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Trust a Scientist: Sex Addiction Is a Myth

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By Jim Pfaus

A psychologist explains why sex addiction therapy is more about faith than facts, as told to Tierney Finster

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Self-labeled sex addicts often speak about their identities very clinically, as if they’re paralyzed by a scientific condition that functions the same way as drug and alcohol addiction. But sex and porn “addiction” are NOT the same as alcoholism or a cocaine habit. In fact, hypersexuality and porn obsessions are not addictions at all. They’re not included in the Diagnostic and Statistical Manual of Mental Disorders (DSM), and by definition, they don’t constitute what most researchers understand to be addiction.

Here’s why: addicts withdraw. When you lock a dope fiend in a room without any dope, the lack of drugs will cause an immediate physiological response — some of which is visible, some of which we can only track from within the body. During withdrawal, the brains of addicts create junctions between nerve cells containing the neurotransmitter GABA. This process more or less inhibits the brain systems usually excited by drug-related cues — something we never see in the brains of so-called sex and porn addicts.

A sex addict without sex is much more like a teenager without their smartphone. Imagine a kid playing Angry Birds. He seems obsessed, but once the game is off and it’s time for dinner, he unplugs. He might wish he was still playing, but he doesn’t get the shakes at the dinner table. There’s nothing going on in his brain that creates an uncontrollable imbalance.

The same goes for a guy obsessed with watching porn. He might prefer to endlessly watch porn, but when he’s unable to, no withdrawal indicative of addiction occurs. He’ll never be physically addicted. He’ll just be horny, which for many of us, is merely a sign we’re alive.

There haven’t been any studies that speak to this directly. As such, the anti-fapper narrative is usually the only point discussed: Guys stop masturbating after they stop downloading porn, and after a few days, they say they’re able to get normal erections again. This coincides with the somewhat popular idea that watching porn leads to erectile dysfunction, a position that porn-addiction advocates such as Marnia Robinson and Gary Wilson state emphatically. (Robinson wrote a book on the subject, though her degree is in law, not science, and Wilson, a retired physiology teacher, presented a TED Talk about hyperstimulation in Glasgow.) These types of advocates are wedded to the idea that porn is an uncontrolled stimulus the brain gets addicted to because of the dopamine release it causes. According to their thinking, anything that causes dopamine release is addictive.

But there’s a difference between compulsion and addiction. Addiction can’t be stopped without major consequence, including new brain activity. Compulsive behavior can be stopped; it’s just difficult to do so. In other words, being “out of control” isn’t a universal symptom of addiction.

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Then what, exactly, does it mean when Tiger Woods and Josh Duggar go to rehab for sex addiction? Or when Dr. Drew offers it up on TV for washed-up celebrities? The answer is simple: They’re giving free marketing to the new American industry of sex addiction therapy. Reformers Unanimous, the faith-based treatment program chosen by Duggar, is likely to gain a number of new patients thanks to the media frenzy surrounding his admission to their facilities after the Ashley Madison hack exposed the affairs Duggar blamed on porn addiction.

These programs are similar to traditional 12-step models, except even more informed by faith. By misdiagnosing patients from the start, they gloss over the underlying issues that might make someone more prone to compulsive sexual behaviors, including Obsessive Compulsive Disorder and depression. Plenty of compulsive and ritualistic sexual behaviors aren’t addictions; they’re symptomatic of other issues.

Unfortunately, that’s just scratching the surface of the faulty science practiced by these recovery centers. For instance, according to proponents of the sex addiction industry, the more porn someone watches, the more they’ll experience erectile dysfunction. However, my recent study with Nicole Prause, a psychophysiologist and neuroscientist at UCLA, showed that’s absurd. While advocates of sex and porn addiction are quick to correlate the amount of porn a guy looks at to how desensitized his penis is, our study showed that watching immense amounts of porn made men more sensitive to less explicit stimuli. Simply put, men who regularly watched porn at home were more aroused while watching porn in the lab than the men in the control group. They were able to get erections quicker and had no trouble maintaining them, even when the porn being watched was “vanilla” (i.e., free of hardcore sex acts like bondage).

There is, of course, other evidence that porn isn’t a slippery slope to physical or mental dysfunction. A paper just came out in the Journal of Sex & Marital Therapy from German researchers that looked at both the amount of porn consumed by German and Polish men and women and their sexual attitudes and behaviors. It found that more porn watched meant more variety of sexual activity — for both sexes.

Despite these results, there’s still an entire publication, Sex Addiction & Compulsivity, committed to demonstrating that porn creates erectile dysfunction. Its very existence suggests sex addiction and its treatments are real, yet the journal doesn’t take a stance on any particular treatments. And while its resolutions come from peer-reviewed articles, these articles only get reviewed by people who already believe in the notion of sex addiction.

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Which is why the journal has zero impact. The number of times a scientific journal gets used in other scholarly work is measured by something called the Journal Citation Reports (JCR). That number determines a journal’s official impact factor. So far, Sex Addiction & Compulsivity has a JCR impact factor of 0.00. Nobody cites anything from it, except maybe their own cult of followers who publish on blogs and personal websites.

The journal benefits from a very 21st century way of creating a veneer of objectivity. As long as there are papers in it, people can cite them as “scientific.” Even if the work — and the people who oversee it — are anything but. An influential associate editor there is David Delmonico, a professor who runs an “internet behavior consulting company” that offers “intervention for problematic Internet behaviors.” He believes sex addiction is real because he’s wary of the supposedly horrible effects the internet (and all the porn there) can have on human behavior.

Such porn-shaming isn’t all that different from the guilt conservatives attach to sex, even though conditioning men to feel bad about their sexual behaviors only leads to the kind of secretive, damaging behaviors evidenced in the Duggar story. What’s worse: when sexuality is labeled a “disease” like addiction, guys no longer have to own their sexuality — or their actions. It’s unnecessary to explain why they cheated because it’s beyond their control. And so, the “addict” stigma is preferable because it’s one they can check into rehab and recover from. Being considered an “adulterer,” on the other hand, is harder to shake.

Complete Article HERE!

The Pill That Prevents HIV Is As Safe As Daily Aspirin

Taking Truvada every day to prevent HIV isn’t any more dangerous than taking a daily aspirin to prevent heart attacks, a new study finds.

By

Truvada

People who take Truvada, the once-a-day pill that prevents HIV, are no more at risk for dangerous side effects than those who take an aspirin a day to prevent heart attacks, according to a new study.

Researchers compared Truvada and aspirin by looking at the drugs’ risk profiles in large, published studies. Although the two drugs come with distinct side effects — Truvada most commonly causes dizziness, vomiting, and weight loss, whereas aspirin is most commonly associated with bleeding problems — the frequency of side effects is roughly equivalent.

But the drugs have very different reputations, among both doctors and the general public. Century-old aspirin, when taken as a preventative tool against heart attacks, is viewed as an everyday medication, no big deal. But Truvada, also known as pre-exposure prophylaxis (or PrEP), is a new pill, intertwined with the loaded issues of HIV and sex habits, and mired in uncertainty.

“Everyone’s got aspirin in their medicine cabinet,” Jeffrey Klausner, professor of medicine and public health at the University of California, Los Angeles, and lead author of the study, told BuzzFeed News. “But as a physician I’ve seen people come into the hospital and die from aspirin overdoses — people can be allergic.”

The side effects of each drug are markedly different, Klausner noted, and affect different organs. But after crunching the numbers, he said, “it really looked like I could say Truvada compared favorably, in terms of its safety profile, to aspirin.”

An estimated 52% of American adults aged 45 to 75 are prescribed a daily aspirin to prevent cardiovascular and gastrointestinal diseases, including heart attacks and cancer.

Truvada, which was approved by the FDA in 2012, has been shown to have roughly 92% efficacy in preventing transmission of HIV. The CDC estimates that about 1.2 million Americans are at high enough risk for contracting HIV that they should be prescribed the drug. But only about 21,000 currently get it.

According to Klausner, who trains doctors around the country on how to treat and prevent HIV, much of this has to do with ambivalence about prescribing otherwise healthy individuals a daily pill.

“A lot of the concerns I hear from providers are about safety,” Klausner said. “There have been continued voices saying, ‘Wouldn’t it just be better if people used condoms, or reduced their number of partners?’ Those are important strategies, but they don’t work for everyone.”

The issue of doctor awareness about PrEP is one of the biggest barriers to its wider use.

The new study “is an interesting thought experiment,” Dawn Smith of the CDC’s Division of HIV/AIDS Prevention, told BuzzFeed News. But, she added, “I’m not sure it addresses the safety concerns that some clinicians have.”

Smith noted a CDC study showing that in 2015, about one-third of primary care doctors and nurses had never heard of Truvada. Beyond the lack of awareness, she said, doctors don’t want to cause any side effects, no matter how minor, in otherwise healthy patients.

In his analysis, Klausner looked at the “NNH” — or “number needed to harm” — meaning the number of people who take the drug before one person experiences a harmful side effect. The NNH for Truvada in gay men or transgender women was 114 for nausea and 96 for unintentional weight loss. In women, side effects appeared more frequently, with 1 in 56 women experiencing nausea, 1 in 41 vomiting, and 1 in 36 mildly elevated liver enzymes.

Rarer adverse events for Truvada include kidney problems and a small decrease in bone mineral density, but Klausner notes that both of those effects have been shown to be reversible once the medication is discontinued.

In contrast, aspirin had an NNH of 15 for bleeding problems and 20 for easy bruising. Rarer problems included ulcers and other gastrointestinal problems.

Because it’s so much older, aspirin has been tested in many more people with many more years of follow-up, Klausner noted. Because Truvada is a relatively new drug, it will take awhile to accrue the data needed to make its long-term safety bulletproof.

In the meantime, however, Klausner hopes more doctors will educate themselves about the HIV prevention drug. And after that, he said, “we should work to make it the same price as aspirin.”

Complete Article HERE!

The Effects of Rape & Sexual Abuse on the Male

By Male Survivors Trust

Slowly but surely, the common myth held that sexual abuse/rape happens to women only is fading, but when a man is sexually assaulted or raped, and grows up believing that myth, he feels even more isolated and alone. This page tackles some of the issues that are rarely talked about, yet have a huge impact on almost all male survivors, and if left unsaid and sorted out, can stop them from recovering fully, leaving a residue of bad feelings and fears behind. Some of the things that can trigger you off and leave you feeling as if you’re back at the point of being abused are as follows.

bryan_tony_boxThe smell of others, especially aftershave or other body smells, can cause you to flashback and trigger bad memories Many male survivors state that when having sex with a partner, that they feel dirty, and unclean once they have reached ejaculation, and this is connected to the sight, feel and sensation of seeing their semen, which reminds them of being abused, and that alone can ruin any sexual relationships they may have.

You may also feel wrong, bad and dirty, so will need to bathe often, usually after having sex with partners, and if masturbating, will only do so as a function, not for pleasure, because the sensation and good feelings have been taken away and you’re left feeling dirty and ‘wrong’ again. There’s also the fact that you can get obsessed with masturbation , not just once a day, but several times a day, which can increase when you feel stressed, lonely, screwed up, etc.

Many male survivors hide behind the fact that they remain non sexual, and in doing so, are not seen as being sexual beings, Others eat, drink, misuse drugs to stop people getting too close to them. By taking on the work that’s needed, you can remove the ghosts of the past and can regain control of your life

Male Survivors share many of the same feelings of female sexual assault survivors. Common feelings such as;

BODY IMAGE* Do you feel at home in your body?* Do you feel comfortable expressing yourself sexually with another?* Do you feel that you are a part of your body or does your body feel like a separate entity?* Have you ever intentionally and physically hurt yourself?* Do you find it difficult to listen to your body?

EMOTIONS * Do you feel out of control of your feelings?* Do you feel you sometimes don’t understand all the feelings you are experiencing?* Are you overwhelmed by the wide range of feelings you have?

RELATIONSHIPS * What’s your expectations of your partner in a relationship?* Find it too easy to trust others?* Find it too hard to trust anyone?* Find it difficult in making commitments?* Still feel alone, even though in a relationship?* Is it hard for you to allow others to get close to you?* Are you in a relationship with some-one who reminds you of the abuse, or who is no good for you?

SELF-CONFIDENCE * Do you find it difficult to love yourself?* Do you have a hard time accepting yourself?* Are you ashamed of yourself?* Do you have expectations of yourself that aren’t realistic?

SEXUALITY * Do you enjoy sex, really enjoy it?* Do you find it difficult to express yourself sexually?* Do you find yourself using sex to get close to someone?* End up having sex because it’s expected of you?* Does sex make you feel dirty?* Are you “present” during sex?

MAJOR SEXUAL SYMPTOMS OF SEXUAL ABUSE

  1. Difficulties in becoming aroused and feeling sensations
  2. Sex feels like an obligation
  3. Sexual thoughts and images that are disturbing
  4. Inappropriate sexual behaviors or sexual compulsivity
  5. Inability to achieve orgasm or other orgasmic difficulties
  6. Erection problems or ejaculatory difficulty
  7. Feeling dissociated while having sex
  8. Detachment or emotional distance while having sex
  9. Being afraid of sex or avoiding sex
  10. Guilt, fear, anger, disgust or other negative feelings when being touched

EXISTING EFFECTS ON MALE SURVIVORS.

Listed below are some of the current effects that sexual abuse, and after-effects it has upon a male Survivor.

Nightmares, (Intense, violent, sexual) – A real fear that everyone is a potential attacker. Intense shame. – Intense anger. – Intense guilt. – Fear in expressing anger/difficulties in being angry. A need to be in control. – A need to pretend they are not in control. A fear of being seen/fear of exposure.- Running away from people/situations. A fear of intimacy. – “Avoidism”. – Memories of physical pain. – Intense sexual flashbacks. Intruding thoughts. – Sexual dysfunction. – Asexual feelings. – Feeling unreal. – Self doubt. – Jealousy. – Envy. Sexual acting out. – Fear of men. – Fear of women. – Fear of speaking out. – Inability to relax. Disconnection with feelings. – Feeling alone. – Poor choice of partners. – “Out of body” experiences. Linking abuse to love. – Keeping secrets. – Forgetting childhood experiences. – Detached from reality. Inability to comfort their children. – Feeling inadequate. – Unable to accept compliments. – Low self esteem. Isolation. – Addictions/crime. – No emotions. – Fear of others motives. – Inability to say no. – Fear of rules.

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COMMON REACTIONS TO SEXUAL ABUSE/RAPE

Emotional Shock: Feeling numb. Being able to stay so calm? Unable to cry.

Disbelief and/or Denial: Did it really happen? Why me? Maybe I just imagined it. It wasn’t really abusive.

Embarrassment: What will people think? I can’t tell my family or friends.

Shame or Guilt: Feeling as if it’s your fault, or you should’ve been able to stop it. If only you had…

Depression: How are you going to get through the day. Feeling so tired! It feels so hopeless.

Powerlessness: Will you ever feel in control again?

Disorientation: You don’t even know what day it is. You keep forgetting things.

Flashbacks: Re-living the assault! Keep seeing and feeling like it’s happening again.

Fear: Scared of everything. Can’t sleep, Having nightmares. Afraid to go out. Afraid to be alone.

Anxiety: Panic attacks. Can’t breathe! Can’t stop shaking. Feeling overwhelmed.

Anger: Feel like hurting the person who attacked you!

Physical Stress: Stomach (or head or back) aches all the time. Feeling jittery and don’t feel like eating.

UNIQUE ISSUES FACED BY MALE SURVIVORS
There is great denial of the fact that men are sexually abused. Other than in prisons, most of us don’t ever hear about the topic of male sexual abuse. The need to deny is often deeply rooted in the mistaken belief that men are immune to being victimized, that they should be able to fight off any attacker if they are truly a “real man.” Another related ‘belief’ is that men can’t be forced into sex. These mistaken beliefs allow many men to feel safe and invulnerable, and to think of sexual abuse as something that only happens to women. Unfortunately, these beliefs also increase the pain that is felt by a male survivor of sexual abuse. These ‘beliefs’ leave the male survivor feeling isolated and ashamed. Below are some of the unique problems and concerns that male survivors do experience: For most men the idea of being a victim is extremely hard to handle. Boys are raised to believe that they should be able to defend themselves against all odds, or that he should be willing to risk his life or severe injury to protect his pride and self-respect. How many movies or TV shows depict the hero prepared to fight a group of huge guys over an insult or name-calling? Surely then, men are supposed to fight to the death over something like unwanted sexual advances…right?

These beliefs about “manliness” and “masculinity” are deeply ingrained in many men and lead to intense feelings of guilt, shame and inadequacy for the male survivor of sexual abuse. Some male survivors even question whether they deserved to be sexually abused because, as they think that they failed to defend themselves. Male survivors see their assault as a loss of manhood and feel disgusted with themselves for not “fighting back.” These feelings are normal but the thoughts attached to them are not true. Remind yourself that you did what seemed best at the time to survive–there’s nothing un-masculine about that.” As a result of guilt, shame or anger some men may punish themselves by exhibiting self-destructive behaviour after being sexually abused. For some men, this means increased alcohol or drug use. For others, it means increased aggressiveness, like arguing with friends or co-workers or even picking fights with strangers. Some men pull back from relationships and wind up feeling more and more isolated. Male survivors may also develop sexual difficulties after being sexually abused. It may be difficult to resume sexual relationships or start new ones because sexual contact may trigger flashbacks, memories of the abuse, or just plain bad feelings. It can take time, so don’t pressure yourself to be sexual before you’re ready.

For heterosexual men, sexual abuse almost always causes some confusion or questioning about their sexuality. Since many believe that only gay men are sexually abused, a heterosexual survivor may believe that he must be gay or that he will become gay. Furthermore, abusers often accuse their victims of enjoying the sexual abuse, leading some survivors to question their own experiences. Being sexually abused has nothing to do with sexual orientation, past, present or future. People do not “become gay” as a result of being sexually abused. However, there are certain issues that are different for men:

Concerns about sexuality and/or masculinity

Medical procedures

Reporting crime to law enforcement agencies

Telling others

FINDING RESOURCES AND SUPPORT

No matter what is said or done, no one “asks for” or deserves to be assaulted. Sexual abuse/rape is nothing to do with someone’s present or future sexual orientation. Sexual abuse comes from violence and power, nothing less. Unfortunately, the health profession are reluctant to recognise that men can be sexually assaulted. This also includes the Police Forces, though that is slowly improving at last This attitude, combined with ignorance affects the way they treat men who have been raped/sexually abused, often using a stereotyped view of masculinity, rather than focus on the physical assault, the crime becomes the focus of the medical exam or police investigation.

WHAT YOU CAN DO

Recognize that men and boys can and are sexually assaulted.

Be aware of the biases and myths concerning sexual abuse.

Recognize that stereotypes create narrow definitions of masculinity, and make it even harder for male survivors to disclose their rape/abuse.

As individuals and as a community, that we work harder to combat and challenge those attitudes.

It is important that male rape survivors have support, and are allowed to make their own decisions about what course of action to take. All too often, they feel forced to make statements or act against their abusers, without having had the time and space to think it through. I never advocate they prosecute their abusers, I suggest they perhaps begin their personal journey to recover from the traumas they are left with.

NOTHING JUSTIFIES SEXUAL ABUSE!

It doesn’t have to be this way though, you can overcome the issues listed and can recover. Just in case you need a reminder;

Men of all ages, and backgrounds are subjected to sexual assaults and rape.

Offenders are heterosexual in 98% of the cases.

Both heterosexual and homosexual men get raped.

Rape occurs in all parts of society.

Men are less likely to report being raped.

A PERSONAL VIEW.

The belief that the male population is the stronger sex, especially when it comes to sex, is deeply ingrained, believed, and supported within our culture, but not all men and boys are physically or emotionally strong, which explains why there are male “victims” of sexual abuse/rape. Male child sexual abuse is perpetrated by both men and women, of any sexual persuasion, with no regard towards the “victims” sexuality or safety. It holds scant regard for who we are, and is about gaining power and control over the “victim”. As children, we are placed in the care of our parents/guardians, family, family friends, schools, and more often than not, sometimes strangers. The ‘Danger Stranger’ campaign focused on the danger of strangers, with the intent of scaring children into not trusting strangers, but plainly ignored the fact that parents, siblings, family members, and those other “nice people” especially those people known as the “Pillars of Society”, are much more likely to sexual abuse children. As a result of our sexual abuse, we grow up with many mistaken beliefs, and many Survivors have fallen into a myriad of roles that include alcoholism, crime, depression, self harming, people pleasing, hardworking, etc. But, far from being powerless, we have drawn upon considerable reserves of inner strength to deal with, adjust and cope with the invasion of our bodies and minds.

Our previous actions in dealing with life may not have been what we wanted to do, and may have caused more pain on the way, but surely we have arrived at a time when we all need to face our past, forgive OUR actions, and move away from the guilt, shame and fear that has haunted us for so long. This possibly took many forms, but is something that we all need to forgive ourselves for, as long we don’t intend to ‘return there’. Some thoughts to have plagued male survivors have been “Perhaps I was to blame” “I should have told someone” “I was in the wrong place, at the wrong time” “I deserved it” “Maybe I gave out the wrong signals” “Maybe I’m gay”………,What we don’t want to hear is pity, or told “how awful” “so sad”, “poor little boy” as that concept is dis-empowering and perpetuates pity for the ‘victim’ and we are then seen as “not quite right”.

We are OK, we are capable of living our lives, and we are more than capable of overcoming the traumas that our abuser(s) left behind. I subscribe to the belief that in order to heal fully you have to face your abusive past, however difficult that may be, but in doing so, you can move on emotionally, forgive your actions, find inner peace, and be the person you want to be, not who ‘they’ wanted you to be. Please break the silence and demand the right to be recognized! If you want to join, we will support you in your struggle, be ‘here’ for you when you need us, and help you understand who you are, and what you want to be. The next step is from victim, to SURVIVOR, which is possible. It’s not easy, and involves you telling someone else all those deep hidden secrets, but once started, DON’T STOP!

Complete Article HERE!

Celibacy vs. Abstinence…There Is A Difference

Name: Richard
Gender: male
Age: 26
Location: Duluth MN
I’ve been practicing periods of celibacy and the way that I practice celibacy is by not ejaculating. I’ll still have fornication with my girlfriend and things like that but without ejaculation. My question is that I notice that when I end a period of celibacy by finally ejaculating that my energy level is extraordinarily low afterwards. Are there supplements I can take to counteract the sleepy feeling I have after I ejaculate? Basically I would like to have the same focus day to day as when I am practicing celibacy but while I have a sexually active life. Any thoughts or answers would be great.

Before I get to your question. Richard, let’s work on some of your vocabulary, shall we? The sexual practice you describe is not a type of celibacy. Celibacy has a very specific meaning. It is the state of being unmarried. Curiously enough you actually happen to be celibate.  Not because you’re practicing ejaculation control, but because you’re not married (you have a GF). For the sake of clarity, the only thing we ought to be able to say for sure when someone identifies him/herself as celibate is that he/she is not married. Period!tantric-sex-is-so-much-more2

You’re not really being sexually abstinent either, which is a concept that is often confused with celibacy. Sexual abstinence is refraining from any kind of sexual activity with others or alone.

Ya know why it’s important to differentiate between the two? I’ll tell ya. There are a lot of people who are celibate (i.e. not married), but who are being sexual, by themselves or with others (like you for example). There are also lots of people who are married (i.e. not celibate), but who are refraining from being sexual with themselves or others for any number of reasons. And, of course, there are celibates who are also sexually abstinent.  Ya see, if we are careless with our vocabulary when describing ourselves, we aren’t able to clearly share with one another who we are, what we are doing, or what we want to do. Get it? Got it? Good!

I’m also gonna go way out on a limb here and guess that you’re a Catholic or a fundamentalist Christian, or was raised as one. Who else would use the term “fornicate” when talking about having sex with his GF?

tantraWhile technically you are correct, in “church-speak” unmarried partners who fuck are fornicating. This is opposed to adultery, which is a when a married person fucks someone other than his or her husband or wife. The term fornicate has a very pejorative connotation. It’s a word religious people use to describe sinful behavior. Is fucking your girlfriend sinful, Richard? If it is, stop fucking her right away! If it isn’t, then don’t refer to your sexual relations with her as fornication. If you can’t bring yourself to use the term “fuck” to talk about what you two do together, there are plenty of other less negative euphemisms. For example, intercourse, or even coitus works. Just not fornication!

Now, on to the very interesting sexual practice you describe in your message. If it isn’t a “type” of celibacy, what is it? I think you maybe talking about a tantric sex practice. You have sex — solo as well as partnered sex — but you avoid ejaculating, right? You don’t really go on to say why you do this other than you seem to believe you conserve energy this way. Tantric practitioners talk about this practice in similar terms — preserving one energy or chi. And that’s what leads me to think what you’re doing is a form of tantra.

Tantric sex is very interesting, if for no other reason it distinguishes between orgasm and ejaculation. Although they often happen at the same time, men are capable of having orgasms without ejaculating. Perhaps, you’re already discovered this. Ejaculatory control, which is what I think you are doing, is what makes it possible for Tantric lovers to harness and extend the energy of orgasm. By refraining from, or holding off on an ejaculation, men can become multi-orgasmic. Some men achieve this by a practice known as edging or controlling the wave of orgasmic energy without ejaculating.tantric-sex

Further, you ask if there are any drugs that can help you regain your strength, or chi after you finally ejaculate. Rather than seek a pharmaceutical solution, why not delve deeper into tantra for the answers you seek. You are already more than half way there. You might want to look into chi power training too. Because, if I’m not mistaken, that’s what you’re actually talking about.

Good luck

Female Sexual Dysfunction, Another Perspective

Hey sex fans,

It appears that my posting of last week, Female Sexual Dysfunction Is A Fictional Disorder, caused quite a stir.  As you recall, I was answering a question from a woman who asked if FSD, or female sexual dysfunction is real or a fictitious “ailment” that is being promulgated to sell pharmaceuticals to unsuspecting women.  I replied; “I think that, for the most part, female sexual dysfunction, or FSD, is a fictional disorder. I also think pharmaceutical companies are trying to hit on a female version of Viagra to treat this imaginary disorder so they can make a bundle, just like they did with as the male version.”

Well, that didn’t sit well with some friends and colleagues. One among them, Dr. Serena McKenzie took the most exception. She sent me a little note: “Your blog on female sexual dysfunction being fictitious is – respectfully – fucking bullshit sir.” Ok then!

I invited Serena to make her case not only to me, but to all my readers. What follows is Serena in her own words.

Flibanserin, the first and only medication available for use in reproductive aged women with low libido, becomes commercially available this week after a rocky and controversial road that led to its FDA approval Aug. 18. The view on the medication whose brand name is Addyi (pronounced ADD-EE) ranges from a historical achievement in women’s health care to an epic failure of commercialized medical propaganda. Despite the lengthy debate that has surrounded flibanserin, what most people want to know is whether it will help their sex life or not now that it is here.

addyi


First Things First

While sexual concerns can be difficult to discuss for many women and their partners, it is important to acknowledge that sex and intimacy are some of the great extraordinary experiences of being human. When sex goes badly, which statistically it does for 43 percent of U.S. women, the consequences can devastate a relationship and personal health. One of the biggest applauds I have for the FDA is their statement of recognition that female sexual dysfunction is an unmet clinical need.

Sexuality Is Mind-Body But Not-Body?

Sexuality is usually complicated, and problems with sex such as loss of libido are multifactorial for most women. Antagonists to flibanserin cite psychosocial contributions such as relationship discord, body image, or history of sexual abuse to be the most pinnacle causes of a woman who may complain of problematic lack of sexual desire, and that sex is always a mind-body phenomenon. While these factors often implicitly correlate to loss of sexual interest for a woman, they don’t always, and you cannot advocate that women’s sexuality is all inclusive of her mind, body, and spirit — and assert simultaneously that a biochemical contribution which flibanserin is designed to address in the brain to improve satisfying sexual experiences does not exist.

(c) Myles Murphy; Supplied by The Public Catalogue Foundation

(c) Myles Murphy; Supplied by The Public Catalogue Foundation

The Biochemistry of Sex

Antidepressant medications that alter brain biochemistry are notorious for having sexual side effects which can be prevalent up to 92 percent of the time, and are known to decrease sexual interest, disrupt arousal, and truncate orgasm in some women. Ironically, flibanserin was originally studied as an antidepressant, and while the exact mechanism of how a medication can impair or improve sexual interest is unknown, it should not be difficult to consider that if biochemical tinkering can crush sexual function, it may also be capable of improving it.

Efficacy Data Dance

Flibanserin is a pill taken once nightly, and has been critiqued as showing only modest increases in sexual desire, with improvements in sexually satisfying events rising 0.4 to 1 per month compared with placebo. However just because flibanserin has lackluster efficacy data, that does not mean it is ineffective, and even small improvements in sexual function can be life altering for a woman struggling with disabling intimate problems. If only 1 percent of women with low libido were to improve their sexual function with use of flibanserin, that equates to 160,000 women, or the population of Tempe, Arizona.

Blue Sky Side Effects

Flibanserin has side effects, and the sky is blue. All medications have pro and con profiles, and for flibanserin the most common consequences of use include fatigue, dizziness, sleepiness, and a rare but precipitous drop in blood pressure. Women may not drink alcohol while taking this medication. Providers who will prescribe it and pharmacies that will dispense flibanserin must be approved through what is called a Risk Evaluation and Management Strategy, or REMS, which means they are educated on advising women on how to take flibanserin safely. While a REMS program is arguably overkill compared to numerous higher risk, common prescriptions which do not require a REMS, it is an excellent opportunity for clinicians who have a background in sexuality to be the main applicants since they are far more qualified to assess proper candidates for treatment as well as continue to endorse holistic measures alongside flibanserin. Women who are interested in trying flibanserin should only obtain it from sexuality trained professionals.

The Proof Is In The Sexy Pudding

If flibanserin is worthless, the marketplace will bury it in a shallow grave quickly. Women will stop paying for it, and conscientious medical providers will stop prescribing it. Yet 8,500 women taking flibanserin were studied, over a 1,000 of them for one year, and the data suggests it will help some. Women deserve to be educated on their options, because sexual health is worth fighting for.

Changing The World, One Orgasm At A Time

We simply cannot overlook how astronomical of an achievement it is to even have a mediocre medication approved for female sexual dysfunction. Women’s sexuality has been ignored by medicine for most of history. At least now we have something to fight over.

The controversy about flibanserin is in fact magnificent, and frankly, the entire point. We must talk openly about sexuality and sexual concerns to improve them, personally for one woman at a time, but also uniformly to embrace female sexuality as a vastly larger societal allowance.

A satisfying sexual life is far more than the restoration of sexual dysfunction, it’s a thriving, multi dimensional, ever evolving weave of psychology, relationships, life circumstances, and yes can include a milieu of biochemistry and neurotransmitter pools.

Is a pill ever going to replace the vastly complicated arenas that fuse into our sexual experience? Of course not — it’s absurd and lazy-minded for anyone to suggest that is even being proposed. But it is necessary and inherently responsible to allow for all possible puzzle pieces to be utilized through the ever evolving navigation of sensuality, intimacy, and erotic fulfillment.

So will flibanserin make your sex life better? Maybe. But considering the conversation about it valuable as well as its use as merely one tool among many options to improve sex and intimacy would be the better bet. Ultimately, we “desire” sex that is meaningful, erotic, and dynamic. The journey of seeking sexual vitality deserves every key, crowbar, heathen kick, graceful acrobatics, or little pink pill that lends its part to the process, no matter how small or big, for the opportunity to discover and embrace a sexual aliveness.

Holistic physician, certified sexual medicine specialist, sex counselor, medical director of the Northwest Institute for Healthy Sexuality