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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!

13 Ways Non-Monogamy Has Made Me a Better Partner (and Person)

By Maya M


In our culture and many others, the typical relationship narrative goes like this: You date around a little, eventually finding one true soulmate—the one person you’ll grow old with, raise children with, and the one and only person you’ll have sex with.

But there are a lot of people who don’t subscribe to this narrative, myself included. The problem with the concept of “the one” is that it undermines each and every human’s capacity to love many different people in many different ways.

After I decided to try out non-monogamy with a former girlfriend, I realized how the standard concept of monogamy erases the complexities of sexuality, passion, and romance. Though I still loved her as deeply as ever after opening up the relationship, I also learned to love another person on a completely different level. With my girlfriend, the love was deep, full of history, and adventurous; with my second partner, the love was fiery and playful.

Non-monogamy gave me the opportunity to intimately learn about another person’s body and mind without restriction or fear, and ever since that relationship, I’ve practiced non-monogamy with all my partners. While it can look different for different people, in my case, I prefer having a primary partner—someone I can call my girlfriend, make a home with, and introduce to my friends and family. I’m also comfortable with us having other partners, whether they are sexual, romantic, or a combination, as long as there is open communication about all relationships. We make sure we’re on the same page about what is and isn’t OK.

What I’ve been most grateful for is how non-monogamy has made me a much better partner and person. Here’s what I mean.

1. I’m not as jealous.


When someone hits on my girlfriend or when I see her express interest in someone else, I actually get excited for all the potential thrill and adventure that relationship could bring. This decrease in jealousy helps me fully enjoy my time with my partner and not question her use of time when we’re not together.

And when I do feel jealous, I handle it better than I used to. No relationship, whether monogamous, polyamorous, or non-monogamous, is totally exempt from jealousy. If you’re someone trying out an open or non-monogamous relationship for the first time, know that it’s totally normal and OK to get a little envious.

I like to sit down with my partner the moment I start feeling this way and ask some questions: Where is this coming from? Is it a little irrational? How can we work together to fix the problem now and avoid it in the future? By tackling these questions head-on, we avoid the nasty things that sometimes happen when people let jealousy fester.

2. I see partners as humans—not people I can control.

People in monogamous relationships often say things like “that’s my girl” or “you can’t talk to my man.” This reduces your partner to property, and though many people don’t mind this kind of language, I prefer to see, treat, and speak about my partner as her own person. When my partner is on a date with someone else, I am reminded that, though I love her, she’s not only mine to love.

3. I’ve completely stopped slut-shaming.


As I’ve come to understand that my partner’s body does not belong to me, I’ve become opposed to policing others’ bodies. To me, bodies are about safety, health, and pleasure, and while I may feel bodily pleasure through exercise, sex, and deep-tissue massages, other people may feel that pleasure through different sensations and actions. Before I started practicing non-monogamy, I gave my friends who abstained from sex a hard time about their choices. But opening up that aspect of my romantic life has taught me all the nuanced ways people use (and don’t use!) their bodies, and I’m a better person for it.

4. I find joy in others’ happiness.

Compersion is a term used in non-monogamous and polyamorous communities to describe the romantic or sexual pleasure that comes with seeing your partner loved or aroused by someone else. The first time I experienced compersion was during a threesome with one of my former girlfriends. I enjoyed watching the third person kiss her because I knew she enjoyed the kiss.

Compersion can cause an immediate surge of endorphins and arousal in sexual situations, but I’ve learned to translate the feeling into non-romantic and non-sexual situations as well. By embracing other people’s joy, I’m able to feel genuine excitement for their accomplishments (instead of jealousy) and happiness for their successes (instead of bitterness).

5. My sex life is way richer because I’m more open-minded.

Many people think non-monogamous people only open up their relationships for sex. While this isn’t always true, the improvement in my sex life has been undeniable. I’ve learned so much more about different ways human bodies feel pleasure, and I’m generally willing to act on fresh ideas in bed.

6. I can connect with diverse groups of people.


As a queer, non-monogamous woman of color, it’s sometimes hard to stumble upon communities who share all my identities and can intimately relate to my trials and triumphs. But when I do, the feeling is magical. Though I love my straight, white, monogamous friends, meeting a non-monogamous brown or queer girl like myself helps me expand my perspective on my own identities as well as empathize with (and learn from!) the perspectives of someone else in a position similar to mine.

7. I don’t take my relationship for granted.

In a monogamous relationship, when an S.O. is expected to spend all their romantic and sexual energy on you, things can sometimes get a little stale and monotonous. When I opened up my relationship, I treated all the time we spent together like a gift and not necessarily an expectation. Despite what people may think, we didn’t spend significantly less time together. But on the nights she would be on a date with another person, I would have time to reflect on how much I loved her (and missed her!), so I was better able to cherish the time we spent together.

8. I’m a lot better at talking about my relationship.

From improvement strategies to big next steps (like moving in together or adopting a puppy) to simple check-ins, non-monogamy has made me a better communicator in general. I’m able to apply the same open communication principles to serious relationship talks, positive or negative.

9. I’m not quick to judge others.


It’s no secret that non-monogamy is unconventional and often frowned upon. As someone who takes pleasure in something society deems “unnatural” or “irregular,” I understand how important it is to approach any other lifestyles with an open and accepting mind (as long as those lifestyles don’t bring harm upon others).

10. I understand my own sexuality (and others’) better.

When I was 17, I came out as a lesbian and understood my sexuality to be strictly one that aggressively favored women. But as I opened up my relationships and started sleeping with men, I found that though I still prefered women over men in every way, there was definitely room for men (both cis and gender non-conforming) and people who don’t identify within the binary. I started identifying as queer and learned that my own sexuality can be very fluid. Understanding my own sexuality helps me talk to my partners about theirs and ultimately helps me create safe spaces for friends and family to discuss the issue with me as well.

11. I take better care of my physical and reproductive health.


Having a variety of different partners means taking responsibility to ensure pleasant and safe experiences for everyone. I get tested for STIs more often and also make sure to tackle infections more quickly now that a variety of people may be exposed to them. Taking better care of my reproductive health contributes to better communication, since sharing sexual history with partners can be crucial in many non-monogamous relationships.

12. Saying “no”—without hurting someone’s feelings—has become much easier.

Since I go on a lot more dates, I’ve become much better at sensing when I’m not compatible with someone. Because of this, it’s easier for me to tell people that things won’t work out, which spares a lot of hurt feelings.

13. I’ve become more loving and open-minded overall.

As a final thought for anyone confused about non-monogamy or considering exploring it with a partner, I want to emphasize it is not just fueled by a desire to have sex with other people; in fact, people who are non-monogamous often seek to better their relationships with their primary partner and lead more understanding, open lives.

Complete Article HERE!

How To Have The ‘Sex Talk’ with Your Kids

USA, New Jersey, Jersey City, Mother with daughter (8-9) talking on bed


Let’s talk about “the talk.” Yep! The birds and the bees.

At some point, every parent needs to give their kids a heads up on what’s going on with their bodies and their sexuality, right? In a perfect world, that would be true, but even well-meaning parents may not know how to approach the topic. In my family, for example, I never even heard my mother or father say the word “s-e-x” until I was in my 30s!

I want to equip ESSENCE moms with a cheat sheet on how to give your kids “the talk.” After all, sexuality is a natural part of life, and loving your sexual self is important to having high self-esteem overall. Since I’m not yet a mom, I called on a friend who is also a parenting specialist to weigh in on the topic.

Parenting expert Erickka Sy Savané was once an international model and host of her own video countdown show on MTV Europe. These days, the woman who has also written for almost every major publication can be seen as the host of a new digital series called POP MOM. She says that the show and accompanying blog is a way to get African American mothers to share and discuss hot topics. Erickka lives in New Jersey with her husband and two daughters, ages 6 and 4.

Sex ed is such an important topic. Consequences of poor sexual education at home may include unintentional pregnancies, sexually transmitted diseases, body hatred and low self-esteem. My parents told me absolutely nothing about love, sex, dating and relationships. Were your parents open about sex and sexuality?

I grew up with a single mom talked to me about my period after it happened, and I vaguely remember her telling me something about sex when I was in high school. She might have mentioned getting on birth control pills if I felt like I was going to have sex. But it wasn’t a talk that started when I was young, like I’m starting to do with my daughter who is 6 years old. For instance, my daughter asked me about my current POP MOM episode that talks about ‘the sex talk and dads,’ so I had a conversation with her.

I want to be honest and I want sexuality to be something that is viewed as normal, while also letting her know that it is something for when she is much older. I wish my mom would have talked to me about sex as I was growing up so by the time I was in high school it wouldn’t have been such a big deal. I think it’s important to take the taboo out of it because as humans we are here to reproduce.

When parents ask me about how to talk to their kids about their bodies and sex, I generally advise them to begin early with age appropriate topics, as you’re doing with your daughter. How young is too young to have these conversations?

I say, if they’re asking give them answers that they can handle, while maintaining certain levels of truth. I had to start the sex talk with my daughter when she was in kindergarten because she had a classmate and best friend that started telling her all these inappropriate stories that she was observing either in her home or on TV. I didn’t want my daughter learning about sex through a 5-year-old. Psychologist Dr. Kristin Carothers says that appropriate sex conversation should begin as early as 8 or 9 years old.

Whenever we have thought about sex ed at home previously, as a culture, it has been mom talking to girls and dad talking to boys. I am so grateful for you approaching the topic of daddies talking to daughters as our relationships with our fathers define, to some extent, our de facto relationships with men.

I decided to address the sex talk from a dad’s perspective when I realized that, “Oh! I have a husband.” Unlike my mom, who was a single parent and had to do it alone, I was able to see that I can share this experience with him so it made me ask my own husband about his plans with our two daughters, and from there I wanted to hear from other dads. I was able to see that dads do have plans, even if they don’t verbalize them. I was also able to see that just by posing the question to dads, they were able to more clearly define their plans. It’s a conversation that moms and dads should be having, and having with their girls together because dads do have a different perspective that girls need to hear. It’s real value.

Growing up, my mom gave me a stack of pamphlets and books to answer my questions. How does a parent who is nervous and uncomfortable about the topic themselves bring up the issue?

Good question. Books and youtube videos give good advice. Also, a parent doesn’t have to go all-in, from the first conversation. They can start by talking about related topics like dating boys and what that means to them and their friends. Start slow and build up.

What do you advise moms say to their sons?

I think they should be honest about how babies are born. Like the technical and emotional aspects of it. I think moms should talk about respecting a woman’s body, the consequences of sex (pregnancy and disease), and I think women and men should be big on discussing consent. I read that Nate Parker [who was accused of rape] had no talks about consent beyond if a woman says yes or no. How about if a woman is drunk, unconscious? It’s still a no. I think that needs to be addressed with boys for sure. Women can do it.

Great conversation, Erickka. I am thankful for your work. Why do you feel that this topic so important?

It’s important because we were put on this planet to reproduce; so sex is a natural part of our lives like eating and sleeping. If we normalize it from a young age by talking about it, with all it’s grey areas, kids will have a better time. I find myself having identity, gay and transgender talks with my daughters because there’s no way around it

Complete Article HERE!

American Men Are Pretty Happy With Their Penises



For understandable reasons, society’s conversation about body satisfaction tends to focus on women. Women, it can safely be argued, face a lot more social pressure to look good all the time, to feel ashamed of their bodies, and to harp on minor imperfections.

Men aren’t immune from all that, though. And one particularly painful area where it manifests, according to sexual health researchers, is in insecurity about their penises. This can lead to some bad outcomes. As a team led by Thomas Gaither, a urologist at the University of California, San Francisco, point out in a new study in the Archives of Sexual Behavior, “Case reports have shown men undergo risky procedures, such as silicon injections, to lengthen their penis and increase penile girth.” In addition, “Genital piercings, silicone injection, and subcutaneous implant are increasingly common and are associated with numerous complications.

Gaither and his colleagues wanted to better understand how men view their penises, so they conducted what they say is the first nationally representative survey using a newly developed scale called the Index of Male Genital Image, or IMGI. It consists of 14 statements ranked on a score of 1–7 involving penis length, girth, and so on — a score of 1–3 is coded as “dissatisfied,” while 4–7 is coded as satisfied. They got results from 3,996 men, the sample drawn from 18-to-65-year-olds who weren’t institutionalized.

Comparing those who landed in the “satisfied” (greater than 4.0) versus “unsatisfied” (4.0 or lower) buckets when the scores were averaged, the researchers didn’t find any statistically significant differences in penile satisfaction when it came to age, “race, marital status, education, location, income, or sexual partners.” Penile (dis)satisfaction appears to be pretty much constant across these categories.


A total of 3433 (85.9%) reported an average greater than 4 per item on the IMGI and thus were classified as satisfied. Men reported highest satisfaction with the shape of their glans (64%), followed by circumcision status (62%), girth of erect penis (61%), texture of skin (60%), and size of testicles (59%). Men reported dissatisfaction with the size of their flaccid penis (27 %), length of erect penis (19%), girth of erect penis (15%), amount of pubic hair (14%), and amount of semen (12%). Men reported neutrality with the scent of their genitals (44%), genital veins (43%), location of urethra (42%), color of genitals (40%), and amount of pubic hair (36%). Of note, those who were extremely dissatisfied (score of 1 or 2) reported dissatisfaction with their flaccid penis (10.0%), length of erect penis (5.7 %), and girth of erect penis (4.5%).

There were some decent-size differences in terms of the sexual experiences of men who were satisfied versus dissatisfied with their penises. Those who were satisfied were less likely to be sexually active (73.5 percent versus 86.3 percent), and engaged in less daily and weekly sexual activity. There were also slight but statistically significant differences in the percentage of dissatisfied versus satisfied men who reported having had vaginal or receptive oral sex (85.2 percent versus 89.5 percent, and 61 percent versus 66.2 percent). The obvious question here is what’s causing what: To what extent are men who are dissatisfied with their penises less likely to seek out sex as a result of their insecurity? A correlational self-report study can’t answer that, nor can it answer whether these mens’ likes and dislikes were shared by their sexual partners.

It’s interesting that a sizable minority of men reported dissatisfaction with their testicle size or glans shape. On the one hand, in a survey like this you are explicitly asking about certain features, so these responses don’t mean that they are wandering around obsessing over this stuff. (It would be another thing entirely if you asked men to generate an open-ended list of body features they didn’t like and these kept popping up.) But on the other: It’s an interesting comparison to what women go through, because it highlights the fact that at least some of the things both men and women worry about probably aren’t, in fact, of much import to anyone else. If you’re a guy, the odds that a partner is going to care that much about the size of your testicles or the “shape of your glans” — that’s something I can honestly say I had never even thought about before reading this article, and which the researchers note “has little anatomic variability” — are probably pretty low.

More broadly, the main takeaway, as a first-pass attempt at understanding this stuff, is that men mostly feel pretty happy with their penises. Which can maybe explain the epidemic of unsolicited photos.

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!