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Expert Shares Tips for Talking Sexual Health With Cancer Survivors



Sexual health can be an uncomfortable or embarrassing topic to discuss for many people, and for patients with cancer and survivors it can feel even more awkward. Nevertheless, sex ranks among the top 5 unmet needs of survivors, and the good news is, proactive oncology practitioners can help fill that void.

Sixty percent of cancer survivors—9.3 million individuals in the United States alone—end up with long-term sexual problems, but fewer than 20% get professional help, according to Leslie R. Schover, PhD, founder of the digital health startup, Will2Love. Among the barriers she cited are overburdened oncology clinics, poor insurance coverage for services related to sexual health, and an overall lack of expertise on the part of providers, many of whom don’t know how to talk to patients about these issues.

And, oncologists and oncology nurses are well-positioned to open up that line of communication.

“At least take one sentence to bring up the topic of sexuality with a new patient to find out if it is a concern for that person,” Schover explained in a recent interview with Oncology Nursing News. “Then have someone ready to do the follow-up that is needed,” and have other patient resources, such as handouts and useful websites, on hand.

Sexual issues can affect every stage of the cancer journey. Schover, who hosted a recent webinar for practitioners on the topic, has been a pioneer in developing treatment for cancer-related problems with sexuality or fertility. After decades of research and clinical practice, she has witnessed firsthand how little training is available in the area of sexual health for healthcare professionals.

“Sex remains a low priority, with very little time devoted to managing sexual problems even in specialty residencies,” said Schover. “I submitted a grant four times before I retired, to provide an online interprofessional training program to encourage oncology teams to do a far better job of assessing and managing sexual problems. I could not get it funded.”

In her webinar, she offered tips for healthcare practitioners who want to learn more about how to address sexual health concerns with their patients, like using simple words that patients will understand and asking open-ended questions in order to engage patients and give them room to expand on their sex life.

Schover suggests posing a question such as: “This treatment will affect your sex life. Tell me a little about your sex life now.”

Sexual side effects after cancer treatment vary from person to person, and also from treatment to treatment. Common side effects for men and women include difficulty reaching climax, pain during sexual intercourse, lower sexual desire and feelings of being less attractive. Men specifically can experience erectile dysfunction and dry orgasm, while women may have vaginal dryness and/or tightness, as well as loss of erotic sensation such as on their breasts following breast cancer treatment.

Sexual dysfunction after cancer can often lead to depression and poor quality of life for both patients and their partners.

According to Schover, oncologists and oncology nurses should provide realistic expectations to patients when they are in the treatment decision-making process.

“Men with prostate cancer are told they are likely to have an 80% chance of having erections good enough for sex after cancer treatment,” Schover says. “But the truth is it’s more like 20 to 25% of men who will have erections like they had at baseline.”

To get more comfortable talking about sex with patients, Schover advises role-playing exercises with colleagues, friends, and family—acting as the healthcare professional and then the patient. When the process is finished, ask for feedback.

Brochures, books, websites and handouts are also good to have on hand for immediate guidance when patient questions do arise. But Schover is hoping for a bigger change rooted in multidisciplinary care and better patient–provider communication to find personalized treatments tailored to each individual’s concerns and needs.

Cancer treatment can impact hormonal cycles, nerves directing blood flow to the genitals, and the pelvic circulatory system itself, she explained. In addition, side effects like prolonged nausea, fatigue, and chronic pain also can disrupt a patient’s sex life.

“Simply to give medical solutions rarely resolves the problems because a person or couple needs to make changes in the sexual relationship to accommodate changes in physical function,” Schover stressed. “That kind of treatment is usually best coming from a trained mental health professional, especially if the couple has issues with communication or conflict.”

Schover wants to make sure that those resources are easily accessible to patients and survivors. Thus, she has created the startup, Will2Love, which offers information on the latest research and treatment, hosts webinars, and provides access to personalized services.

“Sexual health is a right,” concluded Schover, and both oncology professionals and patients need to be assertive in getting the conversation started.

Complete Article HERE!

Let’s Talk About Sex (for Trans Men)

By Buck Angel


Here is a simple fact that not a lot of people realize: Many trans men choose not to have what we call “bottom surgery.” That is to say they chose not to have any surgery on the genitals they were born with. This means that the world has a significant number of men with vaginas. I have spoken with a lot of trans men through my life and work, and I would estimate that around 90 percent of trans men around the world — I have interviewed men from Sweden, the U.K., Brazil, Mexico, and other countries — have not opted for bottom surgery.

For some this decision comes for financial reasons, for some a fear of complications, and for some it’s more of a “one step at a time” kind of vibe: “Let’s see how this first stage (chest surgery, hormones) feels, and I will take it from there.” Regardless of the reason, the newly transitioned trans man’s body is a new landscape for him, and perhaps one that isn’t very well understood or accommodated, even by the man himself.

When I first transitioned, I was worried that I might not be able to find a partner or even love. I was worried that people would simply be turned off by the idea of a man with a vagina. I’ve since interviewed and spoken with hundreds of trans guys who echo the same anxieties. Kevin, 30, who lives in Brooklyn, said, “Deciding not to go with bottom surgery was something I went back and forth on for many years. It wasn’t until I saw videos online of your work (a docu-series that I make called Sexing the Transman) that I realized I didn’t need a penis to become a man. I was worried about sex, but surprisingly, most of my sexual partners have been very open to me and my body, even if it’s unfamiliar territory for them.”

I personally will always remember the exact moment I realized that my genitals were OK — that my vagina was a part of me and that is was OK to be a man without a penis — and it was through masturbation and orgasm. It was one of the first times that I penetrated myself, and I felt a bit guilty that I actually climaxed. It was a weird feeling to enjoy my vagina for the first time — it had always been something that I was not connected to and even hated. But that orgasm changed everything for me. It was really a turning point in my identity and my self-love.

Masturbation became a daily ritual for me, which is true for many other trans men I have spoken with. Because of this we are always looking for new ways to get off. There was nothing in the sex toy world that was designed for our bodies. What makes trans male vaginas and vulvas unusual is that they become enlarged, specifically the clitoris, because of the testosterone usage, and with that our vaginas also become a little bit more sensitive. Guys talk about a newly heightened sexual awareness and desire for sex. When that is combined with a detachment from your body or a lack of information or resources, trans men are at risk of not experiencing their best sex lives.

Because there was nothing made for trans men in the sex toy (or “pleasure product”) world, I had to be very inventive!  I would cut up products made for the cisgender man and women to fit my anatomy, like dildos that had a suction cup backing, rip that out, and use the hole in the end to masturbate with. I would find things like snakebite kits, which are used to suck out the poison from the bite of a snake, or toys like nipple play suction cups, and adapt them to fit me. Some trans guys showed me how they used the ends of water bottles filled with water to create suction. One guy would even use a small hand towel filled with lube to rub on. Its pretty amazing how you can engineer things just to masturbate.

Jim, a 23-year-old trans man from Philadelphia told me, “Masturbation is something I do daily. It was not easy at first for me to find the space to feel comfortable touching myself; it felt weird because I never did it before I transitioned. Though through that I realized that I love sex and that I needed to feel myself and let that be a good thing.”

Buck-OFF - Buck Angel FTM Stroker

Buck-OFF – Buck Angel FTM Stroker

When I was finally able to love my body and be comfortable with it, I was more comfortable on so many levels that went far beyond sexuality. For this reason I’ve been on a mission to teach trans guys to love their bodies and through that to love themselves. These conversations are so important to our well-being, and it’s why it’s been a years-long dream to actually create a toy that is just for us. It’s validating; it says, “Your body is real, it deserves to have pleasure, and you are not alone.” I’m really hoping to use the Buck-Off to start conversations outside of the trans male community as well to create larger awareness of trans male bodies and their specific needs. This is important not only for us, but for our potential partners, teachers, health care providers, and legislators.

Complete Article HERE!

How Finding Your Boyfriend’s ‘G-Spot’ Is The Secret To Unforgettable Sex



There are various myths around the concept of prostate massage.

Interestingly, as more men and women become aware of the benefits of massaging the prostate area, the taboos surrounding this highly sensual experience are breaking down.

Despite what you may have heard, prostate massage is an extremely healthy activity that two people can enjoy in order to improve their intimacy and physical relationship.

If you like the idea of engaging in this pleasurable treatment, here is why your man may want a prostate massage, and how you can give him a mind blowing orgasm from it.

But first, you might want to know a little more about the prostate.

The prostate is a reproductive gland that’s located directly under the bladder, around 2 to 3 inches inside the anal passage. You may have also heard the prostate referred to as the male G-spot. There’s a very good reason for this. The prostate is part of the male orgasm cycle and stimulation of this area promotes erection and sensations of heightened pleasure.

Why should I give my partner a prostate massage?

Many men enjoy direct stimulation of the prostate due to the blissful sensations it brings. Furthermore, a prostate massage promotes an enjoyable sex life and increased sexual confidence. In a survey by a British tantric massage agency, around 33 percent of men experienced orgasms more intense than their usual ones, as well as benefiting from thicker, firmer erections.

Erectile problems are diminished with regular prostate massage as stimulation of this region increases blood flow to the area, encouraging an erection to occur. This improves your sexual energy and reduces any stress or frustration you may have been having about sexual activity.

By engaging in regular prostate massage, you’ll be relishing the thought of trying new experiences, feeling healthier and happier about the connection you have with a partner. You and your partner will feel completely relaxed during this erotic, sensual activity, increasing the sexual confidence of both of you.

Is prostate massage for everyone?

While many assume that prostate massage is an experience that only gay men participate in, it’s actually an activity that men of any sexuality enjoy. In the same survey by the massage agency, 80 percent of women said they would be happy to give their partner a prostate massage, demonstrating that this is an experience that can be shared by both sexes. It’s a very healthy activity for men and women to engage in, as well as being completely safe.

Using a prostate massager is an easy method of giving your partner a prostate massage and as stats show an increase in the sales of prostate massagers, you can be assured that it’s something that many couples are experimenting in, in order to boost their relationship and the intimate connection between them. A massage is a very erotic activity for a man and sharing this with a loved one can boost your relationship in both physical and spiritual form.

Prostate massage also has a vast number of health benefits, such as reducing the risk of contracting prostate cancer, eliminating infections and inflammation, minimizing painful ejaculation, lowering the risk of bladder infections and, of course, promoting a healthy sex life. As these benefits demonstrate, by massaging the prostate area, you’re encouraging good health and vitality. 

How can I give my partner an incredible prostate massage?

If you’re new to this activity, using a prostate massager is a straightforward method of ensuring your partner experiences the sensational effects of a massage. Many people assume that massaging the prostate is a messy experience, but the anal area is normally clean. However, its best if you ensure that the bowels have been recently cleared before participating in a massage.

During preparation of a prostate massage, ensure that your partner and any massagers are clean, and that you have lube at the ready. You may prefer to take a shower together before the massage to increase the intimacy between you.

During the massage, get your partner to sit up with his legs wide, or lie on his back with a pillow below his hips. Apply lots of lube and start to work inwards, slowly and gently.

Rock the massager back and forth in a nice rhythm and allow your partner to relax and relish in the mind blowing climactic sensations.

Complete Article HERE!

Why Sex Is Better At 57 Than 27

Jordan E. Rosenfeld

Dame Helen Mirren approves of her wax replica.

Dame Helen Mirren approves of her wax replica.

Despite the fondness certain corners of the internet and cable television have for mocking sexually vital women of a certain age, new research suggests that those who embrace their sexuality may be laughing all the way to longer, healthier lives—though older men aren’t as lucky.


A study out of Michigan State University (MSU) published this month in the Journal of Health and Social Behavior has found that frequent sex (defined as once or more per week) for women age 57 and older—especially if it’s “extremely pleasurable or satisfying”—resulted in a lower risk of hypertension and protected against cardiovascular disease.

Unfortunately for men, frequent sex in the 57 and older range is actually dangerous, increasing their risk of cardiovascular events such as heart attacks and stroke. The risk is compounded by the use of medications such as Cialis and Viagra.

The study—an analysis of survey data of 2,204 people collected by the National Social Life, Health and Aging Project in 2005-6 and again five years later—isn’t just good news for older women, and should offer hope for younger women as they look to the future of their own sexuality.

Dr. Nancy Sutton Pierce, a nurse and clinical sexologist, suggests the best thing a young woman can do for her continued sexual health is to cultivate an attitude of optimism about it as she ages. “Younger women think sexy has an expiration date. Older women know it doesn’t,” she says.

The study is a stride toward busting the cultural myths that older women are supposedly non-sexual beings, which Sutton Pierce says “absolutely does them a disservice.” Sutton Pierce, who is almost 60, happily defies sexual stereotypes of older women. Married for thirty years to the same man, she says, “My sex life is better than ever, much better than my twenties.” In her work she says she sees women after forty “blossoming,” adding, “As women mature, we mature on all levels, which means we start to own our sexuality and sexual power. We don’t need someone else to tell us we’re hot, we can feel it.”

Study author Hiu Liu, an associate professor of sociology at MSU, also finds that for women, quality of sexual experience is a key contributing factor to the health benefits, not just quantity. “As a sociologist, I don’t see sex as just a physical exercise, as medical doctors do. It’s a social behavior, and has emotional meaning,” she says.

001For older women experiencing other kinds of physical declines related to illness, staying sexually active may bring other benefits. Irwin H., who asked to remain anonymous, of San Francisco found that for his 70-year-old wife, who has multiple sclerosis, increasingly limited mobility, and walks with a cane, “Sex gives her back her former sense of her physical self.” He even waxes a little poetic: “Sexuality for her is like an unexpected warm day in the middle of winter. It doesn’t end winter, but it makes it bearable.”

Some older women may believe they’ve lost their sexual selves when they experience the often dramatic physical changes at and after menopause, such as vaginal dryness and reduced libido. They need not despair, says Celeste Holbrook, PhD, a sexual health consultant and sexologist. “Sex, and fulfilling sex doesn’t always have to be centered on the goal of an orgasm, or penetrative sex,” she adds.

004However, Liu points out that the female sexual hormone released during orgasm, oxytocin, “may also promote women’s health” by reducing cortisol and increasing estrogen.

Holbrook urges communication between partners rather than silent acceptance. “Redefining your sexuality as we age for anybody is really good. Talk to your partner about your body changes and how you can create a fulfilling sex life while embracing those changes.”

Men shouldn’t worry too much, however. Though the MSU study seems to be the research equivalent of a cold shower for older men, Liu reminds them, “Moderate sex is good for older men, too.”

Complete Article HERE!

Could my wife’s circumcision explain her lack of interest in sex?

Our sex life has been underwhelming. I wonder if what happened to her as a child could be to blame

By Pamela Stephenson Connolly

I cannot even try to guess your wife’s experience’

I cannot even try to guess your wife’s experience’

I am in my mid-40s and have been married for 16 years. Our sexual life has been very underwhelming. I have tried everything I know but my wife seems to have little or no interest in sex. I do know that she was circumcised as a child. Could that have affected her sexuality?

A person’s sexuality is created through a complex combination of physical, psychological and physiological factors as well as the messages about sex they received from childhood onwards – religious beliefs, parental warnings, societal judgment and formative experiences. You have told me little, but the fact that she was circumcised suggests that she may have been raised in a society where the notion of female sexuality was not exactly appreciated. In many of the world’s societies – including our own – it is judged by some as inappropriate, and even feared, suppressed, or punished.

I cannot even try to guess your wife’s experience, or the motives of those who performed it, but I am sure it has had some effect on her conceptualisation of sex and her ability to experience pleasure. This would be particularly true if her clitoris was removed. Gently ask her if she could try to express what the circumcision was like for her, and how it might have affected her ability to enjoy sex. A gynaecologist could shed some light on how nerve loss or damage might have affected her ability to orgasm or even become aroused, and a psychosexual counsellor could suggest alternative sexual approaches. After 16 years, your wife and you deserve some understanding and hope.

Complete Article HERE!