Search Results: Anal

You are browsing the search results for anal

6 sexually transmitted infections you should know about and how to treat them

Share

“Sex is great, but safe sex is better

By

Sexual Health Week upon us, which means it’s time to have that awkward STI chat.

You might be in a loving relationship or think you’re a few decades past your sexual prime, but the STI talk isn’t just for teenagers. According to research last year there has been a surge in sexually transmitted infections in the over 45s (with a dramatic 25% increase in STI diagnosis in women over 65s).

Meanwhile, back in December, it was reported that a third of Brits with an STI caught it while in a relationship – the survey also revealed 39% of people didn’t tell their partner they had an infection.

STIs have been with us for centuries. In the past mercury, arsenic and sulphur were used to treat venereal disease – which had serious side-effects, including death due to mercury poising. The introduction of Penicillin and modern medicine in the 20th century meant, thankfully, the big difference now is that greater awareness and modern medicine means they can be treated much more effectively.

Prevention and education is best practice, so here are what you need to know about six of the more commonly-known STIs…

1. Chlamydia

Chlamydia is the most common STI in the UK mainly due to many people not knowing that they have it. Symptoms can vary between men and women and most have no symptoms at all.

Men can experience pain or burning whilst urinating, cloudy discharge from the tip of their penis, and discomfort in their testes.

Women can sometimes experience a similar discomfort when urinating and discharge from their vagina, pain and/or bleeding during or after sex, and heavier or irregular periods. Usually though, they have no symptoms at all.

If chlamydia is untreated it can lead to serious pelvic infections and infertility so it is very much worth getting checked regularly.

How to treat it

Chlamydia can be diagnosed through a simple urine test, and fortunately can be treated with a single dose of antibiotics.

2. Genital Warts

Genital warts are the second most common STI and can be identified as small fleshy growths around the genitals or anal area. The warts are generally not painful, however may be itchy and irritable. While condoms are the best preventative method for genital warts because they are spread by skin-to-skin contact the area around the genitals my still become infected.

Treatment

Creams and freezing can get rid of them.

3. Genital Herpes

Genital herpes is a common infection and is caused by the same virus that causes cold sores (HPV).

Symptoms can occur a few days after infection and can generally be identified by small uncomfortable blisters which can really hurt – making urinating or just moving around very uncomfortable. The blisters go away by themselves after about 10 days but very often come back again whenever your immunes system gets a bit low or distracted.

Treatment

Unfortunately, there is currently no definitive cure for genital herpes, however each attack can be very effectively managed by using anti-viral medications which you can get from your doctor. Try to have the medications on hand because the sooner you use them in each attack the better they will work.

4. Gonorrhoea

Gonorrhoea is caused by bacteria called Neisseria gonorrhoeae or gonococcus. It can spread easily through intercourse, the symptoms are similar to those of chlamydia except usually more pronounced. If the person experiences discharge from their penis or vagina it can either be yellow or green in colour and there can be quite a lot of it.

Like Chlamydia though, the symptoms are not always present.

Treatment

The infection can be identified through a swab or urine test, and can be treated with antibiotics. Unfortunately, bacteria is getting resistant to more and more antibiotics and treatment is getting more difficult. Right now, though it is still well treated with an antibiotic injection.

5. Pubic lice or ‘crabs’

Crabs have commonly been seen as the funny STI and are often the punch line to many a joke. But as with all STIs, the reality really isn’t very funny.

Also known as pubic lice, crabs can be easily spread through bodily contact. They are usually found in pubic, underarm and body hair, as well as in beards and sometimes in eyebrows and eyelashes. The lice crawl from person to person, and can take weeks to become visible. They are usually spotted due to itchiness and in some cases people can find eggs in their hair.

Treatment

Pubic Lice can usually be treated using creams or shampoos which can be purchased readily from pharmacies.

6. HIV

Of all the STIs mentioned HIV probably is the most famous and feared. In the 1980s having HIV was effectively a death sentence and, tragically, it brought with it huge stigma. Thankfully, today modern drugs have had a huge impact on the HIV community, enabling them to live happy and healthy lives. But what is it?

HIV is a virus which attacks the immune system and is most commonly spread through unprotected sex. Many people with HIV appear healthy and do not display any symptoms, but they may experience a flu-like illness with a fever when they first become infected.

The final stage of HIV is AIDS, this is where the immune system is no longer able to fight against infections and diseases.

Treatment

There is currently no cure for HIV – however, modern medicine has come a long way enabling people to live long and otherwise normal lives.

Sex is great, but safe sex is better. If you’re concerned about STI’s visit your local sexual health clinic for a screening.

Complete Article HERE!

Share

Affection And Romance Most Popular Forms Of Sexual Behavior, Says New US Study

Share

Have you ever thought about what your partner might enjoy most behind closed doors? Well, a study from researchers at the Indiana University School of Public Health-Bloomington and the Center for Sexual Health Promotion have shared that it is, in fact, different forms of romantic and affectionate behavior.

Finding new ways to create a romantic spark is something a lot of couples struggle with. However, hugging or simply kissing to set the mood has proven to be the answer for many.

“Contrary to some stereotypes, the most appealing behaviors, even for men, are romantic and affectionate behaviors,” lead author and professor Debby Herbenick said in a statement. “These included kissing more often during sex, cuddling, saying sweet/romantic things during sex, making the room feel romantic in preparation for sex, and so on.”

There are a number of studies that have touched on sexual behavior in the past, but they have either had an age cap or limited forms of sexual behavior explored. The recent study, published in PLOS One, goes into detail about a survey called Sexual Exploration in America Study, in which 2,021 people (975 men and 1,046 women) were recruited to complete it anonymously. The survey included questions on whether participants have engaged in over 30 sexual behaviors and the level of appeal of nearly 50 sexual acts.

Around 80 percent admitted to lifetime masturbation, vaginal sex, and oral sex. Lifetime anal sex was also reported by 43 percent of men (insertive) and 37 percent of women (receptive).

“These data highlight opportunities for couples to talk more openly with one another about their sexual desires and interests,” said Herbenick. “Together they may find new ways of being romantic or sexual with one another, enhancing both their sexual satisfaction and relationship happiness.”

The information gathered showed that many of the volunteers who took part in the survey had engaged in a wide variety of sexual behaviors. The study also shared the type of relationships they were in within the last year, which included being in a monogamous/open relationship or they hadn’t discussed the setup of intimacy.

Other sexual behaviors were wearing lingerie and underwear (75 percent women, 26 percent men) and sending/receiving nude images (54 percent women, 65 percent men). The team mention that while many of the survey participants described a lot of sexual behaviors as appealing, much fewer of them had engaged in the acts in the past month or year.

“These data highlight opportunities for couples to talk more openly with one another about their sexual desires and interests,” said Herbenick. “Together they may find new ways of being romantic or sexual with one another, enhancing both their sexual satisfaction and relationship happiness.”

Although this is just one sexual behavior study, the research within it has several implications for understanding adult sexual behaviors. Many sex educators as well as citizens will have an even better understanding of sexual behaviors amongst adults in the US.

Complete Article HERE!

Share

Why (Some) Women Love Strap-Ons

Share

 

by

Last week, I found myself at Cafe Gratitude in Los Angeles, eating a gluten-free scone and fuming about gender, as one does in 2016. On the receiving end of my rant was my friend “Lori,” a 23-year-old MFA student studying queer theory. I was saying something like, “Sure, it’s cool that we live in this post-everything world where gender is over and hetero-normativity is off-trend and all the rules of sexuality have been thrown out the window. Life is more free now. But we’re also being forced to ask ourselves some serious questions. Like, ‘Does shaving my armpits make me a bad feminist?’ And, more pressingly, ‘Is my strap-on a symbol of male supremacy?’ And if so, should I set it on fire as a performance art piece?”

Lori sipped her green juice and rolled her eyes. “I love wearing a strap-on,” she said, casually flipping her long curls behind her shoulders. “Even though my dildo is bright pink and it’s this laborious process to strap yourself in, something about it still feels real. It’s some Freudian bullshit, but it just feels so fun and powerful to have a penis.” This wasn’t the “feminist” answer I was expecting.

A few nights later, I met my friend “Claire,” a 31-year-old screenwriter, for drinks at the Sunset Tower. Claire is somewhat of a unicorn in that she’s a straight woman who gets off on wearing a dildo. “Think about it: Men are the ones with a prostate. Why isn’t every woman fucking her boyfriend with a strap-on?” Claire asked, as an elderly man played jazz piano in the background. “It’s crazy, you actually feel like you have a dick. I’ve been pegging this guy I met at a Dave Matthews concert.”

Claire admitted that this was not a bucket-list moment for her. “I knew what pegging was because of that Broad City episode where Abbi pegs her crush, but I was never like, ‘Oh, my God, I can’t wait until the moment when I finally get to peg someone.’ ” Her tone turned almost motherly.“I think every woman should experience fucking a man at some point in her life, even just as a therapeutic tool. It’s very empowering. I never thought this would be part of my life story, but here I am. I’m fucking a man.”

After meeting through friends at said concert last fall, Claire and her pegging partner, “Jim,” bonded on a party-bus ride back to West Hollywood, talking about sex.They ended up back at Jim’s apartment, where he produced a double-sided glass dildo—one end for the pegging, the other end shaped like a hook, to be inserted inside a vagina. “It’s essentially a strapless strap-on,” Claire explained. “It’s the chicest kind. I could never go back from this.”

She liked it far more than she expected to. “It’s such a shift in the power dynamic. I kept thinking, I’m literally penetrating someone right now. Plus, it’s a vaginal workout because you have to grip the dildo with your vagina while you use it. It’s basically exercise, which I love. I’m very health-conscious,” she said, gulping her second martini. For the next two months, the two met up for sex regularly. “He would get a colonic every time before I came over,” she said enthusiastically. “He was really on point about his whole anal grooming and cleansing journey.”

Beyond the thrill of the power shift, what Claire didn’t expect was how intimate the sex would be. “The person has to be very trusting of you. You have to listen to their physical cues and gauge if they’re having pleasure or if you’re hurting them. You have a lot of control, and that became very sexy to me. Before Jim, I’d always thought of myself as submissive, but through that experience I accessed a totally different side of myself.”

She made it sound so bizarrely appealing. I wondered if I should resurrect my strap-on from the junk box under my bed, where it’s been in exile since my breakup with my now ex-girlfriend four months ago. When I met my ex, one of the first things I did was run to a sex store and buy a large purple dildo and leather harness. It was my first same-sex relationship, and I was like, “This is what lesbians do, right?” As it turned out, we used the strap-on only like four times in our three-year relationship—partly because it quickly dawned on me that I didn’t need to imitate heterosexual sex in order to validate my queer sex. In the years that followed, I found it insulting when people would ask me, “But don’t you miss dick?” As if the penis is the holy grail of pleasure. Similarly, my androgynous girlfriend resented the fact that just because she wore boys’ clothes, people assumed she wanted a penis. (One day, I remember, she put on the strap-on, looked down, and said, “Wait, I’m gay and dicks are weird. Why is this thing on me?”)

But my worst fear is being one of those cyber-feminists who’s offended by everything, so in order to challenge my aversion to strap-ons, I organized a queer, roundtable lunch with strap-on loving Lori and my particularly opinionated friend Mel, a 37-year-old queer actress.

“My hand is my sexual object,” said Mel, displaying the hand in question, with its immaculately manicured fingernails. “A lot of women get off wearing a strap-on, either psychologically or because of the way it rubs against their clit, but I don’t. I feel erotic pleasure through my fingers. It’s sexual reiki: If I can make you come with my hand, then can I extend that power five inches in front of my hand? Ten inches? Can I sit across the room from you and make you come? When you’re at that level, a fucking phallus seems like kindergarten for me.” The conversation became heated very quickly.

“So is penis envy actually a thing?” I asked. “I just don’t understand why, if you’re queer, you need to bring a fake dick into the bedroom.”

“I know lesbians who, when they go on a Tinder date, will pack their penis in their bag,” said Mel. “Like, that’s their dick. They’re not trans, but they want to be able to fuck their girl without using their hands. When I was younger I wanted that,” she recalled. “I didn’t want a dick all the time, but I wanted to be able to fuck a girl and choke her with both hands, basically.”

“I don’t care to over-intellectualize or over-politicize it,” said Lori. “If you like being fucked by a strap-on, it’s not a reflection on your sexuality. I get where you’re coming from, but if it feels good, then what’s the problem? My girlfriend and I aren’t secretly wanting to have sex with a man.”

This made sense to me. If the point of sex is to create intimacy and to give and receive pleasure, then why restrict yourself from something that feels good just because of the patriarchy or whatever? After all, being a lesbian isn’t about hating dicks, and using a strap-on isn’t about wanting to be a man.

Through my own queer experience, in fact, I’ve learned that it often isn’t true that the more “masculine” or butch woman would be the one to wear a strap-on in the relationship. Mel put it well: “Our default is to think that, in a power dynamic, masculine is top and feminine is bottom. But a butch woman will often want to be subjugated sexually because she has to armor herself in the world so much. She has to be tough, just like a man does. It’s like the Wall Street guy who sees a dominatrix on the weekend. That’s why they say, ‘Butch in the streets, femme in the sheets.’ ”

Speaking of femme tops, I told them about Claire and her pegging saga, which incited a literal round of applause. “I wish more guys would get into pegging,” Mel said. “I think if men knew more about what it was like to get fucked, they would be better at fucking. The only reason men don’t get pegged more often is because of gay shame and bottom shame. It’s really hard for straight men to bottom because they think it’s emasculating, when in reality it can be super hot.”

Beyond all the politics, one can’t deny that strap-ons have a lot of advantages. You never have to worry about a dildo being soft or too small or diseased, and it won’t accidentally get you pregnant. As Mel put it: “When you’re having sex with a real penis, sex becomes all about what feels good for the penis, and then the penis has to throw up all over your tits. But a strap-on is just for the woman’s pleasure. The dildo doesn’t need to be satisfied.”

“That’s true,” Lori agreed. “Dildos are not demanding at all.”

“It’s just a hands-free device,” added Mel. “Like a selfie stick.”

Complete Article HERE!

Share

Big Bowel Blues

Share

Name: Perth Guy
Gender:
Age: 50
Location: Perth Australia
Hey Dr Dick,
I am going to have surgery to fix Diverticular Disease by removal of the sigmoid colon, which may result in a temp or perm stoma (Colostomy). If it’s a permanent colostomy bag I know they basically remove your rectum, so no more anal sex. If it’s a temp stoma/colostomy bag can you still have anal sex? (whilst you rectum is “disconnected from the colon) If they are able to reverse it later and connect the transverse colon to the rectum is it still possible to have anal sex? I don’t know who to ask this very strange question – its not a question you can ask around ” do you have a colostomy – do you have anal sex?”

Hey thanks for your message, Perth Guy. Sorry to hear you’re feeling poorly. For those of us unfamiliar with diverticular (say: die-ver-tick-yoo-ler) disease, it affects the large intestine, or colon. It’s caused by small pouches that form, usually on the wall of the last part of the large intestine — the sigmoid colon. These pouches are called diverticula, don’t ‘cha know.

The terms ostomy and stoma are general descriptive terms that are often used interchangeably though they have different meanings. An ostomy refers to the surgically created opening in the body for the discharge of body wastes. A stoma is the actual end of the small or large bowel that is arranged to protrude through the abdominal wall.

I know it’s difficult to find helpful information about sexual concerns, like butt fucking, when facing a radical and disfiguring medical procedure like a colostomy. Our culture has such difficulty talking about sex even as it applies to healthy folks, it’s no wonder we fail those of us who are sick, maimed, or disabled. I did, however, find a resource for you, Colostomy Pen Pals. http://www.ostomy.evansville.net/ocncolostomy.htm

I suspect that you’ll not readily find the specific information about anal sex that you are looking for on that site. But here’s where you can do yourself and all your fellow ostomy patients a good turn. I want you to march right over to Colostomy Pen Pals and any other ostomy resource you might find online and just come out with it. Just like you did when you wrote to me. You know that if you have a concern about anal sex post surgery, there are a shit-load of others (you should pardon my pun) out there who share your concern and interest and may have first-hand information to share.

Probably, there a lot of other folks who are too timid to ask or share about this concern. So instead of stewing in your isolation and lack of information, why not take the initiative and break open the topic yourself. If you’re gonna wait around for someone else to broach the issue, when you won’t, you’re gonna die waiting, my friend.

And if you think the information you are looking for will come from the medical industry, you really have to wake up and smell the coffee, my friend. The best resource you’re gonna find is gonna be others in the ostomy community. Those folks, who are similarly challenged as you, will be the front line of the information you seek. But like I said, if you fail to put out there what you want, you can be sure no one is gonna spoon feed it to you.

So while it is true what you say: “its not a question you can ask around to the general public do you have a colostomy – do you have anal sex?” It is a very appropriate question to be asking the ostomy community. And if you find resistance in that community for bringing this pressing sexual concern there, stand your ground, darlin’!

And just so you don’t think I’m ducking the question, my experience with ostomy patients suggest that it may very well be more of a question of wanting to have anal sex post surgery, than the ability to do so. I guess you’re just gonna have to wait and see for yourself. Keep me posted and I’ll keep our audience posted on this too.

Good luck

Share

Sex Education Based on Abstinence? There’s a Real Absence of Evidence

Share

By

Sex education has long occupied an ideological fault line in American life. Religious conservatives worry that teaching teenagers about birth control will encourage premarital sex. Liberals argue that failing to teach about it ensures more unwanted pregnancies and sexually transmitted diseases. So it was a welcome development when, a few years ago, Congress began to shift funding for sex education to focus on evidence-based outcomes, letting effectiveness determine which programs would get money.

But a recent move by the Trump administration seems set to undo this progress.

Federal support for abstinence-until-marriage programs had increased sharply under the administration of George W. Bush, and focus on it continued at a state and local level after he left office. From 2000 until 2014, the percentage of schools that required education in human sexuality fell to 48 percent from 67 percent. By 2014, half of middle schools and more than three-quarters of high schools were focusing on abstinence. Only a quarter of middle schools and three-fifths of high schools taught about birth control. In 1995, 81 percent of boys and 87 percent of girls reported learning of birth control in school.

Sex education focused on an abstinence-only approach fails in a number of ways.

First, it’s increasingly impractical. Trying to persuade people to remain abstinent until they are married is only getting harder because of social trends. The median age of Americans when they first have sex in the United States is now just under 18 years for women and just over 18 years for men. The median age of first marriage is much higher, at 26.5 years for women and 29.8 for men. This gap has increased significantly over time, and with it the prevalence of premarital sex.

Second, the evidence isn’t there that abstinence-only education affects outcomes. In 2007, a number of studies reviewed the efficacy of sexual education. The first was a systematic review conducted by the National Campaign to Prevent Teen and Unplanned Pregnancy. It found no good evidence to support the idea that such programs delayed the age of first sexual intercourse or reduced the number of partners an adolescent might have.

The second was a Cochrane meta-analysis that looked at studies of 13 abstinence-only programs together and found that they showed no effect on these factors, or on the use of protection like condoms. A third was published by Mathematica, a nonpartisan research organization, and it, too, found that abstinence programs had no effect on sexual abstinence for youth.

In 2010, Congress created the Teen Pregnancy Prevention Program, with a mandate to fund age-appropriate and evidence-based programs. Communities could apply for funding to put in only approved evidence-based teen pregnancy prevention programs, or evaluate promising and innovative new approaches. The government chose Mathematica to determine independently which programs were evidence-based, and the list is updated with new and evolving data.

Of the many programs some groups promote as being abstinence-based, Mathematica has confirmed four as having evidence of being successful. Healthy Futures and Positive Potential had one study each showing mixed results in reducing sexual activity. Heritage Keepers and Promoting Health Among Teens (PHAT) had one study each showing positive results in reducing sexual activity.

But it’s important to note that there’s no evidence to support that these abstinence-based programs influence other important metrics: the number of sexual partners an adolescent might have, the use of contraceptives, the chance of contracting a sexually transmitted infection or even becoming pregnant. There are many more comprehensive programs (beyond the abstinence-only approach) on the Teen Pregnancy Prevention Program’s list that have been shown to affect these other aspects of sexual health.

Since the program began, the teenage birthrate has dropped more than 40 percent. It’s at a record low in the United States, and it has declined faster since then than in any other comparable period. Many believe that increased use of effective contraception is the primary reason for this decline; contraception, of course, is not part of abstinence-only education.

There have been further reviews since 2007. In 2012, the Centers for Disease Control and Prevention conducted two meta-analyses: one on 23 abstinence programs and the other on 66 comprehensive sexual education programs. The comprehensive programs reduced sexual activity, the number of sex partners, the frequency of unprotected sexual activity, and sexually transmitted infections. They also increased the use of protection (condoms and/or hormonal contraception). The review of abstinence programs showed a reduction only in sexual activity, but the findings were inconsistent and that significance disappeared when you looked at the stronger study designs (randomized controlled trials).

This year, researchers published a systematic review of systematic reviews (there have been so many), summarizing 224 randomized controlled trials. They found that comprehensive sex education improved knowledge, attitudes, behaviors and outcomes. Abstinence-only programs did not.

Considering all this accumulating evidence, it was an unexpected setback when the Trump administration recently canceled funding for 81 projects that are part of the Teen Pregnancy Prevention Program, saying grants would end in June 2018, two years early — a decision made without consulting Congress.

Those 81 projects showed promise and could provide us with more data. It’s likely that all the work spent investigating what is effective and what isn’t will be lost. The money already invested would be wasted as well.

The move is bad news in other ways, too. The program represented a shift in thinking by the federal government, away from an ideological approach and toward an evidence-based one but allowing for a variety of methods — even abstinence-only — to coexist.

The Society of Adolescent Health and Medicine has just released an updated evidence report and position paper on this topic. It argues that many universally accepted documents, as well as international human rights treaties, “provide that all people have the right to ‘seek, receive and impart information and ideas of all kinds,’ including information about their health.” The society argues that access to sexual health information “is a basic human right and is essential to realizing the human right to the highest attainable standard of health.” It says that abstinence-only-until-marriage education is unethical.

Instead of debating over the curriculum of sexual education, we should be looking at the outcomes. What’s important are further decreases in teenage pregnancy and in sexually transmitted infections. We’d also like to see adolescents making more responsible decisions about their sexual health and their sexual behavior.

Abstinence as a goal is more important than abstinence as a teaching point. By the metrics listed above, comprehensive sexual health programs are more effective.

Whether for ethical reasons, for evidence-based reasons or for practical ones, continuing to demand that adolescents be taught solely abstinence-until-marriage seems like an ideologically driven mission that will fail to accomplish its goals.

Complete Article HERE!

Share