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Fun Where The Sun Don’t Shine!

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Hey sex fans!

It’s our first Product Review Friday of the new year. So HURRAY for that!

This week we have another wonderful product from our good friends over at We-Vibe. As you probably know, they have been part of this review effort since 2008 when we reviewed our first product of their line. Since then we’ve happily reviewed several of their others.

To keep track of all our reviews of the amazing products coming from We-Vibe, use the search function in the sidebar of DrDickSexToyReviews.com, type in We-Vibe, and PRESTO!

Back by popular demand, here are Dr Dick Review Crew members, Jack & Karen, to show and tell.

We-Vibe Ditto Vibrating Butt Plug —— $75.42

Jack & Karen
Karen: “Back by popular demand? Well, that one way of looking at it.”
Jack: “We begged and begged, is more like it.”
Karen: “We were so happy to be invited back to the Review Crew after so many years in the wilderness. And to come back just in time to review a marvelous We-Vibe product; well we were over the moon.”
Jack: “Hey, why not tease our audience with some of the particulars before passing judgment?”
Karen: “Sorry! It’s just that I love this little thing; I couldn’t help myself. Let me catch my breath and begin with the packaging, which I love. Whoops, I did it again.”
Jack: “OK, time out for you. I’ll do the packaging. Like all We-Vibe products the packaging is first rate, stylish, but understated. A nice petite cardboard box featuring an image of the Ditto opens to reveal your Ditto and it’s remote. A USB charger cable, a small packet of lube, instructions and a storage bag are nestled under the toy.”
Karen: “Oh My God! I said when I first saw it. It’s a butt plug!”
Jack: “My wife is so freakin’ clever!”
Karen: “This would be my first foray into the world of anal pleasuring and I was a wee bit nervous.”
Jack: “But she persevered!”
Karen: “You’re so funny. Listen, I don’t want to get ahead of myself again. So I’ll slow down. You already know that the Ditto is rechargeable, since Jack mentioned the USB charger cable. Well, it’s super easy to charge and charging it for 90 minutes will give you 2 hours of playtime. The Ditto is made from smooth, seam-free velvety, latex-free, nonporous, phthalate-free, and hypoallergenic silicone with a matt finish. It’s totally waterproof too. And since this is gonna go where the sun don’t shine, so to speak, the water based lube sample packet will come in very handy. You’ll want to stock up on water-based lube if you don’t have a cupboard full, like we do, because every time you use the Ditto you’ll want to use some. Remember, your butthole isn’t like your vagina; there is no natural lubrication down there.”
Jack: “The Ditto is quite petite. It has an insertable length of approximately 3 inches and a circumference of just over 3.5 inches making it, in my opinion the perfect plug for someone who in interested in investigating anal play. While it was too petite for me, it was perfect for Karen. The Ditto is remote controlled and there’s an app for it too. We downloaded the We-Vibe Connect app from our app store. We then turned on the bluetooth function on our phone, pressed the power button on the Ditto, which is found on the base of the toy, and PRESTO. Once the app finds the Ditto it will buzz to life. The app is fantastic because you can see battery levels, choose patterns and speeds and you can even make your own patterns. The Ditto comes preset with 10 modes so, even if you don’t have a smart phone, you can still enjoy the delightful sensation the Ditto offers right out of the box.”

Karen: “Don’t forget about the remote! The remote is the bomb. It’s what makes the Ditto so much fun to use by one’s self or with a partner. It is a small battery powered remote and lets you move back and forth between vibration modes and allows the user to adjust the intensity of the vibrations. Another thing, most butt plugs on the market have a round or anchor shape base, but the Ditto has this unique L-shaped base. I think the L-shape makes the Ditto more comfortable to use and more secure once it’s in place.”
Jack: “I know Karen has already mentioned this, but it bears repeating. If you’re new to anal play, please use a generous amount of lube. Be sure to lube up both your ass and the Ditto before inserting it. And GO slow. So many people try anal play for the first time, do something wrong, like going too fast, or not using enough lube, and they hate the experience. Thus ruling out all future bum fun and pleasure because they weren’t careful. Don’t let that happen to you. I promise you; do things right and you will be in heaven as soon as the vibrations start.”
Karen: “Yep, that’s what happened to me the first time out with the Ditto. After a few sessions of solo play, I was ready to partner up with Jack. Jack wore a much larger plug and I had my Ditto. It was grand. Jack said he could feel vibrations from the Ditto through my vagina. What fun!
Jack: “Because the Ditto is waterproof and made of silicone it’s super easy to clean. Mild soap and warm water does just fine for everyday cleaning. But you can also wipe it down with a lint-free towel moistened with peroxide, rubbing alcohol or a 10% bleach solution to sanitize for sharing. But get this; we wanted to see how well this thing was made so we dropped it into a pot of boiling water for a couple of minutes to actually sterilize it. It stood up that like a pro. Then we ran it trough the dishwasher and that didn’t phase it either. This thing is made to last.”

Karen: “Remember, you can only use a water-based lube with a beautiful silicone toy like this. A silicone-based lube would mar the finish, and you certainly don’t want that.”
Jack: “The Ditto delivers deep, powerful, and rumbly vibrations. They are amazingly strong for such a small toy. I was actually quite surprised.”
Karen: “The sweet little drawstring storage pouch that is included in the package makes the Ditto perfect for travel. I am so stoked about the innovative design, its power, and how quiet it is. It gets my highest recommendation.”

Full Review HERE!

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Hear him moan

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The 5 steamiest sites for audio porn

Not all porn has to be visual.

Who says you have to watch porn, anyway? Audio porn has been booming for years on the internet, boasting faster download speeds, better cost efficiency, and more discreet options than “watching” video pornography. Audio porn even predates PornHub, with everything from phone sex to erotica audiobooks to dirty recordings passed around from lover to lover.

And now professional stars and amateur creators are out there creating porn for your ears. So if you’re looking for some audio porn sites to dive into late at night, here are some of the best on the internet.

The best audio porn sites on the internet

1) Aural Honey

For listeners that like a touch of British charm in their audio porn, Aural Honey is sure to delight.

Run by a self-described “English tea addict with a delightfully dirty mind,” Aural Honey focuses on immersive porn that makes the listener feel like they’re really in the scene. Half of the site is dedicated to relatively tame “Sweet Audio.” These are typically girlfriend roleplays about snuggling, cuddling, or romantic nights together as the rain pours down outside the window. But the other half of the site, “Erotic Audio,” features nearly two dozen audio porn recordings that range from kinky submission to Daddy worship. Highlights include “The Whores of Dracula,” in which two dominant vampire sisters—inspired by Bram Stoker’s Dracula—seduce a helpless man. Then there’s “Drenched for Daddy,” perfect for any listener eager for some age play and body worship.

Aural Honey also hosts a Patreon where interested listeners can pledge monthly payments in exchange for rewards. $5 patrons receive exclusive livestreams and early access to the site’s erotica section, whereas $10 patrons can listen to Patreon-only audio porn and request a three-minute custom recording. You can check out the Patreon page for more rewards and additional patron subscription tiers.

‘Drenched for Daddy,’ an audio porn recording focusing on ageplay by performer Aural Honey.

2) r/GoneWildAudio

If there’s one free audio porn site you should keep in your bookmarks, it’s Reddit’s r/GoneWildAudio. The subreddit lets bedroom performers upload audio recordings of themselves in compromising situations, from masturbating to detailing BDSM bondage scenarios. After being verified by the subreddit’s moderators, users can either upload their own recordings from scratch, or take a preexisting script and record it for the subreddit’s listeners. The best thing about r/GoneWildAudio is that it’s entirely community-oriented, so there’s a wide selection to check out that breaks from traditional porn made for straight men.

r/GoneWildAudio is open to submissions from any Reddit user.

There are two ways to search for content on r/GoneWildAudio. For one, the site uses a tagging system noting performers’ genders. For instance, F4M recordings is audio porn developed by women for men. M4A, meanwhile, features porn by men for listeners of any gender. And then there are more complicated tags for specific interests, like MM4F recordings from two men for a woman, and TF4TF tags by a trans woman for another trans woman.

Users can also type in keywords and look for porn through Reddit’s built-in search feature. For instance, many audio recordings dealing with BDSM are tagged “bondage.” Anal sex, rape play scripts, age play, pet play, and other fetishes feature throughout the site too. To get started, check out “My Daughter Is an Idiot for Breaking Up With You… Let Me Help You Feel Better,” where a sweet and affirming mom hooks up with her daughter’s ex in a slowly building scene. And then there’s “Bathroom Sex with a Stranger,” where a girl seduces another woman from behind and tops her in a bar bathroom.

3) YouTube

Surprisingly enough, YouTube is a great stop for softcore audio porn. While the site largely refuses to host video porn in order to maintain a relatively safe-for-work atmosphere, audio recordings aren’t vigorously bullied off the platform. That means there are plenty of adult performers and mature ASMR artists recording the mildest of mild audio porn for listeners to enjoy.

Take a cruise down YouTube’s ASMR (Autonomous Sensory Meridian Response) section and you’ll find dozens of artists creating audio porn and erotica. Some include intense kissing sessions, like BarbieASMR’s lesbian “Angels Kissing.” And then there are artists like Laila Love, who mixes traditional ASMR play with everything from moaning to roleplaying an ex-girlfriend that kidnaps and binds her lover. These videos are particularly great because they combine audio porn with an accompanying video, acting out sounds and facial expressions to heighten the recording’s immersion.

Then there’s audio porn of the classic variety, posted across the site from various YouTube users. A quick search for “audio porn” or “sexy audio” brings up dozens of videos geared around all sorts of sexual fantasies, from lesbian roleplays to steamy encounters with total strangers. For some of the hottest examples, check out TopSecret Audio, which tackles roleplays ranging from mild dirty talk to full-on erotica. For something sounding a bit more authentic, listen to Down n’ Dirty, a podcast series dedicated entirely to authentic erotica inspired by real life.

BarbieASMR/YouTube

4) Tumblr

It’s an open secret that Tumblr is a great place to find porn. And yes, that includes audio porn. The site is filled with performers sharing their dirty moments and sexual fantasies, from masturbating to having sex. In particular, amateur audio porn is pretty popular on the site, and there’s plenty of sexy real-life sex sessions to go around.

On Audible Porn, Tumblr users can submit their own recordings for the blog, featuring anything from solo masturbation sessions to sex with others. Sex and moans are both common themes on the site, along with plenty of boys and (more often than not) girls touching themselves. Some of the top picks include a girl reaching multiple orgasms from masturbation and “Cute boy moans,” where a boy clearly in heat moans and orgasms. There are also several recordings dedicated to car sex, including one where a couple has particularly loud sex with the radio on.

Then there’s Sounds of Pleasure, another submission-based audio porn blog. Users can submit their own solo masturbation sessions, along with dirty talk, sex, and more. The site has a sizable tagging system for browsing, with audio porn excerpts for everything from lesbian porn to dirty accents to jerk off instruction audio posts. To check out the site’s full offerings, take a look through its archive. Sounds of Pleasure updates regularly, too, making it a top pick for any interested audio porn fan on Tumblr.

5) Audible

Amazon’s Audible is, aptly enough, a hidden gem for audio porn recordings of all kinds. While Amazon doesn’t advertise the site’s erotica audiobook library publicly, some of the best finds on the internet are right on Audible—including erotica that puts Fifty Shades of Grey to shame.

The site features stories that range from lesbian erotica to science-fiction-themed pornography. Particular highlights include Orgasmic: Erotica for Women and Fifty Shades of Lewd Erotica, compilation audio porn recordings that feature short stories for that perfect night in. Audible also hosts audiobook erotica series, meaning listeners can literally grab days’ worth of erotica from their Audible subscription. The six-part series The Marketplace, for instance, features 15 hours worth of BDSM smut in just the first book alone.

Signing up with Audible is pretty easy. There’s a 30-day free trial available when you give Audible a debit or credit card number. Once the free trial is over, users can then purchase a recurring Audible membership between multiple plans. There’s one book per month for $14.95 each month, 2 books for $22.95, 12 books for a yearly $149.50 fee, or 24 books all at once for $229.50 per year. Alongside membership plans, Audible users can also buy more credits to pick up additional books per month, which is a great way to keep on listening to audio porn without changing up a subscription.

Complete Article HERE!

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The Best Sex Takeaways From 2017

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By Leigh Weingus

In 2017, the trends surrounding sex were focused on having an open mind. What does a “normal” sex life look like? And can we redefine virginity for ourselves? There was also a decent amount of science surrounding gender equality in the bedroom (yes, we are talking about the complex nature of the female orgasm here).

While there was more than enough sex advice to go around this year, here are the most valuable bits from 2017.

Thanks to an uptick in social media use and a decrease in face-to-face interactions, new research finds that teenagers are now having sex later than ever. As a result, more people than ever are dealing with anxiety surrounding “late-in-life virginity.” And if you ask sex and relationship experts about it, they’ll tell you “virginity” as a concept is outdated.

“We really must speak more broadly about sex as a whole range of intimate possibilities, not just penetrative sex,” says Debra Campbell, couples therapist and author of Lovelands. “The idea of being a ‘virgin’ is really a bit outdated. It’s something that used to be important for the same socio-economic and religious reasons as marriage, but times have changed.”

How much sex should you actually be having? Studies show that having sex once a week is the “magic” number if you want to get all the benefits (overall well-being and relationship satisfaction), but if the real women we polled are any indication, “normal” doesn’t actually exist.

“Usually the frequency with which we do it comes in ‘spells,'” said one 29-year-old woman. “We’ll do it a bunch for a few weeks and then not as much for a few weeks. I’d say it’s changed since we first started dating. Truthfully, it took a while to actually get to the sex part, so we’d get more creative with what we did. That was really fun, actually. Now that we’re married, we try to find new ways to be adventurous.”

You can sleep in a separate bedroom from your partner—or have different sleep schedules—and still have a great relationship and sex life. Because let’s face it: There’s no bigger turnoff than losing a night of sleep because your partner was snoring or making a lot of noise when they came into your bedroom at 2 a.m.

“This is a fascinating dilemma because the research on sleep and couples clearly shows that we think we sleep better when we’re with our partner, but we actually sleep better when we sleep alone,” says David Niven, Ph.D. and author of 100 Simple Secrets of Great Relationships. “So there’s a very natural tension between the person who feels deprived when their partner stays up four hours later and the person who feels deprived when they are expected to come to bed four hours before they feel ready.”

The female orgasm has long been a mystery, and for years scientists didn’t care to spend time or resources trying to understand it. But the tides have changed in 2017, and a study on over 1,000 women between the ages of 18 and 94 shed some interesting light on what works and what doesn’t.

We learned a lot from that study, but here are some highlights: When it comes to manual and oral sex, about 64 percent of women said they enjoy an up-and-down motion on the vulva, and 52 percent also enjoyed circular movements. Just under a third of women said they liked “side-to-side movements.”

As for the clitoris, three-fourths of women were big fans of a circling motion, switching between different types of motions, and varying the intensity of touch.

Complete Article HERE!

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Why Erotic Fan Fiction Might Be the Key to a Better Sex Life

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By Jandra Sutton

Where I come from, sex is taboo. I never learned how to use a condom, I never learned anything about birth control, and abstinence was preached above all else. I was even given a fake plastic credit card as a symbol of my pledge to remain abstinent, a tiny golden card that told us of the “importance of abstinence” that we could carry around in our wallets, intended as something that would remind us of the gift and value of our virginity, along with our commitment to not have sex—and yes, I attended public school.

At the private Christian university I attended, it got worse instead of better. Professors gave talks about how masturbation was evil and addicting, not to mention the sins of pornography. We were told that pornography was basically a gateway drug to sexual promiscuity and broken relationships. Pornography was whispered about in church like it was heroin, making it one of the worst things in which you could possibly indulge. Sex and everything related to sexuality quickly became terrifying, although of course, I was still curious, but clueless. TV and movies were all I had to learn about sex, but I soon discovered that the library scene in Atonement doesn’t quite count as a proper sexual education.

I’ve recently started coming to terms with sexuality, however. I’ve realized that there are issues with my limited knowledge of sex that aren’t just dangerous (hello, condoms) but severely limiting in terms of my relationship with my husband—yup, I’m married now.

So what options are left? My conservative upbringing made it uncomfortable (and embarrassing) to talk to a professional about sex, and I could never dream of mentioning my burgeoning sex life with my friends. Hell, even writing an article about sex is enough to make me blush. Like right now.

Weirdly enough, fan fiction saved my sex life. It’s strange to admit, especially to countless strangers on the internet, but it taught me that sexuality isn’t just OK, it’s a part of life and something to be embraced.

I stuck with fan fiction about fictional characters, mainly because I was (and am) uncomfortable with reading fan fiction about real people—especially sexual scenarios—but also because it allowed me to explore without any secondhand embarrassment. I didn’t want to watch porn or hear about real people having sex because, truthfully, I couldn’t handle it. Sticking with the fictional, however, lowered the barrier of entry (pun intended).

By reading about characters with whom I already identified, fan fiction taught me that I’m not a light switch to be turned on and off when convenient. I knew that arousal was different for men and women, but I assumed that I was defective if I couldn’t get “into the mood” without proper, erm, stimulation. Even then, there were times that sex still wasn’t on my agenda, but I had no guidelines for how to deal with that except TV shows where the woman would feign a headache (and be portrayed as a frigid b*tch for doing so).

Fan fiction provided me with a safe space to explore my sexuality. With only one sexual partner in my life, I’d never had the opportunity to discover what I liked in bed. Sex, as I soon discovered, isn’t something to be ashamed of—and it shouldn’t be.

Not knowing anything about the different types of foreplay, role-playing, different positions, masturbation, and more, I came into my marriage relationship as a virtual tabula rasa. And while that could be viewed as a good thing depending on your personal beliefs, it definitely made sex awkward. I had a vague idea of things I thought I should be doing, but I had no idea how to do them. I didn’t know how to take an active role in pleasing my husband, and I had even less of an inkling on how to enjoy myself in the process. Sure, I could talk to my spouse about these issues—and did—but it often left me feeling deficient.

Fan fiction, however, let me read about healthy sexual relationships without feeling embarrassed or overwhelmed. I could delve into different sexual scenarios on a whim, and I was in control of the process. It allowed me to explore (or avoid) whatever I wanted, which I could then take back to the bedroom thanks to the support of my husband.

Given that women are more often stimulated by the written word than men, fan fiction helped cultivate a healthy sexual appetite within my relationship that had been previously inaccessible to me. Fanfic is often more female-friendly than porn in that it often gives women a more dominant role, especially one in which the female orgasm is just as important (if not more so) than the male’s, along with the ability to choose a story that has a plot (not just sex), making it more immersive in the process. Not only that, this makes erotic fan fiction more approachable—and beneficial—to people like me, who are interested in learning but are often uncomfortable with blatant displays of sexuality.

Honestly, I’m beyond grateful for erotic fan fiction. It’s free. It’s safe. It’s empowering. Why shouldn’t women—and men—be free to imagine themselves having kick-ass sex? And instead of taking away from my relationship, reading about sex this way has enriched our sex life in ways that I definitely didn’t expect. I learned that sex is normal, it’s healthy, and it’s whatever the f*ck I want it to be, because it’s mine (and my husband’s). The concept of “should” doesn’t belong in the bedroom.

Fan fiction doesn’t just offer readers the opportunity to escape, it also reminds us that sexuality— whatever form that may take for you—is perfectly normal. It’s OK to have experience, and it’s OK not to. Sometimes we feel like we need to be having sex (and lots of it), but we’re also expected to be the perfect blend of sexy and innocent, knowing exactly how to drive our partners wild, all while feeling incredibly confident in the bedroom and seeming like eternal virgins. The challenge for women can seem insurmountable, especially when the pressure to perform sexually can absolutely kill the mood.

I’d spent so much time worrying about how to do sex “right” that I forgot the importance of enjoying myself throughout the process. Yes, I want to please my partner, but my own pleasure should be of primary concern, as well. Over the course of our lives, women are subtly taught to view themselves as objects, and sexual objectification is no different. We exist as more than objects to fulfill our partners’ sexual desires, and in my experience, fan fiction can help teach that. As more and more women see and experience relationships—even fictional ones—in which a woman’s sexual enjoyment is just as valuable as a man’s, she can see her own pleasure as increasingly important.

And if you’re looking for an easy introduction to erotic fan fiction, a quick trip to Google will help you find a whole host of steamy scenarios. Start with something simple, like a longer fanfic that simply has sex woven into the broader plotline, or dive right in with a collection of smutty one-shots (these are short, one-chapter-length snippets).

Fanfiction.net and Archive of Our Own are both great places to start, and you can even search based on your favorite pairing or how smutty you want the story to be. Want to imagine yourself as the object of Thor’s affection? It’s definitely doable with a quick search. Or if you’re just dipping your toes in, you can even filter the search results according to rating: If you’re more comfortable keeping it PG-13, do that. Want something more mature? Opt for that! Go forth and embrace your sexuality, find what works for you, and know that wherever you’re at is a great place to be.

Complete Article HERE!

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New treatments restoring sexual pleasure for older women

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By Tara Bahrampour

When the FDA approved Viagra in 1998 to treat erectile dysfunction, it changed the sexual landscape for older men, adding decades to their vitality. Meanwhile, older women with sexual problems brought on by aging were left out in the cold with few places to turn besides hormone therapy, which isn’t suitable for many or always recommended as a long-term treatment.

Now, propelled by a growing market of women demanding solutions, new treatments are helping women who suffer from one of the most pervasive age-related sexual problems.

Genitourinary syndrome, brought on by a decrease in sex hormones and a change in vaginal pH after menopause, is characterized by vaginal dryness, shrinking of tissues, itching and burning, which can make intercourse painful. GSM affects up to half of post-menopausal women and can also contribute to bladder and urinary tract infections and incontinence. Yet only 7 percent of post-menopausal women use a prescription treatment for it, according to a recent study.

The new remedies range from pills to inserts to a five-minute laser treatment that some doctors and patients are hailing as a miracle cure.

The lag inaddressing GSM has been due in part to a longstanding reluctance among doctors to see post-menopausal women as sexual beings, said Leah Millheiser, director of the Female Sexual Medicine Program at Stanford University.

“Unfortunately, many clinicians have their own biases and they assume these women are not sexually active, and that couldn’t be farther from the truth, because research shows that women continue to be sexually active throughout their lifetime,” she said.

With today’s increased life expectancy, that can be a long stretch – another 30 or 40 years, for a typical woman who begins menopause in her early 50s. “It’s time for clinicians to understand that they have to bring up sexual function with their patients whether they’re in their 50s or they’re in their 80s or 90s,” Dr. Millheiser said.

By contrast, doctors routinely ask middle-aged men about their sexual function and are quick to offer prescriptions for Viagra, said Lauren Streicher, medical director of the Northwestern Medicine Center for Sexual Medicine and Menopause.

“If every guy, on his 50th birthday, his penis shriveled up and he was told he could never have sex again, he would not be told, ‘That’s just part of aging,’” Dr. Streicher said.

Iona Harding of Princeton, New Jersey, had come to regard GSM, also known as vulvovaginal atrophy, as just that.

For much of their marriage, she and her husband had a “normal, active sex life.” But after menopause sex became so painful that they eventually stopped trying.

“I talked openly about this with my gynecologist every year,” said Mrs. Harding, 66, a human resources consultant. “There was never any discussion of any solution other than using estrogen cream, which wasn’t enough. So we had resigned ourselves to this is how it’s going to be.”

It is perhaps no coincidence that the same generation who first benefited widely from the birth control pill in the 1960s are now demanding fresh solutions to keep enjoying sex.

“The Pill was the first acknowlegement that you can have sex for pleasure and not just for reproduction, so it really is an extension of what we saw with the Pill,” Dr. Streicher said. “These are the women who have the entitlement, who are saying ‘Wait a minute, sex is supposed to be for pleasure and don’t tell me that I don’t get to have pleasure.’”

The push for a “pink Viagra” to increase desire highlighted women’s growing demand for sexual equality. But the drug flibanserin, approved by the FDA in 2015, proved minimally effective.

For years, the array of medical remedies has been limited. Over-the-counter lubricants ease friction but don’t replenish vaginal tissue. Long-acting mosturizers help plump up tissue and increase lubrication, but sometimes not enough. Women are advised to “use it or lose it” – regular intercourse can keep the tissues more elastic – but not if it is too painful.

Systemic hormone therapy that increases the estrogen, progesterone, and testosterone throughout the body can be effective, but if used over many years it carries health risks, and it is not always safe for cancer survivors.

Local estrogen creams, suppositories or rings are safer since the hormone stays in the vaginal area. But they can be messy, and despite recent studies showing such therapy is not associated with cancer, some women are uncomfortable with its long-term use.

In recent years, two prescription drugs have expanded the array of options. Ospemifene, a daily oral tablet approved by the FDA in 2013,activates specific estrogen receptors in the vagina. Side effects include mild hot flashes in a small percentage of women.

Prasterone DHEA, a naturally occurring steroid that the FDA approved last year, is a daily vaginal insert that prompts a woman’s body to produce its own estrogen and testosterone. However, it is not clear how safe it is to use longterm.

And then there is fractional carbon dioxide laser therapy, developed in Italy and approved by the FDA in 2014 for use in the U.S. Similar to treatments long performed on the face, it uses lasers to make micro-abrasions in the vaginal wall, which stimulate growth of new blood vessels and collagen.

The treatment is nearly painless and takes about five minutes; it is repeated two more times at 6-week intervals. For many patients, the vaginal tissues almost immediately become thicker, more elastic, and more lubricated.

Mrs. Harding began using it in 2016, and after three treatments with MonaLisa Touch, the fractional CO2 laser device that has been most extensively studied, she and her husband were able to have intercourse for the first time in years.

Cheryl Edwards, 61, a teacher and writer in Pennington, New Jersey, started using estrogen in her early 50s, but sex with her husband was painful and she was plagued by urinary tract infections requiring antibiotics, along with severe dryness.

After her first treatment with MonaLisa Touch a year and a half ago, the difference was stark.

“I couldn’t believe it… and with each treatment it got better,” she said. “It was like I was in my 20s or 30s.”

While studies on MonaLisa Touch have so far been small, doctors who use it range from cautiously optimistic to heartily enthusiastic.

“I’ve been kind of blown away by it,” said Dr. Streicher, who, along with Dr. Millheiser, is participating in a larger study comparing it to topical estrogen. Using MonaLisa Touch alone or in combination with other therapies, she said, “I have not had anyone who’s come in and I’ve not had them able to have sex.”

Cheryl Iglesia, director of Female Pelvic Medicine & Reconstructive Surgery at MedStar Washington Hospital Center in Washington D.C., was more guarded. While she has treated hundreds of women with MonaLisa Touch and is also participating in the larger study, she noted that studies so far have looked only at short-term effects, and less is known about using it for years or decades.

“What we don’t know is is there a point at which the tissue is so thin that the treatment could be damaging it?” she said. “Is there priming needed?”

Dr. Millheiser echoed those concerns, saying she supports trying local vaginal estrogen first.

So far the main drawback seems to be price. An initial round of treatments can cost between $1,500 and $2,700, plus another $500 a year for the recommended annual touch-up. Unlike hormone therapy or Viagra, the treatment is not covered by insurance.

Some women continue to use local estrogen or lubricants to complement the laser. But unlike hormones, which are less effective if begun many years after menopause, the laser seems to do the trick at any age. Dr. Streicher described a patient in her 80s who had been widowed since her 60s and had recently begun seeing a man.

It had been twenty years since she was intimate with a man, Dr. Streicher said. “She came in and said, ‘I want to have sex.’” After combining MonaLisa Touch with dilators to gradually re-enlarge her vagina, the woman reported successful intercourse. “Not everything is reversible after a long time,” Dr. Streicher said. “This is.”

But Dr. Iglesia said she has seen a range of responses, from patients who report vast improvement to others who see little effect.

“I’m confident that in the next few years we will have better guidelines (but) at this point I’m afraid there is more marketing than there is science for us to guide patients,” she said. “Nobody wants sandpaper sex; it hurts. But at the same time, is this going to help?”

The laser therapy can also help younger women who have undergone early menopause due to cancer treatment, including the 250,000 a year diagnosed with breast cancer. Many cannot safely use hormones, and often they feel uncomfortable bringing up sexual concerns with doctors who are trying to save their lives.

“If you’re a 40-year-old and you get cancer, your vagina might look like it’s 70 and feel like it’s 70,” said Maria Sophocles, founding medical director of Women’s Healthcare of Princeton, who treated Mrs. Edwards and Mrs. Harding.

After performing the procedure on cancer survivors, she said, “Tears are rolling down from their eyes because they haven’t had sex in eight years and you’re restoring their femininity to them.”

The procedure also alleviates menopause-related symptoms in other parts of the pelvic floor, including the bladder, urinary tract, and urethra, reducing infections and incontinence.

Ardella House, a 67-year-old homemaker outside Denver, suffered from incontinence and recurring bladder infections as well as painful sex. After getting the MonaLisa Touch treatment last year, she became a proslyter.

“It was so successful that I started telling all my friends, and sure enough, it was something that was a problem for all of them but they didn’t talk about it either,” she said.

“I always used to think, you reach a certain age and you’re not as into sex as you were in your younger years. But that’s not the case, because if it’s enjoyable, you like to do it just as much as when you were younger.”

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