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Doctors urged to advise patients about risks of abstinence-centric sex education

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American Academy of Pediatricians’ new report is the clearest denouncement of the failures of not talking about STIs and pregnancy prevention

Across the US only 50% of high school students receive sex education that meets the recommendations of the federal Centers for Disease Control and Prevention.

Across the US only 50% of high school students receive sex education that meets the recommendations of the federal Centers for Disease Control and Prevention.

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The country’s largest organization of pediatricians entered fraught political territory on Monday, with a call for doctors to use their time with patients to combat the potential health consequences of abstinence-centric sex education.

In a new report, the American Academy of Pediatricians (AAP) issued its clearest denunciation yet of sex education programs that fail to offer comprehensive information on topics such as sexually transmitted infections (STIs) and pregnancy prevention.

“This is the mothership telling pediatricians that talking about sex is part of your charge to keep children and adolescents safe,” said Dr Cora Breuner, a professor and pediatrician at Seattle Children’s research hospital and the report’s lead author.

“These guidelines give pediatricians in communities where people might say, ‘We don’t want you talking to our kids about this stuff,’ permission to say, ‘No, I can talk about this, I should talk about this, I need to talk about this.’”

The report is broadly a call for pediatricians to help fill in the gaps left by the country’s patchwork sex education programs. It urges pediatricians to teach not only contraception and the benefits of delaying sexual activity, but to cover topics such as sexual consent, sexual orientation and gender identity with school-aged children who may not receive any information in the classroom and involve their parents.

But the authors single out abstinence-heavy education, which sometimes excludes information about contraceptives, as a key concern for doctors looking to help adolescent patients avoid sexually transmitted infections and unintended pregnancy. As a result, it is likely to fuel an already contentious debate.

Groups that have advocated for sex education to emphasize abstinence instantly found fault with the new guidelines.

“A health organization like the AAP should not be affirming a behavior that can compromise the health of youth,” said Valerie Huber, the president of Ascend, a group that promotes abstinence-centric sex education and advocates for federal funding. The group was formerly known as the formerly the National Abstinence Education Association.

“They recommend ‘responsible sex’ for young adolescents. Exactly what is responsible sexual activity for adolescents? … The science is clear that teens are healthier when they avoid all sexual activity.”

Moreover, Huber said, programs that “normalize teen sex” are unpopular with many parents.

“Most communities do not support the type of sex education they recommend,” she said.

Still, others embraced the report as bringing the AAP’s recommendations more in line with the reality.

“This is a fantastic move,” said Chitra Panjabi, the president of the Sexuality Information and Education Council of the United States (SIECUS), a research group that supports comprehensive sex education. “It’s really important that our medical providers are standing up and saying, hey, the youth in our communities are coming to us because they’re not getting the information they need. And so we need to step in.”

The US does not enforce national standards for sex education and schools in many states are not required to teach it. Across the country, SIECUS estimates, only 50% of high school students receive sex education that meets the recommendations of the federal Centers for Disease Control and Prevention. The other half of students receive anything from an incomplete sex education, to education that emphasizes abstinence, to abstinence-only education, with a focus on delaying sex until heterosexual marriage.

In February, Barack Obama proposed a budget for 2017 that eliminated the $10m the department of health and human services spends on abstinence-only programs every year. But funding continues to flow to those programs from other sources. Title V, an abstinence-only program, allocates $75m a year to abstinence-only programs, money that states match by 75%.

In the last quarter-century, programs emphasizing abstinence as the optimal way to avoid pregnancy and STIs have received more than $2bn in funding from the federal government. Comprehensive sex education, by contrast, has no dedicated federal funding stream.

“It’s a political climate where people don’t want to talk about these issues,” said Breuner. “But it makes our job so much harder when we cannot coordinate our efforts with the schools. It takes time away from the other safety issues we need to be discussing. Don’t smoke weed. Don’t text and drive.”

Recently, two major surveys of existing research on sex education concluded that there was no evidence or inconclusive evidence to show that abstinence-centric programs succeeded in delaying sexual activity. One of the surveys found that comprehensive sex education was actually more effective than abstinence education at delaying sexual activity in teens. (Ascend points to select studies which show the opposite.)

A long-term study found that teens receiving abstinence-only programs were less likely to use contraceptives or be screened for STIs, although rates of infections were not elevated.

The studies helped compel the AAP to issue its first major guidance on sex education since 2001.

“It’s important for pediatricians to have the backing to say, ‘Look, I can’t support telling this stuff to children,’” Breuner said. “I have to deal with the aftermath, which is a 15-year-old who’s pregnant, or a 16-year-old who has a sexually transmitted infection he’s going to have for the rest of his life.”

Breuner said a number of her patients have suffered consequences from abstinence-only education. Many of them are pregnant teenagers and girls who, in the absence of accurate information, came to believe in common myths about pregnancy prevention.

“They’ll say, ‘I thought you couldn’t get pregnant when you were having your period,’ or, ‘I thought it took two or three years after you get your period to be able get pregnant.’ It’s heartbreaking, because I know with education, this could have been prevented.”

Complete Article HERE!

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I am slightly paranoid about being a clean bottom

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Name: Carl
Gender: Male
Age: 45
Location: Seattle
I am a 45 year-old gay man who has not bottomed in over 15 years (which included a 10 year monogamous relationship). I am interested in doing bottoming again. However, I am worried about my cleanliness and smell. As a top, it never bothered me that much with my bottom partners, and it was rarely a problem. I never asked them if they prepared ahead of time.

I am slightly paranoid about being clean as a bottom. Should I use an enema, and if so, with what liquid? How does diet help? I am basically vegetarian, although will occasionally eat meat if it’s served to me (no pun intended). Obviously, this apprehension will not help when the time comes because I’ll likely just tighten up. I know this based on past experience.
I could go on with other details but will stop here and see about your reply.

Thanks!

Hey Carl,

Worrying about stuff is just about the best way to mess up a sexual experience of any kind. But I’m sure that you know that already, huh? This is particularly true for someone reacquainting himself with the pleasures of being a bottom.

I’ve written and spoken extensively about this very thing. I’d like to direct your attention to the CATEGORIES section in the sidebar of my site. It’s a pull-down menu. You will notice that the second category is ANAL. Under this is a whole bunch of subcategories. Click on any one of those you will be taken to all the posting I’ve made on that particular subject. Of particular interest to you would probably be my tutorial for being a good bottom: Liberating The B.O.B. Within.

In terms of douching, warm water is all you need. Never use soap. Some people add lemon juice or vinegar (1-2 Tbs per quart) of the warm water. Others dissolve (2 Tbs) of baking soda in a quart of warm water.Ergo Speed Douche

Stay away from commercially produced douches, most contain harmful and irritating chemicals. And trust me, you don’t want that. Besides, commercial douches are expensive and all that packaging is definitely not Eco-friendly. And we all want to be green sodomites, don’t we?

Finally there is always the ever-versatile shower or bath bidet option. You can find one model, the Ergo Speed Douche, in My Stockroom. Look for the Dr Dick’s Stockroom banner in the sidebar of my site.  (Everyone here at Dr Dick Sex Advice is a big fan of the Perfect Fit Brand line of adult products.)  Look for our review of the Ergo Speed Douche HERE.

I also know that a vigorous fucking will introduce more air into a bottom’s rectum expanding it and making for that “OMG, I gotta take a dump” feeling. So take it easy the first few times you get back into the saddle, so to speak, as it were.

Diet can indeed make a difference in the composition of your shit and how you and it smell. But, that being said, you have to realize your bowels are working properly when they eliminate waste from your body, so don’t try and mess with that. And just so you know, there are often some unpleasant side effects to rootin’ around in someone’s hole, regardless how fastidious the bottom is about his hygiene. So why not just relax and if there’s a little mess, clean it up with some soap and water. Its not the end of the world.

Good luck

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Beatin’ His Meat Like It Owes Him Money

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Name: Pete
Gender: Male
Age: 33
Location: Florida
I have been notice that some of the skin on my dick is starting to wear away from me masturbating…there is no blood or anything like that. It’s just the skin turning light in color around head of my dick. I think it’s my grip. Is there a way the color will come back or have I rubbed the skin cells to death. I masturbate about 3-4 times a week. I’m not in a relationship and prefer that over random sex.

Your dick skin is wearing away??? Really? How are you handling your unit, darlin’, with sandpaper?

owes me money

You say you think it’s your grip. Ya think?

Hey Pete, are you using lube when you stroke? Or are you just yanking away down there with wild abandon? If you’re not using a good jack off cream like, SPUNK Lube Hybrid, then ya better start! This stuff is GREAT! (Be sure to read our review on Dr Dick Sex Toy Reviews.) I know that you’re only pullin’ your pud, but it’s also good for use with condoms if/when you  make a foray into partnered sex.

As to the rather sudden coloration change on your dick, I’d be willing to guess that it has nothing to do with jerkin’ off, even like a maniac. More likely it’s a genetic condition known as vitiligo. And the coloration change is actually a loss in pigment. This is not a health concern, really! Nor is it contagious. So you don’t have to worry about it in that regard. If it is indeed vitiligo, there’s nothing you can do about it. It’s irreversible, but it can and does spread.

vitiligo_arms

Here’s a relatively easy way to self-diagnose this pesky, but benign condition. While naked as a jaybird, squat over a mirror. If what you have is vitiligo, you will also see the same kind of color changes (loss of pigment) around your asshole. You may also notice it on your elbows and knees. If you are fair-skinned, the loss of pigment will be less noticeable then if you have a darker complexion.

If it’s not vitiligo, you might consider a check up with your physician. But I pretty much can guarantee you that unless you are absolutely ruthless in your masturbation technique, ya know, like beating your meat like it owes you money, it’s not the cause of the pigment change on your joystick.

Good luck

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5 everyday ways to teach your kids about consent

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Sexual consent can be tough to explain to young kids. But this psychotherapist has some advice.

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By Lisa McCrohan

My daughter and I are waiting in the exam room for the pediatrician. We are here for her annual wellness checkup.

And from the moment our pediatrician walks through the door, she is all about focusing on my daughter. She looks my daughter in the eyes and kindly greets her. She shakes her hand. She addresses my daughter with her questions. She explains what we’ll be doing today.

And the pediatrician asks for consent. She asks, “May I listen to your heartbeat now?”

As a psychotherapist, I’m tuned into the ways in which our pediatrician is communicating this message to our daughter: “I regard you as a human being,” “You matter,” and “Your body is to be regarded.”

This is very different from a routine doctor’s visit at a different office I had many years ago with my son, though.

During that visit, the pediatrician rushed through the exam. He didn’t look at my son or address him. The nurse came in with the immunizations and said, “Hold him down. It’s better if we do this fast without him knowing what’s coming. He won’t remember this.”

As a mom, I knew my son. As a body-centered psychotherapist, I knew that his nervous system would remember this experience. And I knew that conditions like that can cause an experience to be traumatic for a young person. “No,” I said. “I know what my son needs. I need to talk to him first and explain what we are doing.”

That day, we didn’t rush, we didn’t surprise him, we didn’t hold him down, and we didn’t give him a treat for “not crying.” I showed my son regard by honoring what I knew he needed.

Parents: Teaching sexual consent to our children begins with us.

Every parent I know wants their child to grow up to be confident, be resilient, feel good about who they are, and show compassion toward others. As parents, we want to communicate: “You matter. Your body matters. Your consent and boundaries matter.”

This is regard, and it begins the moment our children are born. We communicate messages that help our children form their self-concept and sense of self-worth. And they learn how to interact with themselves and others through our regard for their bodies, emotions, opinions, and personhood.

With regard as your foundation, here are five everyday ways you can teach your children about sexual consent:

1. Ask for their consent often.

Last night, my son and I were walking home from the park. I went to reach for his hand, but then I stopped myself and asked him, “Can I hold your hand?” He smiled at me and reached out.

Asking for your child’s permission to touch them or come into their personal space can be this simple. You can ask such questions as: “May I brush your hair?” “Can I have a hug?” and “Is it OK if I hold your hand?”

Does this mean you have to ask for their consent every time? As parents, we want to be intentional about what we are doing and why we are doing it.

Imagine your children as teenagers going out with friends with hundreds — if not thousands — of experiences at home where you modeled consent day after day. They will be more likely to respond to any situation with regard for their bodies, and they will be more likely to regard others’ bodies and ask for consent, too.

2. Teach them that their “no” matters.

A client came to me because she was feeling distant from her 12-year-old daughter. And in working together, we eventually realized that her daughter wanted more regard for her personal space, time, and boundaries.

So she started to look for ways she could ask, rather than demand, that her daughter engage with her. Instead of saying, “Give me a hug goodbye,” she would ask her daughter, “Can I have a hug goodbye?” And on the days her daughter said “no” or her body language indicated “no,” she would say, “That’s cool. If you ever want a hug, I’m here. I love you. Have a great day.”

If you ask to brush your daughter’s hair, and she says “no,” it’s so important to regard her “no.” If you ask to hug your son, and he says “no,” regard his “no,” too. You could reply with, “OK, I respect that. Let me know if you change your mind.”

concent

It’s also OK if your child doesn’t want to hug anyone at all. They can still respectfully greet others with a sincere acknowledgment of “hello.”

When you or anyone else begs or tries to convince a child to change their answer now, they learn to override their inner barometer of what feels comfortable and what doesn’t feel comfortable just to give in to someone who they perceive has more power. Over time, you respecting their “no” teaches your children that their “no” matters.

3. Model to your child that “yes” can become “no” at any time.

Let’s say you are gently wrestling with your young child, and she says, “Stop!” What do you do? You stop. Even if she is joking, you stop and check in with her.

Let’s say you have a group of elementary-school-aged boys over your house, and they are running around with swords and roughhousing. Teach them to pause the game every so often and check in with each other to see if the game is going OK for everyone.

And if you have a tween or teenager? Have “the conversation.” As you share about sexual intimacy based on your family’s values, include communicating to them that the absence of “no” is not “yes.” Teach them that a “yes” can turn into a “no” at any time.

When you model to your child that “yes” can become “no” at any time in everyday experiences, you are sending the message “at any point when you feel uncomfortable or have had enough in any situation, you are to listen to that inner voice. And at any point another person feels uncomfortable and has had enough, you are to respect them and stop what you are doing.”

4. Seek to understand.

This past spring, my daughter announced, “I don’t want to take gymnastics anymore!” I was confused. I thought she loved gymnastics. I had put a lot of thought and effort into finding the right place for her. But instead of saying to her: “Yes, you do! I know you do!” I said, “Tell me about it.”

concent2

This opened the door for my daughter to feel comfortable to share what she was feeling and for me to listen to her. I came to understand that actually she loved gymnastics, but what she really loved was doing gymnastics on her own at home and making up routines rather than being in a structured class.

When you seek to understand your child, you communicate the message: “Your opinion matters. Your voice matters. Your feelings matter. And I’m here to listen and be alongside you.” Even if you think your child is playing around or sharing an opinion out of frustration, when you seek to understand, you are connecting to your child with regard.

5. Keep “regard” at the forefront of your mind.

Our children have their own bodies, minds, feelings, opinions, and dreams. Just like adults, our children want to be regarded, listened to, and respected. So ask for your child’s opinion. Speak your child’s name in a way that is regarding. Look at your child when he or she is talking. These are everyday ways that you can communicate the message “You matter.”

We are our children’s first teachers.

The recent Stanford sexual assault case reminded me, yet again, that we have work to do as a culture when it comes to teaching our children about sexual consent.

As parents, it can feel scary to broach loaded and triggering topics like sexual consent. However, these simple, everyday actions can empower us to show regard to our children in our daily lives. And as our children experience our regard in everyday ways, they are more likely to regard themselves and other people’s bodies and integrity, too.

No matter the age of your child, you can support your child being a confident, resilient, compassionate (to self and others) person by choosing to look at, talk to, and be with your child. You can support your child’s future by the regard you show them today.

Complete Article HERE!

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The Five Dimensions of Relationship Openness

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polyfidelity2

When we say that someone is monogamous, we usually mean that he/she is sexually exclusive with one partner. But does that mean only intercourse or all sexual acts? Does that include emotional intimacy? How about cuddling or other nonsexual types of intimacy? Since we relate to people in so many ways, how we draw the boundary between monogamy and non-monogamy varies from relationship to relationship. It turns out that monogamy is not a binary, any more than polyamory can be described as simply the opposite of monogamy. Both monogamy and polyamory are on a continuum with multiple dimensions, which I’ll describe here as social, emotional, physical, sexual, and familial.

polyfidelitySocial:

Humans are social creatures, and even though most of us want to pair up with a special someone, we often maintain social bonds with others. Do you go out to dinner, see a movie, go hiking or shopping with friends by yourself, or do you prefer to do those things with your significant other? People who are socially monogamous feel that forming a social bond with a person of the opposite sex (or same sex if homosexual) is a slippery slope to infidelity. Therefore they may prioritize socializing with other couples, keeping very transparent and casual all relationships with the opposite sex, and socializing as a unit as much as possible.

Emotional:

Sometimes friendships turn into deep emotional bonds and couples find themselves having to negotiate to what extent they feel emotional intimacy with others is acceptable. For example, would you be ok with your partner having a close friendship with his ex-lover? Would you be ok with your partner forming a close friendship with a person of the opposite sex? Would you be ok with your partner saying, “I love you,” to someone of the opposite sex? Some emotionally intimate couples are purely platonic while others develop romantic feelings. How would you feel about your partner being romantically involved with someone without sex? Do you need emotional exclusivity with your partner?

Physical:

Not all physical ways of relating are sexual, and they may or may not be within the bounds of a monogamous relationship. Some individuals are very affectionate and can kiss, hug, and cuddle with their friends and it’s not at all sexual. Some cultures are more physically expressive than others. Some monogamous couples are fine with their partners hugging and even flirting with others, but draw the line at kissing. Others may engage in massage or sensual touching but agree not to have sex with others.

Sexual:

We tend to think of sex as the last stop on the monogamy train. Some people need sexual dancing_together_naked_and_freeexclusivity to feel safe with their partner, even when they are permissive in all other areas. For others, sex is not the ultimate symbol of love and devotion, but emotional intimacy is. One person may feel that “it’s fine for my partner to have sex with someone else, but I’m the only person who is allowed to cut his hair!” Some couples reserve specific sexual acts with each other or permit certain ones with others. For example, a couple may decide that BDSM with other partners is ok but they will only make love with each other. Some couples are ok with their partners having sex with others but don’t want them to sleep with other partners or go on vacation with them. Swinging is considered to be the type of non-monogamy that is sexually open but reserves emotional intimacy for the primary couple.

Familial:

While love may be infinite and potentially shared with an unlimited number of individuals, time, space, and money are limited and we may be able to share them with only one or two individuals. It is quite common that individuals who are polyamorous in all aspects may only share finances, parenting, or cohabitation with one partner. In those cases extra partners are like friends of the family or extended family. If other partners become integral members of the nuclear family and they become exclusive with each other, this type of arrangement is sometimes called polyfidelity. Even with people who consider themselves totally polyamorous, not every partner can be equal when it comes to the limited resources of time, money, and space.

As we can see, monogamy is not as straightforward as we may think it is. A couple may be emotionally monogamous but not physically or sexually so. Or they may be sexually exclusive but physically and emotionally open to others. Polyamory also has social, emotional, physical sexual, and familial dimensions. It is important to ask specific questions and understand each other’s level of openness instead of assuming we know what someone else needs. Understanding our own and other’s boundaries can also help us stretch them and grow in directions that will benefit us and our relationships.

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