Search Results: Doctor

You are browsing the search results for doctor

Who’s avoiding sex, and why

Share

 

By Shervin Assari

Sex has a strong influence on many aspects of well-being: it is one of our most basic physiological needs. Sex feeds our identity and is a core element of our social life.

But millions of people spend at least some of their adulthood not having sex. This sexual avoidance can result in emotional distress, shame and low self-esteem – both for the individual who avoids sex and for the partner who is rejected.

Yet while our society focuses a lot on having sex, we do not know as much about not having it.

As a researcher of human behavior who is fascinated by how sex and gender interact, I have found that sexual avoidance influences multiple aspects of our well-being. I also have found that people avoid sex for many different reasons, some of which can be easily addressed.

People who have more sex report higher self-esteem, life satisfaction and quality of life. In contrast, lower frequency of sex and avoiding sex are linked to psychological distress, anxiety, depression and relationship problems.

In his landmark work, Alfred Kinsey found that up to 19 percent of adults do not engage in sex. This varies by gender and marriage status, with nearly no married males going without sex for a long duration.

Other research also confirms that women more commonly avoid sex than men. In fact, up to 40 percent of women avoid sex some time in their lives. Pain during sex and low libido are big issues.

The gender differences start early. More teenage females than teenage males abstain from sex.

Women also are more likely to avoid sex because of childhood sexual abuse. Pregnant women fear miscarriage or harming the fetus – and can also refuse sex because of lack of interest and fatigue.

The most common reasons for men avoiding sex are erectile dysfunction, chronic medical conditions and lack of opportunity.

For both men and women, however, our research and the work of others have shown that medical problems are the main reasons for sex avoidance.

For example, heart disease patients often avoid sex because they are afraid of a heart attack. Other research has shown the same for individuals with cerebrovascular conditions, such as a stroke.

Chronic pain diminishes the pleasure of the sexual act and directly interferes by limiting positions. The depression and stress it causes can get in the way, as can certain medications for chronic pain.

Metabolic conditions such as diabetes and obesity reduce sexual activity. In fact, diabetes hastens sexual decline in men by as much as 15 years. Large body mass and poor body image ruin intimacy, which is core to the opportunity for having sex.

Personality disorders, addiction and substance abuse and poor sleep quality all play major roles in sexual interest and abilities.

Many medications, such as antidepressants and anti-anxiety drugs, reduce libido and sexual activity, and, as a result, increase the risk of sexual avoidance.

Finally, low levels of testosterone for men and low levels of dopamine and serotonin in men and women can play a role.

For both genders, loneliness reduces the amount of time spent with other people and the opportunity for interactions with others and intimacy. Individuals who are lonely sometimes replace actual sexual relations with the use of pornography. This becomes important as pornography may negatively affect sexual performance over time.

Many older adults do not engage in sex because of shame and feelings of guilt or simply because they think they are “too old for sex.” However, it would be wrong to assume that older adults are not interested in engaging in sex.

Few people talk with their doctors about their sexual problems. Indeed, at least half of all medical visits do not address sexual issues.

Embarrassment, cultural and religious factors, and lack of time may hold some doctors back from asking about the sex lives of their patients. Some doctors feel that addressing sexual issues creates too much closeness to the patient. Others think talking about sexuality will take too much time.

Yet while some doctors may be afraid to ask about sex with patients, research has shown that patients appear to be willing to provide a response if asked. This means that their sexual problems are not being addressed unless the doctor brings it up.

Patients could benefit from a little help. To take just one example, patients with arthritis and low back pain need information and advice from their health care provider about recommended intercourse positions so as to avoid pain.

The “Don’t ask, don’t tell” culture should become “Do ask, do tell.”

Complete Article HERE!

Share

How Lube, Dildos And Dilators Are Helping Cancer Survivors Enjoy Sex After Treatment

Share

Tamika Felder, a cervical cancer survivor, founded the nonprofit Cervivor to help fellow survivors navigate the jagged path back to sexual health.

By

“I don’t know if readers are ready for what I’ve got to say!” Tamika Felder chuckles over the phone. “I just don’t think they’re ready.”

If you’re a cancer survivor, you should be, because Felder, 42, is an intimacy advocate who dedicates her life to helping cancer survivors navigate the oftentimes brutal path back to sex and pleasure. She was diagnosed with cervical cancer at 25, and spent the next year getting chemotherapy, radiation and a radical hysterectomy. She wound up with “bad radiation burns from front to back” as well as vagina atrophy, shrinkage and dryness, all of which led to painful sex.

“I knew at 25 this just couldn’t be it for me. I knew I wanted to have sex again, and I wanted to have good sex again,” she says. “It takes time, but it’s absolutely possible.”

Felder founded Cervivor, a nonprofit that educates patients and survivors of cervical cancer. She also works with both women and men struggling to regain their sexuality and intimacy post-treatment. Many survivors aren’t aware that there are items, exercises and treatments that can help them. Felder spoke with Newsweek about what people can do to experience pleasure again, even if it’s different than it used to be.

What exactly do you do?
I am not a doctor, I’m patient-turned-advocate who is passionate about the total life beyond cancer—and that includes the sensual side. Cancer treatments are saving our lives, but they’re also damaging our lives. I knew one guy who had to have his penis removed. That’s a life-saving surgery but how do you help that patient navigate life after? I’ve counseled women who survived gynecological cancer, whose vaginal canals meshed so close together that their doctor can’t even fit a speculum inside. What does that do for the quality of life for a woman like that? You have to offer alternatives! Maybe she can’t have penetration through the vaginal canal, but I expect the medical community—her hospital or cancer center—to help her navigate to a good quality of life. Because part of a good quality of life beyond cancer is your sexual self. Doctors have to talk more freely about that.

What if they don’t?
If your clinical team doesn’t raise the concern with you, you need to speak up. Email them or call them on the phone if it’s too hard to do it face-to-face. Find your voice. If something is not functioning the same way or how you think it should be functioning, speak up.

Now that you’ve identified a problem, what are some of the ways to deal with it?
Dilators: Whether you have a partner or it’s all about self love, dilators are important because they stretch out your vagina. Start with a small size dilator and move up. If you need something more, take a field trip to a toy store and get different sized dildos and vibrators. With some cancers, if you don’t use your dilators, your vaginal canal—or whatever is left of it—can close back up, so it’s important to follow those suggestions. Other people think, If I’m not dating now it’s not an issue. No! You need to deal with it now so when you’re intimate with another person you can be ready. Practice makes perfect.

Lubrication: If you’ve had any type of gynecological cancer, lube is going to be your best friend. After chemotherapy and especially radiation, your vagina can be very dry. Women deal with it as we age, but radiation causes you to go into menopause early. For cervical cancer, not only do you have external radiation but also internal radiation. Lube is important when you become sexually active again, because your body isn’t producing moisture on its own. Otherwise you’ll have abrasive sex—it will hurt to enter the vaginal walls.

You have to find out what works for you. Coconut oil is perfect for putting in your vagina and using as lube. A little goes a long way. I also like Zestra, an arousal oil. It’s a natural lubricant. For women who may have slow libidos, you put it on your clitoris and labia and experience what some people call a tingling experience. They call it the “Zestra Rush.” It’s a slow progression of warming up and you’re like, Oh! It still works!

Pocket Rockets or Lipstick Vibrators: These bring blood flow back to the vulva. I don’t care if you’re a southern Baptist from the Bible Belt, I want you to get a pocket rocket and take it with you when you travel and use that sucker so it can help the blood flow. There are lots of fun toys out there that can help. My favorite one is the Ultimate Beaver. Order discreetly online or take a fun field trip to an adult toy store.

Mona Lisa Touch: There are new therapeutic procedures, like the Mona Lisa touch laser treatment, that helps with vaginal rejuvenation. If you’re a reality TV fan like myself, you might think, it sounds like what the Real Housewives do! It’s not just something that rich people do. In many cases, insurance won’t cover it, but we’ve seen with the right doctor and the right type of letter, they’ve gotten insurance to cover it. Or, you may find a doctor willing to donate or discount services. Take a chance and write them, saying, “This is what happened to my vagina after cancer, and this is how you can help.”

Pay Attention to Pain: Make sure you heal properly. You may have healed on the outside but it doesn’t mean you’re healed internally. If you’re properly healed but still experience pain, have a conversation with your doctor.

What pitfalls should people be aware of?
A lot of people focus on what their body was like before cancer. I hate to say, “You have to give that up,” but you do in order to move forward. Your body has changed. Your objective shouldn’t be an orgasm, because maybe your body won’t do that again. It pains me to know that women have vaginal canals that have closed and they’re just living a life where they think they can’t have pleasure stimulated vaginally anymore. It’s not fair. They weren’t given the resources to help them along the way.

How did you redefine sex and intimacy for yourself?
In my own eyes and my husband’s eyes, I’m a perfect 10, but if I’m walking down the street, I don’t look like the magazine covers. I’m a plus size woman but I do love myself. It starts with that. Part of the homework I give men and women— When you look at yourself, tell me what you see. They always start out with the negative. I’ve never had anyone, no matter the age group, in all my cancer talk about sex and intimacy, who’s started with anything good. So I flipped it: Tell me what you love about yourself? You can go get these toys and procedures, but at the end of the day, the true pleasure comes from how you feel about yourself. That’s going to make your sexual self stronger. I’m not saying, don’t go for pleasure, but it really is how you feel about yourself.

Where can people go for more help?
Sites like Memorial Sloan Kettering and Dana Farber have amazing resources. Find out if your cancer center has a program to help cancer patients reclaim their sensual side, like this one at Dana Farber. Or find someone in your local area through the American Society of Sex Educators, Counselors and Therapists.

Complete Article HERE!

Share

Taboo-busting sex guide offers advice to Muslim women seeking fulfilling love lives

Share

The Muslimah Sex Manual: A Halal Guide to Mind Blowing Sex is praised for empowering women

Many Muslim women enter into a life-long commitment with little knowledge of sex.

By

It was a confession by a newlywed friend about her disastrous sex life that gave Umm Muladhat an idea for a groundbreaking book.

Published last week, The Muslimah Sex Manual: A Halal Guide to Mind Blowing Sex is the first such guide written by a Muslim woman. The author has chosen to stay anonymous, using an alias.

Candid advice is offered on everything from kissing to cowgirl positions – with the core message being that Muslim women can and should enjoy a varied sex life and take the lead in physical relationships.

While some critics have accused the author of fetishising Muslim women and encouraging promiscuity, the book has been welcomed by readers who have lauded her as a Muslim Belle De Jour, bringing a taboo subject into the open. “I’ve received encouraging feedback, but also a significant number of demeaning and disgusting messages,” said Muladhat. “One woman said it’s not needed, they learn everything from their mothers. I doubt any mother speaks in as explicit detail as I have.

“I put an emphasis on having sex only with your spouse, but having the full range of sexual experiences with that spouse. Islamically, there’s an emphasis on enjoying physical relationships within the context of marriage, not just for procreation. It is the wife’s right that her husband satisfy her sexually.”

Muslim women’s organisations have praised her, saying the book will empower Muslim women and protect them from entering into sexually abusive relationships. Shaista Gohir, chair of the Muslim Women’s Network UK which runs the Muslim Women’s Helpline, said: “I’m all for women talking about sex. Why shouldn’t they? Talking about sex in Islam is not new, and past scholars highlighted the importance of sexual pleasure for women, which included advice for men to ensure this happens.

“However, in practice, sex seems to all be about men’s pleasure. Cases often come up on our helpline where women’s complaints range from being forced into participating in unwanted sexual acts, rape, to being treated like a piece of meat with zero effort made to ensure the woman has an orgasm. I suspect the problem is much bigger, as most would feel too embarrassed to talk about it.”

Muladhat said she felt compelled to write the book after she discovered women were entering into a lifelong commitment with little knowledge about sex other than snippets gleaned from the back of guides to marriage, with an emphasis on what was forbidden, rather than what was allowed, and with little from the perspective of women.

“I saw many Muslim women were getting married with no real avenue for learning about sex,” she said. “Couples knew ‘penis into vagina’, but little on how to spice up their sex life. Different positions, different things to try in bed – it’s all absent in contemporary Islamic literature. For those in the west, certain things permeate through osmosis, so women have heard about BDSM and doggy style, but only in a vague sense.”

Many misconceptions that the book deals with stem from cultural attitudes that decent women don’t enjoy sex and should “lie back and think of morning prayers”. Gohir said: “Guilt associated with sex is drummed into women from childhood. It’s portrayed as something dirty where women’s sexuality is often controlled. This does result in women going into marriages not having the confidence to say ‘I am not enjoying this’ or ‘I want this’. It’s time this topic is spoken about more openly.”

Muladhat also found that confusion about what sex acts were permissible in Islam was inhibiting women from experimenting in the bedroom. “Outside the house, culture varies a lot. Inside the bedroom, the concerns and desires of Muslim women from around the world were strikingly similar,” she said.

After holding informal workshops, she set up a website to ascertain interest in a book. Such was the response, that Muladhat is already considering a follow-up, after being inundated with emails from men also looking for advice. “I didn’t find any guides to sex aimed at Muslims, women or otherwise. There are plenty of books already on marriage, but spicing up a Muslim’s sex life while staying halal? There’s nothing.

“I’ve received dozens of emails from men asking if I had any plans to write a companion book to teach them how to please their wives in bed. I’ve taken that into consideration and plan to write a follow-up if this book is successful.”

The author chose to stay anonymous, partly for fear of a backlash but also because she didn’t want to be known in her tight-knit community as the “sex book aunty”. “Initially, I thought my real name would add credibility, but it’s a sensitive topic,” said Muladhat. “Whether it’s ethnicity, socioeconomic status or religiosity, people who want to attack the book will invariably do so by attacking the author. By separating my real self from the book, people are forced to deal with the content.”

What she will reveal, though, is that she is an American-born psychology graduate and much of the book is based on her personal experience of keeping the spark alive within her own marriage, along with tips picked up from friends and old copies of Cosmopolitan.

“My biggest qualification is the knowledge which comes only with experience. A doctor can explain the biology, but if you want an attractive physique you’re better off learning from a bodybuilder than an overweight doctor.”

Complete Article HERE!

Share

I thought that everything was completely normal down there, but then…

Share

Name: Shaon
Gender: Male
Age: 20
Location:
I am a 20-year-old male and recently on a forum I post on someone was talking about how they had to get a circumcision as an adult because they had a condition called phimosis. Up until a couple of days ago I thought that everything was completely normal down there, I have been able to masturbate normally for as long as I’ve been doing it. I’ve been doing a lot of reading on the internet about the condition and I think I might have it but I’m not really sure and I can’t bring myself to go to a doctor about it. I don’t have any picture now but I can take some and I’m wondering if you would be able to tell me if I have phimosis simply by looking at pictures. Thanks for your help.

So you’re reading around on the internet…that’s a good thing. What’s not so good is that your casual reading around has brought you to the conclusion that you have a medical condition called phimosis. Even though, up to this point, you believed everything in your nether regions was working perfectly fine.

That’s the problem with having just a little information. It tends to lead to more questions then answers.

For those in our audience unfamiliar with the term phimosis, it’s a condition in which the foreskin of the penis cannot be pulled back past the glans.

Shaon, you’re welcome to send me photos of your unit, but I can’t promise that I’ll be able to tell you for sure if you have phimosis or not. (Remember, I’m not a medical doctor, so don’t expect a medical diagnosis.) If you do send photos, you will have to include some of your erection with your foreskin pulled back as far as it goes.

So, let me ask you a couple of questions.  Can you retract your skin over the top of your dickhead? Are you able to retract your foreskin while your dick is hard as well as soft? When you shower or bathe, do you clean out under your foreskin?

Also, you should know that there are lots of ways to stretch your foreskin, so you shouldn’t ever have to worry about circumcision.

May I suggest that you take your time and read around my site for all the posting and podcasts that I’ve done under the topic “foreskin”? To do that, simply use the CATEGORIES pull-down menu in the sidebar of my site. Look for the heading Body Issues. Under that you will find the word “foreskin”. Every thing is alphabetized for your convenience.

And there’s more under the topic “Uncut”.

Good luck

Share

Why Your Sex Drive is Crashing and How to Fix It

Share

Expert tips on how to get your mojo back

By Linda Bradley, MD and Margaret McKenzie, MD

A low sex drive, also known as low libido, is one of the most common issues among our female patients. Most are very relieved to find out they are not alone in this struggle. This generally happens to new moms and menopausal women, or just simply when work and family life takes its stressful toll on a woman.

Sometimes we just aren’t in the mood for sex and that is OK. Being present in your relationship and having a responsive partner are important for continued sexual interest in your relationship. Knowing that fatigue and stress as well as problems in our relationship can cause us to have a low drive, you need to let your doctor know what’s going on in your life because social stressors affect sexuality.

There are a lot of external factors that could hinder your sex drive as well. Are you taking hormones or anti-depressants? How much do you drink? Any new illnesses? Sign of abuse in your relationship? Financial problems? Children or family problems? Lack of privacy in your bedroom? Your health care provider needs to probe deeply to determine if any of these factors may influence your libido. We want to help you get your mojo back and exploring these sensitive topics is warranted. In other words, we’re not being nosy or intrusive.

Women suffering from low sex drive report their sexual desire and receptiveness to sexual activity to be approximately none at all to once a month or even once every couple of months. While there’s no fast and sure cure, the first step to overcoming this would be to recognize it without blame or shame, then brainstorm ways to make sex a priority once again. There are various strategies women can adopt alone or together with their partner.

For instance:

  • Make if a point to enjoy some “you” time in order to de-stress.
  • Relax in a long (hot or cool) bubble bath.
  • Refuel emotionally through meditation or journaling.
  • Exercise regularly to increase your stamina.
  • Schedule a date night with your partner — and stick to it!

If sex is painful, or if hormonal problems are the issue, then medical attention is necessary. Generally, though, women have to come to grips with the fact that a strong, healthy sex drive doesn’t just automatically happen after spending years in a relationship. You must put effort toward it and make it a priority. In addition, as relationships age, and was we and our partner age, other factors like body image, chronic disease, blood pressure medications, anti-depressants, and certain hormonal therapies may impact sexual desire.

Having a lack of desire is one of the most commonly reported sexual issues that our patients bring into the arena of sex. Don’t be afraid to bring this up as many times as you need to. Doctors have many helpful solutions. So be bold and write it on your list of things to discuss at your visit with your doctor so you don’t forget.

Complete Article HERE!

Share