. Frequently, I get some shame and discomfort. They’re not sure what words they’re supposed to use: “Are those bad words?”

A little lean forward…. they’re sort of excited and there’s some tension in wanting to tell me—or a little lean back because they’re not sure it’s safe.

McDonough: Stacy asks her clients if they’ve heard of gender and orientation. They talk about the words they know. And then she brings up the zine.

Zine is short for “magazine.” But zines are different from traditional magazines. They tend to be self-published and not typically what you’d find in an academic setting.

This particular zine invites readers on a “journey through the landscape of your sexuality.” The front cover features a drawing of five people on a path leading into the horizon. Each is holding a map labeled “SCT.” SCT stands for sexual configurations theory, a term coined by Sari van Anders, a gender, sex and sexuality researcher at Queen’s University in Ontario.

>Sari van Anders: I was doing some work about multipartnering and things like polyamory…, I was at a conference where there was … a session about asexuality…. And I started thinking about the way these two … identities claimed by different people might come together.

McDonough: Here’s Sari, the creator of this theory. She and her team created the zine as a more accessible offshoot of her 2015 academic paper on the topic.

Van Anders: It was the most exciting piece of work I’ve ever done. I’ve never really done work where it just felt like it had to come out, and it was sort of bubbling out of me.

I think we can maximize our pleasure when we understand what it is that we’re wanting, what the options are, who we are. We can think through some things that we might never have had prompts to do before.

McDonough: Oxford Languages defines sexual orientation as “a person’s identity in relation to the gender or genders to which they are typically attracted.” Sexual configurations theory asks: What if this sort of definition is incomplete?

Sari’s theory basically complicates the idea that sexual orientation is only based on gender. She built it on the existing academic literature and on what people shared about their sexualities.

Van Anders: And it was really important to me to include not just diverse sexualities and genders and people with diverse sexualities and genders but people with marginalized experiences, and so on …

McDonough: Such as people who are LGBTQ+, disabled, into kink or BDSM, asexual or non-monogamous.

Van Anders: Our science, in some ways, is, if anything, sort of, like, catching up with people’s existences…. I think many women know that, like, not all women who are attracted to men, maybe including themselves, that means they’re attracted to, like, penises or that’s the thing only that turns them on. And, and so there’s sort of an assumption that gender/sex sexuality, or what people typically call sexual orientation, is about, like, genital match-ups, like, “I have these genitals, and I’m attracted to people who have those genitals.” But really, like, we rarely see people’s genitals until we’ve already decided we’re attracted to them, right…. Usually there’s so much else going on.

McDonough: Sari uses the term “gender/sex” to mean features that are both socialized and biological and considers it to be just one aspect of sexual orientation.

>Van Anders: You know, it’s not always bodies; there’s also ways of being in the world or clothes, appearance, presentation, the way people talk, how someone treats you. And research on attraction is pretty clear that a lot of other things are rated pretty high up, like kindness or sense of humor or things like that.

McDonough: Sari refers to this as “sexual parameter n”—all the other things that make us attracted to a person.

The way she visualizes these aspects is through cone-shaped diagrams where people can pinpoint their preferences.

Aki Gormezano: As an example, you could think about the tornado for gender/sex sexuality…. So there’s a space on top where there’s a ring going around the outside that SCT calls the binary ring.

McDonough: This is Aki Gormezano, a sexuality researcher who did his Ph.D. with Sari at Queen’s. The ring he’s describing represents what most people know as the sexuality spectrum.

Gormezano: And then there’s a whole space beyond that, falling inside of the binary ring, completing that circle, where you’re not just thinking about women and men, you’re thinking about gender/sex-diverse folks who are occupying spaces outside of that binary ring.

McDonough: This is called the “challenge area.”

Gormezano: That circle I described is on the top, but then it moves all the way down to a point forming what kind of looks like a cone. And there’s a little meter ranging from zero to 100 on the far left of that, and that’s to indicate the strength of your attractions.

McDonough: In lay terms, if gender/sex was an important part of your attraction to people, you’d mark a place higher up on the tornado. If it wasn’t, you’d mark a place farther down. There are also tornadoes for partner number—one, multiple or none—as well as for sexual parametern, representing the other factors Sari mentioned, such as kindness and sense of humor.

Gormezano: Growing up, I was, like, pretty uncritical of my sexuality for the most part… Like I identified as straight by default. And a lot of my attractions, you know, as a cis boy at the time, or, like, now a cis man, were to cis women.

McDonough: In case you don’t know, “cis” here refers to cisgender, when a person’s gender identity matches their sex assigned at birth.

Gormezano: I had a point in high school where I realized … I did have attractions to people who were not cis girls or cis women…. I think I was just, like, confused and upset and didn’t really feel like it was something I could talk about. You know, especially as someone who played sports and was known as an athlete, where that was a big piece of my identity—like, I played soccer all the way through and still do…. I think, for me, the hardest part about realizing that I had interests and attractions that didn’t fit with being straight was that it challenged a lot of my identity around being a man or, like, wanting to be.

McDonough: Aki says that studying sexuality as an adult has helped him see that this isn’t a problem and that sexual orientation, identity and status don’t necessarily line up perfectly. Sexual configurations theory calls this “branched.”

Van Anders: Orientations have to do with, like, attractions, interests, arousals, desire [and] pleasure, and those might be different, or they might be the same. Like, you might really enjoy the thoughts or have fantasies about being with a man. And then when it comes to the actual sex you do, you find people of any gender are really enjoyable…. And status refers to, like, what you’re kind of actually doing, have done or will do…, who you’re actually with, for example.

McDonough: In a 27-country survey conducted by the market research company Ipsos in 2021, for example, 80 percent of self-identified heterosexual people reported that they were only attracted to the opposite sex, and 12 percent of them said they mostly were. Meanwhile 60 percent of self-identified lesbian and gay people said they were only attracted to the same sex, and 24 percent of them said they mostly were. These “branches” of sexuality can all be mapped on separate “tornado” diagrams. If you’re still struggling to picture them, you’re not alone. Between gender/sex, partner number, and other factors—plus identity, orientation and status—it’s a lot. But portraying sexuality as complex is also kind of the point.

McDonough (tape): To what extent do you think sexuality labels are limiting or expanding? If you could imagine your ideal world of how people conceive of sexuality, would everyone have a label?

Gormezano: I think when you just have identities and you just have labels, especially when identities and labels are really narrow…, you might not have the language to articulate the ways in which you don’t perfectly fit with that identity or label…. And I think the more people … who are able to understand the ways in which they might branch from their label or, like, perfectly coincide with it, the more open everyone will be around, you know, just like understanding that, like, around each identity is, like, a collection of people who might vary from that in different kinds of ways.

McDonough: Stacy, the therapist we heard from earlier, commonly meets clients who are working through their sexualities.

McDonough (tape): How do you help them kind of figure that out?

Watnick: We kind of try labels on like clothes…. I’m gonna try this sort of sweater on and see: Does that feel snuggly? Do I feel comfortable? Is there, like, a resonance in my body and in my mind and my heart and my genitals, all over me, that this feels true…? And much like the sweater I put on, I don’t have to wear it all the time…. There’s a very flexible return policy on this kind of content: if they decide they don’t want it; they don’t have to keep it. But we’re trying it on. Let’s see how it feels.

McDonough: Stacy first saw Sari speak at a virtual conference during the pandemic.

Watnick: And my whole brain lit up.

McDonough: The two of them have since formed a working group to bring sexual configurations theory into more clinical settings.

Van Anders: Those of us with marginalized or minoritized or oppressed genders, sexes or sexualities are often not given the tools from science or scholarship to make sense of ourselves. And so this can be helpful in that way. But also people who are majorities…, our culture tells everyone…, you’re just a cisgender man; that’s that; there’s nothing more complex; the complexity is for, you know, the other “complicated,” quote, unquote, people. But our research finds that the majorities actually have a lot of complexity and often have had even less prompt to think about it.

McDonough (tape): I’m wondering if you’ve had any pushback from the scientific community or otherwise?

Van Anders: We get a fair bit of skepticism from academics that what people might call laypeople, just you, people on the street, could actually do SCT diagrams because they are a bit more complex than “What is your attraction…?”…. So we sometimes get people who say, “This is pretty hard” or “I’m kind of confused.” And then we’re like, “Okay, can you describe yourself?” And then we look at the dot, and it matches. So people are actually able to do it anyway.

Van Anders: And we sometimes get pushback, too, from majorities who get, like, a little bit angry, who are like, “Okay, well, here, I can locate myself, but, like, I don’t believe in all these other locations….” You know, they’re usually seeing questions that have heterosexual first if there’s a checklist. And here it’s, like, you know, if you’re interested in women, that’s just one little dot in this whole diagram, and that can be a bit disorienting for people who are used to being with the center.

McDonough: Sari thinks that accounting for this complexity is not only helpful for individuals but also for future scientific research.

Van Anders: People sometimes forget that every measure we use is sort of telling a story about what the world is…. They’re kind of almost like a sieve that you sieve the world through. And depending on what that sieve looks like—whether it’s SCT, whether it’s a one-word question with a checkbox or answer or something—is going to let kind of different kinds of things through…. What is empirical in science is to try to measure the world as it is.

Complete Article HERE!

The science of sex

— What happens to our bodies when we’re aroused?

Sex helps with sleep and allows the brain to switch off

It’s good for our mental and physical health, lowering blood pressure and boosting the immune system

By

Sex is the most talked-about, joked about, thought-about topic in our culture. Every grown adult is expected to know how to do it, but beyond the basic mechanics we’re not taught about it and fiction is coy. We are not short of information on sexual practices – thank you, Fifty Shades of Grey – but there is a general absence of accurate detail of what happens to our bodies during, and as a result of, the act.

Yet sex is good for our mental and physical health. It lowers the heart rate and blood pressure. It may boost the immune system to protect us against infections and it certainly lowers stress. The NHS even recommends it, in a section tucked away on its website, where few are likely to find it, that advises: “Weekly sex might help fend off illness.”

The consultant obstetrician and gynaecologist Dr Leila Frodsham thinks we should be better educated about it. She’s even supporting a project to open a Vagina Museum in Camden, London – after all, there is a Penis Museum in Iceland. More information could make us healthier, happier and save the NHS lot of money, she believes.

“People who have difficulties with sex are much more likely to present with other problems,” says Frodsham. She would like to see more investment in sexual health as preventive medicine.
When hooking up is working out

Sex can be good exercise, although that rather depends on how energetically you go at it. A study in the open-access journal Plos One in 2013 found that healthy young heterosexual couples (wearing the equivalent of a Fitbit) burned about 85 calories during a moderately vigorous session, or 3.6 calories a minute. It’s unlikely to be enough. The NHS says: “Unless you’re having 150 minutes of orgasms a week, try cycling, brisk walking or dancing.”

Tales of men having heart attacks and expiring on the job are much exaggerated. Sex raises the heart rate, which is generally a good thing. A study in the British Medical Journal of 918 men in Wales in 1997 found that sex helped protect men’s health. Men who (admittedly from their own report) had more frequent orgasms had half the risk of dying over the 10 years of the study compared with those who had the least orgasms. As a general rule, if you are able to walk up two flights of stairs without chest pain, you are probably safe to have sex, experts say.

The key to many of the health benefits of sex is the love hormone – oxytocin. Also sometimes called the cuddle hormone, it can even be released when petting your dog. The same hormone causes contractions in childbirth and is in the pessaries given to induce labour. It’s even in sperm. It’s not a myth that sex can help an overdue baby get going. When she was working as an obstetrician, Frodsham says, male partners used to “leave grinning from ear to ear because I’d suggest having sex on all fours to make labour come on”. There’s plenty of oxytocin around when people have sex or even just get friendly. “Any touch releases oxytocin,” says Frodsham. Keeping up physical activity affects libido, she says. “If you don’t use it, you lose it.”

She doesn’t often see people with intrinsically low libido, she says. “But we do see people who kind of get into a sexual rut and it sort of disappears. I often encourage people to schedule sex. A lot of couples feel that it is not natural and it is forcing things, but sometimes you need to get them to become habitual so they can become spontaneous.”

Sex helps with sleep, and allows the brain to switch off. “If you are having sex, you should be getting into a zone where your brain is not in overdrive,” she says. It’s like mindfulness. “I don’t think there are many people who actually give themselves time to relax any more,” she says.

Prof Kaye Wellings, at the London School of Hygiene and Tropical Medicine, blames our busy lives for a decline in sexual activity in Britain. Her large recent study of 34,000 men and women, in the British Medical Journal, suggests we are having less sex than we were a decade or more ago. Half of the women and two-thirds of the men told researchers they would prefer to have sex more often. Wellings says the digital age is partly to blame. “We are bombarded with stimuli. I can see that the boundary between the public world and private life is getting weaker. You get home and continue working or continue shopping – everything except for good old-fashioned talking. You don’t feel close when you are on the phone.”

The sexual response, step by step

The best explanation of what actually happens during sex is still credited to two scientists who started work in 1957 – William Masters and Virginia Johnson – although later researchers have criticised parts of their work.

Masters and Johnson worked at Washington University in St Louis, Missouri. Masters convinced Johnson to have sex with him in the interests of research while he was married to someone else. He eventually divorced and they married in 1971, splitting up 20 years later. Together they founded the Masters and Johnson Institute where they carried out their research and trained therapists.

In a book called Human Sexual Response, published in 1966, they described a four-stage cycle in heterosexual sex. First is the excitement or arousal phase in response to kissing, petting or watching erotic movies. A small study by Roy Levin in 2006 found that almost 82% of women said that they were aroused by their nipples being fondled – and so did 52% of men.

Half to three-quarters of women get a sex flush, which can show as pink patches developing on the breasts and spreading around the body. About a quarter of men get it too, starting on the abdomen and spreading to the neck, face and back. Men quickly get an erection but may lose it and regain it during this phase.

Women’s sex organs swell. The clitoris, labia minora and the vagina all enlarge. The muscles around the opening of the vagina grow tighter, the uterus expands and lubricating fluid is produced. The breasts also swell and the nipples get hard.

Masters and Johnson say there is then a plateau phase, which in women is mostly more of the same. In men, muscles that control urine contract to prevent any mixing with semen and those at the base of the penis begin contracting. They may start to secrete some pre-seminal fluid.

The third stage is orgasm, in which the pelvic muscles contract and there is ejaculation. Women also have uterine and vaginal contractions. The sensation is the same whether brought about by clitoral stimulation or penetration.

Frodsham says about a third of women easily have orgasms from penetrative sex, a third sometimes do and a third never do. “I have never seen anything that could be a G-spot,” she says. But the clitoris is much larger than some people assume. “The clitoris actually surrounds the vagina. The protuberance is only 5% of the clitoris.”

Women can quickly orgasm again if stimulated, but men cannot. Last is the resolution phase, when everything returns to normal. Muscles relax and blood pressure drops. But, says Cynthia Graham, a professor in sexual and reproductive health at the University of Southampton, “we still don’t understand everything about what happens even though research has been going on since Masters and Johnson’s early lab studies”.

Take the female orgasm, for instance. “Women report so many different sensations. Some women describe orgasm in a much more focal way. Some describe it in a diffuse way with, for instance, a tingling down their legs. Some women describe losing consciousness.”

And then there is the male erection. A healthy man may have three to five erections in a night, each lasting around half an hour. The one many wake up with is the last of the series. The cause is unknown, but there are suggestions of a link with REM (rapid eye movement) sleep, when people are most likely to dream. Even in the daylight hours, erections are not necessarily under conscious control. Usually they are associated with sexual arousal, but not always.

There is an assumption that sexual desire and libido are strongest in the young and fade out as we age. But there is plenty of evidence of people wanting sex and having sex at older ages. For women, the menopause can be a real obstacle. The loss of oestrogen leads to vaginal and vulval dryness. Frodsham points out that hormonal treatments, from oestrogen tablets in pessaries delivered locally into the vagina to creams and gels, are safe and effective. But so is having regular sex, she says. It’s like exercising a muscle.

“There is very good evidence, particularly in menopausal women, that the more they have sex, the better their physiology is,” she says.

But she cautions against the current enthusiasm for promoting the health benefits of sex for all ages. “There can be a kind of pressure on older adults who don’t want to. A lot of older adults do, but not everybody. There’s no norm about sexual desire.”

However biologically similar we may have been at birth, the one thing that is certain is that sexual desire and preference – as well as means of achieving satisfaction – differ from one individual to the next. Frodsham, for one, thinks enhanced understanding could boost our mental and physical health. And, she believes, it needs to start early.

“Many schools present sex as something that is going to cause STIs and pregnancy,” she says. They’re missing something important, she adds: “They don’t talk about the very natural reason to want to have sex, which is pleasure.”

Complete Article HERE!

7 Habits of Highly Sex-cessful People

— Why do some couples keep the home fires burning while for others the embers grow dim? Here’s what some romantic partners are doing right

By Nicole Pajer

You know who they are.

That couple down the block who’ve been together for 25 years and still canoodle like newlyweds. They seem to have the intimacy and magic you and your partner once shared. How do they do it?

There are plenty of obvious reasons some couples lose their intimacy mojo over time: too much stress, too much conflict, too many health issues. But there are also plenty of healthy people in otherwise healthy relationships who aren’t getting their fair share of lovin’. What’s separating the sexually successful from the carnally challenged? We took a peek under the sheets and discovered some unexpected habits that have nothing to do with your relationship and can help any couple regain their romantic mojo.

1. Sex-cessful couples use the bedroom — for sleeping

Women who sleep an extra hour at night experience more sexual desire the next day and a 14 percent increased likelihood of having sex, according to one study. Maybe it’s because their partners are better rested as well: Not getting enough sleep has been linked to erectile dysfunction and a lack of testosterone in men. “A lot of your hormones and sex hormones are actually produced during good sleep,” says Graham King, M.D., a family medicine physician with Mayo Clinic Health System. Aim for at least seven to nine hours per night; anything under six on a regular basis could be setting you up for trouble.

One key to better sleep and better sex: Don’t bring your smartphone to bed. A study conducted by tech solutions company Asurion looked at the bedroom habits of 2,000 U.S. adults and found that 35 percent of respondents said their sex life had been impacted by their or their spouse’s bedtime phone use. “The phone acts as a barrier to intimacy by distracting attention away from your partner, creating distance between you,” says Lori Beth Bisbey, a clinical psychologist and host of the A to Z of Sex podcast. “Great sex needs both people to be present and focused on each other — and little else, actually!”

2. Sex-cessful couples never crash diet

Almost every trendy approach to losing weight, from keto to intermittent fasting, involves cutting out certain food categories and thereby restricting calories. Maybe they’re fat or carb or protein calories, but the fact is that not getting proper nutrients can have an impact on your sex drive.

“We need protein, we need fats to be able to build those sex hormones and keep our different muscular systems, including our genitals, working right,” says King. Sex, he says, requires a lot of blood flow, an array of hormones, and precursors to different kinds of amino acids we need for vasodilation “and, of course, ultimately, orgasms. So if we’re malnourished, we don’t have the fuel to get there.” If you’re trying to lose weight, do it intelligently. Eat a well-balanced diet high in produce, lean meat and fish, and whole grains, with a minimum of sugar and ultra-processed foods. (AARP’s best-selling guide to 50-plus nutrition, The Whole Body Reset, is now available in paperback.)

3. Sex-cessful couples soak up the sun

You’ve no doubt heard about the importance of vitamin D, and perhaps you’ve asked your doctor to check your blood levels. If not, and if you live in the northern half of the nation, a lack of vitamin D might be interfering with your love life. Low D has been linked to decreased erectile and orgasmic function, as well as diminished sexual desire. But supplements in winter can help: Additional research has found that supplementing with vitamin D can improve sexual function and mood in women with low vitamin D levels. To get more D from your diet, prioritize vitamin D–fortified foods like milk or yogurt. If you prefer to get your vitamin D from being outdoors, remember that you also need to protect yourself: The median age of people receiving a melanoma diagnosis is 66.

4. Sex-cessful couples work their muscles

Working out increases sexual arousal in women and helps combat erectile dysfunction in men. But more important, exercise — especially vigorous exercise that stimulates our muscles — is critical to our libidos.

When we exercise, the stress on our muscles stimulates the hypothalamus to produce sex hormones, says King: “It stimulates an effect that goes through our pituitary to our adrenal glands to start building those precursors to testosterone, estrogen and progesterone.” Without that stimulation, our brains never get the signal that it’s time for lovin’.

The American Heart Association recommends at least 150 minutes of moderate exercise per week, 75 minutes of vigorous-intensity exercise or a combination of both, adding in resistance or weight training several days a week. But don’t overdo it; one study found that men who engage in intense endurance training for long periods of time had reduced libidos.

5. Sex-cessful couples avoid late-night sweets

Many of us enjoy a good after-dinner treat. But dessert is one thing — a midnight snack is something else.

“Eating sugar before bed causes insulin release and can temporarily suppress testosterone levels,” says Raevti Bole, M.D., a urologist at the Cleveland Clinic. Anyone who has felt a crash after a sugar high will understand this effect. “This can make you feel sluggish and sleepy, which can tamper with your arousal,” Bole adds. If you’re hungry before bed, opt for something less sugary, like a piece of fruit, crackers and cheese, or dark chocolate. Avoid processed treats, desserts and sugar-sweetened beverages in the hours leading up to bed.

6. Sex-cessful couples drink a lot

Not booze — water. Water makes up 75 percent of the total body weight of newborns, but as we age, that percentage drops; in older adults it can be 50 percent or lower. And that can impact our health and our sex lives.

Proper hydration is critical to the cardiovascular system, which is responsible for keeping nutrients and oxygen flowing throughout the body. Even mild dehydration can impact a man’s ability to achieve an erection, and for women, it can cause issues with vaginal lubrication and genital arousal, says Sheryl Kingsberg, division chief, Ob/Gyn Behavioral Medicine at the University Hospitals Cleveland Medical Center and codirector of the Sexual Medicine and Vulvovaginal Health Program at the UH Cleveland Medical Center.

Keep a water bottle nearby to sip on throughout the day; reduce your alcohol intake, as that can further dehydrate you; and incorporate water-rich fruits and vegetables into your meals and snacks.

7. Sex-cessful couples make their bed daily

Clutter can sneak up on you, causing stress that you might not even be aware of. One study found that cortisol levels in women with cluttered homes rose during the day and stayed high when the clutter remained; the effect was more powerful on women than on their partners.

“It is likely that this is related to the expectations that women will still be responsible for keeping the home presentable and the social approval inherent in having a lovely home,” says Bole. Chaos around us, she adds, “impacts our ability to concentrate and focus.” Another study that looked at the relationship between clutter and procrastination found that older adults with clutter problems tended to report a significant decrease in life satisfaction. Making your bed first thing in the morning gives you a sense of control that can help reduce the feeling of being a victim of chaos. Better yet, make it together.

Complete Article HERE!