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Worried your partner might have a bisexual history? Why?

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Myths about LGBTQ sexual health need debunking – and healthcare professionals are part of the problem

‘You don’t have to openly identify as bisexual to get the bad side of bisexuality.’

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“Use a condom, the pill, or get an IUD – avoid pregnancy” was the drill from sexual health practitioners who came to speak at my comprehensive school in Kent. There wasn’t much detail or thought beyond, “Some of these boys are going to get some of these girls pregnant before they hit 16 – let’s try to get that down to a lower number than we had last year.”

Thankfully, when it comes to the subject of sexual identity, there’s now more guidance than ever trickling down into the societal subconscious in the west – hopefully in schools, but certainly during publicity rounds for films starring Kelly Rowland and Cat Deeley. While talking about Love By the 10th Date to the New York Post last week, Rowland espoused the importance of knowledge when embarking on a sexual relationship with another: “I can’t tell someone how to feel about dating someone who is bisexual or had a past gay experience, but it’s proper to ask [if they have] in today’s times.”

It is “proper” to ask? Maybe it’s unfortunate phrasing, or maybe not being able to hear the tone of voice in which the opinion was offered gives it negative impact, but the sentence rings faintly of suspicion and mild disapproval: “Please submit your history of sex with people of the same gender, and it will then be decided whether or not you are too risky to be intimate with.” That’s how it comes across to this particular someone who is “bisexual or [has] had a past gay experience”, anyway.

Bisexuality just continues to have a bad rep, even though it’s on the rise (according to CNN) … or then again, maybe it’s not on the rise (according to the Verge). Statistics on the spread of sexually transmitted diseases, and which groups of people are spreading them, are easily found (and quickly wielded by those mistrustful of anything beyond heteronormativity), but they can obscure a simple and universal truth that applies to all groups, whether those groups are on the rise or not. And that is: whatever genitalia you and your partner(s) have, you should protect yourselves (condom/dental dam/wash your hands and accoutrement between uses, thank you). Ignoring that fact in favour of “it’s the bisexuals, mostly” is the source of so much harm.

You don’t have to openly identify as bisexual to get the bad side of bisexuality, because it goes beyond the myths of promiscuity, greed and dishonesty still held by some – biphobia also has an impact on physical health. Here in the UK, if you’re a man who’s had sex with another man in the last 12 months, you can’t donate blood (though that stance is currently being reviewed). Women who have sex with women are less likely to get a smear test, because many of us don’t realise we need to – we’re forgotten by the healthcare system, or our needs are misunderstood.

“Gay and bisexual women are at lower risk for HPV,” we confidently tell each other, “we don’t need a smear test.” A lot of us have heard that from our doctors, as well. It was only after seeing a leaflet about the issue from lgbthealth.org.uk during this month’s Cervical Cancer Prevention Week that I realised this was just ignorance.

In 2008, Stonewall released findings that one in 50 lesbian and bisexual women had been refused a smear test, even when they requested one. The 2015 survey on training gaps in healthcare, Unhealthy Attitudes, found that three in four patient-facing staff had not received any training on the health needs of LGBTQ people. Many women get variations of the “use a condom, the pill, or get an IUD – avoid pregnancy” mantra from our doctors to this day, if we don’t declare our gayness or bisexuality as we walk through the surgery door. Sometimes even a declaration is ignored by an uncomfortable practitioner. Straightness is still automatically assumed, unless you’re lucky enough to have a doctor who doesn’t see heterosexuality as the default for everyone they treat.

According to that 2015 Stonewall study, a third of healthcare professionals felt that the NHS and social care services should be doing more to meet the needs of LGBTQ patients, which is encouraging. Knowledge is wanted – needed – to undo the harmful myths that block help and prevent education. And that is what is “proper” (to quote the star of Freddy vs Jason and Love By the 10th Date) – fighting ignorance and biphobia, rather than continuing to be suspicious of sexual histories that might have featured people of the same gender. Whatever and whoever is in our sexual pasts, we must protect each other, and stay informed. That’s healthy.

Complete Article HERE!

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What your gynecologist wishes you would do

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By Linda S. Mihalov, MD, FACOG

No matter a woman’s age or how comfortable she is with her gynecologist, she may still be unsure about a few things — like which symptoms are worth mentioning, how often to make an appointment and how to prepare for an exam.

Based on my 30 years of providing gynecologic care to women of all ages, I thought it would be helpful to provide a few tips about how to make the most of your care visits.

Keep track of your menstrual cycle

Dr. Linda Mihalov

Menstruation is a monthly recurrence in women’s lives from early adolescence until around the age of 51, when menopause occurs. Because of the routine nature of this biological process, it’s easy to become complacent about tracking your periods. Thankfully, there are numerous smartphone apps that help make tracking periods easy.

Keeping track of your period is important for numerous health-related reasons. A missed period is usually the first sign of pregnancy. Determining the due date of a pregnancy starts from the date of the last menstrual period. Most forms of birth control are not 100 percent effective, and an unplanned pregnancy is best recognized as soon as possible.

Conversely, women attempting to get pregnant can use period tracking to learn when they are most fertile, which may greatly increase the chances of conception.

In addition, a menstrual cycle change can indicate a gynecologic problem, such as polycystic ovarian syndrome, or even uterine cancer. It is also often the first obvious symptom of health issues that have no obvious connection to the reproductive organs. When a regular menstrual cycle becomes irregular, it may indicate a hormonal or thyroid issue, liver function problems, diabetes or a variety of other health conditions. Women also often miss periods — or experience menstrual changes — when adopting a new exercise routine, gaining or losing a lot of weight or experiencing stress.

One late, early or missed period is not necessarily reason for alarm. But if menstrual irregularity is accompanied by other symptoms, a woman should schedule an appointment with her gynecologic care provider.

Get the HPV vaccine

Human papillomavirus, or HPV, is a very common virus. According to the Centers for Disease Control and Prevention, nearly 80 million Americans — about one in four — are currently infected. About 14 million people, including teens, become infected with HPV each year. Most people who contract the virus will clear it from their systems without treatment, but some will go on to develop precancerous or even cancerous conditions from the infection.

The HPV vaccine is important because it protects against cancers caused by the infection. It can reduce the rate of cervical, vaginal and vulvar cancers in women; penile cancer in men; and anal cancer, cancer of the back of the throat (oropharynx), and genital warts in both women and men.

This vaccine has been thoroughly studied and is extremely safe. Also, scientific research has not shown that young people who receive the vaccine are more prone to be sexually active at an earlier age.

The HPV vaccine is recommended for preteen girls and boys at age 11 or 12 so they are protected before ever being exposed to the virus. HPV vaccine also produces a more robust immune response during the preteen years. If you or your teen have not gotten the vaccine yet, talk with your care provider about getting it as soon as possible.

The CDC now recommends that 11- to 12-year-old girls and boys receive two doses of HPV vaccine — rather than the previously recommended three doses — to protect against cancers caused by HPV. The second dose should be given six to 12 months after the first dose.

Teen girls and boys who did not start or finish the HPV vaccine series when they were younger, should get it now. People who received some doses in the past should only get doses that they missed. They do not need to start the series over again. Anyone older than 14 who is starting the HPV vaccine series needs the full three-dose regimen.

Young women can get the HPV vaccine through age 26, and young men can get vaccinated through age 21. Also, women who have been vaccinated should still have cervical cancer screenings (pap smears) according to the recommended schedule.

Do not put off having children

Fertility in women starts to decrease at age 32 and that decline becomes more rapid after age 37. Women become less fertile as they age because they begin life with a fixed number of eggs in their ovaries. This number decreases as they grow older. Eggs also are not as easily fertilized in older women as they are in younger women. In addition, problems that can affect fertility — such as endometriosis and uterine fibroids — become more common with increasing age.

Older women are more likely to have preexisting health problems that may affect their or their baby’s health during pregnancy. For example, high blood pressure and diabetes are more common in older women. If you are older than 35, you also are more likely to develop high blood pressure and related disorders for the first time during pregnancy. Miscarriages are more common in older pregnant women. Losing a pregnancy can be very distressing at any age, but perhaps even more so if it has been challenging to conceive.

So, women who are considering parenthood should not put off pursuing pregnancy for too long or it may become quite challenging.

See your gynecologist for an annual visit

For women to maintain good reproductive and sexual health, the American College of Obstetricians and Gynecologists recommends that they visit a gynecologist for an exam about once a year. Generally, women should have their first pap test at age 21, but there may be reasons to see a gynecologic care provider earlier than that if there is a need for birth control or periods are troublesome, for instance. Although pap tests are no longer recommended every year, women should still see their provider annually for a gynecologic health assessment. This may or may not involve a pelvic exam.

Other reasons to visit a gynecologist include seeking treatment for irregular periods, sexually transmitted diseases, vaginal infections and menopause. Women who are sexually active or considering it can also visit a gynecologist to learn more about contraceptives.

During each visit, the gynecologist usually asks about a woman’s sexual history and menstrual cycle. The gynecologist may also examine the woman’s breasts and genitals. Understandably, a visit like this can cause discomfort among some women. However, periodic gynecological exams are very important to sexual and reproductive health and should not be skipped. The patient’s anxiety can be significantly decreased if she knows what to expect from the visit. Prepared with the knowledge of what actually occurs during an annual exam, women often find it can be a straightforward, rewarding experience.

There are several things women should do to prepare for a gynecological exam, including:

  • Try to schedule your appointment between menstrual periods
  • Do not have intercourse for at least 24 hours before the exam
  • Prior to the appointment, prepare a list of questions and concerns for your gynecologist
  • Since the gynecologist will ask about your menstrual cycle, it will be helpful to know the date that your last period started and how long your periods usually last

The pelvic exam includes evaluation of the vulva, vagina, cervix and the internal organs including the uterus, fallopian tubes and ovaries. Appearance and function of the bowel and bladder will also be assessed.

The gynecologic provider will determine whether a pap test is indicated, and order other tests as necessary, including tests for sexually transmitted infections, mammograms and screening blood work or bone density studies. Even a woman who has previously undergone a hysterectomy and, as a result, no longer needs a pap test can still benefit from visiting her gynecologist.

Primary care providers, including family practitioners and nurse practitioners, internists and pediatricians can also provide gynecological care.

Menopause

Menopause can be a challenging time. Changes in your body can cause hot flashes, weight gain, difficulty sleeping and even memory loss. As you enter menopause, you may have many questions you want to discuss with your gynecologist. It is important that you trust your gynecologist so you can confide in them and ask them uncomfortable questions. The more open you are, the better they can guide you toward the right treatment.

Complete Article HERE!

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Why Sex Is Beneficial To Social And Mental Health; Research Shows

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Daily sex is good or bad? Know benefits of kissing and benefits of sex and sex education. Sex is good for health and learns sex benefits.
Sex feels good because it stimulates oxytocin, a brain chemical that produces a calm, safe feeling. Oxytocin flows in apes when they groom each other’s fur. Sheep release oxytocin when they stand with their flock.

By Dante Noe Raquel II

The act of intimate sex has been evolving over millions of years as an apparatus to deliver sperm to eggs and initiate pregnancy. Currently, we look at the social and mental aspects of health benefits that are a importance of consenting sexual relationships, or the pursuit of them.

Sex Brings People Together

Have you ever met big shot who is right for you “on paper”, but when push comes to push their scent seems wrong, or the stimulus isn’t there? Our bodies can tell our minds who we don’t want to be with. Similarly, our bodies can give us strong indications about whether we want to stay close to someone.

Such releases are mostly marked during sexual pleasure and orgasm. The release of these chemicals is thought to promote love and pledge between couples and increase the chance that they stay together. Some research secondary this comes from studies of rodents. For example, female voles have been found to bond to male voles when their copulation with them is paired with an infusion of oxytocin.

In individuals, those couples who have sex less regularly are at greater risk of relationship closure than are friskier couples. But oxytocin is not just good for pair bonding. It is released from the brain into the blood stream in many social conditions, including breastfeeding, singing and most actions that involve being “together” pleasurably. It appears oxytocin plays a role in a lot of group oriented and socially sweet activities, and is implicated in altruism.

Bonobos (a species of apes) appear to take full benefit of the link between harmony and sex, often resolving conflicts or heartening one another by rubbing genitals, copulating, masturbating or performing oral sex on one another. This isn’t somewhat to try during a tense board meeting, but such findings hint at the potential role lovemaking may play in settlement between couples.

Sex Is A Healthy Activity

Sex is a form of isometrics: a fun online calculator can help you analyze how much energy you burned during your last sex session.

People with poor physical or sensitive health are also more likely to have sexual problems. Here connection is hard to establish – healthier people will tend to be “up” for more sex, but it is also likely that the physical workout and bonding benefits conversed by satisfying sex lead to healthier, happier lives.

It’s also thinkable our long, energetic, and physically demanding style of sex evolved to help us evaluate the health of probable long-term partners.

Sex Can Make Us Creative

Some truth-seekers propose art forms such as poetry, music and painting result from our drive to get people in bed with us.

In a culture in which there’s at least some choice obtainable in whom we mate with, rivalry will be fierce. Therefore, we need to display features that will make us striking to those we are attracted to.

In humans, this is believed to result in modest and creative displays, as well as displays of humor. We certainly see indication of the success of this method: musicians, for example, are stereotyped as never lacking a possible mate. Picasso’s most creative and creative periods usually coincided with the arrival of a new mistress on the scene.

Science Says: Go For It

What then does science tell us? Simply put, non-reproductive sex is an motion that can bring natural rewards. It can bring people together, help drive creative endeavors, and pay to good health.

Complete Article HERE!

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Talking With Both Daughters and Sons About Sex

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Parents play a key role in shaping sexual decision-making among adolescents — especially for girls.

A 2016 review of more than three decades of research found that teenagers who communicated with their parents about sex used safer sexual practices. Likewise, new research from Dutch investigators who studied nearly 3,000 teenagers found that young adolescents who reported feeling close with a parent were unlikely to have had sex when surveyed again two years later.

Notably, both research teams found that daughters benefited more than sons, and that the effective conversations and relationships were typically had with mothers.

According to Laura Widman, lead author of the review study and an assistant professor of psychology at North Carolina State University, “parents tend to talk about sex more with daughters than with sons, and we can speculate that that’s what’s probably driving these findings. Boys may not get the messages as frequently or have the kind of in-depth conversations that parents are having with girls.”

Given the results of her research, Dr. Widman said that she “wouldn’t want parents to get the idea that they only need to talk to daughters. In fact, it may be the opposite. We need to find a way to help parents do a better job of communicating with both their sons and daughters so that all teens are making safer sexual decisions.”

That parents have more frequent conversations with their daughters about sex and sexual development may be prompted by biological realities. Menstruation, HPV vaccination (which remains more common in girls than boys), and the fact that birth control pills require a prescription might spur discussions that aren’t being had with sons.

Yet experts also agree that gender stereotypes play a powerful role in sidelining both fathers and sons when it comes to conversations about emotional and physical intimacy. Andrew Smiler, a psychologist who specializes in male sexual development, noted that women generally “have a better vocabulary for talking about feelings and relationships than boys and men do. Fathers may be a little more stoic, more reserved and more hands-off.” And, he added, “they may play to the stereotype of trusting boys to be independent and able to care for themselves.”

These same stereotypes can also tend to steer the conversation in one direction with daughters and another direction with sons. When parents do address sexual topics with their teenagers, they typically adopt a heterosexual frame with boys playing offense and girls playing defense.

“We usually view our girls as potential victims who need to be protected from pregnancy and rape,” says Sheryl Ziegler, a psychologist who provides mother-daughter seminars on puberty and sexual development, while boys are often cast as testosterone-fueled prowlers looking for nothing but sex. These assumptions often drive how parents approach the conversation. Dr. Mary Ott, an associate professor of pediatrics at Indiana University and the author of a research synopsis on sexual development in adolescent boys observed that, “when parents talk with boys, there’s an assumption that they’ll have sex and they are advised to use condoms. Whereas for girls, there’s more of a focus on abstinence and delaying sex.”

Parental concern about the negative consequences of adolescent sexual activity can reduce “the talk” to a laundry list of don’ts. Don’t get a sexually transmitted infection, don’t get pregnant or get a girl pregnant and don’t proceed without gaining consent. Critical as these topics are, Dr. Ziegler points out that they can “become the focus, so much more than having a quality conversation about why we are sexual beings, or talking about all of the ways we can express love.” And failing to acknowledge the pleasurable side of sex can, according to Dr. Smiler, hurt the credibility of adults. “When parents only acknowledge the scary side of the story,” he said, “teenagers can devalue everything else the parents have to say.”

So how might we do justice to conversations with both our daughters and sons about emotional and physical intimacy?

Over the years in my work as a clinician, I’ve come to a single tack that I take with adolescent girls and boys alike. First, I prompt teenagers to reflect on what they want out of the sexual side of their romantic life, whenever it begins. Why are they being physically intimate, what would they like to have happen, what would feel good?

Following that, I encourage each teenager to learn about what his or her partner wants. I urge them to secure not just consent, but enthusiastic agreement. Given that we also grant consent for root canals, gaining mere permission seems, to me, an awfully low bar for what should be the joys of physical sexuality. Dr. Smiler adds that any conversation about consent should avoid gender stereotypes and address the fact that boys experience sexual coercion and assault and “include the idea that boys can and do say no.”

Finally, if the parties are enthusiastically agreeing to sexual activity that comes with risks — pregnancy, infection, the potential for heartbreak, and so on — they need to work together to address those hazards.

Research suggests that this shouldn’t be a single sit-down. The more charged the topic, the better it is served, and digested, in small bites.

Further, returning to the topic over time allows parents to account for the rapidly shifting landscape of adolescent sexual activity. We should probably be having one conversation with a 12-year-old, an age when intercourse is rare, and a different one with a 17-year-old, half of whose peers have had sex.

Is it better for mom or dad to handle these discussions? Teenagers “want to have the conversation with someone they trust and respect and who will show respect back to the teen,” Dr. Smiler said. “Those issues are more important than the sex of the person having the conversation.”

How families talk with teenagers about their developing sexuality will reflect the parents’ values and experiences but, Dr. Ott notes, we’re all in the business of raising sexually healthy adults.

“We want our teenagers to develop meaningful relationships and we want them to experience intimacy,” she said, “so we need to move our conversations about sex away from sex as a risk factor category and toward sex as part of healthy development.” And we need to do so with our sons as well as our daughters.

Complete Article HERE!

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New study finds girls feel unprepared for puberty

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Girls from low-income families in the U.S. are unprepared for puberty and have largely negative experiences of this transition, according to researchers at Columbia University’s Mailman School of Public Health and the Johns Hopkins Bloomberg School of Public Health. Their latest paper on the puberty experiences of African-American, Caucasian, and Hispanic girls living mostly in urban areas of the Northeastern U.S. shows that the majority of low-income girls feel they lack the information and readiness to cope with the onset of menstruation. The research is one of the first comprehensive systematic reviews of the literature on puberty experiences of low-income girls in the U.S.

The findings are published online in the Journal of Adolescent Health.

“Puberty is the cornerstone of reproductive development,” said Marni Sommer, DrPH, MSN, RN, associate professor of Sociomedical Sciences at the Mailman School of Public Health. “Therefore, the transition through puberty is a critical period of development that provides an important opportunity to build a healthy foundation for sexual and reproductive health. Given the importance of this transition, the research is striking in its lack of quantity and quality to date.”

The investigators used Qualitative Research guidelines to review the data from peer-reviewed articles with a qualitative study design published between 2000 and 2014. They used a quality assessment form as a further check of the data.

The age of breast development and menarche has declined steadily in the U.S. during the last 25 years, with 48 percent of African-American girls experiencing signs of physical development by age 8. “This trend may mean that increasing numbers of African-American girls are not receiving adequately timed puberty education¬, leaving them uninformed and ill-prepared for this transition,” said Ann Herbert, doctoral candidate at the Bloomberg School of Public Health.

Although many of the girls reported being exposed to puberty topics from at least one source—mothers, sisters, or teachers—most felt that the information was inaccurate, insufficient, or provided too late. Girls also reported being disappointed in the information they received from mothers; meanwhile many mothers said they were unable to fully address their daughters’ needs. Mothers were uncertain about the right time to initiate conversations, uncomfortable with the topic, and uninformed about the physiology of menstruation. The timing of puberty also influenced girls’ puberty experiences.

The researchers noted that despite a strong focus on adolescent sexual health outcomes, such as sexually transmitted infections and teen pregnancy, clinicians and practitioners in the U.S. have yet to capitalize on the issues of puberty onset and menstruation as a window of opportunity to improve adolescent sexual and reproductive health. In addition, the current body of research leaves out many topics entirely. “For example, missing are the voices of adolescents with non-conforming gender role and sexual orientation,” Herbert said.

Earlier research showed that irrespective of race, higher-income girls had more knowledge about puberty, were more prepared for menarche, and had more positive attitudes about menstruation, strongly suggesting socioeconomic disparities related to preparation for puberty.

“Findings from the current review suggest that low-income girls today expressed a sentiment similar to girls studied in the 1980s and 1990s—a feeling that they were largely unprepared for puberty and menarche,” noted Herbert.

“Our review makes it clear that there is a need for new more robust interventions to support and provide information about for low-income , something we are considering for the coming years,” said Sommer.

Complete Article HERE!

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