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The Effects of Rape & Sexual Abuse on the Male

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By Male Survivors Trust

Slowly but surely, the common myth held that sexual abuse/rape happens to women only is fading, but when a man is sexually assaulted or raped, and grows up believing that myth, he feels even more isolated and alone. This page tackles some of the issues that are rarely talked about, yet have a huge impact on almost all male survivors, and if left unsaid and sorted out, can stop them from recovering fully, leaving a residue of bad feelings and fears behind. Some of the things that can trigger you off and leave you feeling as if you’re back at the point of being abused are as follows.

bryan_tony_boxThe smell of others, especially aftershave or other body smells, can cause you to flashback and trigger bad memories Many male survivors state that when having sex with a partner, that they feel dirty, and unclean once they have reached ejaculation, and this is connected to the sight, feel and sensation of seeing their semen, which reminds them of being abused, and that alone can ruin any sexual relationships they may have.

You may also feel wrong, bad and dirty, so will need to bathe often, usually after having sex with partners, and if masturbating, will only do so as a function, not for pleasure, because the sensation and good feelings have been taken away and you’re left feeling dirty and ‘wrong’ again. There’s also the fact that you can get obsessed with masturbation , not just once a day, but several times a day, which can increase when you feel stressed, lonely, screwed up, etc.

Many male survivors hide behind the fact that they remain non sexual, and in doing so, are not seen as being sexual beings, Others eat, drink, misuse drugs to stop people getting too close to them. By taking on the work that’s needed, you can remove the ghosts of the past and can regain control of your life

Male Survivors share many of the same feelings of female sexual assault survivors. Common feelings such as;

BODY IMAGE* Do you feel at home in your body?* Do you feel comfortable expressing yourself sexually with another?* Do you feel that you are a part of your body or does your body feel like a separate entity?* Have you ever intentionally and physically hurt yourself?* Do you find it difficult to listen to your body?

EMOTIONS * Do you feel out of control of your feelings?* Do you feel you sometimes don’t understand all the feelings you are experiencing?* Are you overwhelmed by the wide range of feelings you have?

RELATIONSHIPS * What’s your expectations of your partner in a relationship?* Find it too easy to trust others?* Find it too hard to trust anyone?* Find it difficult in making commitments?* Still feel alone, even though in a relationship?* Is it hard for you to allow others to get close to you?* Are you in a relationship with some-one who reminds you of the abuse, or who is no good for you?

SELF-CONFIDENCE * Do you find it difficult to love yourself?* Do you have a hard time accepting yourself?* Are you ashamed of yourself?* Do you have expectations of yourself that aren’t realistic?

SEXUALITY * Do you enjoy sex, really enjoy it?* Do you find it difficult to express yourself sexually?* Do you find yourself using sex to get close to someone?* End up having sex because it’s expected of you?* Does sex make you feel dirty?* Are you “present” during sex?

MAJOR SEXUAL SYMPTOMS OF SEXUAL ABUSE

  1. Difficulties in becoming aroused and feeling sensations
  2. Sex feels like an obligation
  3. Sexual thoughts and images that are disturbing
  4. Inappropriate sexual behaviors or sexual compulsivity
  5. Inability to achieve orgasm or other orgasmic difficulties
  6. Erection problems or ejaculatory difficulty
  7. Feeling dissociated while having sex
  8. Detachment or emotional distance while having sex
  9. Being afraid of sex or avoiding sex
  10. Guilt, fear, anger, disgust or other negative feelings when being touched

EXISTING EFFECTS ON MALE SURVIVORS.

Listed below are some of the current effects that sexual abuse, and after-effects it has upon a male Survivor.

Nightmares, (Intense, violent, sexual) – A real fear that everyone is a potential attacker. Intense shame. – Intense anger. – Intense guilt. – Fear in expressing anger/difficulties in being angry. A need to be in control. – A need to pretend they are not in control. A fear of being seen/fear of exposure.- Running away from people/situations. A fear of intimacy. – “Avoidism”. – Memories of physical pain. – Intense sexual flashbacks. Intruding thoughts. – Sexual dysfunction. – Asexual feelings. – Feeling unreal. – Self doubt. – Jealousy. – Envy. Sexual acting out. – Fear of men. – Fear of women. – Fear of speaking out. – Inability to relax. Disconnection with feelings. – Feeling alone. – Poor choice of partners. – “Out of body” experiences. Linking abuse to love. – Keeping secrets. – Forgetting childhood experiences. – Detached from reality. Inability to comfort their children. – Feeling inadequate. – Unable to accept compliments. – Low self esteem. Isolation. – Addictions/crime. – No emotions. – Fear of others motives. – Inability to say no. – Fear of rules.

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COMMON REACTIONS TO SEXUAL ABUSE/RAPE

Emotional Shock: Feeling numb. Being able to stay so calm? Unable to cry.

Disbelief and/or Denial: Did it really happen? Why me? Maybe I just imagined it. It wasn’t really abusive.

Embarrassment: What will people think? I can’t tell my family or friends.

Shame or Guilt: Feeling as if it’s your fault, or you should’ve been able to stop it. If only you had…

Depression: How are you going to get through the day. Feeling so tired! It feels so hopeless.

Powerlessness: Will you ever feel in control again?

Disorientation: You don’t even know what day it is. You keep forgetting things.

Flashbacks: Re-living the assault! Keep seeing and feeling like it’s happening again.

Fear: Scared of everything. Can’t sleep, Having nightmares. Afraid to go out. Afraid to be alone.

Anxiety: Panic attacks. Can’t breathe! Can’t stop shaking. Feeling overwhelmed.

Anger: Feel like hurting the person who attacked you!

Physical Stress: Stomach (or head or back) aches all the time. Feeling jittery and don’t feel like eating.

UNIQUE ISSUES FACED BY MALE SURVIVORS
There is great denial of the fact that men are sexually abused. Other than in prisons, most of us don’t ever hear about the topic of male sexual abuse. The need to deny is often deeply rooted in the mistaken belief that men are immune to being victimized, that they should be able to fight off any attacker if they are truly a “real man.” Another related ‘belief’ is that men can’t be forced into sex. These mistaken beliefs allow many men to feel safe and invulnerable, and to think of sexual abuse as something that only happens to women. Unfortunately, these beliefs also increase the pain that is felt by a male survivor of sexual abuse. These ‘beliefs’ leave the male survivor feeling isolated and ashamed. Below are some of the unique problems and concerns that male survivors do experience: For most men the idea of being a victim is extremely hard to handle. Boys are raised to believe that they should be able to defend themselves against all odds, or that he should be willing to risk his life or severe injury to protect his pride and self-respect. How many movies or TV shows depict the hero prepared to fight a group of huge guys over an insult or name-calling? Surely then, men are supposed to fight to the death over something like unwanted sexual advances…right?

These beliefs about “manliness” and “masculinity” are deeply ingrained in many men and lead to intense feelings of guilt, shame and inadequacy for the male survivor of sexual abuse. Some male survivors even question whether they deserved to be sexually abused because, as they think that they failed to defend themselves. Male survivors see their assault as a loss of manhood and feel disgusted with themselves for not “fighting back.” These feelings are normal but the thoughts attached to them are not true. Remind yourself that you did what seemed best at the time to survive–there’s nothing un-masculine about that.” As a result of guilt, shame or anger some men may punish themselves by exhibiting self-destructive behaviour after being sexually abused. For some men, this means increased alcohol or drug use. For others, it means increased aggressiveness, like arguing with friends or co-workers or even picking fights with strangers. Some men pull back from relationships and wind up feeling more and more isolated. Male survivors may also develop sexual difficulties after being sexually abused. It may be difficult to resume sexual relationships or start new ones because sexual contact may trigger flashbacks, memories of the abuse, or just plain bad feelings. It can take time, so don’t pressure yourself to be sexual before you’re ready.

For heterosexual men, sexual abuse almost always causes some confusion or questioning about their sexuality. Since many believe that only gay men are sexually abused, a heterosexual survivor may believe that he must be gay or that he will become gay. Furthermore, abusers often accuse their victims of enjoying the sexual abuse, leading some survivors to question their own experiences. Being sexually abused has nothing to do with sexual orientation, past, present or future. People do not “become gay” as a result of being sexually abused. However, there are certain issues that are different for men:

Concerns about sexuality and/or masculinity

Medical procedures

Reporting crime to law enforcement agencies

Telling others

FINDING RESOURCES AND SUPPORT

No matter what is said or done, no one “asks for” or deserves to be assaulted. Sexual abuse/rape is nothing to do with someone’s present or future sexual orientation. Sexual abuse comes from violence and power, nothing less. Unfortunately, the health profession are reluctant to recognise that men can be sexually assaulted. This also includes the Police Forces, though that is slowly improving at last This attitude, combined with ignorance affects the way they treat men who have been raped/sexually abused, often using a stereotyped view of masculinity, rather than focus on the physical assault, the crime becomes the focus of the medical exam or police investigation.

WHAT YOU CAN DO

Recognize that men and boys can and are sexually assaulted.

Be aware of the biases and myths concerning sexual abuse.

Recognize that stereotypes create narrow definitions of masculinity, and make it even harder for male survivors to disclose their rape/abuse.

As individuals and as a community, that we work harder to combat and challenge those attitudes.

It is important that male rape survivors have support, and are allowed to make their own decisions about what course of action to take. All too often, they feel forced to make statements or act against their abusers, without having had the time and space to think it through. I never advocate they prosecute their abusers, I suggest they perhaps begin their personal journey to recover from the traumas they are left with.

NOTHING JUSTIFIES SEXUAL ABUSE!

It doesn’t have to be this way though, you can overcome the issues listed and can recover. Just in case you need a reminder;

Men of all ages, and backgrounds are subjected to sexual assaults and rape.

Offenders are heterosexual in 98% of the cases.

Both heterosexual and homosexual men get raped.

Rape occurs in all parts of society.

Men are less likely to report being raped.

A PERSONAL VIEW.

The belief that the male population is the stronger sex, especially when it comes to sex, is deeply ingrained, believed, and supported within our culture, but not all men and boys are physically or emotionally strong, which explains why there are male “victims” of sexual abuse/rape. Male child sexual abuse is perpetrated by both men and women, of any sexual persuasion, with no regard towards the “victims” sexuality or safety. It holds scant regard for who we are, and is about gaining power and control over the “victim”. As children, we are placed in the care of our parents/guardians, family, family friends, schools, and more often than not, sometimes strangers. The ‘Danger Stranger’ campaign focused on the danger of strangers, with the intent of scaring children into not trusting strangers, but plainly ignored the fact that parents, siblings, family members, and those other “nice people” especially those people known as the “Pillars of Society”, are much more likely to sexual abuse children. As a result of our sexual abuse, we grow up with many mistaken beliefs, and many Survivors have fallen into a myriad of roles that include alcoholism, crime, depression, self harming, people pleasing, hardworking, etc. But, far from being powerless, we have drawn upon considerable reserves of inner strength to deal with, adjust and cope with the invasion of our bodies and minds.

Our previous actions in dealing with life may not have been what we wanted to do, and may have caused more pain on the way, but surely we have arrived at a time when we all need to face our past, forgive OUR actions, and move away from the guilt, shame and fear that has haunted us for so long. This possibly took many forms, but is something that we all need to forgive ourselves for, as long we don’t intend to ‘return there’. Some thoughts to have plagued male survivors have been “Perhaps I was to blame” “I should have told someone” “I was in the wrong place, at the wrong time” “I deserved it” “Maybe I gave out the wrong signals” “Maybe I’m gay”………,What we don’t want to hear is pity, or told “how awful” “so sad”, “poor little boy” as that concept is dis-empowering and perpetuates pity for the ‘victim’ and we are then seen as “not quite right”.

We are OK, we are capable of living our lives, and we are more than capable of overcoming the traumas that our abuser(s) left behind. I subscribe to the belief that in order to heal fully you have to face your abusive past, however difficult that may be, but in doing so, you can move on emotionally, forgive your actions, find inner peace, and be the person you want to be, not who ‘they’ wanted you to be. Please break the silence and demand the right to be recognized! If you want to join, we will support you in your struggle, be ‘here’ for you when you need us, and help you understand who you are, and what you want to be. The next step is from victim, to SURVIVOR, which is possible. It’s not easy, and involves you telling someone else all those deep hidden secrets, but once started, DON’T STOP!

Complete Article HERE!

Getting Behind America’s Anal Sex Fetish

By Mark Hay

Anal sex

On 18 May 2011 , the prolific dominatrix-turned-pornstar Asa Akira sent her Twitter followers one brief, but provocative message: “Ass is the new pussy.”

Although Akira was not the first to utter this smutty axiom, the tagline has been pegged to her name. That may have made it easy for many to dismiss the concept as nothing more than a shocking, perhaps self-promotional assertion by a savvy performer sometimes known as porn’s ” Ass Queen .” But the starlet wasn’t just blowing smoke out of her buttocks. She was channeling a growing and convincing body of data on the inexorable rise of heterosexual anal play in America.

We can actually track the rise of heterosexual anal sex over the past quarter century thanks to your tax dollars. The Centers for Disease Control and Prevention has released a series of studies in which they asked huge groups of people the same nosey questions about their sex lives— including whether men had ever put their penises “in a female’s rectum or butt” and if women had experienced a man putting his penis in their rectums (or butts) . In 1992, 20 percent of women and 26 percent of men aged 18 to 59 had reached fifth base with an opposite sex partner at least once. In 2005, the figure was 35 percent of women and 40 percent of men aged 25 to 44. In 2011, it was 39 percent of women and 44 percent of men aged 15 to 44. In some smaller age subgroups, the prevalence of anal experimentation was even more common.

The CDC didn’t ask whether people had heterosexual anal sex on the reg (probably because it’s hard to measure what “the reg” means), experimented with other forms of anal play, or tried male-recipient butt stuff. The best numbers we get regarding frequency are studies that look at what proportion of people had heterosexual anal sex in the last year, or the last time they had sex, which is a weak proxy at best. But it give us a sense that recurrent hetero butt sex is on the rise as well as one-off experiments.

A 2010 study also suggests that experimentation with wider forms of anal play may be even more common than experimentation with anal sex amongst heterosexual couplings. Among its subjects, 43 percent of women and 51 percent of men surveyed in heterosexual couples copped to testing out anilingus, anal fingering, or anal toy play at least once. A 2008 study suggests that at least some self-identified heterosexual men are receiving anal pleasure as well (mostly fingering, some anilingus). We have no good data to compare that to in terms of trends. But given the taboos against men receiving anal play, any male-receiver experimentation seems, anecdotally at least, like a pretty big sign of the times.

Pop culture’s gotten wise to this trend over the past few years, showcasing anal play in mainstream shows like Broad City , Girls, and How to Get Away with Murder and how-to guides in mainstream publications like Cosmo, Ebony , and GQ. An inevitable deluge of think pieces have followed, pinning this sexual trend on everything from anal sex’s overrepresentation in porn to widespread social liberalization . Some spill cartridges of ink, decrying heterosexual anal sex as a painful fetish foist upon women (especially those looking to keep their vaginal virginity intact, but still eager to be sexual or please a man), while others write tomes on how to have good heterosexual anal sex and play.

Yet for all that we’ve collectively bickered, raved, and railed about this widely acknowledged trend, almost no one’s investigated what America’s changing anal inclinations have meant for the sex market— namely brothel owners, pornographers, and toy manufacturers . To find out, I reached out to a few makers and shakers in the sex industry to get a quick look at how America’s smut mongers have responded to the rise of hetero anal sex.

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Art by Peter Johann Nepomuk Geiger

PORN IN THE HETERO ANAL-ERA

According to Pornhub, the king of dirty search data, the heterosexual anal revolution correlates with exactly the trends you’d imagine. Anal-related porn searches still represent less than 10 percent of all queries on their site. However, anal is a more common term among straight content searches than gay ones and its pervasiveness in hetero searches is rising rapidly. Pornhub crunched the numbers for VICE and found that between 2009 and 2015 , anal-related searches increased by 120 percent in America. That’s significantly higher than the 78 percent increase in anal-related searches globally. The increase was steeper among male than female users, but anal-related tags were still the 18th most searched most searched terms among the site’s female clientele.

(As a side note, Pornhub’s investigation found that users aged 18 to 24 are actually 33 percent less likely to look for anal content than users aged 35 to 44, which is unexpected given how often we talk about hetero-anal as a young person’s game. But that 18 to 24-year-old demographic is 290 percent more likely to search for My Little Pony porn than any other age bracket, which is certainly its own can of worms.)

mage by Paul Avril

Image by Paul Avril

Yet, despite this clear demand spike, and the excitement a first-time anal scene can generate for a female performer, anal-focused heterosexual videos make up a small portion of the market. A Pornhub investigation last year revealed that just 7 percent of their straight content has an “anal” tag on it. And it doesn’t seem like porn studios are making any notable move to increase the volume of anal-focused content they create.

“I don’t think the overall production has gone up,” says Holly Kingstown, the editor of Fleshbot and a fixture of the adult industry since 1999 who’s held every job possible save actress. “In your talent pool, there are still [only] a certain number of girls who will do [anal]. And how many of that scene can you do with that girl?”

“There are performers who are willing to do it,” possibly due to industry pressures and consumer demand. “But in terms of the quality, when you’re talking about DVD sales…” she adds, before pausing briefly. “You can get a crappy internet scene or two out of a girl, but if she’s not really good at it, you’re not going to get that too many times. And when you’re talking about a girl who does it just to get a scene, it’s usually not going to be a girl who loves it or does it very well. So she’s not going to get that much work.”

Kingstown does believe that there’s more consumption of the anal-focused content that already exists. But the absolute number of anal-focused titles available for consumers is fairly static.

What has changed, says Kingstown, is the tone and packaging of the anal porn that gets made. Towards the early 2000s, when Kingstown was still working at Buttman Magazine, she and a her colleagues realized that more couples, versus angry men looking for painal (grimacing girls , visibly suffering and un-lubed ass-ramming), were exploring their content. Adjusting to this mass market, pornographers shifted to portraying anal as pleasurable and normal versus painful and sick, which had apparently been the norm for the bulk of anal porn content up to that point.

“You still see the stuff where you’ll see a woman called an ‘anal whore.’ But you also see the tone overall to be a bit more… I want to say woman-positive,” says Kingstown. “For example, I’m looking at my desk and I’ve got James Deen Loves Butt here. This isn’t James Deen Loves Sodomizing Little Girls and Making Them Cry . That title would sell too, but to a whole different audience. There’s Anal Warriors, where women are shown as strong and powerful and in control of the sex that they’re having. There’s a whole ton of these kinds of movies where the women who enjoy anal are shown as strong and powerful.”

But even if movies today portray anal sex as pleasurable, they still don’t paint it realistically. They don’t focus on the time and preparation most (s)experts agree good anal requires . They often show a ramrod, angled experience that wouldn’t be pleasant for more than a few women in the world. Of course, a lack of realistic sexuality is a chronic problem in all niches of fantasy-driven porn.

We’re seeing a lot more prolapses. We’re seeing double anal. It used to be five anal scenes, done, not four anal scenes and a double penetration. They can go further, so they do. –Holly Kingstown

This pleasurable-looking anal, says Kingston, is now treated like a run-of-the-mill aspect of porn rather than a specialty act. Whereas in the past, you might stuff all your anal content into one niche film, nowadays directors think nothing of nonchalantly inserting an anal scene into a larger project. The overall amount of anal content remains the same—it’s just not as clustered into niche markets and individual movies. Yet, as anal becomes a normal part of heterosexual porn for a wider audience, a small audience craving painful or extreme porn, for whom anal is now too passé and mainstream, has started demanding more physically taxing and (Kingston believes) potentially dangerous ass play acrobatics from the limited actress pool.

“You see a lot more circus stuff than you used to,” says Kingstown. “We’re seeing a lot more prolapses. We’re seeing double anal. It used to be five anal scenes, done, not four anal scenes and a double penetration. They can go further, so they do. And physically, there’s only so far that you can go with your body [as a performer].”

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SEX TOYS IN THE HETERO-ANAL ERA

“Anal sex has always been a frequent topic of conversation with our [mostly heterosexual] customers,” Claire Cavanah, co-founder of Babeland, told VICE when we asked for data on anal-related sex toy sales. The Seattle-based outfit with three outlets in New York is often hailed as one of the most accessible and acclaimed sex toy shops in America—a profile that lends it a large consumer base. “The ‘How to Have Butt Sex’ content on Babeland.com is the number one viewed piece of our [editorial] content. It has almost double the number of eyes on it as the ‘How to Give a Blow Job’ article, which is the second most viewed [item]. We don’t have data before 2009, but it’s always been number one.”

A Babeland survey of 18,412 customer respondents in 2009 (not a reliable sample, due to self-reporting issues, but still one of the better pieces of data you can find on this subject matter) also found that, 60.5 percent of men and 40.1 percent of women had tried using a butt plug, 56.8 percent of men and 31.7 percent of women had tried using an anal dildo, 51.8 percent of men and 29.2 percent of women had tried using an anal vibrator, and 37.4 percent of men and 27.8 percent of women had tried using anal beads.

Yet even with a high baseline of anal interest, Babeland has seen an increase in anal-related sales. Between 2012 and 2015, the genre averaged about 5 percent growth per year. As of 2015, Cavenah estimates that such toys, specifically made with anal in mind, make up about 16 percent of Babeland’s sales.

hug in the butt

What’s more significant to Cavenah and company, they say, is how they’ve witnessed the tone and level of openness their customers use when talking to them about purchases and proclivities evolve. The hushed voices and seedy aura customers once took into transactions has faded away. And as people get more open, comfortable, and explicit with their anal sex toy needs, toy makers have responded to their feedback with a deluge of new, specifically anal-targeted sex toys , including smaller models marketed towards anal beginners. Babeland’s also noticed more luxury anal sex toys coming onto the market—products made of metal or glass, substances with higher price points—which suggests the emergence of a fair number of swankier, less bashful customers.

“We’ve definitely seen a shift in more interesting, innovative, and high-quality butt toys from some of the leading sex toy companies,” says Cavenah. “Je Joue debuted a remote-controlled vibrating prostate stimulator this spring. Anal toys come with vibrators, apps, and magnetic resistance that creates a pulsating sensation. There are also lubricants, such as Sliquid [Naturals] Sassy , that are marketed specifically for anal use.”

Complete Article HERE!

Better Oral Skills For All

Name: Glenda
Gender: Female
Age: 57
Location: Midwest
My husband and I have been together for 23 years and have a great sex life. I love giving him blowjobs and he says he enjoys it too, but he never has an orgasm from the BJs. He says that the head of his penis (circumcised) is just not very sensitive. Is this common and is there anything we can do to increase the sensitivity? Thanks for your help.

Hey Glenda! Your concern about your husband not gettin’ off on your blowjobs is a familiar complaint. Lots of men can’t get off that way. And I don’t think it has much to do with his desensitized dickhead.

blowjob humorIf you are confident that you are an expert cocksucker and you know all the tricks of getting your man off with your mouth, fine! However, if you need to brush up on your technique there are lots of resources out there. First, check out my handy-dandy tutorial: So Ya Wanna Be A World-Class Cocksucker …Or How To Give The Perfect Blow Job.

Want some visuals with your tutorial? I got that covered too. Take a look at The Dr Dick How To Video Library for the help you need. Look for the Video Library tab in the header.

One such video is Heads Up: The Official Guide To Fellatio from my friend and colleague, Dr Carol Queen’s Pleasure Ed series. Also look for Tristan Taormino’s video tutorial for orally pleasuring you man titled, Expert Guide To Oral Sex 2: Fellatio. Don’t forget Dr Michael Perry‘s How to Give A World-Class Blowjob.  His whole series of educational videos is great. There’s even a video called: Pinky’s Dick Sucking For Dumb Asses.Heads Up

If you want to know my secret to gettin your man off with your mouth, try diddlin’ his prostate with your finger while you blow him. Or kick it up a notch and use a slim-jim vibrator in his bum to get his juices flowin’.

Good luckHow to Give A World-Class Blowjob

Female Sexual Dysfunction, Another Perspective

Hey sex fans,

It appears that my posting of last week, Female Sexual Dysfunction Is A Fictional Disorder, caused quite a stir.  As you recall, I was answering a question from a woman who asked if FSD, or female sexual dysfunction is real or a fictitious “ailment” that is being promulgated to sell pharmaceuticals to unsuspecting women.  I replied; “I think that, for the most part, female sexual dysfunction, or FSD, is a fictional disorder. I also think pharmaceutical companies are trying to hit on a female version of Viagra to treat this imaginary disorder so they can make a bundle, just like they did with as the male version.”

Well, that didn’t sit well with some friends and colleagues. One among them, Dr. Serena McKenzie took the most exception. She sent me a little note: “Your blog on female sexual dysfunction being fictitious is – respectfully – fucking bullshit sir.” Ok then!

I invited Serena to make her case not only to me, but to all my readers. What follows is Serena in her own words.

Flibanserin, the first and only medication available for use in reproductive aged women with low libido, becomes commercially available this week after a rocky and controversial road that led to its FDA approval Aug. 18. The view on the medication whose brand name is Addyi (pronounced ADD-EE) ranges from a historical achievement in women’s health care to an epic failure of commercialized medical propaganda. Despite the lengthy debate that has surrounded flibanserin, what most people want to know is whether it will help their sex life or not now that it is here.

addyi


First Things First

While sexual concerns can be difficult to discuss for many women and their partners, it is important to acknowledge that sex and intimacy are some of the great extraordinary experiences of being human. When sex goes badly, which statistically it does for 43 percent of U.S. women, the consequences can devastate a relationship and personal health. One of the biggest applauds I have for the FDA is their statement of recognition that female sexual dysfunction is an unmet clinical need.

Sexuality Is Mind-Body But Not-Body?

Sexuality is usually complicated, and problems with sex such as loss of libido are multifactorial for most women. Antagonists to flibanserin cite psychosocial contributions such as relationship discord, body image, or history of sexual abuse to be the most pinnacle causes of a woman who may complain of problematic lack of sexual desire, and that sex is always a mind-body phenomenon. While these factors often implicitly correlate to loss of sexual interest for a woman, they don’t always, and you cannot advocate that women’s sexuality is all inclusive of her mind, body, and spirit — and assert simultaneously that a biochemical contribution which flibanserin is designed to address in the brain to improve satisfying sexual experiences does not exist.

(c) Myles Murphy; Supplied by The Public Catalogue Foundation

(c) Myles Murphy; Supplied by The Public Catalogue Foundation

The Biochemistry of Sex

Antidepressant medications that alter brain biochemistry are notorious for having sexual side effects which can be prevalent up to 92 percent of the time, and are known to decrease sexual interest, disrupt arousal, and truncate orgasm in some women. Ironically, flibanserin was originally studied as an antidepressant, and while the exact mechanism of how a medication can impair or improve sexual interest is unknown, it should not be difficult to consider that if biochemical tinkering can crush sexual function, it may also be capable of improving it.

Efficacy Data Dance

Flibanserin is a pill taken once nightly, and has been critiqued as showing only modest increases in sexual desire, with improvements in sexually satisfying events rising 0.4 to 1 per month compared with placebo. However just because flibanserin has lackluster efficacy data, that does not mean it is ineffective, and even small improvements in sexual function can be life altering for a woman struggling with disabling intimate problems. If only 1 percent of women with low libido were to improve their sexual function with use of flibanserin, that equates to 160,000 women, or the population of Tempe, Arizona.

Blue Sky Side Effects

Flibanserin has side effects, and the sky is blue. All medications have pro and con profiles, and for flibanserin the most common consequences of use include fatigue, dizziness, sleepiness, and a rare but precipitous drop in blood pressure. Women may not drink alcohol while taking this medication. Providers who will prescribe it and pharmacies that will dispense flibanserin must be approved through what is called a Risk Evaluation and Management Strategy, or REMS, which means they are educated on advising women on how to take flibanserin safely. While a REMS program is arguably overkill compared to numerous higher risk, common prescriptions which do not require a REMS, it is an excellent opportunity for clinicians who have a background in sexuality to be the main applicants since they are far more qualified to assess proper candidates for treatment as well as continue to endorse holistic measures alongside flibanserin. Women who are interested in trying flibanserin should only obtain it from sexuality trained professionals.

The Proof Is In The Sexy Pudding

If flibanserin is worthless, the marketplace will bury it in a shallow grave quickly. Women will stop paying for it, and conscientious medical providers will stop prescribing it. Yet 8,500 women taking flibanserin were studied, over a 1,000 of them for one year, and the data suggests it will help some. Women deserve to be educated on their options, because sexual health is worth fighting for.

Changing The World, One Orgasm At A Time

We simply cannot overlook how astronomical of an achievement it is to even have a mediocre medication approved for female sexual dysfunction. Women’s sexuality has been ignored by medicine for most of history. At least now we have something to fight over.

The controversy about flibanserin is in fact magnificent, and frankly, the entire point. We must talk openly about sexuality and sexual concerns to improve them, personally for one woman at a time, but also uniformly to embrace female sexuality as a vastly larger societal allowance.

A satisfying sexual life is far more than the restoration of sexual dysfunction, it’s a thriving, multi dimensional, ever evolving weave of psychology, relationships, life circumstances, and yes can include a milieu of biochemistry and neurotransmitter pools.

Is a pill ever going to replace the vastly complicated arenas that fuse into our sexual experience? Of course not — it’s absurd and lazy-minded for anyone to suggest that is even being proposed. But it is necessary and inherently responsible to allow for all possible puzzle pieces to be utilized through the ever evolving navigation of sensuality, intimacy, and erotic fulfillment.

So will flibanserin make your sex life better? Maybe. But considering the conversation about it valuable as well as its use as merely one tool among many options to improve sex and intimacy would be the better bet. Ultimately, we “desire” sex that is meaningful, erotic, and dynamic. The journey of seeking sexual vitality deserves every key, crowbar, heathen kick, graceful acrobatics, or little pink pill that lends its part to the process, no matter how small or big, for the opportunity to discover and embrace a sexual aliveness.

Holistic physician, certified sexual medicine specialist, sex counselor, medical director of the Northwest Institute for Healthy Sexuality

Weed Lube Is Not Lube

But It Apparently Works Magic on Vaginas

Sensual cannabis

Sensual cannabis oil magnifies sensitivity and sensation.

People are freaking out over weed lube. Rightly so, I guess, because it’s apparently magical. But while weed lube is lubricating, it isn’t lube, per se. As in, its main use is not to facilitate intercourse.

Lena Davidson, the marketing manager for botanicaSEATTLE—the company behind BOND Sensual Oil—told me that what most people would call weed lube is really more of a massage oil. Like other cannabis topicals and unlike a traditional lube, it takes 20 to 40 minutes to work and is a self-contained experience that can be enhanced by sex. Being oil-based, it is also not latex safe. People call it weed lube, she says, because we’re basically all teenage boys and we can’t talk about weed or sex without snickering.

As much fun as it is to giggle about getting one’s “pussy stoned” (as Vice did), weed lube is serious business. Sensual cannabis oil, as it is more accurately called, has all sorts of awesome ramifications for sexual equity. Davidson pointed out that while there are more than 26 products approved by the FDA to treat sexual dysfunction in men, there is only one approved for women, and it is the subject of much controversy. Sensual cannabis oil is a long way off from FDA approval, but judging from testimonials thus far, it seems to be doing consistently what that one drug does inconsistently: increasing female sexual pleasure. Women who have used BOND reported “ethereal, long-lasting, and out of this world” sexual experiences, and the ability to rapidly “peak… and then do it again quite quickly,” according to testimonials on BOND’s website. Multiple orgasms are apparently common.

Cannabis-LubeHow does it work? Davidson writes: “THC is absorbed through the mucous membranes that are in high concentrations in a woman’s vagina. Once applied and absorbed, THC acts locally on the cannabinoid receptors, much like an edible. Functionally, the THC dilates the capillaries and increases blood flow in the smallest blood vessels in our body—this enhanced microcirculation magnifies sensitivity and sensation.” (She also mentioned that this same capillary reaction is what causes stoney red eyes.) The experience is not like the head high one gets from smoking or eating weed, but rather a localized sensation of pleasure, users report.

It’s also important to note that, at least here in Washington, sensual cannabis oil is safe. Davidson cautioned that not all weed lube is created equal, but BOND and Ethos Extracts‘ Temptress are made in a WSDA-approved kitchen with food-grade organic coconut oil and ultra-pure cannabis extracts. Coconut oil, though unfriendly to latex, is ideal for internal use because of its natural pH-balancing and antimicrobial qualities.

While the potential to help women with issues such as vaginismus (vaginal pain) and low libido is great in its own right, perhaps the most exciting thing about sensual cannabis oil is that it is a decidedly non-heteronormative phenomenon. What I mean by that is it takes the focus off of the penis as the center of sexual pleasure, where it has been for far too long.

My good friend Kat, a big proponent of sensual cannabis oil and the source of much of my education on feminism, put it thusly: “It’s unfortunately common during heteronormative sex that women feel like their partner’s ejaculative experience is the focal point. I’m usually acutely aware of the other person’s level of satisfaction, which takes me away from my own body. With the weed lube, I’m like, ‘Fuck yeah, I’m getting it and it feels fucking amazing.’ I’m actually relaxed and stimulated enough to invest in my own delectation.”Cannabis

And though much has been made of sensual cannabis oil not working for men, that’s not entirely true. It doesn’t work well for selfish straight men who are only interested in receiving blowjobs and having vaginal intercourse (because the penis does not absorb the cannabis oil in the same way that the vagina does). It does, however, work really well for men (and women) who are into anal play, as the absorption of THC through the back door is rapid. Used anally, sensual cannabis oil does not offer the same direct enhancement of physical sensation as it does to the vagina, but it does get you high as fuck, which enhances sex in its own right. Also, anyone willing to perform a little enthusiastic cunnilingus—as any self-respecting straight dude should be—will get a light edible-style buzz. Basically, anything that has not traditionally been part of the penis-obsessed, heteronormative sexual canon is made better with sensual cannabis oil. If that isn’t sweet sexual justice, I don’t know what is.

Speaking of sexual justice, sensual cannabis oil also works well for older women—another segment of the population whose sexual lives are often not valued in the heteronormative conversation. Women’s bodies produce less lubrication during and after menopause, and older women can also suffer from decreased libido and other sexual difficulties—problems that sensual cannabis oil can help with. Edward Lafferty, Ethos’s CEO, said that women older than 45 and gay men make up the bulk of his business for the Temptress oil. During product testing of BOND, “nearly every woman had a ‘Eureka!’ moment,” said Davidson. And “for women who had felt estranged from their innate sexuality by age or physical conditions, it instigated a wave of natural physiological desire.”

Davidson worries that those who might benefit most from sensual cannabis oil will not do so because of the continued cultural awkwardness around weed, sex, and weedy sex. She pointed out that women are statistically less likely to try cannabis products in general, let alone walk into a weed store and ask a scruffy dude about something as personal as their sexual health. What’s more, sensual cannabis oil is still perceived as a sex-shop novelty—something for young party people to rub on one another after the rave, not something that can help women have more sexually fulfilling lives.

But, as Lafferty put it, “The people who use it need it. It’s important. We can be squeamish, but it works.” So let’s get one thing straight: Weed lube isn’t lube, and it’s also not a novelty. According to many of those who’ve tried it, it’s a godsend. recommended

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