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Cancer patients and survivors can have trouble with intimacy


People who survive cancer treatment — a growing group now topping 5 million — often have trouble with intimacy afterward, both from the actual treatment and physical recovery and from the psychological damage of feeling so vulnerable.

People who survive cancer treatment — a growing group now topping 5 million — often have trouble with intimacy afterward, both from the actual treatment and physical recovery and from the psychological damage of feeling so vulnerable.(Photo: Getty Images/Comstock Images)

In the mirror, Kelly Shanahan looks normal, even to herself.


Kelly Shanahan of South Lake Tahoe, Calif., has been battling breast cancer for eight years. She’s a big believer in doctors and their patients discussing sexual health.

But she does not feel like herself.

The breasts she had reconstructed eight years ago look real, the nipples convincing. But her breasts have no sensation. The only time she feels them at all is during the frigid winters of her South Lake Tahoe, Calif., home, when they get so cold, she has to put on an extra layer of clothing.

“For a lot of women, breast sensation is a huge part of sexual pleasure and foreplay. That is totally gone,” says Shanahan, 55, who has lived with advanced breast cancer for three years. “It can be a big blow to self-image, even though you may look normal.”
Kelly Shanahan of South Lake Tahoe, Calif., has been battling breast cancer for eight years. She’s a big believer in doctors and their patients discussing sexual health. (Photo: Kelly Shanahan)

Shanahan is part of a growing group of patients, advocates and doctors raising concerns about sexual health during and after cancer treatment.

“None of us would be here if it weren’t for sex. I don’t understand why we have such a difficult time talking about it,” she says.

Though virtually all cancer diagnoses and treatments affect how patients feel and what they think about their bodies, sex remains an uncomfortable medical topic.

Shanahan, an obstetrician herself, says that until her current doctor, none of the specialists who treated her cancer discussed her sex life.

“My former oncologist would rather fall through the floor than talk about sex,” she says.

Major cancer centers now include centers addressing sexuality, but most community hospitals still do not. The topic rarely is discussed unless the patient is particularly bold or the doctor has made a special commitment.

There’s no question that cancer can dampen people’s sex lives.

Hormone deprivation, a common therapy for breast and prostate cancer, can destroy libido, interfere with erections, and make sex extremely painful. Weight gain or loss can affect how sexy people feel. Fatigue is unending during treatment. Body image can be transformed by surgeries and the idea that your own cells are trying to kill you. The constant specter of death is a sexual downer, as are the decidedly unsexy aspects of cancer care, like carrying around a colostomy bag. Then, there are the healthy partners, feeling guilty and terrified of causing pain.

And once people start to associate sex with pain, that can add apprehension and muscle tightness, which makes intercourse harder to achieve, says Andrea Milbourne, a gynecologist at the University of Texas MD Anderson Cancer Center in Houston.

There’s almost never a medical reason cancer patients or survivors shouldn’t be having sex, says Karen Syrjala, a clinical psychologist and co-director of the survivorship program at the Fred Hutchinson Cancer Research Center in Seattle. Even if there is reason to avoid intercourse, physical closeness and intimacy are possible, she says, noting that the sooner people address sexual issues the less serious those issues will be.

“Bodies need to be used and touched,” she says said. “Tissues need to be kept active.” Syrjala recommends hugging, romantic dinners, simple touching, “maybe just holding each other naked at night.”

There are ways to improve sexual problems, starting with doctors talking to their patients about sex. Milbourne and others say it’s their responsibility, not the patients’, to bring up the topic.

Hormone deprivation, a common therapy for breast and prostate cancer, can destroy libido, interfere with erections, and make sex extremely painful. Lubricants can help smooth the way.

Hormone deprivation, a common therapy for breast and prostate cancer, can destroy libido, interfere with erections, and make sex extremely painful. Lubricants can help smooth the way.

Communication between partners also is essential. “A lot of times, it’s unclear, at least in the mind of the other partner who doesn’t have a cancer, what has happened. ‘Why does this hurt? Why don’t you want to do anything?’ ” Milbourne says.

For women who have pain during sex, Milbourne says one study found benefit to using lidocaine gel to numb vaginal tissue.

Jeanne Carter, head of the female sexual medicine and women’s health program at Memorial Sloan Kettering Cancer Center in New York City, recommends women do three minutes of Kegel exercises daily to strengthen their pelvic floor muscles and improve vaginal tone, and to help reconnect to their bodies.

For women sent abruptly into menopause, moisturizing creams can help soften tissue that has become brittle and taut. Carter says she’s conducted research showing that women with breast or endometrial cancers who use moisturizers three to five times a week in the vagina and on the vulva have fewer symptoms and less pain than those who don’t. Lubricants can help smooth the way, too.

“We’ve got to make sure we get the tissue quality and pain under control or that will just undermine the whole process,” Carter says.

Sex toys also take on a different meaning after cancer treatment. Specialized stores often can offer useful advice and the ability to examine a product before buying. Rings and other equipment, in addition to medications such as Viagra, can help men regain erections.

Doctors and well-meaning friends also need to stop telling cancer patients that they should simply be glad to be alive, Shanahan says. Of course she is, but eight years after her initial diagnosis and three years after her disease advanced, Shanahan wants to make good use of the time she has left.

And that, she says, includes having a warm, intimate relationship with her husband of 21 years.

Complete Article HERE!

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!

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!

The 22 Diseases You Can Heal With Passionate Sex

by Adina Rivers


The infamous Woody Allen once said: “I don’t know the question, but sex is definitely the answer.” And oh boy was he right.

It might not be new to you that sex can heal physical and mental diseases, but did you really know that sex can play an important role in the healing of all the following diseases? Some were definitely new to me and I am in this game for quite a long time now.

It might not be new to you that sex can heal physical and mental diseases, but did you really know that sex can play an important role in the healing of all the following diseases? Some were definitely new to me and I am in this game for quite a long time now.

According to Wilkes University, making love twice a week releases an antibody called immunoglobulin A or IgA, which helps to protect the body against infections and diseases.

Check out the following list of 22 diseases you can fight with passionate love making:

#1 Sex protects against prostate cancer

Research suggests that frequent ejaculations (at least five times per week) in males reduces the risk of prostate cancer.

#2 Sex helps with keeping fit

There is nothing like having fun (and having pleasure) while playing sports! Making love is good for your heart activity. It also helps to naturally tone the muscles of the body. That seems hard to believe, but while making love you burn about 200 calories in half an hour. If you make love three times a week, you can burn up to 600 calories in total. And it’s much more engaging and fun than a diet!

#3 Sex relieves headaches

During sex, a hormone called oxytocin; it increases the level of endorphins, acting as a natural painkiller. The body then goes into a more relaxed state.

Many people notice that their aches and pains (headaches, cramps, etc.) disappear after sex.

#4 Sex helps fight depression

Women who have regular orgasms are generally more relaxed, less depressed, also physically and emotionally more satisfied.

Sex assists with creating better sleep patterns and relaxes nervous tension by producing, serotonin in the brain – which controls mood elevation.

#5 Sex keeps you young

Sex is one of the key components to looking at least 10 years younger than your age! In his book, “Secrets of the super young,” Dr. David Weeks, a psychologist at the Royal Edinburgh Hospital in Scotland, compiled the lifestyle of about 3,500 people, aged 18 to 102 years. Respondents were having sex at least three times a week and they all seemed to appear years younger than their actual ages. These beneficial effects have also been confirmed by numerous other studies.

#6 Sex protects against incontinence

In women, regular sex promotes exceptional health of the pelvic floor, thereby reducing the risk of age-related incontinence.

#7 Sex heals the mind

Making love is a welcomed pleasure of life, an offering where we share physical closeness and depth. Making love is a healthy desire of the body, heart and spirit that fills us with energy, tenderness and life. It’s a way of communicating with all your senses and feelings. A meeting place where creativity intersects, healing and peace.

#8 Sex makes you happy

People who are sexually active are generally happier (which is great for the immune system) and less prone to depression.

#9 Sex protects against insomnia

Lack of sleep has a negative impact on our daily lives. For insomnia, experts recommend, among other things, to quit alcohol and caffeine, watch TV less often and take a relaxing bath before going to bed. Making love can be added to this list of tips for sleeping well. Men fall asleep almost instantly after sex, and toxins released during the act have a tranquilizing effect on women.

#10 Sex protects against diseases of the skin

Making love regularly releases a flood of hormones in the body, called “hormones of happiness.” They contain testosterone. With age, testosterone levels decrease. So having sex provides a good level of testosterone in the body.

This hormone plays another important role: it keeps the bones and muscles healthy, not to mention the youthful appearance of the skin.

#11 Sex protects against breast cancer

Orgasm can help to prevent the onset of breast cancer. An Australian study suggests that breast stimulation in women releases a hormone called oxytocin. The precise study states due to oxytocin being released in large quantities during orgasm, frequent sexual activity could have a protective role against this type of cancer.

#12 Sex protects against cardiovascular disease

Sex is very beneficial for your heart. A study at Queen’s University Belfast shows that making love three times a week reduces by half the risk of heart attack or stroke. In women, sex increases the production of estrogen, known to fight against heart disease. And there’s good news for men too: another study published in the Journal of Epidemiology and Community Health says that sex twice or more a week reduced the risk of fatal heart attack; 50% more compared to men who have sex only once a month.

#13 Sex improves esteem

It is known that as appetite increases eating; the more you have sex, the more you’ll crave it. To enhance sexual arousal, the body gives off a very large amount of pheromones, which, like an aphrodisiac, make you even more attractive for your partner.

Feeling wanted makes women and guys feel attractive and proves that it’s an excellent tonic for our self-esteem!

#14 Sex increases self-control

Having sex regularly soothes and reduces stress. It provides mutual fulfillment and self-confidence among both partners. A recent study in Scotland showed that sexually active people are more likely to keep their cool and manage stressful situations.

#14 Sex protects against Influenza and asthma

According to researchers, making love at least once or twice a week increases the production of antibodies (immunoglobulin A) that protects us from viral infections such as Influenza. Sex is a natural antihistamine: it fights asthma as well as hay fever.

#16 Having sex increases your lifetime

Sex not only makes you feel younger but research shows it can actually slow the aging process. When you reach orgasm, the body secretes DHEA (dehydroepiandrosterone or prasterone), a hormone known to improve the health of the immune system, while also repairing tissue that helps keep skin supple. DHEA also promotes the production of other hormones such as estrogen, which can prolong life by improving cardiovascular health. This indeed proves that sex truly rejuvenates!

A 1981 study showed that the mortality rate among those over seventy years was lower among men who were still sexually active …

#17 Sex invigorates your pelvis

Kegel exercises involve contracting and relaxing the pelvic muscles. Experts recommend that women practice kegels every day to prepare for the demands of pregnancy. However, in order for results to be effective, your pelvic muscles must be exercised daily. Fortunately, there is another way to strengthen these muscles. In fact, without realizing it, making love tones your pelvis. And the more the muscles are toned, the greater the pleasure during sex is.

#18 Sex helps to protects women against mental illness

According to a study, sperm, when absorbed by a woman, assists with regulating her hormones and thereby reducing the risk of mental illness.

#19 Sex heals back pain

It has been shown in studies that vaginal stimulation has the effect of increasing tolerance to pain. Self-stimulation of the clitoris also exerts an analgesic effect. According to researchers, this type of stimulation can relieve pain caused by menstrual cramps, arthritis, back pain and various other ailments.

#20 Sex and kissing protects against cavities

Kissing each day keeps the dentist away. Saliva cleanses and decreases the level of acid which causes cavities and prevents against dental plaque.

According to a French study, analgesic, in saliva, called Opiorphin relieves physical pain and inflammation-related pain.

#21 Sex assists with easing the symptoms of Sickle cell disease

During intercourse, the heart beats faster and thus increases the oxygen level in the blood and the rate of blood flow. These two natural responses help to prevent sickling of red blood cells and thrombosis.

#22 Sex contributes to overall happiness

The moments of pleasure and affection that we share with our partner remains invaluable. These moments of close intimacy strengthen your relationship with your partner and with yourself.

Economists from the University of Warwick had fun comparing how sex and money contributed to happiness. After interviewing 16,000 people, the main finding is that those who are happiest are also those who have sex the most. And the impact appears to be stronger among individuals with higher levels of education. In addition, a higher income…

Complete Article HERE!

Coming strong : forceful ejaculations, part 1

masturbation 023

We all want to shoot our semen across the room. Granted, not many can boast to shoot that far, and to be fair we don’t always feel like cleaning the whole house after an ejaculation. But if there is something we still want, it is to have a powerful cum shot. For the uninitiated, this desire seems ludicrous or maybe appear as a show of personal vanity. But for anyone who has ejaculated more than a few times, the reason is clear : forceful ejaculations mean stronger orgasms, earth-shaking orgasms, fully draining orgasms. And maybe giving us some bragging rights too ! How can it be achieved?

Forceful ejaculations result from a combination of many elements. Some of which you can influence, and some of which you cannot.

Your level of arousal greatly influence the contraction strength of the pelvic muscles. How tired you are, how hydrated you are also directly influence your ejaculation’s strength.

Some anatomical peculiarities can greatly influence your ability to shoot forcefully. One of those is the size of the urethra. The urethra is the canal inside the penis where urine and semen flow. A urethra that’s too wide (slack) will allow semen to flow too easily, causing a rapid decrease in pressure as it leaves the posterior urethra (where the semen was assembled and pressurized before ejaculation). On the contrary, a urethra that’s too narrow will create too much resistance to the semen’s passing, in the end also diminishing the shooting distance. All in all, to be a far shooter, you need to have been granted with an ideally sized shooting tube. Can you change this ? It depends. If it’s too slack, there’s no way of narrowing the opening. If its gauge is too tapered, however, then dilation with a urinary catheter could be considered. But : be very wary. This needs to be done cleanly or you may cause severe infections (of the prostate in particular). And you should have a good understanding of your anatomy before inserting anything in your penis. That penis of yours is not built of steel and it has no user replaceable parts : you break it, you lose it ! Always ask a pro’s advice.

Exposing your body to longer sexual stimulation also influences the ejaculation’s strength. Indeed, the various glands that produce the different liquids forming semen will have all the time they need to produce and dump a lot of stuff in the posterior urethra if you take the time to prime yourself. Whatever your preparation is, the posterior urethra’s size is fixed (surprise !). So the more seminal liquid you produce, the greater the pre-ejaculatory pressure will be. And higher pressure, of course, translates as a more forceful cum shot. So a long male foreplay (the period before ejaculation) will cause you to shoot further.

Now, of course, there would be no forceful ejaculation without strong pelvic muscles. And this is the area where you can have the most influence (aside from taking your time, of course). Improving the strength of your pelvic floor muscles will in fact have numerous benefits :

  • Decrease the likelihood of peeing involuntarily (it had to be said, even if you understandably don’t care as of today !) (PC, BC).
  • Help with erectile dysfunction (BC).
  • Definitely help if you have premature ejaculation by increasing your ability to withhold your ejaculation. But even if you don’t have premature ejaculation problems, this increased ejaculation control will translate into better edging abilities : being able to edge longer and closer to the cresting point (BC, but also PC and IC).
  • Increase the strength of your orgasmic contractions, in effect enhancing your orgasmic pleasure (BC, PC, IC).
  • And finally, of course, since this is the topic, increase your shooting distance.

The pelvic muscles are a group of muscles formed of the iliococcygeus (IC), pubococcygeus (PC) and bulbocavernosus (BC). These muscles form a hammock holding the content of the pelvic floor.

  • The iliococcygeus (IC) muscles stabilize the rectal area, together with the PC muscle. The IC muscles pull the rectum towards the back. They contract rhythmically during orgasm.
  • The pubococcygeus (PC) muscles control the urine flow, and they pull the rectum towards the front. They contract rhythmically during orgasm. In women, the PC muscles also contract the vagina and are thus, for them, the most important pelvic muscles to work on. While men who strengthen their PC muscles definitely experience an improvement of their orgasmic experience, they will not shoot any further.
  • The bulbocavernosus (BC) muscles serves to maintain blood inside the penis during erection (even though the erection is largely a vascular process) and also serves to expel urine and semen out of the urethra. So this muscle is the one men should work on.

So, to summarize :

  • Forceful ejaculations are desirable because they translate into more intense orgasms
  • While the shooting distance is in direct relation with the strength of an ejaculation, shooting distance will always vary greatly between ejaculations because of various other variables. Moreover, some men will always be able to shoot further than others.
  • It is possible to improve the strength of your ejaculation by working on the pelvic muscles, in particular the bulbocavernosus. How far you will shoot, after these exercises, will vary from man to man. But a sure thing is that your sexual experience will be improved.
  • Being well hydrated and rested is also important.

Complete Article HERE!