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Lots more women are enjoying porn

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And this is why it’s great for your sex life

Watching the X-rated clips is helping women explore their sexuality and connect with others to talk about what they want in the bedroom

A study of 28 women of different sexual orientations looked at how they watched porn.

Researchers found that the online videos encouraged them to embrace their sexuality and discuss new ways of improving their sex lives.

Diana Parry, a professor in recreation and leisure studies at the University of Waterloo in Canada, said: “We know from existing research that women are one of the fastest growing groups of people consuming online pornography and this study helps us understand some of the reasons they are doing so.

“It also seems clear that technology has enabled women to explore pornography on their own terms and to explore aspects of their sexuality that are new to them.”

Having a healthy sex life can help women feel good about themselves as well as reduce their stress levels, according to sex therapist Louise Mazanti.

She told The Sun Online: “To be in touch with your body and your sexuality gives you a sense of pleasure and sense of fulfilment that is really important in order to feel good.

“It is both a physical thing and about your identity and your self-esteem.

“It is important that you get in touch with the deeper potential of pleasure within your body because it helps you connect more deeply with yourself.

“In an orgasm there are a lot of different hormones that are released that partly reduce stress and partly increase a sense of wellbeing, belonging and a general sense of feeling good.”

Not only does watching porn and having a healthy sex life improve boost your happiness, it also improves your relationships.

“Porn is quite important for women because we don’t fantasise enough, we don’t engage with sexual imagery and porn can really help us simply by starting our imagination to think about sex,” Louise added.

“It helps us to reclaim our own sexual identity instead of waiting to only develop that when you are with a partner.

“We become so dependent on being in a relationship and that’s actually dis-empowering in terms of owning your sexuality.

“When we are in touch with our sexuality we bring so much more to the relationship because we aren’t just waiting for our partner and when they want sex.

“It [porn] allows them to bring much more sexual energy to the relationship and that is something that makes a relationship thrive.”

Parry and her team also found that the privacy offered by smartphones and laptops also made women feel more comfortable exploring different types of porn.

Complete Article HERE!

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12 Things All Men Should Know About Their Balls

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We don’t want to bust your balls, but how much do you really know about your testicles? Guys talk about them, brag about them, and let clichés about them flow from their lips without a second thought. So take a few moments to think about your down under friends with 12 ball busting facts about your testicles.

What’s in a name?

“Testicles” and “balls” are not exactly the same thing. When men refer to their balls, they are actually talking about three things: the testicles, the scrotum (the skin sac that protects the testicles), and tiny tubes called epididymides that are attached to the testis and which store and transport sperm. Your testicles are your big T (testosterone) producers, so you want to make sure they are healthy and happy at all times!

Location, location, location.

Real estate agents know the value of location, and your testicles aren’t much different. That is, your left ball and your right ball are not exactly next to each other; one hangs a little bit lower than the other (or one is higher than the other, your preference). Each ball is approximately 2 inches by 1 inch, although typically the right testicle is slightly bigger than the left one. However, even though you might think the bigger testicle should hang lower, that’s not the way nature works. Go figure.

Bigger is not necessarily better.

According to a study conducted at Emory University, men who have smaller testes are more likely to be nurturing dads than are their peers who have bigger balls. The authors evaluated 70 American men, including Caucasians, African-Americans, and Asians, who had a child aged one to two years old. Analysis of brain function while the men looked at children and questionnaire responses resulted in the conclusion that “the biology of human males reflects a trade-off between mating effort and parenting effort, as indexed by testicular size and nurturing-related brain function, respectively.”

Two’s company, three’s a crowd.

An extremely rare condition called polyorchidism is defined as the presence of three—or more—testicles. Only about 200 cases of polyorchidism, more or less, have been reported in the literature, so it’s not a condition that should keep you up at night with worry. However, if you have a unexplained mass in your scrotum, it’s something your doctor may want to rule out.

Pain in the balls.

If you experience painful, swollen, and/or inflamed testicles for no apparent reason (e.g., no one has kicked you down under), it may be time to see your doctor. Trauma to the testicles, such as from a sports injury, usually results in temporary pain. In other cases, however, such as testicular torsion (twisted testicle, which is a medical emergency), epididymitis (inflammation of the epididymis, often caused by a sexually transmitted disease such as gonorrhea), inguinal hernia, testicular tumor, or orchitis (inflammation of the testicle from bacteria or viruses), a doctor should be consulted. Sometimes it’s more than just a pain in the balls!

Bumpy balls.

One thing you can say about a man’s balls—they aren’t attractive. All those little bumps and lumps sure don’t make them pleasing to the eye, but are they dangerous as well? In most cases, no. However, an enlarged vein called a varicocele can have a negative impact on fertility and be painful. Tiny fluid-filled bumps called epididymal cysts are unsightly but harmless. Only 4 percent of the unusual lumps on the balls end up being cancer. If you have a lump or bump that doesn’t seem quite right or that has appeared suddenly or changed in size or shape, be sure to have your doctor check it out.

Cool balls, man.

Your body temperature may hover around 98.6 degrees, but your balls run about 1 to 3 degrees cooler. Why? It seems to be nature’s way to keep sperm “on ice” so to speak. A cooler temperature keeps sperm in a resting state until they are ready to move on and result in pregnancy or just a vacation away from home. On the other side of the cooler, when men experience a fever or sit in a sauna for a length of time, their sperm counts are temporarily reduced. Cool is where it’s at.

Balls rise to the occasion.

Just before a man ejaculates, his testicles rise up close to his body and make contact at the moment of truth. More specifically, in most men the right testicle begins the journey upwards before the left one. Since the right ball is usually already closer to the body (see “Location, location, location”), it has less of a journey to make.

Pampering balls.

If you want your balls to be all they can be, then pamper them. That means no smoking (lowers sperm count), limit alcohol use (lowers T and sperm count), dress them comfortably (no overly tight underwear, pants, or bathing suits—except on limited special occasions!), wash them daily and gently, and protect them from trauma, especially in sports. On this latter point, wear a protective cup during contact sports and get the right saddle for your bicycle.

Balls have muscles.

Well, not exactly, but there are several types of muscles in the area that are responsible for keeping your balls in motion. For example, the cremasteric muscle works like an elevator, causing your scrotum and testicles to rise and lower (see “Balls rise to the occasion”). Another muscle called cartos causes the testicles to move within the scrotum. This muscle tissue is also the one that can be blamed for the wrinkly appearance of your balls. The good news: you don’t need to work these muscles in the gym!

Ball check.

Once a month, all men should check their balls. Not just a perfunctory pat, but a thorough examination to be sure there are no hard lumps or any bumps that have changed in size or shape. Why? Testicular cancer is not near the top of the disease list, but it does affect about 1 in every 270 men. When caught early, it usually can be cured. The best time to perform this ritual is when showering. If something doesn’t feel right, see your doctor.

Ball busting.

During sexual arousal, a man’s balls can increase in size by 50 percent or more. Of course, most men are too busy thinking about something else while the blood is rushing to their testicles, but their partners may notice the change. This ball busting event is temporary, and the testicles return to normal size once the excitement is over. However, if a man’s balls don’t return to normal size or become enlarged at other times, it’s time for a visit to your doctor.

Complete Article HERE!

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What a leather convention can teach everyone about sex and consent

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I don’t think I’d ever realized just how “vanilla” I was, and how little I understood about all of the ways you can engage in fun, healthy, consensual, adventurous sex.

“Hotel is closed for private event” read the signs affixed to the front of the Hyatt Regency on Capitol Hill last weekend. A steady stream of people, mostly men, many in leather harnesses, some in collars and on leashes, and some simply in jeans and sweaters, walked in and out in an almost continuous stream.

Mid-Atlantic Leather (MAL), now in its 48th year, is a three-day long celebration of the leather community, a subculture that celebrates various sexual kinks, many centered around leather and toys. Bears, daddies, pups and others identifying with various subsets roam the Hyatt Regency, participating in conference-like demonstrations about suspension (BDSM where you’re bound and hung) and electro (BDSM involving electric shocks), buying handcrafted leather goods and sex toys, and, of course, partying. (Actual sex was not part of the convention but no doubt took place in private.) It’s a predominantly LGBTQ centric space, although look closely enough and you’re sure to find people on every part of the gender and sexuality spectrum.

My first MAL was in the winter of 2016. I’d just gone through a breakup and my friend had suggested that perhaps it would be good for me to explore life beyond my comfort zone. “Just get ready,” he’d said, “it may be more than your little vanilla heart can handle.” And he wasn’t entirely wrong. It wasn’t that I couldn’t handle it, but I don’t think I’d ever realized just how “vanilla” I was, and how little I understood about all of the ways you can engage in fun, healthy, consensual, adventurous sex.

That first year I met Adam, a dentist in town from Texas just for MAL. “You look like you could use a drink,” he said back in a hotel room he was sharing with a friend of mine.

“Do I look that out of place?” I asked. I’d put on a leather jacket to try to blend in.

“Not out of place,” he said, “just kind of shocked.”

And shocked I was. Not necessarily at anything that was going on at the hotel that night, but more so at the fact that for the better part of my life I’d allowed myself to believe that this kind of sexual openness was only available to a certain kind of person.

“Where I grew up, there wasn’t really anything like this,” said Anthony, a 30-year-old living in Arlington, Va., who grew up in Portsmouth. (The sources for this story preferred that only first names be used, for privacy reasons). “There was no kink culture, and I really wanted to explore it. Everyone here was super welcoming, and that’s why I keep coming back.”

This was a common sentiment. “It’s a different part of the gay family,” said Garret, 28, who lives in Washington. “We all have different interests … and if nobody else respects that, come to MAL because they do here.”

Respect, as it turns out, is a dominating theme throughout the course of the weekend. You might expect that when many attendees are walking around in only a jockstrap and a harness, but it is pleasantly surprising to see how strictly they adhere to that principle. In the era of #MeToo, when more and more queer folks are being vocal about the role consent plays in queer spaces, perhaps the leather and kink communities have something to teach the general public about active and enthusiastic consent.

Ask for permission before petting. Hold out your hand and let the pup come to you first. If the pup doesn’t, or turns or growls, let them be as they may not want to or have permission. This is rule No. 5 as listed on the board outside the 10th anniversary mosh at the MAL Puppy Park, a yearly tradition in which individuals who participate in pup play — a BDSM role-play wherein one participant acts as the “pup” and one as the handler — have an opportunity to interact with other pups. Other rules include: Nudity is not permitted in public spaces, genitals cannot be exposed and DO NOT pull on a pup’s tail or collar. It can cause injury and is disrespectful. Change some of the verbiage and perhaps these would be appropriate guidelines to post at the Academy Awards.

“It’s where I met my current roommate,” said Allyn, a 31-year-old originally from Wisconsin who now lives in Washington, of his first MAL experience. “It was exhilarating. I’d never seen anything like it. It make me feel brave and nervous at the same time.” He didn’t speak to his would-be roommate the first night they met, however. “I mean, I had a ball gag in at the time,” he recounted.

Zack, 23, from Baltimore, also used the world “exhilarating” when describing his first MAL experience. “I got chills coming down the escalator into the lobby of the hotel,” he said. “It’s the closest thing to Folsom I’ve ever been too,” a reference to the San Francisco street fair that’s the world’s largest leather celebration.

Everyone I spoke to talked about descending that escalator on the evening of the opening party. It is truly a complete sensory experience. The sight, sound and smell of wall-to-wall leather and latex on every kind of body, not just seen but celebrated and appreciated.

While I was talking to Garret about the weekend, someone he appeared to know approached him, whispered something in his ear and, after he nodded yes, lifted Garret’s arm and began to sniff his armpit. Garret continued to answer my questions without pause. “There may be something over here that’s not your thing, but then you’ll look over there and see something going on that you’re totally into,” he explained “Don’t be shy, don’t judge other people for something you don’t understand. And above all, come and have a good time. No one is here to be spectacled. It can be a learning and cultural experience.” The sniffer had moved on to his other armpit by the time he finished talking.

Although I have yet to be brave enough to buy and wear a harness to MAL myself, each year I attend I move closer toward that goal. At the very least, the event has highlighted for me the fact that there is an exciting world beyond the “vanilla” one I’d relegated myself to — and has given me a better understanding of the queer community as a whole. At one point, in the leather market, a man who had recently undergone top surgery was trying on a new harness next to a group of folks signing to one another, while feet away a $1,400 bejeweled pup hood was on sale. Only at MAL.

Complete Article HERE!

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For Some With Intellectual Disabilities, Ending Abuse Starts With Sex Ed

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Katy Park, who runs arts and wellness programs for Momentum — a community service program for people with intellectual disabilities — starts a class on healthy sexuality by asking her students to define what they want in a relationship.

by Joseph Shapiro

In the sex education class for adults with intellectual disabilities, the material is not watered down. The dozen women and men in a large room full of windows and light in Casco, Maine, take on complex issues, such as how to break up or how you know you’re in an abusive relationship. And the most difficult of those issues is sexual assault.

Katy Park, the teacher, begins the class with a phrase they’ve memorized: “My body is my own,” Park starts as the rest join in, “and I get to decide what is right for me.”

People with intellectual disabilities are sexually assaulted at a rate more than seven times that for people without disabilities. NPR asked the U.S. Department of Justice to use data it had collected, but had not published, to calculate that rate.

At a moment when Americans are talking about sexual assault and sexual harassment, a yearlong NPR investigation finds that people with intellectual disabilities are one of the most at-risk groups in America.

“This is really an epidemic and we’re not talking about it,” says Park, a social worker who runs arts and wellness programs for Momentum, an agency based in Maine that provides activities in the community and support services for adults with intellectual disabilities. Those high rates of abuse — which have been an open secret among people with intellectual disabilities, their families and people who work with them — are why Park started this class about healthy relationships and healthy sexuality.

Because one of the best ways to stop sexual assault is to give people with intellectual disabilities the ability to identify abuse and to know how to develop the healthy relationships they want.

“Let’s talk about the positive parts of being in a relationship,” Park says, holding a marker while standing at a whiteboard, at the start of the class. “Why do we want to be in a relationship?”

“For love,” says one man. “And sexual reaction.”

“Romance,” adds a woman.

“How about support?” asks Lynne, a woman who speaks with a hushed voice and sits near the front of the class.

“Having support, right?” Park says, writing the word on the board. “We all want support.”

A participant helps Park hang the agenda on the wall at the start of class.

From working with the men and women here, Park realized they want to have relationships, love and romance. They see their parents, siblings and their friends in relationships. They see people in relationships when they watch TV or go to the movies. They want the same things as anyone else.

But it’s harder for them. When they were in school, most of the adults in this room say, they didn’t get the sex ed classes other kids got. Now, just going on a date is difficult. They probably don’t drive or have cars. They rely on public transportation. They don’t have a lot of money. They live at home with their parents or in a group home, where there’s not a lot of privacy.

And then there’s the one thing that really complicates romance for people with intellectual disabilities: those high rates of sexual abuse.

“Oftentimes, it actually is among the only sexual experience they’ve had,” says Park. “When you don’t have other healthy sexual experiences, how do you sort through that? And then the shame, and the layers upon layers upon layers.”

This class, she says, is about “breaking the chain, being empowered to say, ‘No. This stops with me.’ “

“I Think People Take Advantage”

The women and men come to Momentum during the week for different programs. They go kayaking and biking; they go to the library and do volunteer work at the local food bank. There’s a range of disability here. You can look at some of the men and women — maybe someone with Down syndrome — and see they have a disability. Others, even after you talk to them, you might not figure out they have an intellectual disability.

Like one small woman with short, choppy dark hair, streaked red.

She’s 22 now, but when she was 18, her boyfriend was several years older. She says he was controlling. He didn’t let her have a cellphone or go see her friends.

“He was strangling me and stuff like that,” says the woman. (NPR is not using her name.) “And he was, the R-word — I hate to say it, but rape.” She says he raped her eight times, hit her and kicked her. “So I don’t know how I’m alive today, actually. He choked me where I blacked out.”

She thinks she was an easy target for him, because of her mild intellectual disability. “I think people take advantage,” she says. “They like to take advantage of disabilities. I have disabilities, not as bad as theirs. But I think they like to take advantage, which is wrong. I hate that.”

A student takes notes in Park’s Relate class.

She says the class helped her better understand what she wanted, and had a right to, in a relationship. She’s got a kind and respectful boyfriend now.

Her friend Lynne listens and says she would like to find a boyfriend. But in her past, she has experienced repeated sexual abuse.

She talks about a time when she was 14 and “this older guy that knew us” forced her to have sex. She says she told people but no one believed her. The next year, when she was 15, she was sexually assaulted — this time by a boy at her school. “I was trying to scream,” she says, “but I couldn’t because he had his hand over my mouth, telling me not to say anything to anybody.”

Lynne, who is 38, says those rapes and others left her unable to develop relationships. “I couldn’t trust anyone,” she says. Lynne (NPR has agreed to identify her by her middle name) says this class has helped her realize she wants a real, romantic relationship and has taught her how to better find one.

“There’s A Lot Of Loneliness”

Katherine McLaughlin, a New Hampshire sex educator, developed the curriculum used by Momentum. She wrote it so that it uses concrete examples to describe things, to match the learning style of people with intellectual disabilities. It shows pictures and uses photographs.

McLaughlin says the main desire of adults with intellectual disabilities is to learn “how to meet people and start relationships. There’s a lot of loneliness.”

That loneliness leaves them vulnerable to getting into abusive relationships, she says, or to rape.

Sometimes, especially when they’re young, they can’t name what happened to them as a sexual assault. Because they didn’t get the education to identify it. “We don’t think of them as sexual beings. We don’t think of them as having sexual needs or desires,” McLaughlin says. “Often they’re thought of as children, even when they’re 50 years old.”

Sheryl White-Scott, a New York City internist who specializes in treating people with intellectual disabilities, estimates that at least half of her female patients are survivors of sexual assault. “In my clinical experience, it’s probably close to 50 percent, but it could be as high as 75 percent,” she says. “There’s a severe lacking in sexual education. Some people just don’t understand what is acceptable and what’s not.”

Most of the women and men at the class in Maine say they didn’t get sex ed classes, like other kids, when they were in school. Or if they did, it was the simplistic warnings, like the kind given to young children. “It’s easy to fall back on ‘good touch-bad touch’ sex ed,” says Michael Gill, the author of “Already Doing It: Intellectual Disability and Sexual Agency.” “That’s a lot of what they get.” And the usual warning about “stranger danger” can be unhelpful, because it’s not strangers but people they know and trust who are most likely to assault them.

Most rapes are committed by someone a victim knows. For women without disabilities, the person who assaults them is a stranger 24 percent of the time. NPR’s data from unpublished Justice Department numbers show the difference is stark for people with disabilities: The abuser is a stranger less than 14 percent of the time.

“Parents get this; professionals don’t,” says Nancy Nowell, a sexuality educator with a specialty in teaching people with developmental disabilities, an umbrella term that includes intellectual disability but also autism.

Park asks her students to weigh in on agreements with a thumbs up or a thumbs down during class.

Parents have significant reason to worry: Figuring out what’s a healthy relationship is difficult for any young person, and it can be even trickier if a person has an intellectual disability. People with intellectual disabilities are vulnerable to problems from rape to unwanted pregnancy. Some people with intellectual disabilities marry. A small number have children — and rely on family or others to support them as parents.

Still, says McLaughlin, parents often are reluctant to talk to their children with intellectual disabilities about sex. “Parents often feel, if I talk about it they will go and be sexual,” she says, and they fear that could make them targets for sexual assault.

But educators such as McLaughlin, Gill and Nowell argue the reverse: that comprehensive sexuality education is the best way to prevent sexual assault. “If people know what sexual assault is,” says Gill, an assistant professor of disability studies at Syracuse University, “they become empowered in what is sexuality and what they want in sexuality.”

Respect

Gill argues that a long history of prejudice and fear gets in the way. He notes early 20th century laws that required the sterilization of people with intellectual disabilities. That came out of the eugenics movement, which put faith in IQ tests as proof of the genetic superiority of white, upper-class Americans.

People with intellectual disabilities were seen as a danger to that order. “Three generations of imbeciles are enough,” Supreme Court Justice Oliver Wendell Holmes famously wrote in a 1927 opinion that ruled the state of Virginia could forcibly sterilize a young woman deemed “feebleminded.”

Carrie Buck was the daughter of a woman who lived at a state institution for people with intellectual disabilities. And when Buck became pregnant — the result of a rape — she was committed to a state institution where she gave birth and was declared mentally incompetent to raise the child. Buck was then forcibly sterilized to prevent her from getting pregnant again. There was evidence that neither Buck, nor her daughter, Vivian, was, in fact, intellectually disabled. In the first half of the 20th century, impoverished women who had children outside marriage were often ruled by courts to be “feebleminded.”

There was another myth in popular culture that people with intellectual disabilities were violent and could not control their sexual urges. Think about that staple of high school literature classes, John Steinbeck’s “Of Mice and Men.” The intellectually disabled Lennie can’t control himself when the ranch hand’s wife lets him stroke her hair. He becomes excited, holding her too tight, and accidentally strangles her.

The class in Maine aims to help these adults know what’s a healthy relationship and how to communicate how they feel about someone.

The main way this class differs from a traditional sex ed class is that — to help people with intellectual disabilities learn — the material is broken down and spread out over 10 sessions. Each class lasts for 2 1/2 hours. But the adults in the class are completely attentive for the entire session.

They do take a couple of very short breaks to get up and move around, including one break to dance. Everyone gets up when Park turns on the tape recorder and plays — just right for this group asking to be treated like adults — Aretha Franklin singing “Respect.” There is joyous dancing and shouts. And when the song is over, they go back to their seats and get back to work.

Complete Article HERE!

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Our shame over sexual health makes us avoid the doctor. These apps might help.

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We’re taught to feel shame around our sexuality from a young age, as our bodies develop and start to function in ways we’re unfamiliar with, as we begin to realize our body’s potential for pleasure. Later on, women especially are taught to feel ashamed if we want “too much” sex, or if we want it “too early,” or if we’re intimate with “too many” people. Conversely, women and men are shamed if we don’t want nearly as much sex as our partner, or if we’re inexperienced in bed. We worry that we won’t orgasm, or that we’ll do so too soon. We’re afraid the things we want to do in bed will elicit disgust.

This shame can also keep people from getting the health care they need. For example, a 2016 study of college students found that, while women feel more embarrassed about buying condoms than men do, the whiff of mortification exists for both genders. Another 2016 study found many women hide their use of health-care services from family and friends so as to prevent speculation about their sexual activity and the possibility that they have a sexually transmitted infection (STI).

While doctors should be considered crucial, impartial resources for those struggling with their sexual health, many find the questions asked of them during checkups to be intrusive. Not only that but, in some cases, doctors themselves are uncomfortable talking about sexual health. They may carry conservative sexual beliefs, or have been raised with certain cultural biases around sexuality. It doesn’t help that gaps in medical school curriculums often leave general practitioners inadequately prepared for issues of sexual health.

So how do people who feel ashamed of their sexuality take care of their sexual health? In many cases, they don’t. In a study on women struggling with urinary incontinence, for example, many women avoided seeking out treatment — maintaining a grin-and-bear-it attitude — until the problem became “unbearable and distressing to their daily lives.”

Which may be why smartphone apps, at-home testing kits and other online resources have seen such growth in recent years. Now that we rely on our smartphones for just about everything — from choosing stock options to tracking daily steps to building a daily meditation practice — it makes sense people would turn to their phones, laptops and tablets to take care of their sexual health, too. Websites such as HealthTap, LiveHealth Online and JustDoc, for example, allow you to video chat with medical specialists from your computer. Companies such as L and Nurk allow you to order contraceptives from your cellphone, without ever going to the doctor for a prescription. And there are a slew of at-home STI testing kits from companies like Biem, MyLAB Box and uBiome that let you swab yourself at home, mail in your samples and receive the results on your phone.

Bryan Stacy, chief executive of Biem, says he created the company because of his own experience with avoiding the doctor. About five years ago, he was experiencing pain in his genital region. “I did what a lot of guys do, and did nothing,” he says, explaining that, while women visit their gynecologist regularly, men generally don’t see a doctor for their sexual health until something has gone wrong. “I tried to rationalize away the pain, but it didn’t go away.” Stacy says he didn’t want to talk to a doctor for fear of what he would learn, and didn’t know who he would go to anyway. He didn’t have a primary care physician or a urologist at the time. But after three months of pain, a friend of his — who happened to be a urologist — convinced him to see someone. He was diagnosed with chlamydia and testicular cancer. After that, he learned he wasn’t the only one who’d avoided the doctor only to end up with an upsetting diagnosis. “What I found is that I wasn’t strange,” Stacy says. “Everyone has this sense of sexual-health anxiety that can be avoided, but it’s that first step that’s so hard. People are willing to talk about their sexual health, but only if they feel like it’s a safe environment.”

So Stacy set out to create that environment. With Biem, users can video chat with a doctor online to describe what they’re experiencing, at which point the doctor can recommend tests. The user can then go to a lab for local testing, or Biem will send someone to their house. The patient will eventually receive their results right on their phone. Many of the above-mentioned resources work similarly.

Research shows there’s excitement for tools like these. One study built around a similar service that was still in development showed people 16 to 24 years old would get tested more often if the service was made available to them. They were intrigued by the ability to conceal STI testing from friends and family, and to avoid “embarrassing face-to-face consultations.”

But something can get lost when people avoid going in to the doctor’s office. Kristie Overstreet, a clinical sexologist and psychotherapist, worries these tools — no matter their good intentions — will end up being disempowering in the long run, especially for women. “Many women assume they will be viewed by their doctor as sexually promiscuous or ‘easy,’ so they avoid going in for an appointment,” she says. “They fear they will be seen as dirty or less than if they have an STI or symptoms of one. There is an endless cycle of negative self-talk, such as ‘What will they think about me?’ or ‘Will they think that I’m a slut because of this?’ If people can be tested in the privacy of their own home without having to see a doctor, they can keep their symptoms and diagnosis a secret,” Overstreet says, which only increases the shame.

As for the efficacy of these tools, Mark Payson, a physician and co-founder of CCRM Northern Virginia, emphasizes the importance of education and resources for those who do test positive. These screening tests can have limits, he says, noting that there can be false negatives or false positives, necessitating follow-up care. “This type of testing, if integrated into an existing physician relationship, would be a great resource,” Payson says. “But for patients with more complex medical histories, the interactions of other conditions and medications may not be taken into account.”

Michael Nochomovitz, a New York Presbyterian physician, shows a similar level of restrained excitement. “The doctor-patient interaction has taken a beating,” Nochomovitz says. “Physicians don’t have an opportunity to really engage with patients and look them in the eye and talk to them like you’d want to be spoken to. The idea is that tech should make that easier, but in many cases, it makes it more difficult and more impersonal.” Still, he sees the advantages in allowing patients to attend to their health care on their own terms, rather than having to visit a doctor’s office.

Those who have created these tools insist they’re not trying to replace that doctor-patient relationship, but are trying to build upon and strengthen it. “We want people to be partnering with their doctor,” says Sarah Gupta, the medical liaison for uBiome, which owns SmartJane, a service that allows women to monitor their vaginal health with at-home tests. “But the thing is, these topics are often so embarrassing or uncomfortable for people to bring up. Going in and having an exam can put people in a vulnerable position. [SmartJane] has the potential to help women feel they’re on a more equal footing when talking to their doctor about their sexual health.”

“If you come in with a positive test result,” says Jessica Richman, co-founder and chief executive of uBiome, “it’s not about sexual behavior anymore. It’s a matter of medical treatment. It’s a really good way for women to shift the conversation.”

This can be the case for men and women. While many will use these options as a means to replace those office visits entirely, their potential lies in the ability to improve the health care people receive.

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