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Time for a Sexual Revolution In Health Care Treatment

Why is care for sexual health issues considered a luxury when it’s a necessary part of population health?

By Zachary Hafner

When Americans seek care for most common health conditions, there is rarely much question about coverage. Every day, consumers—including those on Medicaid and Medicare—seek care for sore joints, depression, and even acne without worrying about whether or not their insurance will cover their doctor visits and medications. For the most part, coverage for sexual health issues is less straightforward—but why? Is it because sexual health issues are not considered legitimate illnesses? Because the costs are significant? Or is it because raising the topic of sexual health can offend certain personal and organizational values? Whatever the reason, it is time for a change.

It’s hard to deny the human and economic burden of sexually transmitted infections (STIs) on this country. The CDC estimates that 110 million Americans are infected with an STI, resulting in direct medical costs of $16 billion annually. The most common and fastest growing STI in this country is human papillomavirus (HPV), and it is estimated that half of sexually active men and women will get HPV at some point in their lives. In 2006, a vaccine for HPV was introduced and now there are several. CDC guidelines recommend administering a multi-dose series, costing about $250–450, to all boys and girls at age 11 or 12. (Some states require the vaccine for school admission.) It was included in mandatory coverage under the ACA. Since the HPV vaccine was first recommended in 2006 there has been a 64% reduction in vaccine-type HPV infections among teen girls in the United States.

It seems clear that this kind of care for sexual health is necessary for public health and is also part of caring for the whole individual, a central tenet of population health. But what about sexual health care that doesn’t involve infectious disease? Is it still a population health issue if there’s no communicable disease involved?

Let’s take erectile dysfunction (ED) for example. It is nearly as common in men over 40 as HPV is in the general population—more than half of men over 40 experience some level of ED, and more than 23 million American men have been prescribed Viagra. With a significant portion of the population suffering from ED, is it important for payers and providers to consider ED treatment to be essential health care and to cover it accordingly? Medications like Viagra and Cialis are an expensive burden at upwards of $50 per pill. Medicare D does not cover any drugs for ED, but some private insurers do when the medications are deemed medically necessary by a doctor. A handful of states require them to do so, but they are typically listed as Tier 3 medications—nonessential and with the highest co-pays.

Almost 7 million American women have used infertility services. Coverage for infertility diagnosis and treatment is not mandated by the ACA, though 15 states require commercial payers to provide various levels of coverage. The cost of infertility treatments is highly variable depending on the methods used but in vitro fertilization treatments, as one measure, average upward of $12,000 per attempt.

Are treatments for ED and infertility elective or necessary? In an age of consumerism and heightened attention to the whole patient across a broader continuum of care, organizations that support the availability of a broad set of sexual health services to a diverse group of consumers will have a big competitive advantage, but they may face challenges balancing the costs. Health care has advanced in both technical and philosophical ways that allow people to manage their diseases, cure their problems, and overcome limitations. It has also shone light on the significant advantages to considering a diagnosis in the context of the whole individual—their social and emotional health as well as coexisting conditions. Studies have shown, for example, that infertility, ED, and STIs all have a significant relationship with depression and anxiety.

It’s time sexual health was folded in to the broader definition of wellness instead of marginalized as a separate issue. For too many Americans, it’s too big an issue not to address.

Complete Article HERE!

Study finds unequal distribution of power in young adult relationships more harmful to women

“Inequality within a relationship doesn’t cost men as much,” researcher says

 

By Bert Gambini

Power imbalances in heterosexual relationships are common, but having less power takes a greater toll on young women than young men, according to a recently published University at Buffalo study.

The results, appearing in The Journal of Sex Research, suggest “a healthy skepticism when it comes to what looks like gender equality,” says Laina Bay-Cheng, an associate professor in the UB School of Social Work and an expert in young women’s sexuality. “This research refutes the claim that gender equality has been reached and we don’t have to worry about misogyny anymore.”

Bay-Cheng says the dynamics underneath relationships require scrutiny and the often-heard claim that girls and women have reached and in some ways surpassed equality with men unravels quickly when examined in detail.

“We have to look closely at relationships and experiences and stop taking surface indicators as proof of gender equality,” says Bay-Cheng. “When men are subordinate in a relationship, it doesn’t bother them very much. They don’t see those relationships as less intimate or stable than relationships in which they are dominant. But for young women, having less power in a relationship is associated with diminished intimacy and stability and comes with greater risk of abuse.

“Inequality within a relationship doesn’t cost men as much because they are still cushioned by a broader system of male privilege.”

Relationships that develop during emerging adulthood are foundational events. It’s from these early experiences that people learn how to be in a relationship and depending on the nature and quality of the experiences, the effects – both positive and negative – can echo throughout life.

“It’s so important that we understand that it’s not that sex and relationships are at the root of risk or vulnerability. Instead, some young women, because of intersecting forms of oppression – especially misogyny, racism and economic injustice – enter relationships and are already at a disadvantage,” says Bay-Cheng. “For young women, relationships are where all different forms of vulnerability and injustice converge.”

Bay-Cheng developed a novel research method for this study that considered both the objectives of researchers and participants’ experience, which, she says, is as important as the findings.

For this study, Bay-Cheng used a digital, online calendar that participants fill out using all of their sexual experiences from their adolescence and early adulthood. The open-ended digital calendar can be filled out over a month and participants can enter anything they want, not just text, but audio files, images or even emoji.

The result is a more meaningful measure for researchers and participants.

“On the research side we get varied and diverse data,” says Bay-Cheng. “For participants, rather than circling a number on a scale on some survey, they get to express themselves how they want, at their own pace, and then look at their calendars and get different perspective on their sexual histories and how these relate to other parts of their lives. Participants have told us how meaningful that chance to reflect can be. It’s important for researchers to care as much about the quality of participants’ experiences in our studies as the quality of our data.”

Complete Article HERE!

Do Nice Guys Have More Sex?

Surprising Attributes Lead to Luck in Bed

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When it comes to sex, we are quite the shallow bunch: Something as simple as the smell of your sweat, the dilation of your pupils or the proportion of your waistline can make all the difference.

Yet science also shows that personality traits matter at least some of the time, both in the long-term partners we choose and our shorter-term, umm, relationships.

So say you want to have more sex — hypothetically, of course. Should you offer flowers or act aloof?

The answer is complicated. Here’s just some of what science has figured out about the mating game and personality. The findings are as diverse — and as seemingly contradictory — as we humans.

Nice Men (and Women) Can Seal the Deal

Recent research published in the British Journal of Psychology showed that altruism may put you in the best position (ahem) to find a willing partner. The results of two trials conducted by Canadian researchers showed that men and women who scored higher on altruism also said they were more desirable to the opposite sex.

Men who scored higher on altruism also reported more sexual partners, and more casual hook-ups compared to female participants. If altruistic participants were in long-term relationships, those altruistic men and women said they had more sex over the last 30 days.

Researchers didn’t just take their word for it. Watch the video above for more.

Honesty Is Sexy

Let’s be real. Humans are drawn to other humans they find physically attractive. But there may be more going on than simple hotness, according to a study published in the journal Personality and Individual Differences.

Researchers from China divided 120 study participants into into three groups. Before the experiment began, all of these participants, 60 men and 60 women, were asked to rate 60 random Google photographs of Chinese women. The faces were unfamiliar to the study participants, and all the women in the photos had neutral expressions.

Two weeks later, the study participants were asked to look at the photos again. But this time, one group of participants was given the same photos with descriptions of positive personality traits such as decent and honest. Another group was given the photos that now contained negative personality traits including evil and mean. A third group was given no information about personality.

The researchers found no difference among the groups during the first cycle of the experiment. But in the second cycle, those photos that contained positive descriptions of personality traits scored high on attractiveness. Those with negative descriptors scored lowest.

The researchers say “what is good is beautiful,” and this so-called “halo effect” shows that desirable personality traits are reflected in facial preference.

But We Like The Dark Side, Too

Men (and women) may say they like nice humans, but sometimes what we do tells a different story. When it comes to mating, both sexes seem to be drawn to (cue the theme from Jaws) “The Dark Triad.” That psych-speak for the personality traits of Machiavellianism, narcissism and psychopathy.

We know it’s true: Mean girls and bad boys can be pretty popular, at least for a while. It seems the Dark Triad may boost short-term mating prospects for men, and, importantly, women too, despite being “fundamentally callous, exploitative traits that deviate from species-typical cooperation,” explains Dr. Gregory Louis Carter, a lecturer in Psychology at York St John University.

Narcissism, for example, is related to good physical and mental health and longer life while Machiavellianism is linked to social flexibility. Psychopathy results in impulsivity and sensation-seeking, which can be extremely seductive, he says.

So men and women who score high on the Dark Triad scale may appeal to because they are confident, persistent, have a higher-ranking status and look pretty darn good.

The ‘Big Five’ Traits That Mean More Action

If you want to learn about your personality traits, most psychologists suggest looking at the “Big Five.” That’s a group of descriptors that include openness, conscientiousness, extraversion, agreeableness, and neuroticism. Taken together those Big Five can influence our health as well as our sex lives.

In a study of newlyweds, researchers from Florida State University shed some light on how a couples’ personalities influenced how often newlyweds had sex. Although the study did not look at non-married individuals, there is a good chance the results would hold true, says co-author Dr. Andrea Meltzer, Assistant Professor of Psychology at Florida State University.

The study included data on 278 newlywed heterosexual couples, all of whom were married less than six months. They kept a two-week journal detailing their life and how often they had sex. The couples also took a Big Five test to figure out their individual personalities.

Here’s what they found. There was absolutely zero link between the man’s personality traits and how often the couple had sex. But higher levels of the traits of agreeableness and openness among wives led to more frequent sex.

“Openness refers to the willingness to explore new idea and experiences,” says Meltzer, adding these folks tend to like art and abstract ideas, often try new and different foods, and love novelty.

Agreeableness means you can get along well with others and maintain social harmony. These folks are often perceived as kind, generous, and trustworthy, she says.

No surprise that husbands and wives who scored low on neuroticism were more satisfied with their sex lives. But husbands who scored low in openness also were more satisfied with their sex lives. Maybe these guys just weren’t into novelty.

Make ‘Em Laugh

Humor always ranks near the top of seemingly any list of what men and women find attractive in each other.

Some research shows that humor gets us hot because it may reveal intelligence, a creative bent, and robust genes that equate to not only good health but also good parenting traits.

Although humor is almost universally appealing, there are sex differences. “Women want to be made to laugh more than men,” says Carter. “Men want to be able to induce laughter, though probably not in the bedroom.”

Complete Article HERE!

A Man’s Perspective of Male Sexuality Throughout Life

There’s such an unhealthy attitude towards men and sex in society.

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Through my years growing up I’ve often felt repressed sexually. As I look back and I think about my youth that would be an adequate description of the feelings that were coming to the surface. I mean I had absolutely no idea what I was feeling, only that it was uncomfortable and I didn’t like it. Society had a certain expectancy for me as a man, to act in a certain way. As a young man, I was such a conformist because anything that differed from the general view of normality I was really scared of.

Normality was good for me. Because if I was normal then I could blend into the crowd, do as everyone else was doing and just get on with my life, unseen. Yet there’s always been something about me, that I can’t put my finger on, but it has always rejected normality. And that wasn’t good, because that would separate me from the group and have me in a spotlight. I didn’t like spotlights, because then you were open to scrutiny, and if I was scrutinised then perhaps my mask would slip away and people would see me for who I really was. No-one. A has been, someone with no interest to anyone.

There was always SUCH emphasis on sex. There still is. No-one tells you to just be yourself and have fun exploring one another. My friends, probably out of their own insecurity, would tell me all the ways in which they’ve had their previous partners screaming in pulsating Orgasms. I’d read in the newspapers, and the glossy magazines.

“50 ways to please your woman in bed”

Or

“Is your man not doing it right? Here’s why …”

And let’s not forget those films that I was introduced to by some older kids, where almost every scene ended in the woman having the time of her life, screaming and writhing and bucking in ecstasy. All this pressure, to get it right first time. I always felt really out there. It seemed such a responsibility on me as a man, to get it right, first time. And when the time finally did come, I think it was over and done within milliseconds, first times are never awesome, no matter who tells you that. Or at least it wasn’t for me.

And I look back now and see the unevenness. For instance, people would ask me the naughty things I did to her in bed, and she would get asked was I good in bed? Why doesn’t anyone ask me if my time beneath the sheets with her was enjoyable? A more experienced man will tell you that because some people think a man’s ejaculation is the end result for him, and it is, to an extent, but since then I’ve experienced extremely pleasurable sex, and know the difference between them both, yet, all through my life, less than a handful of friends have asked me that question, and it’s almost always been focused on the shenanigans.

There’s such an unhealthy attitude towards men and sex in society. I had a period of celibacy for about two years, not through choice, but it was the way it turned out. That’s not to say that I didn’t have a few opportunities in between, just that I wasn’t interested in making that bond. For me, sex is personal, and after that I develop feelings. I can’t do no-strings attached. But because I was declining offers I was being viewed as homosexual, and that I wasn’t interested in women. Because all men want sex, right?

What we often forget is that men aren’t cold and brainless sex robots, we have thoughts and feelings too, and regardless of what popular culture will tell you, we’re picky and choosy about who we take to bed with us. But I don’t blame you. I blame the small minority that spoil it for the rest of us men. That small minority you see on TV that literally sleep with hundreds/thousands of women, and those men that leave women husbandless for another partner.

It gives guys like me a bad name. Because we weren’t highly sought after in High School, we were the kids left in the fields plucking forget me nots asking ourselves whether she loved us or not whilst the popular kids ran around doing what we could only dream of. We had to learn to be nice to people to get by. We had to learn to obey the hierarchy to have our social needs met, there was no escaping this, and we learned the cruel harsh reality of bitter rejection from a young age. But in my opinion this was a good thing, and gave us better life skills than a lot of the ‘cool’ kids.

And when the women become bored of tirelessly being let down by someone that thinks the world revolves around them they seek us out, but our sexual habits are often categorised neatly with our predecessors, and that just isn’t the case. Men differ wildly in the sexuality department, as do our tastes. We’re very vain, but then what we describe as a ‘beauty’ can vary insanely too, just like women and their likes for men’s personalities.

For me, I just feel that it’s a small amount of men churning the old stereotype wheel. I think most men, or at least the ones I know of, genuinely want to please and respect their partners. And it would be really nice to just be judged as a person, on my actions, on the day. Not as a ‘man’ because when you categorise people that widely, then you are doing yourself the disservice of getting to know some really awesome people on both sides of the fence.

Be awesome to each other.

Complete Article HERE!

Multiple Orgasms for Men?

Multiple Orgasms for Men? The Fascinating Technique That Might Open Up Whole New Sexual Experience

 

Women aren’t the only ones capable of a multi-orgasmic experience

By Carrie Weisman

As a society we carry a lot of entrenched ideas about sex. Perhaps one of the most deeply ingrained assumptions is that women can have multiple orgasms, and that men can’t. But is that really true?

In 1986, sex therapists William Hartman and Marilyn Fithian put together the book, Any Man Can. They describe that by withholding ejaculation, men can experience “a number of sexual peaks.”

“The multi-orgasmic men we have studied have chosen to develop that capacity (stopping ejaculation using learned techniques)… The behavior itself (interrupting orgasm via such techniques) appears to be at least four thousand years old,” they wrote,

More than a decade later, sex educator Jack Johnston came out with a training program to help men work towards this experience. Johnston told me over the phone that he’s made it his life’s work to dispel the myth that only women are capable of experiencing multiple orgasms.

“Men and women are physiologically a lot more similar than people realize. Vive la différence, of course, but in terms of the neurological capacity for experiencing the orgasmic impulses, we’re wired in quite a similar manner.”

He added, “I try to help reacquaint people with the idea that orgasm is an energetic event, and that for men, it’s not automatically linked to ejaculation. They’re two separate events. Two separate reflexes.”

In contrast to other “experts,” Johnston avoids conventional “squeeze techniques” that encourage men to stop just short of “the point of no return.” These techniques typically require that men clench pelvic floor muscles, slow their breathing and allow the urge to ejaculate to pass.

As Johnston explained, “That’s not really a whole lot of fun for anybody. You’re constantly monitoring, it’s like ‘Am I there yet? Maybe I can go a little further. Oh shucks, I went too far.’”

“My working hypothesis was that there’s got to be a better way than that. I don’t think our creator was sadistic in that way.”

Johnston’s program is known as The Key Sound Multiple Orgasm (KSMO) training. The “Key Sound” refers to a particular sound one can make while engaging in some light stimulation during solo (or partnered) practice sessions, separate from the act of intercourse. He insists the vibrations brought on by the sound can help “unlock” the key to multiple orgasms.

One satisfied client writes, “As the sensations became stronger, my vocal expressions became deeper and louder. I continued until I was so overwhelmed by this feeling I literally could not move anymore – pleasantly paralyzed by orgasm with no urge to ejaculate.”

But while most men believe penile stimulation to be the primary means by which to experience orgasm, Johnston recommends  guys bypass the penis and head for the perineum (the area between the scrotum and anus) during their solo sessions.

Johnston’s refers to the perineal area as the “the male G-spot.” Part of his training revolves around “helping men locate that area of their body, and then, as part of the ‘Multiple Orgasm Trigger,’ practice to gently massage [the perineal] area just enough to get a little tingle, or a little rush.” Johnston calls these sensations “Echo Effects.”

“How does one increase arousal to orgasmic intensity without using lots and lots of stimulation? For men in particular, more and more stimulation tends to trigger the ejaculation reflex. So the idea is, in a sense, how do you learn to sneak up on the orgasm?”

“Very often, orgasm is centered right in the genital area, whereas the method that I teach tends to occur throughout ones body. One experiences arousal throughout one’s body. Neurologically, it’s all connected throughout the body, so the idea is to become aware of that. To become aware that when someone becomes aroused it’s not just in the genital area, those waves of energy start flowing throughout one’s entire body.”

On the official forum, one of Johnston’s clients reports, “As I am doing my sessions, I am really getting new sensations each time. Presently, I am feeling my prostate pumping (for lack of a better word) and this is causing me to get a slight erection. When my prostate pumps, it is sending pre-cum and I am beginning to leak a little. I have to stay relaxed because I feel that I could cross over and ejaculate. This pumping of my prostate are mini orgasms (I assume) and they feel great. My entire body is hot, shaking, and feeling really amazing. I can do this for about an hour and maybe a little longer.”

Another writes, “Tonight, after doing my 20 minutes and then sort of absent mindedly continuing, I do believe I had my first full body, non-ejaculatory orgasm. It just sort of came on as I was massaging the base of my penis, from out of nowhere–NOT like it came from within my body. It felt like a heat throughout my body, and a sort of giddiness, almost like the light, first rush of MDMA (er…or so I’ve read…).

“And the crazy thing was, instead of feeling like the orgasm was in me, it felt like I was in the orgasm–like it was surrounding and suffusing my whole body like a field of energy. Pretty wild.”

Johnston recommends that his clients practice the technique for 20 minutes every other day. He notes that ejaculation should be avoided on days devoted to practice.

He explained that in contrast to the “traditional” male ejaculatory orgasm, multiple orgasms typically arrive in “waves.” And since they aren’t linked to ejaculation, one’s energy doesn’t dissipate as it does when one ejaculates. He added that after having mastered the technique, most men come to prefer these kind of orgasms.

He continued, “It lasts so much longer. The after glow lasts so much longer too. It’s the kind of energy that can infuse your whole being.” He also notes that, after having completed the training, many men report experiencing more intense ejaculatory orgasms as well.

But mastering the physical technique is only half the battle. As Johnston explained, a good part of his training revolves around teaching men to expand their understanding of sexual pleasure, and open themselves up to the different means by which it can be attained.

He tells me, “There are a lot of people who think that it’s important for intellectual integrity to be really, really skeptical. I think it’s appropriate to have some skepticism, but it’s also really essential not to just be attached to being a skeptic. In the face of evidence to the contrary, one needs to have the intellectual integrity to consider it.”

“Once we learn the facts about our physiology, and what’s really possible. That’s a whole new world.”

Some people have years of sexual experience under their belt. Some don’t. But no matter where you land on the path of sexual self-exploration, it’s never too late to rewrite certain standards, and never too soon to start experimenting with different points of pleasure, no matter how obscure they may seem.

Complete Article HERE!