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What is tantric sex, and how can it help heal sexual trauma?

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By Brook Bolen

Conversations about sexual violence and trauma have long been overdue but are finally happening. Conversations about how survivors of sexual violence endure and overcome their trauma is of equal importance — and with symptoms ranging from emotional to physical to psychological, physiological, and sexual, there are a host of repercussions. Experts estimate that one in six women has been the victim of attempted or completed rape; similarly, while the precise number is not known, professionals estimate that one in four women will be sexually abused before the age of 18. For many of these women, some of whom have been victimized as adults and children, the struggle to maintain or achieve a fulfilling relationship with their sexuality can be chronic and long-lasting.

While traditional kinds of talk therapy, such as psychoanalysis and cognitive-behavioral therapy, are often helpful in overcoming trauma, they are not always sufficient — particularly where sex and sexuality are concerned. Somatic therapy, which is a type of body-centered therapy that combines psychotherapy with various physical techniques, recognizes that trauma can be as much a part of the body as of the mind. “Somatic” comes from the Greek word soma, which means “body.” According to somatic therapy, trauma symptoms are the result of an unstable autonomic nervous system (ANS). Our past traumas disrupt the ANS and can manifest themselves in a wide variety of physical symptoms. This type of holistic approach can be especially useful for survivors of sexual violence.

Staci Haines, somatic teacher, practitioner, and author of Healing Sex: A Mind-Body Approach to Healing Sexual Trauma, agrees. In a 2007 interview with SF Gate, she said, “Many people can understand intellectually what happened to them, but put them in a stressful situation like having sex, and their bodies continue to respond as they did during the abuse. … That’s why somatic therapy is so powerful for recovery. Survivors learn to thaw out the trauma that is stored in their body. They learn to relax and experience physical pleasure, sexual pleasure.”

Most Americans’ understanding of tantra is limited to Sting’s now-infamous boast about his seven-hour lovemaking prowess — but tantra is actually a type of somatic therapy. As such, tantra can be used to help people achieve the same types of goals as traditional talk therapy does, such as better relationships, deeper intimacy, and a more authentic life. Furthermore, while tantra frequently incorporates sexuality into its focus, it’s not solely about sex — though that seems to be how it is most commonly perceived in the West.

Devi Ward, founder of the Institute of Authentic Tantra Education, uses the following definition of tantra for her work: “Tantra traditionally comes from India; it’s an ancient science that uses different techniques and practices to integrate mind, body, and spirit. It’s a spiritual practice whose ultimate goal is to help people fully realize their entitlement to full pleasure. We also use physical techniques to cultivate balance. The best way I have of describing it is it’s a form of yoga that includes sexuality.”

Internationally acclaimed tantra teacher Carla Tara tells Yahoo Lifestyle, “There are about 3,000 different definitions of tantra. One of them is this: Tantra is an interweaving of male and female energies, not just one or the other. I start there. Having both energies means knowing how to give and receive equally. Its basis is equanimity. It’s the foundation for conscious loving and living.”

Using equanimity as a starting point for individual or couples therapy can be useful in every facet of life, but particularly for survivors of sexual violence. “Tantra is important to any kind of healing,” says Tara, “because it teaches you to be present through breathing. Deep, conscious breathing is nourishing for every cell of your body. And they were not nourished when you were abused; they were damaged. This kind of breathing teaches you to be present. These breathing techniques help stop you from returning to the past. This makes it so powerful, and that feeling is so important for people who have been abused. Most people go first to psychotherapy, but for people who have survived sexual violence, it takes touching, not just talk, to heal.”

Yoga’s mental and physical health benefits are well established, making the addition of sexuality an even more promising tool for people struggling to have a more fulfilling sex life. “We use somatic healing,” Ward, who teaches individual and couples classes on-site in British Columbia and internationally, tells Yahoo Lifestyle via Skype. “When we’re traumatized, the body can become tense and tight where we have been injured. We refer to this as body armoring, because the body is storing the trauma in its cells. That kind of tight defensiveness can be impenetrable. But here’s the beautiful thing: When the nervous system is relaxed, it releases trauma. And that is a healing practice. We know that trauma gets stored in the body. Through combining meditation, sexual pleasure, and breathing practice, the body can then learn to let go and release that trauma. And that can look like tears, laughter, orgasms. It depends on the trauma and the person.”

Single or partnered, tantra can be beneficial for anyone looking to have a happier, healthier sex life. “The most promising sexual relationship we have is the one we have with ourselves,” says Ward. “If we don’t have that, how can we expect to show up for our partners? We all deserve to have a celebratory, delightful relationship with our body, but if we have unresolved trauma, we bring all that to our relationship. A lot of relationships we are in tend to be dysfunctional because of our unresolved trauma and wounding.”

When it comes to using tantra to heal from sexual trauma, reading alone won’t cut it. Expert assistance, most often offered in person and online, is recommended. “There [is help for] certain muscle tensions, and things like that, that you can’t get from a book,” says Tara. “You need a person to guide you.” Ward echoes this idea: “Especially if you’re healing trauma, it’s best to have a coach. Humans learn best through modeling. Reading is great, but nothing can substitute what we learn from follow-the-leader.”

Healing from sexual violence is a daunting task, and everyone who struggles to do so has their own personal journey to healing. Each person’s recovery is unique, and tantra can help every survivor. “The body is designed to heal itself,” says Ward. “We just have to learn how to relax and let it happen.”

Complete Article HERE!

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How to talk to kids about sex

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“I do know how babies are made,” my then-8-year-old son recently told his 13-year-old sister. She ignored him. “Mom, he really doesn’t,” she said. “You better tell him before he goes to camp and hears it from older kids.” She was right. I had talked to him about love for years, but I must have glossed over the mechanical piece.

According to Deborah Roffman, a teacher and author of “Talk to Me First: Everything You Need to Know to Become Your Kids’ ‘Go-To’ Person About Sex,” I was late to the game. “If we’re not deliberately reaching out to kids by third grade, almost everything they learn after that is going to be remedial,” she says. “Sexual intercourse in the service of reproduction is thoroughly age-appropriate for 6-year-olds.”

Not long after I got my son up to speed, I taught middle school health and wellness for the first time. No amount of parenting readies you for a roomful of curious 13-year-olds. To prepare me, my principal showed me questions kids had asked in the past. “How many times can you ask a girl out before it becomes sexual harassment?” “Is it possible for a boy to put his privates in the wrong hole?” “What are all the different sex positions?”

Well, okay then. I could do this. As Roffman notes, these conversations are simply part of the nurturing process, and we miss the big picture when we focus on “the talk.” “That’s where I start with parents. It’s about how we can raise sexually healthy young people from birth,” she says.

Kids have five core needs when it comes to sexuality, Roffman explains. They need affirmation and unconditional love; information about healthy and unhealthy behaviors; clarity about values such as respect and integrity; appropriate boundaries and limits; and guidance about making responsible, safe choices. Within that framework, here are seven tips to help parents raise kids who know how to make well-considered decisions.

Fill in gaps and debunk myths

Karen Rayne, a sex educator in Texas and author of “GIRL: Love, Sex, Romance and Being You,” says that parents shouldn’t make assumptions about what their kids know. She recalls a student who avoided trampolines because she believed that every time a girl is jostled, an egg dies. Another girl sobbed in a bathroom at a water park when she got her period for the first time. “She was being raised by a single dad who never talked to her about it, and she thought she was dying,” she says.

Yuri Ohlrichs, an author and sex educator at Rutgers Netherlands, says that kids are picking up information from peers and the Internet and that parents need to debunk myths. One boy told him that if you clean your genitals with a medical disinfectant after sex, you can’t get a sexually transmitted disease. “Some of the misconceptions are disturbing, and as responsible adults we can take away the tension they create,” he says.

Admit discomfort and stay calm

For parents, acknowledging discomfort is a good first step. “You can begin the conversation with, ‘This is going to be awkward, but we’re going to talk about it anyway because it’s important,’ ” Rayne says. Even if parents are fine, it doesn’t mean their kids are. “Parents need to normalize the dialogue and provide a space where kids can ask anything,” she says. “If young people say something shocking, it’s okay to say, ‘That’s surprising to me.’ ” Still, she recommends parents stay calm and delay their gut reaction. “Process with a friend, partner or religious figure, and then respond in your best emotional state,” she says.

Talk about your family’s values

When Roffman talks to parents, she asks them to list at least five values they want their children to bring to all sexual situations they encounter in their lives. She then urges them to name those values to their kids as young as possible.

By taking this approach, parents can teach the importance of compassion, honesty and respect long before they broach them in a sexual context. “Parents can say, ‘You’re standing too close to me. You’re not respecting my boundaries,’ and talk to children about how no one is allowed to touch them without their permission,” Roffman says.

Last year, her eighth-graders wanted to teach fifth-
graders about consent. They showed an image of the prince kissing Sleeping Beauty along with nonsexual examples of consent. By the end of the presentation, the students understood why Sleeping Beauty was incapable of agreeing to the kiss.

Share personal stories with caution

Before sharing personal information, parents need to think deeply about why they’re sharing it, Roffman says. “There should be a point to the story. What do they hope their child will learn?” She notes that trying to steer a kid’s behavior is not a good motive. “The goal should be to help your child think through decisions they’re going to make,” she says.

Parents also can draw a line when kids ask intrusive questions. “The act of drawing boundaries is powerful, and parents can say, ‘That’s a personal question, and maybe I’ll answer it when you’re older,’ ” Rayne says.

Address stereotypes and gender differences

Ohlrichs encourages adults to take a positive approach to both male and female sexuality. “Not all boys or men are going out there to have sex as much as they can,” he says, noting that boys have insecurities but may struggle to express them. “We have to make sure that boys understand that you’re just as much a man if you’re not experienced sexually as if you are.”

He also urges parents to explain that although there are no hard-and-fast distinctions, males and females might approach sexual scenarios differently. “Boys don’t always understand that a girl might stop kissing because she’s focused on what’s going on around them,” he says. “Boys might be all green lights, but if a girl hears someone in the house or the boy says something that reminds her of a negative experience, it’s over.” Parents can explain that it’s not necessarily a rejection and that the couple needs to work together to make it comfortable. He also suggests that parents tell teens that if someone is giggling or nervous, “it might not be a positive situation for them.”

Ohlrichs urges parents to address stereotypes about female sexuality, noting that girls throughout the world internalize the idea that they need to protect their reputation. “They’re getting the message that they need to conceal excitement and avoid taking initiative, and it’s still one-sided,” he says.

Use media and other sources to start a conversation

“Everything in life can be connected to human sexuality,” Roffman says, and parents can find natural segues in a variety of topics, such as music and sports. Sexetc.org, a website that is run by teens and affiliated with Rutgers University, features polls that parents can use to start a dialogue. Scarleteen.com also has a parenting section and an adult-moderated dialogue board for teens.

Rayne has used the movie “Wonder Woman” and the TV show “Grey’s Anatomy” to talk about gender issues with her own children. She also talks to her kids about sexting and shares other Internet cautionary tales when they unfold publicly. Books about sex, gender and reproduction are readily available in her home.

Complete Article HERE!

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What does kink really mean?

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All your NSFW questions answered

If you want to get kinky, sex isn’t even necessary.

Looking to leave your vanilla sex life behind and break into the exciting world of kink? You’ve probably heard the term thrown around on the internet or mentioned mysteriously on popular TV shows. But what does kink mean? What does being kinky entail? How do you discover your kinks and find out what works for you and your partner?

We suggest putting aside your Fifty Shades of Grey and Twilight kink fanfiction for a much more interesting and inclusive look into what it really means to be kinky—and how kink can change sex and intimacy.

What does kink mean?

There are a lot of different ways to define “kink” that range from extraordinarily broad to super specific. But put very simply, a kink is anything that falls under non-traditional sexual and intimate desires, practices, or fantasies. The word non-traditional will mean different things to different people based on cultural backgrounds, but in most contexts, the definition encompasses anything that falls outside or romantic, intercourse-based sex between two people. This can include things that range from light bondage like handcuffs, ropes, or tape, to practices like public humiliation, foot-worship, domination/submission, and group sex.

What’s the difference between having a kink and being kinky? 

Let’s say you like being choked and occasionally have group sex with your partner, but other than that, you mostly subscribe to the standard sexual and romantic practices your parents could barely bring themselves to educate you about. A few kinks or kinky habits don’t brand you as a kinkster if that’s not how you identify. Conversely, there’s absolutely no rule telling you that you can’t identify as kinky on the basis of one or two kinks. Identity is largely helpful in finding community and for you to define yourself—you get to make that choice over whether you identify as kinky or not.

I’m kinky. Does that automatically make me queer?

If you’re a cisgender, heterosexual kinky person, the short answer is no.

Earlier this year HuffPo’s “Queer Voices” made the argument that non-normative sex and fetishes fall under the umbrella of queer. There are several problems with the argument, one of them that the crux of it lies in the author reducing the lives of queer/non-binary/LGBTQ folks to fetishes. Calling all kink inherently queer also diminishes the experiences of folks who have been dehumanized, banned from using the correct bathroom, denied public services, or murdered because of they are gay, lesbian, bisexual, trans, or nonbinary.

As a writer on Huck Magazine puts it:

Queerness is an all-encompassing thing—an act of political resistance through its very existence—not just a rejection of what’s considered “normal” through alternative sexual practices. To reduce the queer identity to that is an over-simplification and an insult. Queerness steps outside these norms, and defies the gender and sexual binary. Being queer is about identity, and that is more powerful and goes far beyond the sex we do (or don’t) have.

How do my partner(s) and I get kinky? 

Before all else, make sure to honor the two most important rules of kink: communication and consent.

If you’re thinking of trying something kinky in bed (or elsewhere, since beds are pretty traditional places to have sex, after all) have an open and honest conversation with anyone who will be involved and outline your desires—but not without asking them about theirs, too. A kinky desire alone doesn’t give you a free pass to enact it; as with all sex and romantic activity, there must be explicit consent to move forward and that consent is not written in stone. You or your partner can change your mind at any time about what’s comfortable and what’s not OK.

Now onto the fun stuff: One of the best ways to get started on your kink journey is research. The internet is a bottomless resource hub for all your kink questions, which includes kink education videos, kink communities, step-by-step guides, kink and feminism/racial identity blogs, equipment guides for beginners, resources for specific kinks, and lots more videos.

How do I learn about my own kink(s)?

Both kink beginners and veterans can use the “Yes, No, Maybe So” checklist as a tool to learn about their own kinks and, if they’re comfortable, share the list with a partner. Scarleteen recommends filling it out by hand or reading it through before discussing with a partner, but it all depends on your individual comfort level. As the authors point out, “Lists like this are not finish lines but starting points: for evaluating your own sexuality and/or for deeper conversations with someone else. This is so you can start thinking about things for yourself, or start having conversations with a partner.” There are many different versions of the “Yes, No, Maybe So” checklist, like this visual guide from Autostraddle, this polyamory checklist, and this kink rating system to also peruse through.

Many people also use this online BDSM quiz, which lets you answer questions on a spectrum rather than a simple “yes” or “no.” But the quiz doesn’t explicitly include space for queer, trans, or nonbinary folks—though you can mark “bicurious,” “bisexual,” “heteroflexible,” or “strictly lesbian/gay” in the “Sexual Orientation” section.

What’s the difference between BDSM and kink?

For many people, BDSM—an acronym for bondage/discipline, dominance/submission, sadism/masochism—is a subcategory of kink. The desires and practices that fall under BDSM can be classified as non-traditional sexual, intimate, or romantic behaviors—pain, domination, submission, and being tied up can all be considered kinky things.

For others, there are important or notable differences between kink and BDSM. A post on Kink Weekly states: “As I see it—and this is simply my opinion—the difference [between kink and BDSM] is that BDSM has an implied power exchange; kink does not. It is really that simple. BDSM has a lot more structure—and thus it has greater ‘staying power.’”

Whether you see BDSM as a way to have kinky sex or believe that the two exist outside one another is largely up to you. Plus, if you ever hear a partner using the two together, you can always ask how or why they conflate or differentiate (though asking doesn’t always entitle you to an answer). Such a conversation can give you a better idea of their boundaries and desires.

Is forcing someone to do something they don’t want to kinky?

Any kinky activity done without consent is abuse, plain and simple.

Does kink always have to involve sex?

Definitely not. You can be kinky during foreplay, kinky over the phone, use kinky language, or simply create a kinky scenario. You don’t have to touch, or even orgasm, to get kinky.

Ready to get started and want more kink resources? Check out Whiplr, Kinkly, any book or movie other than Fifty Shades of Grey, and read these facts about kink.

Complete Article HERE!

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What it’s like to talk to your doctor about sexual health when you’re bisexual

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There’s a misconception that bi people are just going through a phase — but what if our doctors believe it too?

“Are you sexually active?”

I’d been dreading this question since losing my virginity to a female friend a few weeks earlier, not long after my 16th birthday. Somehow, the harsh fluorescent lights in my doctor’s examination room made this query seem even more menacing.

“Yes,” I said, but there was an ellipsis in my voice. A hesitation. An unspoken “but . . . ”

“You’re using condoms, right? So you don’t get pregnant?” she prompted, and I didn’t know what to say, because we weren’t. We didn’t need to. It was the wrong question.

“Uh, I’m not having sex with a guy,” I managed to stammer.

My doctor peered at me over her wire-rim glasses, “Oh,” she replied.

There are a lot of things a teenager might be nervous to disclose to their doctor — a marijuana habit, some worrying mental health symptoms, a secret relationship their parents don’t know about. While we should all feel free to tell our doctors what’s really going on with us, it’s particularly egregious that so many of them are still in the dark about something so basic as sexual orientation, making these already-difficult situations even more challenging.

The day of my first difficult conversation about my sexual health, my doctor didn’t give me any medical advice on the sex I was having. She didn’t suggest my partner and I use dental dams or latex gloves. She didn’t suggest we get tested for sexually transmitted infections (STIs). She didn’t ask whether my partner was cis or trans. She didn’t ask what sexual orientation I identified as (bisexual, for the record). She didn’t even ask me if I had any questions for her. She just moved on to the next part of our checkup.

I didn’t recognize these as problems at the time; I was too young and nervous to question the approach of my all-knowing doctor. Everything I later learned about safer sex — with the other cis girl I was seeing at that time, and with other partners later on — I learned from the internet. And while the internet can be a great resource for such information, doctors should be a better one.

Bisexuals are told all the time — both implicitly and explicitly — that we’re not queer enough to align ourselves with queerness, or that we’re too queer to align ourselves with straightness. I still find it hard to push back against these stereotypes today, at 25.

These presumptions are particularly upsetting in medical situations, where many of us already feel nervous and unempowered and, for many queers, apprehensive. The medical system has oftentimes failed us and our queer foreparents: inequitable health care access due to poverty, doctors’ lack of knowledge about LGBT identities and sexuality and the pathologization of queerness are just a few examples.

Two years later, in a different relationship with a person of a different gender, I returned to my doctor. I was a girl on a mission.

“I’m seeing someone new and I’d like to get an IUD,” I told my doc, with all the bravery and resolve I could muster as a meek 18-year-old still coming to terms with her sexuality.

“I thought you were a lesbian?” she replied coolly, barely looking up from her computer screen.

“No, I’m bisexual,” I clarified, my voice only shaking a little.

Medically speaking, it shouldn’t actually matter what word(s) I use to define my sexual orientation; my doctor should want to know, instead, what sexual activities I am participating in. I could’ve been a lesbian having sex with a man (they do exist!). I could’ve been having sex with a trans woman or a nonbinary person who had the ability to get me pregnant. There was no reason for my doctor to assume I was a lesbian in the first place, nor that a risk of pregnancy during sex meant my existing sexual orientation was being challenged.

I was reminded of a story I had read online. An American photographer I followed, Brigid Marz, wrote on Flickr that she and her girlfriend went to a hospital to get treatment for her flu symptoms. A staff member asked Brigid if there was any chance she might be pregnant, and she laughed, indicated her girlfriend, and said no. She’d dated and had sex with men before, but not recently enough that she could be pregnant. Months later, she received a $700 medical bill, $300 of which was for a pregnancy test she’d neither authorized nor needed.

“I am so sick of being treated differently just because I have boobs,” she wrote, but I would argue she was treated differently because she is non-monosexual – she is neither completely straight nor completely gay. Our medical system seems to assume everyone is one or the other, sometimes even when we’re loudly asserting otherwise.

In the end, my doctor refused to prescribe me an IUD on the basis that I was “just casually dating” and should wait until I was “in a serious relationship” before committing to a long-term birth control method that reflected my relationship status. She prescribed me the pill instead — the hormonal content of which exacerbated my mental health conditions for years, something the non-hormonal copper IUD may not have done.

What rankled me was that I was in a serious relationship at the time. My doctor may have assumed my relationship was casual because I was now with a man and I was previously with a woman, or she may have simply thought I was too young for the IUD — but I think it was because of negative stereotypes about bisexual people.

Bi folks’ relationships and attractions are often written off as “just a phase” or “just for fun.” We’re told we don’t know what we really want or who we really like — or, worse, that we’re intentionally playing with partners’ hearts, never intending to pursue commitment or depth in our relationships.

In my experience, this is about as true for bisexual people as it is for straight or gay people — some folks are looking for serious relationships and some just aren’t — but this assumption weighs most heavily on bisexuals. Whether or not my doctor was consciously aware of the stereotypes she was affirming that day, it’s clear to me that my relationship would not have been written off as “casual” if I identified as straight or gay.

If I could go back and talk to myself when I was a shy and shaking 16-year-old in my doctor’s office, I’d tell her to advocate for herself. I’d tell her to ask the questions she wanted answered, and double-check the answers on Scarleteen later. I’d tell her it was okay if she didn’t even know what questions to ask.

I’d tell her to be unashamed of her burgeoning bisexual identity, because it’s nothing to feel shifty about. But mostly, I’d wish I didn’t have to tell her all these things. Her doctor shouldn’t have made her doubt all this in the first place.

Complete Article HERE!

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The New Gay Sexual Revolution

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PrEP, TasP, and fearless sex remind us we can’t advance social justice without including sex in the equation.

By Jacob Anderson-Minshall

The sexual revolution of the 1960s and ’70s came to an abrupt and brutal end for many gay and bi men the moment AIDS was traced to sexual contact. In the early days of the epidemic, sex between men was equated with AIDS, not just in the mainstream media, but also in prevention efforts by other gay men. Since AIDS in those days was seen as a death sentence, for men who had sex with men, every sexual interaction carried the risk of death. Indeed, tens of thousands died of AIDS-related conditions.

“I was alive when homosexuality was [still] considered to be a psychological illness,” David Russell, pop star Sia’s manager, recently told Plus magazine. “The two generations ahead of mine, and a good portion of my generation, were completely decimated by AIDS. They’re gone.”

While some men with HIV outlasted all predictions and became long-term survivors, the widespread adoption of condoms is credited with dramatically reducing HIV transmissions among gay and bi men in subsequent years. Yet reliance on nothing but that layer of silicone — a barrier some complain prevents true intimacy and pleasure — couldn’t erase the gnawing dread gay men felt that every sexual encounter could be the one where HIV caught up to them.

There have been, of course, moments when nearly every gay or bi man has allowed their passions to override their fears and enjoyed the skin-on-skin contact that opposite-sex couples often take for granted. Thinking back on those unbridled and unprotected moments of passion filled many of these men with terror, regret, and guilt.

“Shame and gay sex have a very long history,” acknowledges Alex Garner, senior health and innovation strategist with the gay dating app Hornet. “And it takes much self-reflection — and often therapy — to feel proud and unashamed of our sex when everything around us tells us that it’s dirty, immoral, or illegitimate.”

Since the late 1990s and the advent of lifesaving antiretroviral drugs, some of the angst around sex between men faded — and with that came changes in behavior. Condom use, once reliably high among gay and bisexual men, has dropped off in the past two decades. According to a recent study published in the journal AIDS, over 40 percent of HIV-negative and 45 percent of HIV-positive gay and bi men admitted to having condomless sex in 2014. Researchers found the decrease in condom use wasn’t explained by serosorting (choosing only partners believed to have the same HIV status) or antiretroviral drug use. And despite what alarmists say, condom use had been declining long before the introduction of PrEP.

Garner, who has been HIV-positive for over two decades, says he’s almost relieved he acquired the virus at 23, because “My entire adult life I have never had to worry about getting HIV.”

The Rise of PrEP

Now there’s hope the younger generation may also experience worry-free sex lives — without the side effects of living with HIV.

The use of the antiretroviral drug Truvada as pre-exposure prophylaxis, or PrEP (it’s the only medication approved for HIV prevention), has been shown to reduce the chance of HIV transmission to near zero. Since the medication was first approved as PrEP in 2012, only two verified cases of transmission have been documented among those who adhere to the daily schedule (a third, according to HIV expert Howard Grossman, could not be confirmed). New, longer-lasting PrEP injectables should reach market in the next few years. Studies suggest that on-demand PrEP (such as taking it before and after sexual activity) may also be effective.

“This is a revolution!” Gary Cohan, MD, who prescribes PrEP, told us in 2016. “This should be above the fold in The New York Times and on the cover of Time magazine. A pill to prevent HIV?”

Undetectable Equals Untransmittable

Those who are already HIV-positive also have a sure-fire option for preventing the transmission of HIV that doesn’t rely on condoms. It’s called treatment as prevention, or TasP. Those who are poz, take antiretroviral medication, and get their viral load down to an undetectable level, can’t transmit HIV to sexual partners. Last year, The New England Journal of Medicine published the final results of HPTN 052, a study that proved antiretroviral medication alone is enough to prevent HIV transmission among serodiscordant couples. In a Facebook Live interview for AIDS.gov, Dr. Carl Dieffenbach, director of the Division of AIDS at the National Institute of Allergy and Infectious Diseases, noted, “The chance of transmitting [HIV] if you are virally durably suppressed is zero.

Since Dieffenbach’s statement, a number of HIV organizations and medical groups have joined the “Undetectable Equals Untransmittable” bandwagon, including GMHC, APLA Health, and the Latino Commission on AIDS.

The Centers for Disease Control and Prevention recommends the use of condoms in addition to PrEP or TasP, primarily because neither biomedical approach prevents other sexually transmitted infections like gonorrhea or syphilis. Still, PrEP and TasP make it safer to have condomless sex — and that could jump-start the new sexual revolution. “When the threat of HIV is removed from sex there is a profound sense of liberation,” Garner says. “Sex can just be about sex.”

One hurdle is PrEP stigma, furthered by the myth of “Truvada whores,” and AIDS Healthcare Foundation’s Michael Weinstein’s deliberate efforts to portray the HIV prevention pill as “a party drug.”

“Fear and shame have been ingrained in gay sex for decades,” Garner admits. “And it will take time and a great deal of work to extricate those elements.” But he remains optimistic that “together negative and poz men can shift the culture away from fear and toward liberation.”

He argues that what’s at stake is far more than just a better orgasm.

“Our sexuality is at the core of our humanity,” Garner says. “Our sexuality is as integral to us as our appetite. We can’t advance social justice without including sex. As queer people and as people of color, our bodies have been criminalized, our sexuality has been pathologized, and structures continue to dehumanize us. It’s a radical act of resistance when, as gay men, we choose to find pleasure and intimacy in our sex. Our sex has been, and will continue to be, intensely political. It can change our culture and our politics if we embrace it and run to it instead of away from it.”

Complete Article HERE!

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