8 Things Doctors Wish You Knew About Dyspareunia, AKA Painful Sex

Yup, we mean the bad kind of pain.

[P]op culture’s depictions of sex typically focus on the romantic, the salacious, and (in some refreshing cases) the embarrassing.

But one thing that’s still rarely mentioned—both on screen and IRL—is pain during sex (also known as dyspareunia), or the shame, confusion, and stigma that often accompany it. (And we’re not talking about the good, consensual kind of pain during sex, FYI, we’re talking about sex that hurts when you don’t intend it to.)

While dyspareunia may be absent from many sexual-health discussions, it’s not rare, and it’s certainly nothing to be ashamed of. Here, doctors walk us through what they wish more people knew about painful sex:

1. Unfortunately, pain during intercourse isn’t that rare. In fact, it’s really common.

Nearly 75 percent of women will experience pain during sex at some point in their lives, according to the American College of Obstetrics and Gynecologists (ACOG). Sometimes, this pain will be a one-time thing. Other times, it will be more persistent.

2. The thing is, sex isn’t supposed to hurt unless you want it to.

Some people accept painful sex as the norm, but it shouldn’t be. “The most crucial thing for women to know is that pain during or after intercourse is never really OK,” Antonio Pizarro, M.D., a Louisiana-based gynecologist specializing in pelvic medicine and reconstructive surgery, tells SELF. There are, of course, some circumstances in which someone might seek out some level of pain during sex. But there’s a difference between a sexual kink and undesired, severe, or persistent pain in the vulva, vagina, or pelvis.

3. Minor soreness during or after sex and intense, chronic pain are not the same thing.

There are tons of reasons you might be sore after sex, Natasha Chinn, M.D., a New Jersey-based gynecologist, tells SELF. They include inadequate lubrication, penetration with a particularly large object or body part, and sex that was especially rough or fast.

If these are minor issues you only encounter every now and then, Dr. Chinn says you can usually pinpoint the cause of the problem and address it on your own (use more lube, seek out smaller sex toys, or have slower, more gentle sex). (Of course, you can go straight to seeing a doctor if you prefer.)

But what if your problem isn’t an every-now-and-then thing? If these issues are happening every time you have sex, happening more frequently than they used to, or if they’re not going away after you try to address them on your own, your painful-sex cause might be more complicated.

4. Unfortunately, there are a ton of health conditions—like endometriosis, cervicitis, and vaginismus—that can lead to painful sex.

Some of these include:

  • Contact dermatitis: a fancy medical name for an allergic reaction on the skin—and yes, that includes the skin on your vulva. This can happen if, say, the delicate skin around your vagina doesn’t react well to a soap, body wash, or detergent you’re using. Contact dermatitis can leave your skin cracked and uncomfortable, and chances are that any kind of sex you’re having while you’re experiencing this reaction is going to be pretty painful.
  • Cervicitis: a condition where the cervix, or lower end of the uterus connecting to the vagina, becomes inflamed, typically due to a sexually transmitted infection. While it often presents without symptoms, Dr. Pizarro cautions that it sometimes causes pain during urination or intercourse.
  • Endometriosis: a condition associated with pelvic pain, painful periods, and pain during or after sex. While the exact cause of endometriosis is not well understood, it seems to be the result of endometrial tissue (or similar tissue that’s able to create its own estrogen) growing outside of the uterus, which can cause pain, scarring, and inflammation. This can lead to pain that’s sometimes worse around your period, when going to the bathroom, and even during sex.
  • Ovarian cysts: fluid-filled sacs found in or on the ovaries. Sometimes they don’t cause any symptoms, but other times they rupture, causing pain and bleeding, including during sex.
  • Pelvic inflammatory disease (PID): this condition is typically caused when bacteria from a sexually transmitted infection spreads to the reproductive organs. PID can cause pain in the abdomen or pelvis, pain during urination, pain during intercourse, and even infertility if left untreated.
  • Uterine fibroids: noncancerous growths in or on the uterus. Fibroids often don’t cause symptoms, but they can make themselves known via heavy menstrual bleeding and pelvic pressure or pain, during sex or otherwise.
  • Vaginismus: a condition that causes the muscles of the vagina to spasm and contract. This can lead to pain during sex—or even make any form of vaginal penetration impossible, whether it’s sexual or just inserting a tampon.
  • Vaginitis: an umbrella term for disorders that inflame the vaginal area. Examples include bacterial vaginosis and yeast infections, both of which occur when the balance of microorganisms in the vagina gets thrown off, causing some kind of bacterial or fungal overgrowth. Other forms of vaginitis are sexually transmitted infections such as trichomoniasis (an STI caused by a parasite), chlamydia, and gonorrhea. All three of these infections are characterized by changes in vaginal discharge, vaginal irritation, and, in some cases, pain during intercourse.
  • Vulvodynia: a condition charactized by chronic pain at the opening of the vagina. Common symptoms include burning, soreness, stinging, rawness, itching, and pain during sex, Dr. Chinn says, and it can be devastating. According to the Mayo Clinic, vulvodynia consists of pain that lasts for at least three months that has no other identifiable cause.

Dr. Chinn says that women going through menopause might also experience pain during sex as a result of vaginal dryness that happens due to low estrogen levels.

People who recently gave birth may also grapple with discomfort during sex, Dr. Chinn says. It takes time for the vagina to heal after pushing out a baby, and scar tissue could develop and make sex painful.

5. There are so many other things that can mess with your sexual response, making sex uncomfortable or legitimately painful.

Any negative emotions—like shame, stress, guilt, fear, whatever—can make it harder to relax during sex, turning arousal and vaginal lubrication into obstacles, according to ACOG.

Of course, the source of these negative emotions varies from individual to individual, Dr. Pizarro says. For some, it’s a matter of mental health. Feeling uncomfortable in your body or having relationship issues might also contribute.

In an unfair twist, taking care of yourself in some ways, like by using antidepressant medication, blood pressure drugs, allergy medications, or some birth control pills, can also cause trouble with lubrication that translates into painful sex.

6. You shouldn’t use painkillers or a numbing agent to try to get through painful sex.

This might seem like the best way to handle your pain, but Dr. Pizarro cautions against it. Your body has pain receptors for a reason, and by numbing them, you could end up subjecting your body to trauma (think: tiny tears or irritation) without realizing it—which can just leave you in more pain.

7. If you’re not ready to see a doctor yet, there are a few things you can try at home, first.

According to ACOG, a few DIY methods might mitigate your symptoms:

  • Use lube, especially if you feel like your problem is caused by vaginal dryness.
  • Apply an ice pack wrapped in a towel to your vulva to dull a burning sensation when needed.
  • Have an honest conversation with your partner about what’s hurting and how you’re feeling. Let them know what hurts, what feels good, and what you need from them right now—whether that’s a break from certain sex acts, more time to warm up before you have sex, or something else.
  • Try sex acts that don’t involve penetration, like mutual masturbation and oral sex, which may help you avoid some of the pain you typically experience.

It’s totally OK to experiment with these things, Dr. Pizarro says, especially if they help you associate sex with something positive. But these tactics cannot and should not replace professional care.

8. If you’re regularly experiencing painful sex, you should talk to a doctor.

It’s really up to you to decide when to see a doctor about painful sex. “It’s like a cold,” Dr. Pizarro says. “If you’ve got a little cough, you might be all right. But if you have a cough and fever that haven’t gone away after a few days, you might want to see a doctor.” When in doubt, mention your concerns to your care provider, especially if any of these sound familiar:

  • Sex has always been painful for you
  • Sex has always been painful but seems to be getting worse
  • Sex is usually pain-free but has recently started to hurt
  • You’re not sure whether or not what you’re experiencing is normal, but you’re curious to learn more about painful sex

When you see your doctor, they’ll likely ask questions about your medical history and conduct a pelvic exam and/or ultrasound. “It’s important for doctors to ask the right questions and for patients to voice concerns about things,” Dr. Pizarro says.

From there, your doctor should take a holistic approach to treatment to address the possible physical, emotional, and situational concerns. “You really have to look at the total person,” Dr. Chinn says. Treatment options for painful sex vary wildly since there are so many potential causes, but the point is that you have options. “Many people think that it’s acceptable to experience pain during intercourse,” Dr. Pizarro says. “Use your judgment, of course, but it probably isn’t acceptable. And it can probably be made better.”

Complete Article ↪HERE↩!

Medically assisted sex? How ‘intimacy coaches’ offer sexual therapy for people with disabilities

‘For me, the sex is obviously why I’m seeking this out, but I’m also seeking services like this out because … I feel the need to be touched, to be kissed,’ says Spencer Williams.

[F]or years, Spencer Williams felt he was missing something in his love life.

The 26-year-old Vancouver university student and freelance writer has cerebral palsy. He says he meets lots of potential sex partners but had trouble finding what he was looking for.

“I always refer to my wheelchair as it comes to dating … as a gigantic cock block,” he says. “It doesn’t always get me to the places I want, especially when it comes to being intimate.”

“I thought, if something didn’t happen now, I was going to die a virgin.”

So he Googled “sexual services for people with disabilities.”

That’s how Williams found Joslyn Nerdahl, a clinical sexologist and intimacy coach.

‘Intimacy coach’ Joslyn Nerdahl says sex can be healing.

“I answer a lot of anatomy questions. I answer a lot of questions about intercourse, about different ways that we might be able to help a client access their body,” says Nerdahl, who moved from traditional sex work to working as an intimacy coach with Vancouver-based Sensual Solutions.

“I believe [sex] can be very healing for people and so this was a really easy transition for me, to make helping people with physical disabilities feel more whole.”

Sensual Solutions is geared toward people with disabilities who want or need assistance when it comes to sex or sexuality. It can involve relationship coaching, sex education or more intimate services. They call the service “medically assisted sex.” It costs $225 for a one-hour session.

Nerdahl notes that some people with disabilities are touched often by care aids or loved ones who are assisting with everyday activities such as getting dressed or eating.  But her clients tell her that despite that frequent physical contact, the lack of “erotic touch” or “intimate touch” can leave them feeling isolated, depressed or even “less human.”

‘Help a client access their body’

Nerdahl says each session with a client is different, depending on the person’s level of comfort and experience, as well as his or her particular desires and physical capabilities.

Williams says his sessions might start with breathing exercises or physio and move on to touching, kissing and other activities.

An intimacy coach may help a client put on a condom or get into a certain position.

A session might also involve “body mapping,” Nerdahl says, describing it as “a process of going through different areas of the body, in different forms of touching, to figure out what you like and what you don’t like.”

Social stigma

Sex and sexual pleasure remains a taboo topic when it comes to people with disabilities.

For Williams, accessing this service is about more than sexual pleasure. But it’s about that, too.

“[T]he sex is obviously why I’m seeking this out, but I’m also seeking services like this out because I feel the need to be close. I feel the need to connect. I feel the need to be touched, to be kissed.”

“Sometimes people … offer to sleep with me as a pity, and I often don’t appreciate that. I want things to be organic and natural,” says Williams.

He much prefers his sessions with Nerdahl, in which he is able to explore physical and emotional intimacy in a non-judgmental and supportive setting, even though it’s something he pays money for.

“I think it freaks people out when we talk about sex and disability because most of the time they haven’t thought about that person in a wheelchair getting laid,” Nerdahl says. “They just assume they don’t have a sex life because they’re in a chair, and that’s just not the case.”

Legal grey area

The stigma is further complicated because Canada’s prostitution laws have no provisions for services that blur the line between rehabilitation and sex work.

Kyle Kirkup is critical of Canada’s current prostitution laws that criminalize the sex trade regardless of context or intent.

Currently, it’s legal to sell sex and sex-related services, but illegal to purchase them. (Sex workers can be charged for advertising services or soliciting services but only if in the vicinity of school grounds or daycare centres.)

Kyle Kirkup, an assistant professor at the University of Ottawa’s Faculty of Law, calls the current laws a “one-size-fits-all approach” that criminalizes the sex trade regardless of context or intent.

The current law doesn’t include provisions for people with disabilities, or which deal specifically with services like Sensual Solutions whose intimacy coaches may come from clinical or rehabilitation backgrounds.

“A person with a disability who purchases sexual services would be treated exactly the same as any other person who purchased sex,” he says.

“So it’s a very kind of blunt instrument that doesn’t actually do a very good job of contextualizing the reasons why people might pay for sex.”

There are other countries, however, such as the Netherlands that view medically assisted sex in another way entirely; sex assistants’ services may be covered by benefits, just like physiotherapy or massage.

Complete Article HERE!

For Menopause Sex Discomfort, Gel Worked as Well as Estrogen

Study find gels worked as well as prescription hormone tablets at reducing symptoms of menopause-related sexual discomfort.

By Lindsey Tanner

[I]n a study of women with menopause-related sexual discomfort, gels worked as well as prescription hormone tablets at reducing symptoms.

The researchers say the results suggest low-cost, over-the-counter moisturizers might be the best option.

Most women in the study reported some relief from their most bothersome symptoms — painful intercourse, vaginal dryness or itching — regardless of treatment. Still, not quite half the women experienced what researchers considered a meaningful decline in symptom severity.

The problems are linked with declining levels of the hormone estrogen, which happens to all women when they reach menopause.

What baffles researchers is why only about half of women experience bothersome symptoms. Without that answer, pinpointing the cause and finding the perfect solution is difficult, said Dr. Caroline Mitchell, the study’s lead author and a researcher at Massachusetts General Hospital.
Continue reading the main story

“Until we know why, our treatments are really just pretty broad attempts,” Mitchell said. “We’re not targeting the true biological root cause.”

Researchers enrolled 300 women at a Kaiser Permanente research institute in Seattle and at the University of Minnesota. Women were randomly assigned to one of three treatments: prescription vaginal estrogen tablets and a gel with inactive ingredients; placebo tablets and Replens over-the counter moisturizer; or placebo tablets and the inert gel. Treatment lasted 12 weeks.

The results were published Monday in JAMA Internal Medicine. The National Institutes of Health paid for the study and the researchers have no financial ties to the products studied.

A journal editorial says there have been few similar studies and most were too small to reach conclusive results.

The latest results show that prescription treatment that can cost $200 is no better than over-the-counter moisturizers costing less than $20. The researchers noted that some women may prefer tablets to creams, which can be messy, but the extra money won’t buy extra relief.

Women with troublesome symptoms “should choose the cheapest moisturizer or lubricant available over the counter — at least until new evidence arises to suggest that there is any benefit to doing otherwise,” the editorial said.

Complete Article HERE!

Masturbation hacks and consent advice: how YouTubers took over sex education

With UK schools increasingly falling short, vloggers such as Hannah Witton and Laci Green have stepped up to offer guidance on everything from body confidence to sexual pleasure

By

[W]hen Lily was at school, she remembers the boys and girls being separated for a sex education class. The boys were given one booklet; the girls another. “In the boys’ booklet, there was a section on masturbation and there wasn’t in the girls’ booklet,” she says. “A girl put her hand up and said: ‘Why don’t we have that?’ and one of the teachers said: ‘Girls don’t do that, that’s disgusting.’ It shouldn’t be a shameful thing to talk about. It can be a bit awkward and embarrassing, but we should be talking about it.”

Afterwards, Lily, who is now 19 and identifies as bisexual, went online and discovered sex education videos on YouTube, particularly those made by a young woman, Hannah Witton. “Within my friendship group it has really opened up a conversation about things you don’t normally discuss,” she says. “In schools, LGBT sex ed is just not talked about. Sex was never discussed as a pleasurable thing, especially for women.” Magazines such as Cosmopolitan filled some of her knowledge gaps, she says, but most of her sex education has come from Witton.

YouTube sex educators are increasingly popular, and for the young people I speak to, such videos are where almost all their information about sex now comes from. Witton, who is 26 and British, is incredibly popular, with 430,000 subscribers to her YouTube channel and videos racking up millions of views. Why Having Big Boobs Sucks! has received 3.5m views; 10 Masturbation Hacks has had 1.2m. In the US, Laci Green has 1.5 million subscribers and her videos on, among many topics, nudity, vaginas, foreskins and pubic hair reach millions. There are several other hugely successful sex-ed vloggers, such as Shan Boody and Dr Lindsey Doe. In Poland, where sex education was recently removed from schools, young people are turning to vloggers such as Natalia Trybus, while the model Anja Rubik and a women’s rights organisation, Dziewuchy Dziewuchom, have also launched a series of sex education videos on YouTube.

Hannah Witton talks about masturbation on YouTube.

Amy, 16, says these videos are where almost all of her sex education has come from. “I only really started being given proper sex education in year 10 or 11, when I was about to leave school.” It would have been helpful to have had it earlier, she says. She started watching Witton’s videos when she was about 12. “Everyone around me seemed to understand sex stuff and I was completely clueless,” she says. What did she find most helpful? “Quite a lot of it was her masturbation videos. She presents it in a very positive way – female masturbation is a controversial subject when it shouldn’t be. It helped me understand that side of things. If I had questions, I could probably go on her channel and scroll back and see if she’d posted on it. I’m not that sexually active but I feel like I’m more understanding of what [happens]. I feel a bit more confident because I’ve learned about it in a way that isn’t porn. It’s helped me become more sex positive. It helps me feel like I can talk about it with my friends, whereas before it was like: ‘I can’t talk about that even though everyone’s going through it.’” Has it made it easier to talk to her parents, too? “A little bit,” she says.

It is not surprising that young people are turning to the internet for information, says Lisa Hallgarten, policy manager at Brook, the sexual health and education charity. “Partly because they get everything from the internet. But there is also the fact that in schools they’re just not getting what they need. Even in schools where they’re trying to do a good job, young people aren’t getting the information they need, when they need it. Young people are saying: don’t talk to us about contraception when we’re 17, because some of our friends are already pregnant.”

At the moment, personal, social, health and economic education (PSHE) – in which sex education is often included – is not a statutory part of the curriculum in the UK, although schools are expected to provide it. Last year, the Department for Education announced that relationships and sex education (RSE) would be compulsory in all secondary schools, and an eight-week consultation on what should be included recently ended; the guidance has not been updated since 2000, during which time children have had to face then-unheard of things such as sexting, cyberbullying and access to online pornography. “What we would like is for RSE to be a mandatory part of PSHE and for PSHE to be a statutory subject and taught as a timetabled lesson,” says Hallgarten.

Some aspects of sex education are compulsory and taught in science classes. However, parents have the right to remove their children from RSE. “Most parents want RSE for their children but we are worried that those who get withdrawn are possibly the most vulnerable and the least likely to be in households where they get that information from their parents,” says Hallgarten. “They may well resort to looking on the internet of their own accord, and in that case more power to the vloggers. I think there are good vloggers and mediocre vloggers. Some of what people see will be misinformation. I think vlogs should be a supplement, not a replacement to classroom teaching.”

As it is, many teachers are not supported well enough to deliver great sex education lessons, she says. “I think there are a lot of teachers who feel awkward about talking about any aspect of RSE and that’s why we are lobbying hard to make it a real subject and provide real training. There are teachers who really love doing it and are really excellent, but lots of teachers don’t want to do it. If they feel awkward talking about it then it’s not really helpful for young people.” As Amy puts it: “Sex education isn’t seen as a positive thing. It’s seen as cringey. [Watching YouTubers] where it’s people who are only a little bit older than us and not like 40-year-old teachers, it might help people understand it better.”

Hallgarten identified particular areas in which conventional RSE is lacking. “Things like talking about sexual pleasure is something that lots of teachers would really shy away from. They are told about unhealthy relationships but they often don’t have a good model for what a healthy sexual relationship would look like. The vast majority of people will have sex at some point in their life and we hope that it will be a nice experience, but we don’t talk about that. That’s one of the things young people go online to try to understand.”

Some teachers have started even using YouTube sex-ed clips in a classroom setting. “We use a lot of the vloggers in our work,” says Eleanor Draeger, senior RSE trainer at the Sex Education Forum. “We go out and train teachers and show them a wide range of different resources they can use in their classrooms, and one of the resources is vlogs. The idea is that the teacher chooses the things they think will work with the students in their class.” Many of the topics might not be appropriate for secondary school age children; some of the most popular sex education videos are on topics such as encouraging stripping, and the use of sex toys and porn.

“One of the ways we might recommend using a vlogger is we show the video on whichever subject you’re teaching and then the teacher can explain anything the students didn’t understand or expand on the topic. If you were only getting your sex education from [videos] you might not get a rounded sex education. Having said that, I think they’re fantastic as an adjunct and I wish that kind of thing had been around when I was younger.”

Witton launched her first sex education video in January 2012 (she had been posting videos on YouTube for some time before that). It was a video on contraception, presented with a friend. “Sex education is pretty crap, at least in the UK,” she said in it, “so I wanted to make a mini series of sex education videos that hopefully you guys will enjoy and learn some stuff.” That “mini series”, as she endearingly described it, presented and filmed without her more recent polish, has turned into dozens of videos, millions of viewers, a book, and a full-time job as a YouTube star. Witton is smiley and chatty and presents her videos from her flat. She has covered sex toys, hormones, masturbation, porn, consent and open relationships (she doesn’t only talk about sex and relationships – in recent weeks she has been talking about undergoing surgery for ulcerative colitis and what it is like to live with a stoma).

“I was very much inspired by Laci Green in the US,” she says, “and I decided I wanted to start making content about that because I noticed that most of my audience were young women. I felt like I wanted to do something. In terms of my personal experience, [sex education] was very much lacking in school. I had more of an open household so I could talk to my parents, in theory. I remember meeting people once I got to sixth form, who had maybe been to a different school from me or had a different upbringing, who didn’t know some stuff I thought was really basic. I met someone who thought it was totally fine to not use a condom and just pull out. I was like, ‘nooo’.”

She is direct and funny. “I genuinely feel no awkwardness at all. It was one of the reasons I felt like it would be a good idea to start making videos like this, because I know some people don’t feel comfortable talking about these things. If I have a platform and I’m OK talking about them, I can use that platform for good.”

The videos that have done particularly well, she says, include those on masturbation, “especially female masturbation, which for some reason is still taboo. A lot of people either don’t want to admit it’s happening or feel too ashamed to talk about it. There is a general shame and stigma around that topic, in terms of actually doing it but also talking about it.”

Her main audience is women aged between 18 and 24, with 25- to 34-year-olds the next biggest group. People have to be 13 to have a YouTube account (or say they’re 13, and there will be many people who watch without an account) but the 13-17 age bracket makes up just 6% of her audience. Witton, who is an ambassador for Brook, is careful about accuracy. Are there sex education vloggers who are spreading misinformation? “I couldn’t [think of any] off the top of my head, but it’s the internet, so yeah.”

Does she feel that for many young people, she’s their main provider of sex education? “That feels like a lot of pressure, but I’m always really clear that I’m not a doctor. I like to think of my videos as a conversation-starter and from there people’s curiosity can lead them to other bits of information if they want to look into it further. I don’t want to ever take a didactic approach of ‘I’m the teacher’. It’s more of a peer-to-peer education thing.”

In the US, Green started making videos at university. Growing up as a Mormon, her only sex education at school was around abstinence. “A lot of the teenagers in my community just didn’t have the information and resources they needed, so I was a bit miffed about that. I didn’t really ever get sex ed in school. It was only in college, which for me was much later – I’d started having relationships, dating, having sexual experiences. I felt it was too late.” Her videos, she says, felt like “a good platform to have a conversation with other people who thought the same way I did and to share information. As I was trying to figure this stuff out, I was getting the information I needed and sharing it online.”

Around 60% of Green’s subscribers are young women. “I think a lot of the problems we struggle with in society fall around misogynistic ideas around women’s bodies and about relationships, and this is what women are supposed to be and this is what men are supposed to be, which feeds into homophobia and transphobia as well.”

She says around two-thirds of the people who contact her have had no sex education at school, or abstinence-based lessons. “Then the other third did have sex ed but didn’t have all their questions answered. I think a lot of people are awkward about sex. A lot of teachers in the US don’t know how to answer these questions, they’re very restricted in what they can say or do and that makes it really hard for them to have an honest relationship with their students.”

Thea, 19, started watching sex education videos by Green and then found Witton’s. “I definitely got most of my sex ed from YouTube videos,” she says. “Which is sad, because some of this stuff should be taught in school to educate young teenagers properly about sex, but also about the gender and sexuality spectrums. My parents weren’t a lot of help either. It’s really awkward to talk to them about that stuff and they’re another generation so they don’t even know most of it.” She says YouTube videos have changed the way she thinks about sex, sexuality (she identifies as “queer”) and herself. “I feel a lot more confident about my body and I feel a lot more comfortable talking about sex. I probably wouldn’t have been able to actually come to terms with my sexuality if it wasn’t for YouTubers talking about theirs so openly. Online, people aren’t as reluctant to talk about sex, their sexuality and their gender any more, and that’s beginning to be the case in the real world as well, which is awesome.”

Complete Article HERE!

Jimmy Kimmel destroyed Trump’s plan for abstinence-only sex ed with an amazing pamphlet.

By upworthy.com

Abstinence-only sex education is making a comeback.

The Department of Health and Human Services is shifting away from comprehensive sex education — in which abstinence is only one component of instruction — and toward a model that emphasizes delaying sex.

If you’re there thinking, “Wait, what?” You’re not the only one.

Jimmy Kimmel, (almost) everyone’s favorite late-night comedian, had a lot to say about the issue. Buckle up, folks, it’s going to get bumpy.

Kimmel, who’s no stranger to calling out controversial issues, found it hypocritical that the Trump administration is asking to earmark $75 million to champion the euphemistically titled “sexual risk avoidance education” considering the latest of the president’s many scandals.

So the comic did what he does best, lighting up Trump’s plan with his own abstinence-only pamphlet.

 

The video’s funny, but here’s something a little less hilarious: A focus on abstinence-only education is terrible for teens.

Organizations receiving Sexual Risk Avoidance Education funding, for instance, would have to teach teens about contraception from a theoretical rather than a practical perspective. Huh? Exactly. Instructors will still present the idea that birth control and barrier methods exist somewhere out in the real world, but non-prescription contraception won’t be distributed or even demonstrated.

Basically, we’re going to have a lot of this:

Probably not the most sound advice to be giving students.

(Thank god for YouTube, right?)

There’s loads of research to back up how much abstinence-only education doesn’t work.

Data shows that abstinence-only education doesn’t actually decrease pregnancy rates among teens. It does the opposite.

And while opponents of comprehensive sex ed think teaching kids about disease prevention and contraception encourages early sexual activity, the flip side is that not teaching these ideas doesn’t make teens less fascinated with sex. It just leaves them confused and without the knowledge they need to make educated decisions about sex.

Laura Lindberg, co-author of a 2017 report that confirmed abstinence-only programs didn’t reduce either teen pregnancy or delay the age of sexual activity, put it bluntly to NPR, “We fail our young people when we don’t provide them with complete and medically accurate information.”

That’s especially evident in the case of Sen. Bill Cassidy (R-Louisiana), whose staunch support of abstinence-only education didn’t prevent the pregnancy of his own 17-year-old daughter in 2014.

Another study found that teens who received abstinence-only education were less likely to use condoms while still engaging in sexual activity.

So what actually reduces rates of teen sex and pregnancy? Comprehensive education and affordable contraception methods.

But being transparent with teens about safe sex is only one piece of the puzzle.

Teaching teens they should wait until marriage can be particularly stigmatizing. As Dr. Terez Yonan, a physician specializing in adolescent medicine told Teen Vogue, the heteronormative framework such programs are based on alienates and sidelines LGBTQ youth. “It isolates them,” she said. “They don’t learn anything about how to have sex with a partner that they’re attracted to and how to do it in a safe way that minimizes the risk of STDs and pregnancy.”

Abstinence-only education also often provides teens with information on relationships and consent that marginalizes and puts pressure on young women.  As Refinery 29 points out, these programs “engage in teaching affirmative consent and violence prevention in ways that perpetuate gender stereotypes, such as putting the onus on young women to be in control of young men’s sexual behaviors.”

But even if the above weren’t true (and all of it is), abstinence-only education is behind the cultural curve in general. Marriage rates are dropping as priorities and cultural ideas about the role of marriage change. Many are waiting until they’re older to get married or deciding not marrying at all. According to 2015 statistics, the average age of first marriage was 27 for a woman and 29 for a man in America.

Are we really expecting teens to wait until they’re almost 30 to figure out the right way to unroll a condom (there’s a reason we need the banana demonstration!) or that lube is a must in the bedroom?

Abstinence-only education, while ostensibly well-intentioned, is also often terrifying.

Take this clip from the 1991 movie “No Second Chance” for instance. It intercuts a teacher threatening an entire classroom with death by venereal disease with grainy stock footage of a man loading a gun.

“What if I want to have sex before I get married?” One nervous student asks.

“Well,” the teacher says, leaning in close, “I guess you just have to be prepared to die.”

It hasn’t gotten much better. While the fashions have changed, a 2015 episode of “Last Week Tonight” made it clear that the message remains the same: Sex before marriage is dangerous, shameful (especially for young women), and morally repugnant.

If we really want to give today’s youth a chance at a bright and healthy future, it’s going to come from frank and open discussions about sex, sexuality, and healthy relationships — not by scaring them into celibacy.

Of course, if we need another idea for how to prevent teens from having sex early, Kimmel has some words of wisdom.

“I didn’t need abstinence education when I was a teenager,” he quipped. “I just played the clarinet.”

Complete Article HERE!

Why hasn’t the gay community had a #MeToo moment?

The conversation around consent for gay men has been stifled. We must recognise the culture of sexual assault that exists

‘Sex is something to be celebrated – whatever your gender, sexuality or preference.’

By

[M]ost gay men can remember the first time they set foot in a gay bar: the awkwardness as they walked up to the bouncer, ID (fake or otherwise) in hand, clasped tightly. Discovering others with a specific experience similar to your own, finding community, is a powerful feeling. But as the #MeToo movement rolls on, and the conversation turns to consent and dating dynamics between men and women, there’s an uncomfortable reality on the gay scene that also needs to be confronted.

According a survey by gay men’s health charity GMFA, some 62% of British gay men have been touched or groped in a bar without consent. In the US 40% of gay and 47% of bisexual men have experienced sexual violence other than rape, compared with 21% of heterosexual men.

There’s a culture of silence, and it’s not difficult to understand why. Recognising the sexual violence you have experienced isn’t always easy, especially when these are some of your earliest sexual encounters, or when memories are clouded by alcohol and drugs.

The conversation around consent for gay men has been stifled: most of us were never taught the language with which to explain or understand the experiences of our youth. Inclusive same-sex education in schools isn’t mandatory, being LGBTQ+ doesn’t often run in the family, and there are fewer role models to learn from. Instead, we navigate sex blindly. For many young gay men, the boundaries and the logistics of sexual contact are an unknown.

It wasn’t long ago that our relationships were looked down on by both society and the state, with our sex lives taboo and criminalised. To criticise now how some of our sexual practices have developed bears a risk: the bigots will say they were right all along, and our sexual relationships will be further stigmatised.

But fear is no excuse for avoiding difficult questions. When the types of intimacy we engage in deviate from “lights off, in bed, with a long-term monogamous partner every other Friday” – which, of course, can have its own problems – it’s not an act of betrayal to point out that there are more opportunities for things to go wrong.

Take, for instance the “dark room” – a space few people will speak of outside the confines of the gay scene’s sweaty, hedonistic heart. To the uninitiated, the concept is simple: it’s a room in a club, it’s dark and you have sex. When it comes to consent, though, the situation is more complex.

Much of gay dating revolves around hookups and clubs fuelled by alcohol and drugs. Gay and bisexual men are seven times more likely to use illegal drugs, according to a 2012 study, and twice as likely to binge drink than heterosexual men.

Is taking a step into such a dark room consent to all sexual contact? Can two (or more) people consent to sex when they’re both off their face? Is whispering “do what you want with me” a green light for whatever happens next? When others join in – do they need explicit permission – what if you don’t even notice? There aren’t necessarily right or wrong answers to all of these questions, but in the context of #MeToo these are conversations that need to be had.

It’s would be easy to write this off as universal; of course, heterosexuals also get wasted and look for sexual partners under the cover of night. Unlike our straight counterparts, however, it’s often only in bars and clubs that many gay men learn the rituals of love, sex and seduction – having to come out, rather than your sexual identity be seen as normal, means many of us do not innocently experiment and reflect during adolescence. We find our norms on the scene. For most of us, there were few other places to turn.

It’s not just gay men who have woken up next to someone they barely remember taking home, but when there are multiple sexual partners involved – in drug-filled rooms and dark, public spaces – the risks are multiplied. Having no recollection of who you had sex with, or where, means you may not have had the capacity to consent in the first place.

For younger gay men, the landscape is changing: the internet has revolutionised how we look for sex. Apps have provided a way to find partners away from nightlife, but these hookups aren’t always safe and forgiving environments either. Some men feel a sense of entitlement when you turn up at their door with a single, prearranged purpose. The number of crimes reported as a result of online hookups is rising. Casual sex is all well and good, but these interactions don’t teach teenagers about intimacy and relationships.

Reckless behaviour in adulthood can be linked to self-hatred, abuse and violence – it’s a coping mechanism in a world that continues to see us as victimised, isolated and abused.

Of course, it is possible to tackle these problems: the introduction of same-sex sex education in schools would be a start. Community support, once publicly funded and now decimated by local government cuts, would be another useful step. LGBTQ+ spaces away from drugs and alcohol are also sorely needed, as are effective mental and sexual health services.

At the same time, predatory gay men need to take responsibility for their actions. Drugs, darkness and the thrill of the moment are no excuse for exploiting vulnerable men. We need to recognise and highlight the culture of sexual assault and violence that exists in our community, as it does in others, and hold perpetrators to account. Assault is assault, and rape is rape. That isn’t the “freedom” our community fought for.

But neither do we need moralising from high horses, homophobic or otherwise. People of all genders and sexualities take drugs, and it can be done healthily. Putting your fingers in your ears and pretending it’s not happening serves no purpose to anyone. Ours is a community that has long been persecuted and made to feel ashamed. It’s important to talk about liberation, and to embrace sexuality in all its glorious forms. Sex is something to be celebrated – whatever your gender, sexuality or preference – as long as the all of those involved can and do consent.

Complete Article HERE!

Reasons Guys Should Do Kegels

(Including Better Sex for Both of You)

By Jenna Birch

[I]f a woman visits her ob-gyn because of urinary problems or a sexual issue relating to arousal or orgasm, her doctor might advise her to start a regimen of kegel exercises. These moves strengthen the pelvic floor muscles, which can lose tone due to age or pregnancy. Stronger pelvic floor muscles lead to better bladder control and more sensation during sex.

But it isn’t just women who can benefit from doing kegels; men can gain advantages as well. “Both men and women have these muscles,” says James Dupree, MD, an assistant professor of urology at Michigan Medicine. “A kegel exercise is the name given to any exercise strengthening the pelvic floor muscles. For guys, those are the muscles supporting organs like the penis, prostate, and rectum.”

Curious as to how they can help your partner—especially the way they can have an impact on your sex life? Here’s what you need to know.

Kegels can help him stay harder during sex

Kegel exercises strengthen the shelf of muscle supporting the penis. Stronger muscles in this area can mean improved blood flow when your partner gets an erection—similar to the way working out any muscle gives circulation to nearby organs a boost. The result: stronger erections. While it’s normal for a guy to occasionally experience erection issues, if he has regular trouble getting and staying hard, it can have an impact on your sex life, says Dr. Dupree.

They can prevent premature ejaculation

These small-but-powerful moves can also give men more control over ejaculation, helping the pelvic floor muscles lengthen and contract appropriately. That helps him last longer in the bedroom. Dr. Dupree points to a small 2014 study, which showed that pelvic floor strengthening helped 82% of study participants (age 19 to 46) improve their premature ejaculation issues.

Kegels boost bladder and bowel control

For men, kegel exercises can also help improve bowel control (jokes asides, it’s not the kind of leakage anyone wants to deal with). They can also make it less likely he’ll experience stress incontinence, or accidentally dribble a little urine while pumping iron at the gym or on a run, for example. Strengthening those muscles is especially useful if, for instance, your guy “laughs, sneezes or lifts a heavy box” and he’s leaking a little pee in the process, says Dr. Dupree.

How can guy do kegels?

Pretty much the same way women do them. First, he has to find those pelvic floor muscles. “When a man is standing to urinate, those are the muscles he’d use to abruptly stop mid-stream,” says Dr. Dupree. “On a separate note, you can think of tightening the muscles you’d use to hold in gas.”

Once he’s identified the right muscle group, Dr. Dupree advises that he “hold for three seconds, relax for three seconds.” Do this 10 times in a row, twice a day. “You can do them anywhere, really,” he says. “Sitting at a desk, in the bathroom. It should only take a few minutes.”

Before he starts, a word of caution

Prior to your partner embarking on a kegel exercise routine, Dr. Dupree says he should first talk to his doctor about any potential underlying medical problems that might be behind his symptoms. For instance, it’s normal to have drip a tiny bit of pee after emptying the bladder; it’s not normal to be leaking urine between trips to the restroom. “For urinary issues, we’d want to check for UTIs or neurologic problems,” he explains.

If you’re dealing with problems in the bedroom, your guy should also bring that up with his physician before jumping right into kegels. “For erectile dysfunction or premature ejaculation, it’s an issue that can be an early sign of what could eventually become heart disease, so we’d want to check out things like cholesterol,” Dr. Dupree says.

Complete Article HERE!

Sex education at the push of a button: the apps changing lives worldwide

From dealing with harassment to frank advice about STIs, these female app developers are providing vital, candid knowledge

The Ask Without Shame app provides information about sex to young people and has 60,000 users across Africa.

By

[A]ccurate information about sex and healthy relationships leads to greater gender equality worldwide, a report by the UN’s world heritage body Unesco found. It also leads to better sexual health, as well as less sexually transmitted infections, HIV and unintended pregnancies.

Yet many young people still don’t get the accurate information they need. Technology is one way to bring it to them. The revised international technical guidance on sexuality education, released by Unesco in January, said new technology offers “rich opportunities” to reach young people – if it’s used intelligently.

These women, from around the world, are working hard to found apps and use new technology to educate communities on sexual health.

Ruth Nabembezi, 22, founder of Ask Without Shame

Ruth Nabembezi, founder of Ask Without Shame.

When Nabembezi was just 16 years old, her older sister Pamela, who was 23, became very thin, started losing her hair and developed a skin rash. She was HIV positive, but a lack of awareness of the virus and Aids meant she didn’t get medical treatment straight away. “She was taken to a witch doctor to be cleansed of demons,” Nabembezi says. When she eventually did get taken to hospital, it was too late and she died there.

Since then, Nabembezi has wanted to help people access accurate information about sexual health. “In Uganda, anything related to sexuality is a taboo,” she says. Last year the government even branded better sex education an “erosion of morals”. Young people have to find their own information from peers, Nabembezi says. As a result, many end up believing harmful myths, such as if you sleep with a virgin, you can’t catch HIV.

Nabembezi created Ask Without Shame after joining a Social Innovation Academy when she finished school, because she wanted to change things. The mobile app, free phone line and text message service provide information about sex to young people through their phones. Questions are answered by doctors, nurses and counsellors.

The app has more than 60,000 users, mostly from Uganda and other African countries. But Nabembezi wants more. “I’d like to see it in every country in the world,” she says.

Beverly Chogo, 23, founder of Sophie Bot

Chogo created Sophie Bot in 2016 after watching her friend go through a traumatic abortion in Kenya. “It led to a lot of bleeding and abdominal pain,” Chogo says. At the time, Chogo didn’t understand what was happening to her friend. “It was a lot of trauma that she wasn’t prepared for,” Chogo says. “From that moment on I wanted to do something.”

And so the Sophie Bot was born. Chogo created the artificial intelligence (AI) Sophie Bot along with a team of three others whom she met at university in Kenya. Unsafe abortion is a major public health crisis in the country and a leading cause of preventable death and illness among women and girls. Young people can ask the Sophie Bot questions about anything, from STIs to family planning and it gives automated responses. Chogo says some people have even asked how to make sex more kinky or pleasurable, although she points out that’s not what it was originally set up for. The bot then gives automated responses.

Sex is still taboo in many African communities and so technology has been “very instrumental,” Chogo says. “Almost everyone has a smartphone.” The Sophie Bot is on WhatsApp, Facebook, Twitter and Telegram messenger. It’s had over 1,500 downloads so far, but “now we want to reach more people,” Chogo says. “The sky’s the limit.”

Heather Corinna, 47, founder of Scarleteen

US-born Corinna first set up the Scarleteen website, a platform which provides information about sex and relationships for young people, in 1998. Corinna – who identifies as non-binary and uses the “they” pronoun – had no idea it would become their second job. For the next year, Corinna taught a class of kindergarten children during the day – and then taught a “global online classroom” about sex during the evenings.

It all started when Corinna uploaded fiction about women’s sexuality online. Unexpectedly, they started to get letters from young women asking basic questions about sex. There wasn’t a resource for Corinna to direct them to, so they set up their own: Scarleteen. The website was one of the first of its kind and published questions, along with Corinna’s empathetic responses. “People wrote me long letters, so I wrote them back,” Corinna says.

It wasn’t easy and Corinna was stalked and harassed online, just for talking to young people about the topic of sexuality – but they didn’t give up. “I’m rebellious,” Corinna says. “When people give me grief I go in hard.” Twenty years later, Corinna now runs Scarleteen with a team of global volunteers.

Mia Davis, 25, founder of Tabu

Davis grew up in the American midwest and had an abstinence-based religious education that was “pretty limited” when it came to sexuality. As a result, she was ashamed of her body. “I was always learning from a boyfriend,” the Stanford University graduate says, “but now I realise they didn’t know what they were talking about either.”

So in 2016, the user-experience designer set-up Tabu. One thing that stands out is its colourful design. “A lot of sexual health content can either be too in your face, or is just images that you wouldn’t want anyone to see,” Davis says. “So instead we wanted it to be really fresh and to make it pop.”

Movements like #MeToo, where people have come forward about harassment, have highlighted the need for better sex and relationship education, Davies says. And advances in mobile technology mean that it’s more possible than ever to provide it. “There’s a lot of unlearning to do,” she says. “And it’s coming to a head now.”

Brianna Rader, 26, founder of Juicebox

Rader is about to launch a new version of Juicebox, an app that provides personalised coaching for sex and relationships through your phone. She has been passionate about sex education for years, even getting condemned by lawmakers in the state of Tennessee for running a series of sex education events called Sex Week at her university.

Attitudes towards sex education are changing. Even just a few years ago it was different, she says. But now people are more open to these conversations and are making the most of mobile and new technologies. “[Sex ed tech founders] are not just providing PDFs and booklets,” Rader says. “We are going much further than that.”

Complete Article HERE!

‘Sex Invades the Schoolhouse’

Fifty years ago, panicked parents helped spread sex-ed programs to schools across the country, even as panicked critics mobilized to stop them.

By Conor Friedersdorf

[E]arlier this month, The New York Times Magazine published “What
Teenagers Are Learning From Online Porn,” a feature that probed the frontier of sex education: a 10-hour course for high schoolers titled, “The Truth About Pornography.”

The course aims to make teens in this age of ubiquitous porn “savvier, more critical consumers of porn by examining how gender, sexuality, aggression, consent, race, queer sex, relationships and body images are portrayed (or, in the case of consent, not portrayed) in porn,” the Times reports. One of its creators, Emily Rothman, explained that the curriculum “is grounded in the reality that most adolescents do see porn and takes the approach that teaching them to analyze its messages is far more effective than simply wishing our children could live in a porn-free world.”

While the conversation that ensued focused on porn’s place in American life, the story struck me as a useful point of comparison for a look back at sex-ed 50 years ago. In 1968, The Saturday Evening Post ran its own feature on the frontiers of the subject, billed as “The Truth About Sex Education” on the cover and “Sex Invades the Schoolhouse” on the page. The story documented a rapid shift in attitudes.

Until 1965, biology students in Chicago schools “might scarcely have imagined, for all the teachers ever told them, that humans had a reproductive system,” it reported. A principal in Miami said that, only recently, a pregnant pet rabbit couldn’t be kept in the classroom. Superintendent Paul W. Cook of Anaheim, California, was quoted as saying, “Not long ago they’d have hanged me from the nearest telephone pole for what I’m doing.” By 1968, all had formal sex-ed programs.

“America seems to have suddenly discovered an urgent need for universal sex education—from kindergarten through high school, some enthusiasts insist—and is galloping off in all directions to meet it,” the journalist John Kobler reported. “The trend is nationwide. Nearly 50 percent of all schools, including both public and private, parochial and nonsectarian, are already providing it, and at the present rate the figure will pass 70 percent within a year. Clergymen, including many Catholic priests, not only do not oppose sex education, they are often members of the local planning committees.” The impetus behind the change: “parental panic,” he wrote.

Venereal diseases among teenagers: over 80,000 cases reported in 1966, an increase of almost 70 percent since 1956—and unreported cases doubtless dwarf that figure. Unwed teen-age mothers: about 90,000 a year, an increase of 100 percent in two decades. One out of every three brides under 20 goes to the altar pregnant. Estimates of the number of illegal abortions performed on adolescents runs into the hundreds of thousands. One of the findings that decided New York City’s New Lincoln School to adopt sex education was a poll of its 11th-graders on their attitudes toward premarital intercourse: the majority saw nothing wrong with it.

Teen-age marriages have risen 500 percent since World War II, and the divorce rate for such marriages is three times higher than the rate for such marriages contracted after 21. Newspaper reports of dropouts and runaways, drug-taking, sexual precocity and general delinquency  intensify the worries of parents. But these evils are only the grosser symptoms of a widespread social upheaval. Communications between the generations has stalled (“Don’t trust anyone over thirty”), and moral values once accepted by children because Mom and Dad said so have given way to a morality of the relative. In addition, parents’ own emotional conflicts, and reluctance to recognize in their children the same drives they experienced … make it all but impossible for them to talk honestly … about sex.

Giving young people more information suddenly seemed less risky to many than the alternative. And in this telling, many parents preferred to let teachers do the hard part.

In Talk About Sex: The Battles Over Sex Education in the United States, Janice M. Irvine noted that the first calls for in-school sex education came in the early 1900s “from a disparate group of moral reformers including suffragists, clergy, temperance workers, and physicians dedicated to eliminating venereal disease.” They disagreed among themselves about the purpose of sex education, but united against Anthony Comstock and his anti-vice crusaders in arguing that expanding public speech about sex would better advance social purity and retard vice than restricting it.

A similar divide endured as sex-ed began to spread rapidly in the 1960s. Its proponents believed that talking openly about the subject would help cure social ills, as they had since at least 1912, when the National Education Association passed its first resolution calling for the introduction of sex curriculum in public schools.

1960s social conservatives countered that “if we talk to young people about sexuality, it should be restricted so as not to lead to destructive and immoral thoughts and behavior”—and that “controlling or eliminating sexual discussing best allows for the protection of young people and the preservation of sexual morality.”

For them, too much information posed the greater threat.

Some conservatives even saw sex education in schools as a Communist plot, causing local controversies like one in Utica, New York, where a contemporaneous newspaper article reported that “Joseph Smithling of Syracuse, a member of the Movement to Restore Decency, told an Oneida County Patriotic Society meeting that the national sex education movement is part of the ‘International Communist conspiracy.’ He said local teachers are being fooled by a Communist plot to take over this country by getting American children ‘interested in sex, drawing them away from religion and making them superficial and less rugged.’”

The era’s most far-reaching anti-sex-ed pamphlet was published in September 1968. Selling at least 250,000 copies, Is the School House the Proper Place to Teach Raw Sex? took aim at the Sex Education Council of the United States, the biggest and most influential group creating sex-ed curricula and spreading them to public schools.

The pamphlet’s first section portrays its opponents as a bunch of sex-positive relativists who can’t even be counted on to declare premarital sex morally wrong. “The public school is intruding into a private family and church responsibility as it frightens and coerces parents to accept the teaching of sex,” its second chapter begins. One can only imagine how these conservatives would regard media that children are exposed to in 2018 when reading their take on teaching materials circa 1968:

Sex education, as a symbol of curricular innovation, is in the classroom with all of its rawness, its tactlessness, its erotic stimulation. The flood of materials for classroom use includes books, charts, and unbelievably clever models which even include multi-colored plastic human figures with interchangeable male and female sex organs––instant transvestism.

The sexologists, who we cannot help but feel are Johnny-come-lately pornographers, are devoting their full creative powers to inventing sexual gimmickry.

Other passages could as easily be critiques of sex education (and especially porn education) today. “The embarrassing frankness of many sex education programs force the sensitive child to suppress his normal, emotion-charged feelings in listening to class discussion,” the pamphlet’s authors fretted. “This may develop into serious anxieties. On the other hand, he may either become coarsely uninhibited in his involvement in sex, or develop a premature secret obsession with sex.”

The pamphlet ended with a rousing call to parents to resist sex education and the notion that only teachers—“the professionals”—are qualified to decide what kids should be taught. In its telling, “the sex educators are in league with sexologists—who represent every shape of muddy gray morality, ministers colored atheistic pink, and camp followers of every persuasion, from off-beat psychiatrists to ruthless publishers of pornography. The enemy is formidable at first glance, but becomes awesomely powerful when we discover the interlocking directorates and working relationship of national organizations which provide havens for these degenerates.”

While the spread of sex education in the late 1960s undoubtedly changed the socialization of young people, giving progressive educators more relative influence and social conservatives less, claims that the curriculums were “sex positive” or grounded in “moral relativism” were very much exaggerated, as scenes from the Saturday Evening Post feature and other contemporaneous accounts illustrate.

The birth-control pill was deliberately excluded from many curricula. In Evanston, Illinois, which boasted a well-known sex-education program, “a junior high school teacher responds to the frequent question ‘Why is premarital sex wrong?’ by handing around a list of horrifying statistics on venereal disease, illegitimacy, abortion, and divorce,” Kobler wrote. San Diego described its goal as promoting “wholesome attitudes toward boy-girl relationships and respect for family life.”

In Miami, a youth counselor answered a common question posed by ninth-grade girls as follows: “Should a girl kiss a boy on their first date? Certainly not. A kiss should be a token of affection, not a favor freely distributed. Going steady? It’s too easy to slip into an overly close relationship.” In a separate classroom, boys were told, “Don’t you and a girl go pairing off in a corner. It’ll only lead to frustration. You’re not prepared for sex except as animals. Don’t start a relationship you’re not ready for.”

Only the most liberal educators were advocating for co-ed sex-education classes, that no position be taken on the morality of premarital sex, and that students be given “full information.” Fifty years later, Americans remain divided on many of these same questions. One change is that “full information” back then meant a curriculum that covered, for instance, birth control and homosexuality; by the 1990s, advocates of “full information” favored teaching students about masturbation, a taboo that cost Joycelyn Elders her job in the Clinton administration when she forthrightly broke it in response to a question.

And today? That New York Times Magazine story on porn noted a survey of 14-to-18-year-olds. Half said they had watched porn. And among them, “one-quarter of the girls and 36 percent of the boys said they had seen videos of men ejaculating on women’s faces (known as ‘facial’)… Almost one-third of both sexes saw B.D.S.M. (bondage, domination, sadism, masochism), and 26 percent of males and 20 percent of females watched videos with double penetration, described in the study as one or more penises or objects in a woman’s anus and/or in her vagina. Also, 31 percent of boys said they had seen ‘gang bangs,’ or group sex, and ‘rough oral sex.’”

Put another way, if sex educators today are to cover just the terrain that millions of American teenagers have already been exposed to through the Internet, they will be covering acts that even the most liberal sex-education teachers of 1968 would’ve found unthinkable to teach, and that they had more than likely never seen themselves. Imagine the confusion typical adults of that bygone era would feel if told about the content available to today’s teens—and then told that alongside porn’s rapid rise, teen pregnancies, abortions, and STDs have fallen simultaneously and precipitously.

Complete Article HERE!

Sex myths create danger and confusion

[S]tigmas around discussing sexual behavior often prevent vital information from being shared accurately, if at all. With all of the rumors and myths floating around about sexual health, trusting these myths can be misleading at best, and dangerous at worst.

Terms like “always” and “normal” can be particularly misleading when discussing sexual health and behavior. Because everyone’s body is different and everyone’s sexual experiences will be personal, no two people’s “normal” is exactly alike. Normal, healthy and common are not all the same thing. There are very few sex facts that are black-and-white. Some rules, however, are pretty universal. Some common sexual misconceptions deserve to be addressed openly and debunked once and for all.

Is using multiple condoms at once more effective?

Not at all. In fact, using more than one condom increases chances of them breaking. Because of the amount of friction during sex, two condoms will rub against each other and wear each other down. Doubling up on the same type of condom is inadvisable, just as using a male condom and female condom at the same time increases the chance of them both failing.

Are all condoms the same?

No, there are multiple options for condoms to fit various needs. In addition to different sizes, condoms are made of different materials. The most common is latex, but various plastics and animal skin options are also available. It is important to note that while all types of condoms prevent pregnancy when used correctly, animal skin condoms do not protect against STDs.

Is lube actually important?

Not only can lube be a vital tool for having comfortable sex, but it can also make sex safer. Because lube eases friction, it can significantly reduce the chances of irritation. It also helps prevent small cuts that increase chances of transmitting STDs between partners. However, the ingredients in some lubricants may not be compatible with the materials in the condoms. Oil-based lube makes latex condoms more likely to tear. Always check the label before using it.

Can you use saliva as lubricant during sex/masturbation?

While the consistency of saliva is similar to many personal lubricants on the market, it isn’t an ideal option. The bacteria that live in the mouth may irritate delicate genital skin. Not to mention residual compounds in the mouth from food or toothpaste may throw off the chemistry or, in some extreme cases, cause infections. Lube is specially formulated to be used on genitals, whereas saliva is not.

Is bleeding supposed to happen during the first instance of penetrative sex?

The vagina is never supposed to bleed. While the hymen, a thin and stretchy membrane that partially covers the vaginal opening, is often expected to tear during intercourse, it certainly isn’t required. Many people never notice their hymens during intercourse.

Some bleeding can also occur from small cuts in the genital skin due to intense, repeated friction. Blood and pain are not guaranteed, nor are they necessary, during a first sexual experience. If aroused, comfortable and protected, someone’s first sexual activity doesn’t have to be less enjoyable than future instances.

Are hymens indicative of virginity?

No! A hymen can tear or stretch in a multitude of ways over someone’s lifetime. Using tampons, athletic activities and penetrative masturbation are common ways of stretching the hymen. While sexual activity can stretch a hymen, it is not the only way it happens. The presence or absence of a hymen is not an accurate representation of someone’s sexual behavior.

Are condoms still necessary for safe anal sex?

Unprotected anal penetration isn’t any safer than unprotected vaginal penetration in terms of STD prevention. Anal sex, particularly unlubricated, comes with increased risks of certain STDs because the likelihood of exchanging bodily fluids is higher. It also doesn’t completely eliminate the possibility of conceiving for male-female partners, due to unintended fluid exchange. However, condoms with spermicidal lubricants should not be used during anal sex.

Is oral sex always a safe alternative? 

Not at all. The mouth and throat are highly sensitive areas and are susceptible to many STDs that also infect genital skin.

Is it possible to get pregnant during your period?

Ironic as it may seem, menstruating doesn’t completely prevent pregnancy. It’s less common, and it depends on the details of an individual’s menstrual cycle. Sperm can survive around three to five days in the body, on average. For those with shorter cycles, ovulation may occur soon enough after menstruation for pregnancy to occur after unprotected sex, even during their periods.

Should women all be able to orgasm from vaginal sex?

No, in fact the majority of women do not orgasm exclusively from penetrative sex. Planned Parenthood reports that up to 80 percent of women do not orgasm without the aid of manual or oral stimulation.

Does drinking pineapple juice improve the taste of oral sex?

It’s true that diet has a direct effect on the taste and odor of genitals, both in men and women. However, the effects aren’t immediate or direct enough to be influenced by a glass of pineapple juice. A balanced diet and adequate hydration does more than drinking any amount of juice before oral sex.

Complete Article HERE!

Take a Little Look-See

[J]essica Biel and Chelsea Handler are getting up close and personal with their bodies for a good cause. In “Look See,” a hilarious new short, Biel and Handler finally answer the question “What is a vulva?” and encourage women everywhere to become more familiar with their bodies. The NSFW video aims to de-stigmatize the vagina, and, most importantly, encourage women to take a look down there every now and then.

“Look See” opens with Handler walking in on Biel using a hand mirror to look at her vagina (tampon instructions style), and things only get more open and wild from there. “Is it weird?” Biel asks Handler. “No! You have to check in with your vagina. How else are you going to know what’s going on down there?” Handler responds. And then, the debate begins: was Biel looking at her vagina, or was she looking at her vulva? “The vagina is in, so, technically, we’re just looking at our vulva,” Biel says.

For the record: Biel is correct, the vulva is the word for exterior female genitals, but Handler also has a point when she says, “Let’s just say vagina, because vulva’s gonna confuse people.” But, while language is important, the main message of the video isn’t so much that one has to know the scientific terms, it’s that a woman should feel no shame in getting to know their bodies. Because after all, women should be familiar enough with their own vaginas to know if theirs looks like “a smug, young Burt Reynolds — with the mustache,” like Biel’s.

 

What’s the difference between sexual abuse, sexual assault, sexual harassment and rape?

Physician Larry Nassar was sentenced to up to 175 years in prison for the sexual assault of girls on the USA Gymnastics team.

By , &

[T]he terms “sexual abuse,” “sexual assault,” “sexual harassment” – and even “rape” – crop up daily in the news. We are likely to see these terms more as the #MeToo movement continues.

Many people want to understand these behaviors and work to prevent them. It helps if we are consistent and as precise as possible when we use these terms.

But what does each term mean?

We are three scholars who have specialized in the scientific study of sexual abuse, rape, sexual assault and sexual harassment over several decades.

Let’s start by defining each of these terms. Then, we can look at how these behaviors sometimes overlap.

Sexual abuse

The term that has been in the news most recently with reference to sports doctor Larry Nassar’s trial is sexual abuse, a form of mistreating children. Sexual abuse is mainly used to describe behavior toward children, not adults.

All 50 states have laws that recognize that children are not capable of giving informed consent to any sex act. In the United States, the age at which consent can be given ranges from 16 to 18 years.

Sexual abuse can include many different things, from touching a victim in a sexual manner to forcing a victim to touch the perpetrator in a sexual way to making a victim look at sexual body parts or watch sexual activity. Sexual abuse of a child is a criminal act.

Rape

In 2012, the FBI issued a revised definition of rape as “penetration, no matter how slight, of the vagina or anus with any body part or object, or oral penetration by a sex organ of another person, without the consent of the victim.” The revised law is gender neutral, meaning that anyone can be a victim.

When carefully examined, the FBI definition does not look like most people’s idea of rape – typically perpetrated by a stranger through force. The FBI definition says nothing about the relationship between the victim and the perpetrator and it says nothing about force. It does, however, say something about consent, or rather, the lack of it. Think about consent as your ability to make a decision about what happens to your body.

A perpetrator can compel a victim into a penetrative sex act in multiple ways. A perpetrator can ignore verbal resistance – like saying “no,” “stop” or “I don’t want to” – or overpower physical resistance by holding a person down so they cannot move. A person can penetrate a victim who is incapable of giving consent because he or she is drunk, unconscious, asleep, or mentally or physically incapacitated; or can threaten or use physical force or a weapon against a person. Essentially, these methods either ignore or remove the person’s ability to make an autonomous decision about what happens to their body. State laws vary in how they define removing or ignoring consent.

Perpetrators can’t defend against charges of rape by claiming they were drunk themselves or by saying they are married to the victim.

In November 2017, participants combined the ‘Take Back the Workplace March’ and the ‘#MeToo Survivors March’ in Hollywood.

Sexual assault

Rape and sexual assault have been used interchangeably in coverage of events leading to the #MeToo movement, and this practice, though unintentional, is confusing. In contrast to the specific criminal act of rape, the term sexual assault can describe a range of criminal acts that are sexual in nature, from unwanted touching and kissing, to rubbing, groping or forcing the victim to touch the perpetrator in sexual ways. But sexual assault overlaps with rape because the term includes rape.

Social and behavioral scientists often use the term “sexual violence.” This term is far more broad than sexual assault. It include acts that are not codified in law as criminal but are harmful and traumatic. Sexual violence includes using false promises, insistent pressure, abusive comments or reputational threats to coerce sex acts. It can encompass noncontact acts like catcalls and whistles, which can make women feel objectified and victimized. It includes nonconsensual electronic sharing of explicit images, exposure of genitals and surreptitious viewing of others naked or during sex.

Sexual harassment

Sexual harassment is a much broader term than sexual assault, encompassing three categories of impermissible behavior.

One is sexual coercion – legally termed “quid pro quo harassment” – referring to implicit or explicit attempts to make work conditions contingent upon sexual cooperation. The classic “sleep with me or you’re fired” scenario is a perfect example of sexual coercion. It is the most stereotypical form of sexual harassment, but also the rarest.

A second, and more common, form of sexual harassment is unwanted sexual attention: unwanted touching, hugging, stroking, kissing, relentless pressure for dates or sexual behavior. Note that romantic and sexual overtures come in many varieties at work, not all of them harassing. To constitute unlawful sexual harassment, the sexual advances must be unwelcome and unpleasant to the recipient. They must be “sufficiently severe or pervasive” to “create an abusive working environment,” according to the U.S. Supreme Court.

Unwanted sexual attention can include sexual assault and even rape. If an employer were to forcibly kiss and grope a receptionist without her consent, this would be an example of both unwanted sexual attention and sexual assault – both a civil offense and a crime.

Most sexual harassment, however, entails no sexual advance. This third and most common manifestation is gender harassment: conduct that disparages people based on gender, but implies no sexual interest. Gender harassment can include crude sexual terms and images, for example, degrading comments about bodies or sexual activities, graffiti calling women “cunts” or men “pussies.” More often than not, though, it is purely sexist, such as contemptuous remarks about women being ill-suited for leadership or men having no place in childcare. Such actions constitute “sexual” harassment because they are sex-based, not because they involve sexuality.

Come-ons, put-downs: They’re both bad

In lay terms, sexual coercion and unwanted sexual attention are come-ons, whereas gender harassment is a put-down. Still, they are all forms of sexual harassment and can all violate law, including Title VII of the Civil Rights Act of 1964.

Historically, social attitudes towards all these hostile actions have assumed a continuum of severity. Sexist graffiti and insults are offensive, but no big deal, right? Verbal sexual overtures cannot be as bad as physical ones. And, if there was no penetration, it can’t have been all that bad.

These assumptions do not hold up to scientific scrutiny, however. For example, researchers at the University of Melbourne analyzed data from 73,877 working women. They found that experiences of gender harassment, sexist discrimination and the like are more corrosive to work and well-being, compared to encounters with unwanted sexual attention and sexual coercion.

We have tried to clarify terms that are now becoming household words. Of course, life is complicated. Abusive, assaulting or harassing behavior cannot always be neatly divided into one category or another – sometimes it belongs in more than one. Nevertheless, it is important to use terms in accurate ways to promote the public’s understanding.

Finally, we take heed that society is in a period like no other and one we thought we would never see. People are reflecting on, and talking about, and considering and reconsidering their experiences and their behavior. Definitions, criminal and otherwise, change with social standards. This time next year, we may be writing a new column.

Complete Article HERE!

Consent doesn’t end with dating – husbands have to ask their wives for sex too

Many of the female survivors I’ve worked with said that having sex with their husbands felt like rape. They would be shocked when I told them that their experiences had, in fact, been rape

Men are socialised to feel ownership over women’s bodies, regardless of their pain or happiness. Women are conditioned to accept degrees of male aggression

By Hera Hussain

[T]hanks to the #MeToo movement the topic of consent is now on the agenda. The conversation is centred on dating and hooking up, teaching us how to navigate those confusing moments between going home and actively saying, or hearing, the word “yes”. What isn’t being expressed is that consent is something that happens every time we agree to sleep with someone – whether on a first date, or after 30 years of marriage. At every point in a relationship someone has the right to say no, and to be listened to.

It’s frightening for many to think that partners we trust, love and may even desire might force us into something they’re enjoying, when we’re not, but it happens in too many relationships.

Many of the female survivors I’ve worked with have expressed, quite reluctantly, that having sex with their husbands felt like rape. They would be shocked when I told them that their experiences had, in fact, been rape. And these women aren’t an anomaly. One study reported that nearly one in three women has experienced sexual violence within an intimate relationship.

I can never forget when one woman I worked with asked me, embarrassed, how sex was for another married woman. She asked me if it was supposed to feel good. Or the woman who would go to extreme lengths to avoid sleeping with her husband, pretending to be sick or on her period. And another who would lock the door and sleep in the guest room when her husband would come staggering home from a night out. There are so many more stories like these.

As seen in the recent high-profile cases, women continue to face a higher standard of scrutiny for experiencing abuse than abusers do for inflicting it. “If it was so bad, why didn’t she just leave?” people ask me. There are many reasons why women don’t leave an abusive situation.

Psychological barriers can prevent recognition of abuse, women are socialised to fear the anger of men who don’t get their way, and, for many women, leaving simply isn’t an option as there’s nowhere to go. After all, in England alone, nearly 200 women and children are turned away from domestic violence refuges every single day.

Clearly, we’re going wrong somewhere. Men are socialised to feel ownership over women’s bodies, regardless of their pain or happiness. Women are conditioned to accept degrees of male aggression, and will often temper their response knowing that they risk being seriously hurt or even killed if they fail to comply.

If we’re serious about changing gender power dynamics for good, we need to take the NSPCC’s advice and teach children about consent from a young age. This begins with making PSHE education, including lessons on consent, taught by trained teachers, statutory in all schools.

Consent can’t begin and end with dates. Consent can’t be the absence of a “no”. It can’t be an extra. It can’t be a one-off check. Consent has to be affirmative and enthusiastic every single time, from the first time to the last time.

Complete Article HERE!

Same-sex couples experience unique stressors

Study by SF State professor finds that institutionalized discrimination has lasting effects

Professor of Sociology Allen LeBlanc

By Lisa Owens Viani

[S]tressors faced by lesbian, gay and bisexual (LGB) individuals have been well studied, but San Francisco State University Professor of Sociology Allen LeBlanc and his colleagues are among the first to examine the stressors that operate at the same-sex couple level in two new studies conducted with support from the National Institutes of Health. “People in same-sex relationships are at risk for unique forms of social stress associated with the stigma they face as sexual minority individuals and as partners in a stigmatized relationship form,” said LeBlanc.

In the first study, recently published in the Journal of Health and Social Behavior, LeBlanc and colleagues conducted in-depth interviews with 120 same-sex couples from two study sites, Atlanta and San Francisco, and identified 17 unique pressures that affect LGB couples. Those range from a lack of acceptance by families to discrimination or fears of discrimination at work, public scrutiny, worries about where to live and travel in order to feel safe, and experiences and fears of being rejected and devalued. The researchers also found that same-sex couple stressors can emerge when stress is contagious or shared between partners and when stress “discrepancies” — such as one partner being more “out” than the other — occur.

“We wanted to look beyond the individual, to look at how stress is shared and how people are affected by virtue of the relationships they’re in, the people they fall in love with and the new ways couples experience stress if they’re in a stigmatized relationship form,” said LeBlanc. “One of those is feeling that society doesn’t value your relationship equally.”

“Changing laws is one thing, but changing hearts and minds is another.”

That perception is the focus of a second study just published in the Journal of Marriage and Family. LeBlanc found that feelings of being in a “second-class” relationship are associated with mental health issues — such as greater depression and problematic drinking — even after taking into account the beneficial impact of gaining legal recognition through marriage. In 2015, the U.S. Supreme Court legalized same-sex marriage, but the effects of long-term institutionalized discrimination can linger, according to LeBlanc.

“Our work is a stark reminder that legal changes will not quickly or fully address the longstanding mental health disparities faced by sexual minority populations,” said LeBlanc. “Changing laws is one thing, but changing hearts and minds is another.”

Even though people in same-sex relationships experience many unique challenges, research also shows that having a good primary intimate partnership is important for a person’s well-being, which is true for both heterosexual and LGB couples. “The unique challenges confronting same-sex couples emanate from the stigma and marginalization they face from society at large, not from anything that is unique about their relationships in and of themselves,” said LeBlanc. LeBlanc’s study builds on an emerging body of research suggesting that legal recognition of same-sex relationships is associated with better mental health among LGB populations — as has long been suggested in studies of legal marriage among heterosexual populations. “This new research suggests that legal marriage is a public health issue,” said LeBlanc. “When people are denied access in an institutionalized, discriminatory way, it appears to affect their mental health.”

LeBlanc said transgender individuals were not included in the studies because of other stressors unique to them; he noted that another study focused specifically on trans- and gender-nonconforming individuals is underway. He hopes his research will help people better understand and support not just same-sex couples but also other stigmatized relationships, including interracial/ethnic relationships or partnerships with age differences or different religious backgrounds. “It’s not just about civil rights for LGB persons,” he explained. “It’s about science and how society can be more supportive of a diversity of relationships that include people from all walks of life.”

Complete Article HERE!

Breaking taboos

Talking about sexual health with international students

 

[M]any people find some discomfort in detailing anything to do with their sex lives. Our bodies, sexual health and sex lives are generally seen as private matters.

In many Western countries, including Belgium, the Netherlands and Australia, students are brought up to be a little more relaxed about these matters, however in Asia generally the topic is considered much more taboo.

It is of great importance that all students, international or otherwise, sexually active or not, have a rounded understanding of sexual health and how to stay safe.

Lecturing might not be the way to teach students about sexual health but it is important they have an awareness.

“In Australia, we take it for granted that most young people receive [sexual health] information,” Alison Coelho, co-manager of Centre for Culture, Ethnicity and Health said at the inaugural sexuality symposium on Australia’s Gold Coast.

“When young people arrive to do their study, they often haven’t had sexual health education… and depending on where they arrive from, the idea of discussing sexual health is often taboo.”

Coelho told The PIE News all over the world there is a real reluctance to talk about sexual health. Countless international students, therefore, arrive at university unaware.

Probably not the most sound advice to be giving students.

Coelho detailed how young female students had their first period while abroad for their studies. Many, not understanding what a menstrual cycle was, panicked and rushed themselves to the emergency room.

Cultural differences in attitudes to sexual health have caused dangerous consequences for thousands of international students.

“For a number of years, the rates of new diagnoses of HIV in this population group have represented 50% percent of Australia’s new diagnoses between particular ages,” Coelho told The PIE News.

Safe sex is incredibly important for sexual health.

“That is shocking. These young people are coming to Australia for an education, but they are so vulnerable, do not understand about safe sex, [and] are often told there is no HIV here [so] we don’t use condoms.”

Coelho claimed universities must have “difficult conversations” about sexual health in order to ensure the safety of students.

She explained to The PIE News how international students are nearly twice as likely than the general population to identify as LGBTQ+. She attributes the likelihood of this to numerous students using their experience abroad to explore their sexuality. For many, their university country has a more open and free society which allows for this exploration.

While universities can provide guidance and encourage dialogue into sex education, the problem stems from a lack of proper education in schools.

Coelho also acknowledged students listen to their peers more than educators when it comes to sexual health. Universities, therefore, could do more to ensure the information distributed is accurate. Coelho suggested peer mentor groups, which work with a larger cohort of international students.

“Individuals identify with their peers, hence they’re more successful than professionals in passing on the information. Peers act as a positive role model and can reinforce learning through ongoing support,” she said

Complete Article HERE!