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Name: Paul
Gender: male
Age: 32
Location: Seattle
I hope this isn’t the first time you’ve gotten this kind of question but I’ve recently discovered that I have a urine fetish. And I guess what I want to know is if among gay men I am in a minority or what? Do you know of other guys out there who share my fetish? Also I’m in a relationship and I don’t think my boyfriend shares my interests so I was wondering if you might have some ideas on how to break the news to him. Thanks a lot.

A urine fetish, huh? Ok! Are you talking about what those in the know call watersports or golden showers, right? I think you’re telling me you like to play with your pee, or the pee of other folks, right?

40.jpgOh my god, this is like a totally popular fetish, and not just common among the gays, don’t cha know. I’m surprised that you haven’t encountered loads of other pee queens before now. Folks of every sexual stripe and persuasion are known to enjoy piss play. There’s even a scientific name for it: urophilia. Doesn’t that sound fun? Honey, guess what? I’m a urophiliac and you can be one too!

Hell, this is such a popular fetish that it has a full subset of associated fetishes. There are clothes wetting, bed-wetting and diaper fetishes, and urinal fetishes. For the BDSM crowd there are humiliation scenes and bladder control scenes just to name a few.

Historically speaking, people have been drinking their own urine as an alternative medicine for as long as…well, as long as there’s been pee to drink. Bathing in urine is also very common in some cultures.

Curiously enough, watersports is not necessarily always a sexual fetish, although it can be sexual in nature. Activities where piss is taken internally (swallowed or received anally or vaginally) can be risky. The pee-ee will no doubt ingest any and all un-metabolized drugs — pharmaceutical as well as recreational — which were consumed by the pee-er. In some societies and in some situations, this is the actual intent — for example intensifying and prolonging the effects of a hallucinogenic drug.

Prospective pee drinkers should be aware that there are a few drugs that pass through the body either partly unchanged or entirely unchanged, like those nasty amphetamines and their derivatives. So it’s all together possible to get really high from drinking a druggie’s piss.

Finally, how do you come out as a pee-queen to your boyfriend? I’m of the mind that the direct approach works best. There’s less room for misunderstandings. You could come right out and ask him for what you want. Darling, meet me in the bathroom. I want to show you something really festive and entertaining. I mean, what homo’s isn’t gonna fall for that?

A less assertive way would be to visit several golden shower oriented websites, they abound on them internets, ya know. Leave the page open for the BF to find. That will stir things up. And unless he’s as dense as a post, he’ll begin to get the message. You could also “accidentally” rent a watersports video. That would, no doubt, open the desired discussion. “Holy cow honey, look what I picked up by mistake. You wanna watch it? Isn’t this hot? Oh my god, I think I just wet my pants. Wanna see?”

Name: Maria
Gender: Female
Age: 24
Location: California
Hi Dr, My question is a little strange. My boyfriend has this weird fetish about cumming on me…not just on me but all over me. On my boobs, on my face, he likes to get it in my hair, on my feet. I’m practically swimming in the stuff. Most of the time I don’t mind it and sometimes it gets me off. But I’m just wondering what’s this all about. Why does he have this desire to cum all over me? Most of the time he wants me on my knees waiting for his gift, tongue sticking out like a dog. Any thoughts why?

Maria, darling, this is absolutely precious! I love it!

Did you ever see the brilliantly funny Mel Brooks movie, High Anxiety?

In the movie Mel Brooks plays Dr. Richard H. Thorndyke, the new administrator of the Psychoneurotic Institute for the Very, VERY Nervous. He goes to San Francisco for a conference where he is framed for a murder. Mid-way through the movie there’s a scene where Thorndyke is on the lam. He phones his new friend, Victoria Brisbane, (played by the amazing Madeline Kahn) from a phone booth to ask for her help. Victoria is in her hotel room when she answers the phone. Just at that moment, the real killer attacks Dr Thorndyke and has him by the throat. Because of all the heavy breathing and choking sounds on the Thorndyke end, Victoria thinks she getting a prank sex call. She protests but then is drawn into the call. It’s comic genius. Dr Thorndyke’s struggle comes to an end when his attacker is impaled on a shard of glass. His death gasp makes Victoria think her caller just shot his wad. She responds with disgust, “You animal!

That’s where my mind went, Maria when I got your call. The description of your boyfriend’s spooge fetish made me think of Victoria Brisbane and her exclamation, “You Animal.”

p10.jpgYa see, Maria, us boys think all the world is as enamored with our spunk as we are. And so we think we’re doing everyone a big favor by spreading our junk around. We’re particularly fond of getting as much of our joy-juice as possible on our partners and the messier the better. We’ll tell you that we do this because we love you and we just whipped up this tasty little batch of seed just for you. That’s bullshit of course.

What we’re really doing is marking our territory. Did you ever notice how pleased with himself a male dog is when he’s blissfully lifting his leg to pee on everything in site? I’d be willing to bet you’d see a similar shit-eatin’ grin on the BF as you’d see on that dog. Your BF is marking his territory, but he’s marking you with his jizz.

The upside of this is that our little nut concoction is heavily protein laden, so you’ll not find a better skin emolument. Just make sure he doesn’t get any in your eyes. That shit burns! Enjoy!

Name: Jim
Gender: male
Age: 23
Location: Sydney
I’m addicted to porn. I look at porn for hours and hours at a time at work at home on my cell phone whatever. I am noticing that the more porn I look at the more I want and now I’m searching out some real weird shit the weirder the better. I’m afraid this is taking over my life, but I can’t stop. What should I do?

Listen Jim, there’s no such thing as an addiction to porn! PERIOD!

Nowadays people bandy about the term addiction as if it could be applied to any and all obsessive behaviors. I have an addiction to chocolate, I’m addicted to shopping, or I’m a sex addict. NONSENSE!

Let’s be clear about this. An addiction is a very specific condition. It denotes a dual dependency, physical as well as a psychological. A physical dependency occurs when a substance is habitually used to a point where the body becomes reliant on its effects. The substance must be used constantly, because if it is withheld it will trigger symptoms of withdrawal. Psychological dependency occurs when the substance habitually used creates an emotional reliance on its effects. There is no functioning without it. Its absence produces intense cravings, which if not fed will trigger symptoms of withdrawal.

What you report about yourself, Jim, is not an addiction. Your behaviors, however, are a classic example of a severe fixation or obsession. Just because out of control behavior isn’t an addiction, doesn’t mean it’s not serious.

You may say to yourself, “What the fuck, doc, fixation, addiction it all sounds the same to me.” Well, sounding alike and being the same are two very different things. Besides, if one doesn’t properly identify the problem; how will one find the proper intervention? And you, my friend, need an intervention ASAP.

n.jpgYour relentless pursuit of pornography, your obsession with more and more graphic and extreme depictions of sex is clearly interfering with you living a normal life. And at such a tender age, what’s up with that? This has got to stop, pup. You can’t continue to take refuge in fantasy material in lieu of having healthy interpersonal relationships.

I’d also challenge your suggestion that you are enjoying the porn you consume. When consumption of anything — porn, food, whatever — is this unrelenting, there is no enjoyment factor anymore.

If you have the psychological capacity to limit your porn consumption on your own, great — Do it! Be strict with yourself. Deny yourself access to the materials that fuel your fixation. Channel that energy into connecting with other LIVE humans.

If you are unable to monitor your behavior on your own — seek professional help right away. Look to a sex-positive therapist who will assist you in creating boundaries for yourself. Your therapist will help you learn how to reward your successes and not reward your failures. You will, in time, be able to put this obsession behind you. But you must act now. Your humanity hangs in the balance.

Good luck, ya’ll!

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A Very Sexy Beginner’s Guide to BDSM Words

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Me talk dirty one day.

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The vocabulary of BDSM can be intimidating to newcomers (newcummers, heh heh). What is your domme talking about when she tells you to to stop topping from the bottom and take off your Zentai suit for some CBT? What, while we’re at it, is a domme? So, let’s start with the basics: “BDSM” stands for bondage and discipline, dominance and submission, and sadism and masochism, the core pillars of kinky fun. Beyond that, there’s a whole language to describe the consensual power exchange practices that take place under the BDSM umbrella. At press time there’s still no “kink” on Duolingo, so here’s a handy glossary of some of the most common BDSM terms, from A to Z.

A is for Aftercare
Aftercare is the practice of checking in with one another after a scene (or “play session,” a.k.a., the time in which the BDSM happens) to make sure all parties feel nice and chill about what just went down. The dominant partner may bring the submissive ice for any bruises, but it’s important to know that aftercare involves emotional care as well as physical. BDSM releases endorphins, which can lead to both dominants and submissives experiencing a “drop.” Aftercare can help prevent that. There’s often cuddling and always conversation; kinksters need love too.

B is for Bondage
Bondage is the act of tying one another up. In most cases the dominant partner is restraining the submissive using ropes, handcuffs, Velcro, specialty hooks, clasps, or simply a belt if you’re on a budget.

C is for CBT (Cock and Ball Torture)
In BDSM, CBT does not refer to cognitive behavioral therapy, it refers to “cock and ball torture,” which is exactly what it sounds like: The dominant will bind, whip, or use their high-ass heels to step on their submissive’s cock and balls to consensually torture them.

D is for D/S
D/S refers to dominance and submission, the crux of a BDSM relationship. While kinky people can be on a spectrum (see: “Switch”), typically you’re either dominant or submissive. If you take away one fact from this guide, it should be that even though the dominant partner in D/S relationship may be slapping, name-calling, and spitting on the submissive, BDSM and D/S relationships are all about erotic power exchange, not one person having power over another. The submissive gets to set their boundaries, and everything is pre-negotiated. The submissive likes getting slapped (see also: “Painslut”).

E is for Edgeplay
Edgeplay refers to the risky shit—the more taboo (or baddest bitch, depending on who you’re talking to) end of the spectrum of BDSM activities. Everyone’s definition of edgeplay is a little different, but blood or knife play is a good example. If there’s actually a chance of real physical harm, it’s likely edgeplay. Only get bloody with a partner who knows what they’re doing without a doubt and has been tested for STIs. You don’t have to get maimed to enjoy BDSM.

F is for Fisting
Fisting is when someone sticks their entire fist inside a vagina (or butthole). Yes, it feels good, and no, it won’t “ruin” anything but your desire for vanilla sex. Use lube.

G is for Golden Showers
A golden shower is when you lovingly shower your partner with your piss. It’s high time for the BDSM community reclaimed this word back from Donald Trump, who, may I remind you, allegedly paid sex workers to pee on a bed that Obama slept in out of spite. This is not the same thing as a golden shower. Kink is for smart people.

H is for Hard Limits
Hard limits are sexual acts that are off-limits. Everyone has their own, and you have to discuss these boundaries before any BDSM play. Use it in a sentence: “Please do not pee on me; golden showers are one of my hard limits.”

I is for Impact Play
Impact play refers to any impact on the body, such as spanking, caning, flogging, slapping, etc.

J is for Japanese Bondage
The most well-known type of Japanese bondage is Shibari, in which one partner ties up the other in beautiful and intricate patterns using rope. It’s a method of restraint, but also an art form.

K is for Knife Play
Knife play is, well, knife sex. It’s considered a form of edgeplay (our parents told us not to play with knives for a reason.) If you do play with knives, do it with someone who truly respects you and whom you trust. Often knife play doesn’t actually involve drawing blood, but is done more for the psychological thrill, such as gliding a knife along a partner’s body to induce an adrenaline rush. Call me a prude, but I wouldn’t advise it on a first Tinder date.

L is for Leather
The BDSM community enjoys leather as much as you’d expect. Leather shorts, leather paddles, and leather corsets are popular, although increasingly kinky retailers provide vegan options for their animal-loving geeks.

M is for Masochist
A masochist is someone who gets off on receiving sexual pain.

N is for Needle Play
Also a form of edgeplay (blood!), needle play means using needles on a partner. Hopefully those needles are sterile and surgical grade. Don’t do this with an idiot, please. Most professional dommes have clients who request or are into needle play. It can involve sticking a needle (temporarily) through an erogenous zone such as the nipple or… BACK AWAY NOW IF YOU’RE QUEASY… the shaft of the penis.

O is for Orgasm Denial
You know how sexual anticipation is hot AF? Orgasm denial is next-level sexual anticipation for those who love a throbbing clit or a boner that’s been hard forever just dying to get off—which is to say, almost everyone. The dominant partner will typically bring the submissive close or to the brink of orgasm, then stop. Repeat as necessary.

P is for Painslut
A painslut is a dope-ass submissive who knows what they want, and that’s pain, dammit.

Q is for Queening
Queening is when a woman, a.k.a. the queen you must worship, sits on your face. It’s just a glam name for face-sitting, often used in D/S play. Sometimes the queen will sit on her submissive’s face for like, hours.

R is for RACK
RACK stands for Risk Aware Consensual Kink, which are the BDSM community guidelines on how to make sure everyone is aware of the dangers they consent to. Another set of guidelines are the “SSC,” which stresses keeping activities “safe, sane, and consensual.” We kinksters want everyone to feel happy and fulfilled, and only experience pain that they desire—without actual harm.

S is for Switch
A switch is someone who enjoys both the dominant and submissive role. Get thee a girl who can do both.

T is for Topping From The Bottom
Topping from the bottom refers to when a bottom (sub) gets bratty and tries to control the scene even though negotiations state they should submit. For example, a submissive male may start yelping at his domme that she’s not making him smell her feet exactly like he wants. It can be pretty annoying. It can also be part of the scene itself, such as if the submissive is roleplaying as a little girl with her daddy (this is called “age play”).

U is for Urination
Urinating means peeing (duh) and aside from pissing on a submissive’s face or in their mouth you can do other cool and consensual things with urine, like fill up an enema and inject it up someone’s butt! I am not a medical doctor.

V is for Vanilla
Vanilla refers to someone (or sex) that is not kinky. It’s okay if you’re vanilla. You’re normal and can still find meaningful love and relationships no matter how much society judges you.

W is for Wartenberg Wheel
A Wartenberg Wheel is a nifty little metal pinwheel that you can run over your partner’s nipples or other erogenous zones. It looks scary, but in a fun way, like the Addams Family. It can be used as part of medical play (doctor fetish) or just for the hell of it. Fun fact: It’s a real-life medical device created by neurologist Robert Wartenberg to test nerve reactions, but kinksters figured out it was good for the sex, too.

Y is for Yes!
BDSM is all about enthusiastic consent. The dominant partner won’t step on their submissive’s head and then shove it into a toilet without a big ole’ “yes, please!”

Z is for Zentai
Zentai is a skintight Japanese body suit typically made of spandex and nylon. It can cover the entire body, including the face. Dance teams or athletes may wear Zentai, but some people get off on the sensation of having their entire body bound in tight fabric, and wear it for kinky reasons.

Complete Article HERE!

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Women don’t need to ‘switch off’ to climax, orgasm study shows

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Not switching off

By Helen Thomson

The most detailed study yet of orgasm brain activity has discovered why climaxing makes women feel less pain and shown that ‘switching off’ isn’t necessary.

It’s not easy to study the brain during orgasm. “A brain scanner like fMRI is the least sexy place in the world,” says Nan Wise at Rutgers University in Newark, New Jersey. “It’s noisy, claustrophobic and cold.” There is also the problem of keeping your head still – movement of little more than the width of a pound coin can render data useless.

Despite these hurdles, Wise and her colleagues recruited 10 heterosexual women to lay in a fMRI scanner and stimulate themselves to orgasm. They then repeated the experiment but had their partners stimulate them.

Wise’s custom-fitted head stabiliser allowed the team to follow brain activity in 20 second intervals to see what happens just before, during, and after an orgasm.

Pain relief

Back in 1985, Wise’s colleagues Beverly Whipple and Barry Komisaruk, both at Rutgers, discovered that, during self-stimulation and orgasm, women are less likely to notice painful squeezing of a finger, and can tolerate more of this pain. They found that women’s ability to withstand pain increased by 75 per cent during stimulation, while the level of squeezing at which women noticed the pain more than doubled.

Now Wise’s team has explained why. At the point of orgasm, the dorsal raphe nucleus area of the brain becomes more active. This region plays a role in controlling the release of the brain chemical serotonin, which can act as an analgesic, dampening the sensation of pain.

Her team also saw a burst of activity in the nucleus cuneiformis, which is a part of brainstem systems that are thought to help us control pain through thought alone.

“Together, this activity – at least in part – seems to account for the pain attenuating effect of the female orgasm,” says Wise.

Turn on, not off

Wise’s team also found evidence that overturns the assumption that the female brain “switches off” during orgasm.

In 2005, Gert Holstege at the University of Groningen in the Netherlands used a PET scanner to analyse brain activity in 13 women while they were resting, faking an orgasm and being stimulated by their partner to orgasm. While activity in sensory regions of the brain increased during orgasm, activity fell in large number of regions – including those involved in emotion – compared with their brain at rest.

Based on this finding, it was suggested that women have to be free from worries and distractions in order to climax. From an evolutionary point of view, the brain might switch off its emotional areas because the chance to produce offspring is more important than the immediate survival to the individual.

But the new study saw the opposite: brain activity in regions responsible for movement, senses, memory and emotions all gradually increased during the lead-up to orgasm, when activity then peaked and lowered again. “We found no evidence of deactivation of brain regions during orgasm,” says Wise.

The difference between the two studies may be because PET can only get a small snapshot of brain activity over a short period of time, unlike fMRI scanners.

Better understanding

It’s not yet clear why pain sensation decreases during orgasm, or if men experience the same phenomenon. It may be that, in order to feel pleasure in the brain, the neural circuits that process pain have to be dampened down.

Whipple suggests that the pain-dampening effects of the female orgasm could be related to child birth. Her research suggests that pain sensitivity is reduced when the baby’s head emerges through the birth canal. Vaginal stimulation may therefore reduce pain in order to help mothers cope with the final stages of birth, and promote initial bonding with the baby.

The ability to study what happens during stimulation and orgasm could be used to better understand and treat those who have mood disorders like anhedonia – the inability to experience pleasure, says Wise. “We know so little about pleasure in the brain, we are just now learning the basics.”

You might wonder what it’s like to participate in such experiments. Wise says people often think her participants must be exhibitionists, but it’s not the case, she says. “Some women do like that aspect, but most are doing it because it’s empowering to them. Some find it difficult to orgasm, others don’t. One of our participants in this experiment was a 74-year-old lady who had two fabulous orgasms in the machine. I said to her, ‘You go girl!’ ”

Complete Article HERE!

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Here’s what happens when you get an STI test — and if it comes back positive

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By Erin Van Der Meer

If you’ve never had an STI test, you’re probably imagining it’s a horrendously awkward experience where a mean, judgmental doctor pokes around your nether regions.

But like getting a needle or going to your first workout in a while, it’s one of those things that seems much worse in your mind than it is in reality.

For starters, often you don’t even have to pull down your pants.

“If someone comes in for a routine test for sexually transmissible infections (STIs) and they don’t have any symptoms, they usually don’t need a genital examination,” Dr Vincent Cornelisse, a spokesperson for the Royal Australian College of General Practitioners, told Coach.

“The tests that are ordered will depend on that person’s risk of STIs – some people only need a urine test, some need a self-collected anal or vaginal swab, and some people need a blood test.

“We aim to make this process as hassle-free as possible, in order to encourage people to have ongoing regular testing for STIs.”

Cornelisse says the embarrassment and stigma that some of us still feel about getting an STI test is unnecessary.

“STIs have been around for as long as people have been having sex, so getting an STI is nothing to be ashamed about, it’s a normal part of being human.

“Getting an STI test is an important part of maintaining good health for anyone who is sexually active.”

If you’re yet to have an STI test or it’s been a long time, here’s what you need to know.

How often do you need an STI test?

On average it’s good to get an STI test once a year, but some people should go more often.

“Some people are more affectionate than others, so some need to test every three months – obviously, if someone has symptoms that suggest that they may have an STI, then a physical examination is an important part of their assessment.”

As a general rule, people under 30, men who have sex with men, and people who frequently have new sexual partners should go more often.

To get an STI test ask your GP, or find a sexual health clinic in your area – the Family Planning Alliance Australia website can help you locate one.

What happens at the test?

As Cornelisse mentioned, the doctor will ask you some questions to determine which tests you need, whether it’s a urine test, blood test or genital inspection.

You’ll be asked questions about your sexual orientation, the number of sexual partners you’ve had, your sexual practices (like whether you’ve had unprotected sex), whether you have any symptoms, whether you have injected drugs, and whether you have any tattoos or body piercings.

Your results will be sent away and returned in about one week.

What if you test positive?

There’s no reason to panic if your results show you have an STI – if anything, you should feel relieved, Cornelisse says.

“If you hadn’t had the test, you wouldn’t have realised you had an STI and you wouldn’t have had the opportunity to treat it.

“Most STIs are easily treatable, and the other ones can be managed very well with modern medicine. So don’t feel shame, feel proud – you’re adulting!”

You’ll need to tell your recent sexual partners. While it might be a little awkward, they’ll ultimately appreciate you showing that you care about them.

“People often stress about this, but in my experience people appreciate it if their sexual partner has bothered to tell them about an STI – it shows them that you respect them,” Cornelisse says.

“Also, if this is a sexual partner who you’re likely to have sex with again, not telling them means that you’re likely to get the same STI again.”

The risks of leaving an STI untreated

You can probably think of 400 things you’d rather do than go for an STI test, but the earlier a sexually transmitted infection is caught, the better.

A recent spate of “super-gonorrhea” – a strain of the disease resistant to normal antibiotics –can result in fertility problems, but people who contract it show no symptoms, meaning getting tested is the only way to know you have it, and treat it.

“Untreated STIs can cause many serious problems,” Cornelisse warns.

“For women, untreated chlamydia can cause pelvic scarring, resulting in infertility and chronic pelvic pain.

“Syphilis is making a comeback, and if left untreated can cause many different problems, including damage to the brain, eyes and heart.

“If HIV is left untreated it will result in damage to the immune system — resulting in life-threatening infections and cancers — which is called AIDS.”

There is a long-term treatment for AIDS, but this depends on it being caught early.

“People living with HIV now can live a healthy life and live about as long as people without HIV, but the chance of living a healthy life with HIV depends on having the HIV diagnosed early and starting treatment early.

“Which it’s why it’s so important to be tested regularly, particularly as many STIs often don’t cause symptoms, so you won’t know you have one.”

Looking at the big picture, if you have an undiagnosed and untreated STI, you could give it to your sexual partners, who pass it onto theirs, which is how you got it.

“Getting a regular STI test is not only important for your own health, it also makes you a responsible sexual partner,” Cornelisse says.

“I encourage people to discuss STI testing with their sexual partners. If your sexual partners are also getting tested regularly, it reduces your risk of getting an STI.”

Complete Article HERE!

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Why Sex Education for Disabled People Is So Important

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“Just because a person has a disability does not mean they don’t still have the same hormones and sexual desires as other individuals.”

 

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“Sex and disability, disability and sex; the two words may seem incompatible,” Michael A. Rembis wrote in his 2009 paper on the social model of disabled sexuality. Though roughly 15% of adults around the world (that’s nearly one billion people), and over 20 million adults in the U.S. between the ages of 18 and 64 have a disability, when it comes to disability and sex, there’s a disconnect. People with disabilities often have rich and satisfying sex lives. So why are they frequently treated as though they are incapable of having sexual needs and desires, and are excluded from sexual health education curriculum?

According to Kehau Gunderson, the lead trainer and senior health educator at Health Connected, a non-profit organization dedicated to providing comprehensive sexual health education programs throughout the state of California, the sexual health and safety of students with disabilities is often not prioritized because educators are more focused on other aspects of the students’ well-being. “Educators are thinking more about these students’ physical needs. They don’t see them as being sexual people with sexual needs and desires. They don’t see them as wanting relationships,” Gunderson told me when I met her and the rest of the Health Connected team at their office in Redwood City, California.

When I asked why students with disabilities have historically been excluded from sexual education, Jennifer Rogers, who also works as a health education specialist at Health Connected, chimed in. “In general, the topic of sex is something that is challenging for a lot of people to talk about. I think that aspect compounded with someone with specialized learning needs can be even more challenging if you’re not a teacher who’s really comfortable delivering this kind of material,” she said.

But it was the third health education specialist I spoke with, DeAnna Quan, who really hit the nail on the head: “I think sometimes it also has to do with not having the materials and having trouble adapting the materials as well. While people often just don’t see disabled people as being sexual beings, they are. And this is a population who really needs this information.”

The complete lack of sexual education in many schools for students with disabilities is particularly alarming given the fact that individuals with disabilities are at a much higher risk of sexual assault and abuse. In fact, children with disabilities are up to four times more likely to face abuse and women with disabilities are nearly 40% more likely to face abuse in adulthood. Yet students in special education classes are often denied the option to participate in sex education at all. When these students are included in mainstream health courses, the curriculum is often inaccessible.

Disability activist Anne Finger wrote, “Sexuality is often the source of our deepest pain. It’s easier for us to talk about and formulate strategies for changing discrimination in employment, education, and housing than to talk about our exclusion from sexuality and reproduction.” But as Robert McRuer wrote in Disabling Sex: Notes for a Crip Theory of Sexuality, “What if disability were sexy? And what if disabled people were understood to be both subjects and objects of a multiplicity of erotic desires and practices, both within and outside the parameters of heteronormative sexuality?”

When it comes to disability and sexuality, a large part of the issue lies in the fact that disabled people are so infrequently included in the decisions made about their bodies, their education, and their care. So what do people with disabilities wish they had learned in sex ed? This is what students and adults with disabilities said about their experience in sexual health courses and what they wish they had learned.

People with disabilities are not automatically asexual.

“The idea of people with disabilities as asexual beings who have no need for love, sex, or romantic relationships is ridiculous. However, it is one that has a stronghold in most people’s minds,” wrote disability activist Nidhi Goyal in her article, “Why Should Disability Spell the End of Romance?” That may be because disabled people are often seen as being innocent and childlike, one disabled activist said.

“As a society, we don’t talk about sex enough from a pleasure-based perspective. So much is focused on fertility and reproduction — and that’s not always something abled people think disabled people should or can do. We’re infantilized, stripped of our sexuality, and presumed to be non-sexual beings. Plenty of us are asexual, but plenty of us are very sexual as well, like me. Like anyone of any ability, we hit every spot on the spectrum from straight to gay, cis to trans, sexual to asexual, romantic to aromantic, and more.” Kirsten Schultz, a 29-year-old disabled, genderqueer, and pansexual health activist, sexuality educator, and writer, said via email.

Kirsten, who due to numerous chronic illnesses has lived with disability since she was five years old, was not exposed to information regarding her sexual health and bodily autonomy. “I dealt with sexual abuse from another child right after I fell ill, and this continued for years. I bring this up because my mother didn’t share a lot of sex ed stuff with me at home because of illness. This infantilization is not uncommon in the disability world, especially for kids,” she said.

Growing up in Oregon, Kirsten said she was homeschooled until the age of 13 and didn’t begin seeing medical professionals regularly until she turned 21. “This means all sexual education I learned until 13 was on my own, and from 13 to 21, it was all stuff I either sought out or was taught in school.” Schultz explained. But even what she learned about sex in school was limited. “School-based education, even in the liberal state of Oregon, where I grew up, was focused on sharing the potential negatives of sex — STIs, pregnancy, etc. Almost none of it was pleasure-based and it wasn’t accessible. Up until I was in college, the few positions I tried were all things I had seen in porn…AKA they weren’t comfortable or effective for me,” she added.

Internet safety matters, too.

While many disabled people are infantilized, others are often oversexualized. K Wheeler, a 21-year-old senior at the University of Washington, was only 12 the first time their photos were stolen off of the Internet and posted on websites fetishizing amputees. K, who was born with congenital amputation and identifies as demisexual, panromantic, and disabled, thinks this is something students with disabilities need to know about. “There’s a whole side of the Internet where people will seek out people with disabilities, friend them on Facebook, steal their photos, and use them on websites,” she said.

These groups of people who fetishize amputees are known as “amputee devotees.” K had heard of this fetish thanks to prior education from her mother, but not everyone knows how to keep themselves safe on the Internet. “This is something that people with disabilities need to know, that a person without a disability might not think of, ” K said.

K also believes more general Internet privacy information should also be discussed in sex ed courses. “In the technological age that we’re in, I feel like Internet privacy should be talked about,” they said. This includes things like consent and sending naked photos with a significant other if you’re under 18. “That is technically a crime. It’s not just parents saying ‘don’t do it because we don’t want you to.’ One or both of you could get in trouble legally,” K added.

Understanding what kinds of sexual protection to use.

Isaac Thomas, a 21-year-old student at Valencia College in Orlando, lives with a visual impairment and went to a high school that he said didn’t even offer sexual education courses. “I did go to a school for students with disabilities and, unfortunately, during my entire time there, there was never any type of sexual education class,” he said.

And Isaac noted that sexual awareness plays a large role in protection. “They should understand that just because a person has a disability, does not mean they don’t still have the same hormones and sexual desires as other individuals. It’s even more important that they teach sex education to people that have disabilities so they’re not taken advantage of in any kind of sexual way. If anything, it should be taught even more among the disabled community. Ignoring this problem will not make it go away. If this problem is not addressed, it will increase,” Isaac said.

Before entering college, Isaac said he wishes he had received more information about condoms. “I wish I had learned what types of condoms are best for protection. I should’ve also learned the best type of contraceptive pills to have in case unplanned sexual activity happens with friends or coworkers.”

Body image matters.

Nicole Tencic, a 23-year-old senior at Molloy College in New York, who is disabled, fine-motor challenged, and hearing impaired, believes in the importance of exploring and promoting positive body image for all bodies. Nicole, who became disabled at the age of six after undergoing high-dose chemotherapy, struggled to accept herself and her disability. “I became disabled when I was old enough to distinguish that something was wrong. I was very self-conscience. Accepting my disability was hard for me and emotionally disturbing,” she shared. “I was always concerned about what other people thought of me, and I was always very shy and quiet.”

It was when she entered college that Nicole really came to accept her body, embrace her sexuality, and develop an interest in dating. “I had my first boyfriend at 21. The reason I waited so long to date is because I needed to accept myself and my differences before I cared for anyone else. I couldn’t allow myself to bring someone into my life if I was unaccepting of myself, and if I did, I would be selfish because I would be more concerned about myself,” Nicole said. She also recognized the fact that while sexuality and disability are separate topics that need to be addressed differently, they can impact each other. “Disability may influence sexuality in terms of what you like and dislike, and can and cannot do,” but overall, “one’s sexuality does not have to do with one’s disability,” she clarified.

It’s important to make sex ed inclusive to multi-marginalized populations.

Dominick Evans, a queer and transgender man living with Spinal Muscular Atrophy, various chronic health disabilities, and OCD, believes in the importance of sexual education stretching beyond the cisgender, heteronormative perspective. He also understands the dangers associated with being a member of a marginalized group. “The more marginalized you are, the less safe you are when it comes to sex,” he said in an email.

Dominick, who works as a filmmaker, writer, and media and entertainment advocate for the Center for Disability Rights, has even developed policy ideas related to increased inclusion for students with disabilities — especially LGBTQ students with disabilities. “These students are at higher risk of sexual assault and rape, STIs like HIV, unplanned pregnancies, and manipulation in sexual situations,” Dominick said. “Since disabled LGBTQIA students do not have access to sexual education, sometimes at all, let alone education that makes sense for their bodies and sexual orientation, it makes sense the rates for disabled people when it comes to sexual assault and STIs are so much higher.”

According to Dominick, the fact that many disabled students are denied access to sexual health curriculum is at the root of the problem. “When it comes to disparities in the numbers of sexual assault, rape, STIs, etc. for all disabled students, not having access to sexual education is part of the problem. We know this is specifically linked to lack of sex ed, which is why sex ed must begin addressing these disparities.”

So what does Dominick have in mind in terms of educational policies to help improve this issue? “The curriculum would highlight teaching students how to protect themselves from sexual abuse, STI and pregnancy prevention campaigns geared specifically at all disabled and LGBTQIA youth, ensuring IEPs (individualized education programs) cover sex ed inclusion strategies, access to information about sexuality and gender identity, and additional education to address disparities that affect disabled LGBTQIA students who are people of color.”

Understanding power dynamics and consent.

It’s important to understand the power dynamic that often exists between people with disabilities and their caretakers. Many people with disabilities rely on their caretakers to perform basic tasks, like getting ready in the morning. Women with disabilities are 40% more likely to experience intimate partner violence compared to non-disabled women. This includes sexual, emotional, financial, and physical abuse, as well as neglect. For this reason, women with disabilities are less likely to report their abusers.

“Sometimes they’re more likely to think ‘this is the only relationship I can get,’ so they’re more likely to stay in these abusive relationships or have less access to even pursue courses of action to get out of the relationship. Especially if there is dependence on their partner in some way,” said K.

Dominick agreed. “Many of us often grow up believing we may not even be able to have sexual relationships. We often grow up believing our bodies are disgusting and there is something wrong with them,” he said. “So, when someone, especially someone with some type of power over us like a teacher or caregiver, shows us sexual attention and we believe we don’t deserve anything better or will never have the opportunity for sex again, it is easy to see why some disabled people are able to be manipulated or harmed in sexual situations.”

Dominick said this ideology led to his first sexual experience. “I probably should not have been having sex because I lost [my virginity] believing I had to take whatever opportunities I received,” he said, before going on to acknowledge the falsehood in these assumptions. “I’ve had many other relationships since then, and my last partner, I’ve been with for 15 years.”

But when it comes to disability, consent can be tricky. Some disabilities make communication a challenge. The lack of sexual education for many developmentally disabled students means they often don’t understand the concept of consent.

People with disabilities are more at risk for sexual exploitation and abuse.

According to the United States Department of Health and Human Services, children with disabilities also face a much higher risk of abuse. In 2009, 11% of all child abuse victims had a behavioral, cognitive, or physical disability. In fact, when compared to non-disabled children, children with disabilities are twice as likely to be physically or sexually abused. Those living with developmental disabilities are anywhere from 4 to 10 times more likely to face abuse.

Deni Fraser, the assistant principal at the Lavelle School for the Blind, a school in New York City dedicated to teaching students with visual impairment and developmental disabilities, believes it’s important for all students to understand the importance of boundaries, both other people’s and their own. Many students at the school, who range in age from 2 to 21, also have co-morbid diagnoses, making the students’ needs varied.

“It’s important for our students to know that we want them to be safe at all times,” Fraser said. “Letting them know what’s appropriate touch, not only them touching others, but other people touching them; saying things to them; for people not taking advantage of them; knowing who is safe to talk to and who is safe to be in your personal space; if there’s anything going on with your body, who would be the appropriate person to talk to; not sharing private information — so what is privacy; and the importance of understanding safe strangers, like doctors, versus non-safe strangers.”

The portrayal of disabled bodies matters.

The media also plays a part in perpetuating the idea that individuals with disabilities do not have sex. Sexuality is often viewed as unnatural for individuals with disabilities, and many disabled students internalize that. “Even Tyrion Lannister, one of the most sexual disabled characters on television, usually has to pay for sex, and even he was horribly deceived the first time he had a sexual experience,” Dominick noted. “If the media is not even saying sex is normal or natural for disabled people, and sex education is not inclusive, then often disabled people are having to learn about and understand sex on their own,” he added.

Many students with disabilities also want to see their bodies reflected in sexual education materials. “Part of the curriculum at a lot of different schools includes showing some level of video,” K said. But including a person with a visible physical disability in these videos would go a long way in helping to shatter the stigma surrounding sex and disability, she said. According to K, this would help people understand that sex isn’t only for able-bodied people.

People with disabilities make up a large part of the population. They’re the one minority group any person can become a part of at any time. Therefore, incorporating disability-related information into sexual education curriculum not only benefits students who are already disabled, but it can help students who, at some point in their lives, will experience disability. Embracing an inclusive approach and keeping bias out of the classroom would help raise awareness, create empathy, and celebrate diversity. By listening to disabled voices, we can work toward a society that values inclusivity.

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