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Clean Up On Aisle 6!

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Name: Leonel
Gender: Male
Age: 32
Location: DC
How much wear and tear does anal sex cause to the rectum? Are there long-term hazards other than the chance of infection from poor hygiene?

As we all know by now, ass play is not just for the gays any more. And while there have been strong taboos surrounding anal sex in the past, mainly because ass fuckin was associated with homosexuality, these taboos are finally and rapidly breaking down. And not a moment too soon!

It is important to remember that while some people find the idea of cornholein’pegging006.jpg repugnant, others find it stimulating, exciting, and a normal part of their sexual intimacy. And since all of us have assholes and each one comes equipped with a load of pleasure-giving nerve endings, people of both genders and all sexual persuasions are discovering the joys of anal play. Be it a finger, a dildo, pegging, a butt plug or a good old-fashioned dick-in-the-ass fucking; ass play is all the rage.

Studies suggest that somewhere between 50 – 60% of gay men have anal sex on a regular basis. A slightly small percent of straight folks are now experimenting with butt play. Commercially produced porn, particularly of the straight variety, is now brimming over with back door action. Curiously enough, only a few years ago, this was a relatively rare fetish. Now it’s like totally mainstream. Funny how things like that change so quickly.

In terms of wear and tear and long-term hazards, I’d say that if you treat your hole with the respect it deserves; you can be sure that it will give you a lifetime of pleasure. But be aware that different sexually charged orifices — asshole, mouth, cunt — have different tolerance levels for what they can endure. We’d all do well to respect these individual limits.

The first thing to say about anal sex, particularly casual butt-fucking, is always use a condom and use lots of water-based lubricant. This will be your front line protection against HIV and other STI’s. Your ass is a very receptive place, but the tissues therein are also pretty delicate. It’s not uncommon to develop cuts and fissures that can become infected if a modicum of care isn’t used during ass play — with yourself or another. That’s why Dr Dick always suggests that you get to know your hole and its limits before your share your be-hind with someone else.

butt-fuck102.jpgA man’s ass has something very unique that a chick’s ass does have. It’s his prostate. We’ve talked a lot about this in the past, but here’s a brief overview. A guy’s prostate is a small walnut-shaped gland a couple inches inside his hole. When massaged by a finger, dildo or a cock it is the source of incredible sensations. Even though women don’t have a prostate, anal stimulation can be just as pleasurable for them. One word of caution though; gals, be sure to keep whatever you’ve had in your ass — fingers, toys, what have you — out of your pussy. To do otherwise, will invite a yeast infection, like candida, don’t ‘cha know.

Because the inside of our ass and rectum doesn’t have the same sort of sensory nerve endings that we have on our skin, we can damage our innards by inserting sharp or rough objects in our ass. So always trim your fingernails before playing with yourself or others.

Never put anything up your ass that could slip in and get caught behind your anal sphincter. Your toys should be long enough, have a flared end, or a handle that you can keep hold of. Of course, never insert anything in your bum that could break.

I always recommend that the novice ass fucker start his or her ass exploration with a finger or two. This cuts down on the expense of buying toys, at least until you discover if you like this kind of play or not. Once you’ve got the hang of digital stimulation and you’ve discovered all the joy spots you can reach, you can move on to the vast array of toys and implements that are especially designed for your butt pleasure. If you’re stumped by what toys to buy, check out my Product Review Page or my Sex Toy Awareness feature for some ideas. Of course your ass play may include a nice stiff cock, but it doesn’t have to.

Name: Michael
Gender: Male
Age: 23
Location: Minneapolis
I’m a 23-year-old bisexual paraplegic. Hey ya have to be available for whatever comes your way when you’re in a chair, right? I got this way in a really stupid alcohol related diving accident three years ago. So ok, I fucked up.
I was just getting my groove on sexually before the accident, nothing serious, fooled around with my cousin Jack and got a severe case of blue balls with this chick, Amber, I used to date. Anyhow, I’m finding it hard to connect with guys or girls for a bit of fun so I thought I’d write you and ask for advice. By the way, the equipment still works, sort of.
I think most people think disabled people can’t have or don’t want sex. I would like to have a relationship with someone who doesn’t pity me, but is hot for me. I have this really developed upper body, like a gymnast, and people tell me I have a handsome face. That should be enough to get me laid, right? Is there such a thing as a wheelchair fetish?

You’re a fuckin’ treasure, darlin’! I mean it. If you come across as upbeat self-effacing, humorous and sexy in person as you do in this message you shouldn’t have any problems getting laid. Ahhh, but of course, writing for online sex advice from a total stranger is probably a whole lot easier than wheeling up to another hot dude or sizzlin’ chick and suggesting a torrid session of the old slap and tickle, huh?

Yet despite the inherent discomfort and difficulty of being that upfront, that’s preciselywheelchair8.jpg what’s gonna get you laid. It’s all in the presentation Michael. Self-confidence and charm trumps disability every time. Unfortunately, many people think that “paralyzed from the waist down” means “there’s nothin’ goin on down there.” It’s your job to change their perception about that. Now, I’m not suggesting you be a dick about this. Just be your own sweet self and put it out there as natural as can be. You’re entitled to some good lovin’, just like the rest of us. And just like the rest of us, you’re gonna have to learn how to ask for what you want.

While I completely understand you’re not looking for a mercy fuck from someone who will take you out of pity. There may be a number of potential partners out there who’d jump your bones as a novelty…at least at first. I certainly wouldn’t turn my nose up at these folks if I were you. Because a novelty fuck is a teachable moment when you can show the benighted dude or chick what you can do.

paraplegic1.jpgIf you see yourself as a sexual being and put out a sex-positive vibe, I am confident that you will connect with folks. Make eye contact and smile. If you’re leering at her tits or focused on his package, you’re objectifying a potential partner. You don’t want that to happen to you, so don’t do it to anyone else. Consider coming up with a few choice lines that’ll call attention to all the sexual things you can do. Like, “The old legs don’t work so good, but there’s nothing wrong with my mouth and tongue.” Get the picture?

As for wheelchair fetishists, they’re out there honey. Just like the amputee/devotee fetishists I’ve talked/written about. There are even paraplegic porn stars. Just think, this could be the beginning of a whole new career move for you.

Do an internet search using the key words wheelchair fetish. I did and found a couple of really amazing sites: www.gimpsgonewild.com and www.paracathy.com. Check ‘em out.

Just remember, each of us has one kind of disability or another, yours just happens to be really obvious.

Name: Maggie
Gender: female
Age: 36
Location: Reno
I’m faced with a real problem. I consider myself pretty open minded about most things, including sex. Hell, I live and work in Reno, for god sake. I’ve encountered my share of kinksters in my day, but mostly at a distance. Now the kink is right on my doorstep, or should I say right in my bed. My muscular, well-built boyfriend, a guy who does erotic dancing for a living, wants to wear diapers in our sex play. WTF? I never saw this coming. I thought this guy was a normal as they came till last week when he showed up at my place wearing diapers under his workout pants and he wanted me to baby him. I pretty much lost it. Help me understand what’s going on here.

What we have here, darling, is a fella with a diaper fetish, but you’ve already figured that much out on your own, right? This particular fetish is associated with a paraphilia called infantilism. It seems to be growing in popularity, or at least it’s way more out of the closet these days than ever before. The internet offers several sites that cater to Adult Babies and Diaper Lovers. (The shorthand being: AB/DLs) They feature adult sized baby things — diapers, clothes and baby toys, you name it.

Why would anyone, least of all your hunky stripper boyfriend, be into this? Well, there’sadult_baby004.jpg lots of speculation about that — ranging from traumatic early life experiences to the simple desire to be babied. So I guess you’ll just have to ask him what’s up with him, because the source of his urges may be very particular to him.

I want to quickly point out that none of this actually involves real babies or children. And while infantilism and diaper fetishes are pretty benign as far as fetishes go; I certainly can see how the eroticism in a relationship can go right out the window when such a thing is introduced by surprise. I mean, if you are all hot for this dude because he’s hunky and masculine and stuff, and he surprises you with diapers and wants you to mother him; that could easily put the kibosh on the whole sex thing right away.

So I gotta ask, are you into this guy enough to try and understand and perhaps even indulge his particular kink? Or is this just too much, even for an open-minded gal like you, to bear? If you want to go the route of trying to understand, I do have some thoughts.

If you can abide a little diaper play with the BF, I think he’d be eternally grateful. I’m sure it wasn’t easy for him to come out to you like he did. I do encourage, however, that you to set some boundaries. Let him know, in no uncertain terms, what you will and will not tolerate. Then stick to your guns. You might want to suggest a trade off; you’ll indulge him his diapers and whatnot just as long as his freak doesn’t cross over into your intimate sex life together.

Name: Edmond
Gender: male
Age: 30
Location: Sidney
I want to try jelqing. What do you know about it? Does it really work?

Jelqing refers to various repetitive massage techniques that claim to increase the size — both in length and girth of a guys cock. The origin of the word is unclear; some say it’s a corruption of “jerk-off”. I doubt that, but whatever!

The folks promoting these exercises refer to them as “natural” because they don’t involve any of the myriad stretching and pumping devices that are available. The claim is that all you need to “grow” your johnson is your two hands, some lubricant and a whole lot of free time every single day.

i_love_my_penis.jpgLike all the other products and devices designed to appeal to all the guys who suffer from big-penis envy, jelqing has spawned a substantial internet industry. There are endless tutorials, guides and programs…at a substantial cost, designed to assist men in implementing these very simple exercises.

There are jelqing online communities, message boards and forums for devotees to update each other on the gains they are making in size. They also share their own custom-developed exercises. No doubt because this is a do-it-yourself sort of deal, jelqing has become the most popular penis enlargement method in America.

There’s a basic jelqing daily workout that lasts from 30-60 minutes. The exercises start with a warm bath or a hot compress applied to the cock to increases blood flow. This gets your schlong ready for the exercises that follow. You can only jelq when your dick semi-erect, don’t ‘cha know. It won’t work if you got a full-on stiffy.

Apply lubricant to your dick. Then firmly grip and completely encircle the base of your cock, ensuring that blood flowing into your dick doesn’t escape, ya know, kinda like using your hand as a cockring. Then you milk your member moving your hand towards your dickhead forcing the blood toward the end of the cock. This is supposed to expand things and make you “grow” a bigger one. The average workout usually consists of around 100-200 of these movements. Doesn’t that sound like fun?

The proponents of jelqing insist this is not jack off session, although one can see how it can easily become one. If these exercises stimulate you to the point where you shoot your wad, that’s pretty much the end that exercise period. Also, if you’re jelqing too much or too hard you could hurt yourself and be in bigger trouble than havin’ mini meat. The claim is that after several months of this, you should see a size increase, both in girth or length. I seriously doubt that, since what you gain in length you pay for is loss of girth.

I am told that effective jelqing demands an hour or more each day for at least a year for exercises to be effective. I mean, who has that kind of free time on his hands? No wonder most men fail to complete their jelqing programs.

So I suppose if having a bigger cock is worth the time necessary to “grow” one with this kind of program, knock yourself out. It seems an utter waste of time to me.

Good luck ya’ll

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A beginner’s guide to foot fetish foot fetish

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Some foot play ideas you can both enjoy

Does your man love your feet?

By

If you’re a women who has ever worn sandals, heels or any type of shoe which exposes your toes, there’s every chance you would have been eyed up. Just not where you were expecting.

Many people can be squeamish about a foot fetish, and I’m not sure why. Is it yet another part of our body we’re supposed to be ashamed of? Personally I like my feet, they get me to all sorts of places.

Other people have sensitive feet, and don’t like them being touched. That’s fine, they can still be admired in a myriad of ways.

The basic fact of the matter is that foot fetishes are incredibly common. It’s one of the basic moves in Domination – when someone is made to do something so degrading and disgusting as licking your feet then that’s when they feel at their most submissive.

If you suspect that your partner has a foot fetish, then I have a few tips to get you started. One quick caveat – yes, there are female foot fetishists out there, but for ease I’m coming very much from the angle of a straight woman playing with a man.

(If you’re still not too sure about trying any of these then just look on the bright side – chances are you’ve already been a participant!)

Foot Massage

Domination isn’t about whips and chains. It’s about one partner pleasing the other, so a daily foot massage on the couch could definitely become part of your routine – isn’t that great!?

And if you’re worried about cracked heels or funky nails, make that part of it. Get him to buy the cream, pedicure set… and if he’s a good boy he might even be allowed to paint your toenails.

Don’t get self conscious about your feet – make it his job to perfect them.

Shoes

In this case one size does not fit all. Some people are into sandals, some into heels, others into stilettos, some people just love feet in the nip.

Find out what your partner likes, but also experiment for yourself – what do you enjoy wearing? What makes you feel powerful and sexy?

You don’t even have to be able to walk in them. I have a giant pair of stilettos that I love, but can only wear sitting down – which definitely doesn’t stop the fun!

My only recommendation is you need something that’s patent.

To put it bluntly, make sure they’re ‘wipe clean’.

Toe tease

I would start a typical Domination session by getting the sub to lick my shoes. I’d make him go over the shoe with his tongue before finally sucking the heel in a tease before taking my shoes off and allowing him to lick my feet proper.

But there’s more that you can do if he’s really into your sexy soles.

Make him lie on his back, and suck off each of your toes one by one. Tell him you want his tongue to go around each toe, in and out the of gabs between and finally push as many as you can into his mouth to see how much he can take.

Run your toes down his body (Don’t be afraid to sit down. Better than toppling over into the wardrobe, as I’ve learnt from bitter experience), dig your toes into his nipples even. But keep coming back to making him lick and kiss your delicate tootsies.

Foot job

It’s a real thing. Place the penis between the arches of your feet and… have at it. This doesn’t work for everyone as your feet are obviously not as dexterous as your hands, but a lot of foot lovers will dig it.

There’s many ways you can try – I think it’s just having a peen on a foot that’s the excitement, so go with whatever you find comfortable.
(I always added an extra element by saying that if they happened to get my feet ‘messy’, they’d have to lick it up afterwards. But maybe that’s more for the intermediate lesson.)

Toeing

Bend him over and wear him like a sock.

How many toes you can fit in is up to you and your lubricant.

I’m also lead to believe that ‘Toeing’ is the female equivalent of a foot job – i.e rubbing your toes against her clitoris.

Admittedly, that escalated quickly.

But don’t worry, it’s rarely reciprocal. Just because they want to play with your paws does not mean you’re obliged to start messing around with their hooves. Not at all!

Some of these choices might seem a bit extreme – that’s where communication comes in. Just because your partner likes your feet it doesn’t mean they have en extreme foot fetish. It could just mean they like them as a cute, curvy extension of you

Some men, however, will have spent that whole tube journey imagining your feet in their mouth. So always best to check where on the scale your own little foot-lover lies.

At the end of the day, liking feet is not weird or unusual. It can actually be quite hot. It’s intimate, sensual, and is one of the rare breeds of fetishes where there doesn’t have to be any fussy equipment or positions.

Instead, you can both enjoy a foot massage on the sofa whilst watching Netflix. Easy.

Complete Article HERE!

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Sex education needs to pay more attention to masturbation

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Having a wank is bloody brilliant.

It’s the only form of sex that’s 100% safe from risks of STDs. It’s a vital part of learning what you like. It’s a way to enjoy sexual pleasure without the need for a partner or a random hookup buddy.

It’s safe, great, and healthy, basically.

So why is masturbation so rarely mentioned as part of sex education?

If your experience of sex education was anything like mine, masturbation wasn’t mentioned once.

The focus was likely on the reproductive side of things, teaching you about how eggs are fertilised and babies are made.

But your sex education classes also likely had lessons around STIs. You remember – the classes in which they told you to always, always use a condom and showed you a bunch of scary pictures of genital warts.

t’s strange that in these lessons, we were only presented with two options: use contraception or don’t have sex.

Why wasn’t masturbation offered as an alternative – a way to try out sex without any risks?

A lot of it boils down to the complete exclusion of sexual pleasure from sex ed.

The majority of our sex ed lessons like to pretend that sex is had purely for the purposes of reproduction, skimming over things like the female orgasm (because unlike male orgasm, it’s not essential for conception), the existence of the clitoris, and sexuality.

Ignoring pleasure and, as a result, masturbation (a sexual thing for only the purpose of pleasure) can be damaging.

It encourages the idea that sex isn’t about enjoyment, and that painful, unpleasant sex is perfectly okay. Because feeling sexual isn’t mentioned, there’s no suggestion of only having sex when you’re really into it.

Ignoring masturbation, and our desire to masturbate, allows all kinds of unhealthy stereotypes to be upheld.

Girls are allowed to think that wanting sex is weird, or gross, or makes them a slut. By refusing to mention masturbation, we uphold the idea that it’s something to be silent about, to be ashamed of.

Refusing to talk about it means there’s no opportunity for teachers to break down myths, like masturbating making you blind (it doesn’t), or masturbating being morally wrong (it isn’t).

A lack of masturbation mentions also means there’s no opportunity for educators to make sure people are masturbating safely – with the right tools, with clean hands, and with consideration for your delicate bits.

By the time they reach sex education classes, many young people are already masturbating.

But they likely aren’t talking about it, feel ashamed of doing it, or aren’t sure how to do it.

Those who are already having solo sex sessions could do with reassurance that what they’re doing isn’t shameful or unhealthy.

Those who aren’t need to be taught that masturbation is a near-essential part of having a satisfying, healthy sexual relationship – one in which you’re aware of what you like and can guide your partner to get you off.

Being unaware of what pleasure feels like, and your ability to give yourself pleasure, is dangerous. It allows young people to put up with painful, uncomfortable sex that they believe is to be expected, or to believe their pleasure isn’t necessary.

Young people need to be taught about masturbation because it’s the starting point of learning about sexuality and pleasure.

They need to be taught about masturbation so that they know it’s nothing to be ashamed of, nothing to make fun of, and that it doesn’t define them as ‘weird’ or ‘gross’.

They need to learn about masturbation so that they’re able to start exploring sex without needing to involve someone else – someone who may not have their best interests at heart.

If you want your kids to have safe sex, teach them about masturbation. If that feels awkward, that’s a shame, but it’s reasonable. That’s why we need schools to be mentioning masturbation at the same time as sex.

Complete Article HERE!

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Why do people visit a dominatrix?

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These men explain the appeal

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Everyone recognizes the popular image of the dominatrix standing over a cowering man, usually with a whip in her hand.

‘S&M’ has been a popular theme in art and films for a very long time, although it’s now generally referred to as BDSM (a surprisingly recent term which covers a whole heap of different kinky activities).

The development of the internet has made it easier than ever to find people willing to indulge your kinks and the pro-domme business is more popular than ever. But what makes men want to pay for the privilege of being hurt and humiliated?

I spoke to two men who use professional domme services and asked them – why?

Jason

‘I had fantasies around pain and punishment from a very young age. When I was about eight I was left in a car by my parents while they went to a dinner.

‘Unable to sleep I came across the hard case my father kept his glasses in and smacked myself with it. I guess it developed from there.

‘In my teens I bought a riding crop and had to create a complex lie to explain its presence in the house when it was found. Ours, by the way, was a loving, completely abuse-free family with almost no corporal punishment.

‘My first marriage was completely vanilla. When we separated I finally went to see a Domme I found in the back pages of a London newspaper.

‘She tied me to a chair and beat me so hard the bruises lasted a fortnight. At first I was too shocked and horrified to enjoy it but by the end I was surfing a huge wave of pain and endorphins and I floated out of her apartment.

‘I’m more masochistic than submissive, so it’s about pain more than humiliation. It’s hard to explain.

‘It’s the intimate interaction with the Domme, the sense of giving up all control to her, it’s the extreme sensations she causes and the beautiful clarity of focus that comes from the need to master them.

‘It’s the floaty subspace that pain can take you to, it’s the sense of having been challenged and survived. It’s all those things and more.

‘[If you want to visit a domme] think carefully about what you want to explore and read a lot of Dommes’ websites first.

‘Make it clear you are inexperienced and ask for an introductory session where you can try different aspects of BDSM at a mild level.

‘Be patient though – like any sex workers, Dommes unfortunately have to filter out a lot of timewasters and abusive people for each genuine new client.’

Stefan

‘A girl I played with at primary school would spank me if I misbehaved in the games we were playing – I think I was supposed to be a very disobedient puppy.

‘I then went to a boys’ school so met very few girls until sixth form college. We played a card game called ‘rappsies’ – if you lost you would have your knuckles hit with the pack of cards. I did my best to always lose to the girls.

‘I was a late starter outside my fantasy life. I studied hard and went to university before losing my virginity.

‘I’ve been with the same woman all my adult life – she shared my fantasies for a long time but then her interest in sex gradually waned away to nothing.

‘I could find fellow kinky people on the internet but I wasn’t looking for a relationship outside my marriage.

‘My wife is my wife and I love her but she no longer seems to have the need to have a sexual relationship, whereas I still enjoy sex – or at least my version of sex.

‘There can be pain but it is always balanced with pleasure – have you ever had a sore tooth that you bite on every now and again just to see?

‘The dommes I visit are all incredibly attractive and I have the need to please them. They all seem to genuinely enjoy what they do and ensure I get the experience I desire.

‘Strangely I don’t see being pissed on or spat on as being humiliated, I find it incredibly personal and intimate. It’s all down to the scenario.

‘I feel honoured – I’m getting exactly what I asked for. I would say I enjoy sensual domination and wouldn’t visit a domme who I thought didn’t care for me.

‘The mistresses I see (and their partners) are all regularly tested for STI’s so I feel that I’m not really putting myself at that much of a risk – and I get tested regularly too.

‘I don’t think [fetishes] have a psychological trigger. Probably I have a need to be liked and accepted by a woman, but what heterosexual man doesn’t? In my work life I’m generally the one in charge, on call 24hrs a day.

‘I have taken part in cuckold sessions where the mistress has sex with another man while I am ‘forced’ to watch, then to have to clean up the mess. Again I actually enjoy watching the mistress enjoying herself (I knew it was something she was looking forward to!).

‘It’s role play and I enjoy my role. Life is all about experiences – why leave this world knowing you have missed out on some that were within your grasp?’

What’s it like to be one of the women providing these services? I spoke to professional domme Ms Slide, who gave me the lowdown on dominating men for a living.

Have you always been interested in kink?

‘Dominatrix work has always been an integral part of who I am. Everyone has their own individual kinks and fetishes and I’m no different.

‘Practices perceived as unconventional are too often stigmatised. There is no such thing as ‘normal’ when it comes to consenting adult sexuality.’

How did you end up being a domme?

‘Kink was something that always fascinated me and I crossed over into the fetish scene from goth and cosplay.

‘Friends of friends began to contact me privately for sessions before I ever advertised as a pro-domme.

‘My career started almost by accident, but it’s something I love and will continue to do for as long as I’m able.

‘I am also a writer and illustrator and am now privileged enough to be able to take months out from pro-domming if I have a big project on the go, but I don’t ever see myself stopping entirely. It’s who I am.’

Where does the law stand re domme work?

‘UK law is tricky about what does or doesn’t constitute sex work.

‘Sex workers are all equally stigmatised (and put in danger) because of the legislation around how many of us can work together in one place without it being classed as a ‘brothel’.

‘The proposed criminalisation of all clients – the ‘Nordic Model‘ – would push our work underground, making the most vulnerable of us take greater risks for less money and undermining our safety.

‘Solidarity is important. Whatever our circumstances – whatever kind of sex work we do and whatever reason we have for doing it – we deserve the same rights and safety as workers in any other industry.

‘The law should protect us, not harm us – this can only be achieved through full decriminalisation, destigmatisation and unionisation.’

Is there a typical client?

‘No! The stereotypes you see on television of rich old bankers are largely inaccurate (unless that’s the demographic you specifically choose to market to – some dommes specialise).

‘Most of my clients have been men, but not all. I choose clients depending on how compatible we are.

‘If they have the wrong attitude, or have interests outside of what I enjoy, they don’t get to meet me.’

Do your friends and family know about your work?

‘I’m largely ‘out’ to friends and family, which is a privilege that many don’t have.

‘I have had problems in the past due to people’s misconceptions about kink and sex work which just makes me more determined to challenge the media misrepresentations of who we are and what we do. We are real people, not stereotypes.’

Complete Article HERE!

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How to Have a Sex Life on Antidepressants

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When quitting isn’t an option, is it possible to overcome the sexual side effects that come with an SSRI?

By Shannon Holcroft

So, you’ve finally filled the antidepressant prescription that’s been acting as a bookmark for the most recent novel you’re feigning interest in. Somewhere between missing your own birthday party and watching everyone else have fun without you, you gave in. After a few medicated weeks, things are starting to look up. Except for your sex life, that is.

Just last week, you were tied to a kitchen chair enjoying an amazing (albeit rather mournful) few minutes of escape through sex. Today, getting naked seems less appealing than all the other pressing tasks you have new-found energy to complete.

“Is it the meds, or is it just me?” you wonder as you deep-clean the fridge with new vigour. After some soul-searching, it becomes clear that you’re still the same person—just with fewer festering foodstuffs and a lot less crying.

“It must be a side effect,” you decide. But months after filling your prescription, your genitals are still giving you the physiological equivalent of 8d2cc2c1a43108301b149f7f33e1664d.png

Why Antidepressants May Be a Downer for Your Sex Life

“[Sexual dysfunction] is a difficult, frustrating, and very common issue with this class of medications,” says Jean Kim, M.D., clinical assistant professor of psychiatry at George Washington University.

Twelve percent of American adults reported filling an antidepressant prescription in the most recent Medical Expenditure Panel Survey. Not just for clinical depression, but for all kinds of off-label conditions like chronic pain and insomnia.

Selective serotonin reuptake inhibitors (SSRIs) are the most commonly prescribed antidepressant class. And between 30 percent and 50 percent of individuals taking SSRIs experience sexual dysfunction. Desire, arousal and orgasm may be affected by changes in function of neurotransmitters like serotonin and dopamine; the very mechanisms through which SSRIs treat depression.

How to Work Around the Side Effects

When fighting to survive a potentially fatal mental illness, there are often more important concerns than getting it on. It’s frequently not an option to stop taking life-saving medication to avoid side effects. So what’s a sexual being to do?

Despite SSRIs being pretty pedestrian, there’s no concrete answer to addressing sexual side effects. “Unfortunately, not much is reliably effective to deal with this [sexual dysfunction],” Dr. Kim notes.

This may sound pretty gloomy, but there are plenty of things you can try to bring sexy times back around. “Don’t hesitate to bring up the issue with your prescribing clinician, as there might be some helpful interventions available,” says Dr. Kim.

Here are other ways to work around the sexual side effects of antidepressants:

1. Time It Right

“Some literature advises trying to have sexual activity when the serum level of a daily antidepressant might be lowest in the bloodstream,” says Dr. Kim. In other words, the ideal time to get it on is right before you take your next daily dose.

If your dosing schedule makes it tough to pencil in sexual activities, chat with your clinician about changing the time of day you take your meds. In many cases, there’s room for flexibility.

“This would not work much with some SSRIs that have a longer half-life like fluoxetine (Prozac),” Dr. Kim adds. Those taking antidepressants that exit the body quickly, like Paxil and Zoloft, could be in luck.

2. Switch It Up

Switching to a different medication, with the support of your prescribing clinician, may make all the difference. Certain antidepressants have a greater incidence of sexual side effects than others. Commonly prescribed SSRIs associated with a high frequency of sexual dysfunction include paroxetine (Paxil), sertraline (Zoloft) and fluoxetine (Prozac).

Besides exploring the SSRI class, venturing into atypical antidepressant territory is another option. Buproprion (Wellbutrin) is an atypical antidepressant observed to present the lowest sexual side-effect profile of all antidepressants.

It may take some trial and error, mixing and matching to identify what works best for you, but it will all be worth it when you can [insert favorite sex act here] to your heart’s content again.

3. Augment

Some treatment add-ons may act as antidotes to SSRI-induced sexual dysfunction. “Supplementing with other medications that have serotonin blocking effects (like cyproheptadine [Peritol] or buspirone [Buspar]) or enhance other neurotransmitters like dopamine (like Wellbutrin) might help,” says Dr. Kim. She is quick to note that these findings are yet be confirmed by “larger-scale randomized controlled clinical trials.”

“Another common strategy is to prescribe erectile dysfunction drugs like sildenafil (Viagra) and the like for as-needed use before activity,” says Dr. Kim. Viagra has been found to reduce sexual side effects, even if you’re not in possession of a penis. In Dr. Kim’s clinical experience, “[Viagra] seems to help in more than a few cases.” Discuss with your doctor before adding any more medications to the mix.

4. Exercise

Now’s the time to take up aquacycling, indoor surfing sans water or whatever fitness fad tickles your fancy. Keeping active could be the key to preventing sexual dysfunction caused by SSRIs.

“Sometimes sexual dysfunction is not just a primary SSRI drug side effect but part of underlying depression/anxiety as well,” Dr. Kim explains. “Anything that helps enhance overall blood circulation, mood and libido might be helpful, such as exercise.”

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