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Female Sexual Dysfunction Is A Fictional Disorder

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Name: Sharon
Gender: female
Age: 30
Location: PA
I’ve been reading a lot lately about FSD, or female sexual dysfunction. Is there such at thing? It strikes me as a fictitious “ailment” that is being promulgated to sell pharmaceuticals to unsuspecting women. What are your thoughts?

I share your skepticism. 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.

body as art

So much of female sexuality is caught up with the cultural context of a women’s role in society — family obligations, body image and patriarchal views of marriage, etc. For the most part, men aren’t nearly so encumbered. So when one talks about female sexuality, particularly when the notion of a condition or a disorder arises; ya gotta ask yourself, what’s going on here?

I too have been noticing a lot of discussion in the popular culture lately about female sexual dysfunction. My first response is to ask myself, who’s raising the issue and why? Sure some women, like some men, experience difficulties in terms of desire, arousal and orgasm, but what of it? Is it a syndrome? Is it really a dysfunction? I personally don’t think so. The sexual difficulties most people experience can be explained and dealt with in a less dramatic way then with drugs?

And here’s an interesting phenomenon; the repeated appearance of the term female sexual dysfunction in the media lately actually gives the concept legitimacy. I’m certain the pharmaceutical industry is hoping that it will. If they can make the connection in the public mind between what women experience in terms of desire, arousal and orgasm concerns and what men describe as erectile dysfunction, then most of the work is done. In other words, I think the entire effort is a marketing ploy.

female sxualityI think we can safely say that, in order to determine what female sexual dysfunction might be, one has to clearly understand what a “normal” sexual response is for a woman. This is where we traditionally run into problems. Sex science is notoriously lacking in this endeavor. One thing for certain, although both women and men have a discernable sexual response cycle, a woman’s sexual response is not the same as a man’s. Even though we can’t say with certainty what “normal” is, therapists are famous for turning difficulties into disorders. And once you have a disorder it becomes the basis for developing a drug therapy. So you can see how this becomes a self-fulfilling prophecy.

Currently there’s a real buzz among clinicians concerning the efficacy of Addyi, the so-called “female Viagra”. But most sexologists, myself included, are unimpressed. Basically, the drug in question is an antidepressant. When I heard that, red flags began to fly. Antidepressants are notorious for their adverse side effects, especially in terms of sexual arousal in both men and women. The second problem with the study was the whole notion of desire and distress. Lots of women experience diminished sexual arousal but are not distressed by it. But if there’s no distress, clinically speaking, then it can’t be considered a disorder. You see where I’m going with this, right? If there’s not a “disorder” there’s no need for a pharmaceutical intervention.FUCK

According to the research some of the women in the clinical studies leading up to the approval of the drug claimed they were less distressed by their “condition,” Hypoactive Sexual Desire Disorder, than they were at the beginning of the study. According to clinical trials of Addyi held in 2013, only 8% – 13% of the women experienced “much improved” sexual desire and only about 2 more satisfying sexual encounters per month were had. In other words, when behaviors were studied, the actual number of satisfying sexual episodes reported by these less distressed women hardly changed of all. This indicates to me that the antidepressant helped lift the spirits of the distressed women, but did nothing to increase their satisfaction with their sexual outlet.

Twice the FDA rejected Addyi for its severe side effects and marginal ability to produce the effect that it is being marketed for. And despite the fact that the drug is now available, those side effects still exist. Women who take the pill are likely to experience dizziness, nausea, drowsiness, fainting spells, and falling blood pressure. Coupled with alcohol and even hormonal contraceptives the odds of these potential side effects occurring increase. Persons with liver ailments, or taking certain other medicines, such as types of steroids are also at higher risk. On the other hand Viagra has very mild side effects that may include headaches, indigestion, blue-tinted vision and in some cases a stuffy nose.

While a man can pop Viagra an hour or so before he plans to have sex, women who are looking for increased sexual desire need to take Addyi daily for up to a month before they should expect to see any effects.

Good luck

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Wild Things

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Name: Terre
Gender:
Age: 54
Location: Nashville
I’ve been in a relationship for over 11 years. For sex, I was always the top; occasionally I would bottom. However, now that I have developed erectile dysfunction, I’m lucky to get slightly hard. I cannot penetrate my partner any longer. I’ve tried reversing roles; however, my partner is no good at being a top/aggressive and I’ve found anal sex much too painful including bleeding and profound pain after only attempting to be penetrated by my partner. What can I do to get over this hump? What other things can I try to maintain sexual balance in my relationship?

Get over this “hump,” Terre? You’re such a punster!

Have you tried a cock ring to keep yourself hard enough to bugger your old man? How about dildo play? You still get to be the top and he still gets to be the bottom, it’s just that you’re using a meat substitute instead of your salami.

And what’s all this about you being unable to take it in your bum? I have written extensively about learning to bottom. Check out some of my earlier postings, especially Liberating The B.O.B. Within. Use the site’s search function in the sidebar to your right; type in “Tutorial for a Bottom” and/or “Tutorial for a Top” and PRESTO! Once you’ve read through those tutorials you can find loads of other helpful hints on the site by clicking on the CATEGORIES section, also in the sidebar; scroll down till you find “Ass Fucking”.

Maybe you need to look at alternative sex practices that don’t involve his rump and your rod? Is ass fucking the only thing you guys can think of in terms of sex play and mutual pleasuring? That seems pretty limiting. How about some kinky power play? That sure enough will keep the sexual balance in your relationship. There’s bondage, discipline, milking, jelqing, CBT, edging, fantasy play, watersports, fisting, flogging, massage, rimming, cock sucking, role playing, group sex and vibrators — just to name a few.

How about hiring a pro to attend to your needs? A hot, hunky escort to fuck your partner and do god knows what to you. You see, darling, just because you are 54 and live in Nashville don’t mean your brain’s gone dead…or has it? Like I always say, if there’s a will there’s a way. And hey, maybe that’s a good place to start. Maybe it’s time to check in with your partner to see what new things he’d like to investigate and go from there.

Name: Gilbert
Gender: male
Age: 53
Location: Ohio
I discovered plushie sex long before I knew there were other people in the world who love their stuffed animals as much as I do. At first, I just cuddled and slept with my special plushie, but then I couldn’t help but show my feelings. I wanted to consummate my love for my plushy. The first time I did this I didn’t do anything to my plushie directly. I simply embraced it while I pleasured myself to orgasm. Now my favorite method of expressing my love is to press myself tenderly into my lovers’ plush fur. It’s a truly exquisite sensation!

Lonely are we, Gilbert? YIKES! Say, is your plushie a girl plushie or a boy plushie? Are you sure your plushie, regardless of its gender, likes having you be so…how shall I say this…intimate? And what about the clean up? You say you press yourself tenderly into the plush fur. Good god; it can’t be all that much fun for your plushie tryin to get all your goopy spooge out of its polyester fur, now can it?

And your message isn’t so much of a question as it is a statement, huh Gilbert? Can I assume then that you just wanted to tell the world about gettin your freak on with your beloved plushie? DONE!

For those in my audience who are unable to fathom plushy sex, here is the 411 on this fetish. Some folks, like old Gilbert here, get started down this path by innocently stroking the stuffed animal over their naughty bits. This, I am told, can be the beginning of an intense connection with his/her plushie. Other enthusiasts aren’t satisfied till there is penetration. This is accomplished by modifying the creature at hand by creating what plushies call a ‘strategically-placed hole’ (SPH) on a said plushie. I suppose depending on the gender of the plushie; the ‘strategically-placed hole’ is either a plushie pussy or a plushie asshole, but I digress.

Some fetishists are on the receiving end of plushie sex. That is they create a ‘strategically-placed appendage’ (SPA) on their long-suffering plushie partner and make the little creature fuck them silly(er). SPA, indeed! I mean, god forbid that we call it what it actually is — a freakin’ stuffed animal with a strap-on.

Beyond the human on stuffed animal sex the plushie world also offers plushie on plushie sex too. Of course these are really humans dressed up as plush animals…I mean from head to toe…REALLY! These enthusiasts are generally referred to as furries. Isn’t that adorable?

There are furry sex parties, the like of which I will leave to your fevered imagination, where there’s no end to plushie perversion. I am told that it’s imperative that participants at these parties stay in character. How do you tell the gender of the furry, you might ask? Girl furries often have a bow in their fur. Boy furries, not so often. Ok, I made that part up.

Anyway, the furry outfits are equipped with Velcro held flaps in front and in back. These ‘strategically-placed flaps’ (SPF) give furries access to a fellow furry’s naughty parts. Full-on humping is proceeded by lots of sniffing and nuzzling…you know, exactly like ordinary animals do…only completely different. This is called yiffing. Honestly! Look it up.

I’ve had only two close-up encounters with real live furries. One was a client of mine. Another I met in an online chat room. The chat room connection was so delighted to discover that I was a sexologist that he could hardly contain himself as he revealed to me every gory detail of his furry sex life.

The guy who was my client revealed his furry persuasion in one of his early visits to my office. You see he was having this deep sexual conflict, and as it turned out, it wasn’t that he was dressing up as a big brown bear to get his rocks off.

Here’s how my client related the story.  “So here’s the deal,” the guy says. “I’ve been completely straight all my life. A couple of years ago when I discovered I was a furry I went to a few furry sex parties. At one of the parties another male furry began sniffing me and making sexual advances. I would have decked him if I hadn’t been in my bear suit. But because I was being my furry-self his advances were like this complete new turn on. To make a long story short, I got it up the ass but good that night for the very first time.”

You see my client was suddenly conflicted not because he was a furry, don’t ‘cha know. He was conflicted by the discovery that, despite being an exclusively straight macho dude out of costume, he was a freakin’ fag furry in costume. And that, my dear audience, is one of the most bizarre things the good doctor has ever heard.

Good luck ya’ll!

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Viagra rising: How the little blue pill revolutionized sex

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Twenty years ago, a little blue pill called Viagra unleashed a cultural shift in America, making sex possible again for millions of older men and bringing the once-taboo topic of impotence into daily conversation.

While the sexual improvement revolution it sparked brightened up the sex lives of many couples, it largely left out women still struggling with dysfunction and loss of libido over time. They have yet to benefit from a magic bullet to bring it all back, experts say.

About 65 million prescriptions have been filled worldwide for the blockbuster Pfizer drug approved by the US Food and Drug Administration on March 27, 1998.

It was the first pill aimed at helping men get erections.

Suddenly, talk of an amazing drug that could make an older man’s penis hard again was all over television and magazines.

The Viagra boom also coincided with the rise of the internet, and the explosion of online pornography.

Ads for Viagra were designed to reframe what had been known as “male impotence” as “erectile dysfunction” or ED, a medical condition that could finally be fixed.

Republican senator, military veteran and one-time presidential candidate Bob Dole became the first television spokesman for Viagra, admitting his own fears about erectile dysfunction to the masses.

“It’s a little embarrassing to talk about ED, but it is so important for millions of men and their partners,” he said.

The strategy worked.

Before Viagra, men wanted to talk about their erectile problems, and did, but the conversations were awkward and difficult, recalled Elizabeth Kavaler, a urology specialist at Lenox Hill Hospital in New York.

“Now, sexuality in general is very out there,” she added.

“Sex has become an expected part of our lives as we age. And I am sure Viagra has been a big part of that.”

MISUNDERSTOOD DRUG

Viagra has had a “major impact” — on a par with the way antibiotics changed the way infections are treated, and how statins became ubiquitous in the fight against heart disease, said Louis Kavoussi, chairman of urology at Northwell Health, a New York-area hospital network.

Viagra’s release also came amid a “sort of a clampdown on physicians interacting with companies,” he said.

“So this was a perfect medicine to advertise to consumers. It was a lifestyle type of medicine.”

Viagra, or sildenafil citrate, was first developed as a drug meant to treat high blood pressure and angina.

But by 1990, men who took part in early clinical trials discovered its main effect was improving their erections, by boosting blood flow to the penis.

For all its popularity, Viagra is still often misunderstood.

“It isn’t an aphrodisiac,” said Kavoussi.

“A lot of men who ask about it say, ‘My wife isn’t very interested in relations,” he added.

“And I say, ‘Viagra is not going to change that.'”

SEXUAL REVOLUTION

In 2000, the comedy show “Saturday Night Live” featured a spoof on ads that showed sexually satisfied men saying, “Thanks, Viagra.”

In it, one eye-rolling actress after another was featured groaning “Thanks, Viagra,” as a horny male partner groped her from behind or gripped her in a slow-dance.

The skit was funny because it reflected a reality few people were talking about.

“We are a very puritanical society, and I think Viagra has loosened us up,” said Nachum Katlowitz, director of urology and fertility at Staten Island University Hospital.

“But for the most part, the women have been left out of the sexual improvement revolution.”

Pfizer finally did include women in its marketing for Viagra, in 2014. The commercials featured sultry women, including at least one with a foreign accent, speaking directly to the camera, telling men to get themselves a prescription.

‘FEMALE VIAGRA’

In 2015, the FDA approved a pill called Addyi (flibanserin), which was cast in the media as the “female Viagra,” and was touted as the first libido-enhancing pill for women who experienced a loss of interest in sex.

The pill was controversial from the start.

A kind of anti-depressant, women were warned not to drink alcohol with it. It also cost hundreds of dollars and came with the risk of major side effects like nausea, vomiting and thoughts of suicide.

“It didn’t go over too big,” said Katlowitz.

Valeant Pharmaceuticals bought Addyi for $1 billion in 2015, but sold it back to the developer, Sprout Pharmaceuticals, at a steep discount last year.

Older women’s main problem when it comes to sex is vaginal dryness that accompanies menopause, and can make sex painful.

Solutions tend to include hormones, or laser treatments that revitalize the vagina. They are just beginning to grow in popularity, but still cost hundreds to thousands of dollars, said Kavaler.

“We are at least 20 years behind men,” she said.

For Katlowitz, Viagra was a prime example of “the greed of the pharmaceutical industry.”

Viagra cost about $15 per pill when it first came out, and rose to more than $50. It finally went generic last year, lowering the price per pill to less than $1.

“There was absolutely no reason to charge $50 a pill,” said Katlowitz.

“It was just that they could, so they did.”

Complete Article HERE!

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When the Cause of a Sexless Relationship Is — Surprise! — the Man

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There are varying definitions of a sexless marriage or sexless relationship: no sex in the past year, no sex in the past six months or sex 10 or fewer times a year. According to one study, approximately 15 percent of married couples are sexless: Spouses haven’t had sex with each other in the past six months to one year.

I was once in a sexless relationship.

I have debated admitting this publicly, but my story feels different than the narrative advanced by our patriarchal society. Why? Because I was the one begging for sex from an uninterested male partner. Sex 10 times a year would have been 10 times more than what I was having.

This topic comes up a lot in my work. As a gynecologist, I’m frequently asked about the “right number” of times to have sex a month. The answer is that there isn’t one. If both people are truly happy, then it’s a healthy sex life.

I understand the confusion about frequency. Messaging around sex is everywhere: It’s used to sell almost everything, and news articles remind us that various hormones and neurotransmitters may spike in response to having sex.

Yet a single hormone surge does not a rewarding relationship make, and virtually no one has studied the hormonal impact, on a relationship, of grocery shopping, making dinner or doing the dishes. If a couple doesn’t have sex but they both feel satisfied, then there is no problem. The issue is when there’s a mismatch in desire.

Of course, libido ebbs and flows, and there will be times when one partner is temporarily uninterested. Back in 2003, I was home with two premature infants, both on oxygen and attached to monitors that constantly chirped with alarms. Had even Ryan Reynolds — circa “The Proposal,” not “Deadpool” — shown up, he would have needed to display expertise in changing diapers and managing the regulator on an oxygen tank to interest me.

Looking back on my relationship, the frequency of sex dropped off quickly. I told myself it would get better because there were other positives. I falsely assumed that men have higher libidos, so clearly this was temporary.

Pro tip: Nothing in a relationship ever gets better on its own. You might as well ask the ingredients in your pantry to bake themselves into a cake.

I was embarrassed when my attempts at rekindling the magic — things like sleeping naked or trying to schedule date night sex — fell flat.

I started to circuitously ask friends if they ever felt similarly rejected. The answer was “Not really.” One who was going through an especially acrimonious divorce told me that she and her future ex still occasionally had wild sex. People have needs, after all.

The fact that people who hated each other were having more sex than me did not make me feel better. Not at all.

Eventually I decided that sympathy sex once or twice a year was far worse than no sex. I worried that no intervention would be sustainable, and the time not addressing the issue had simply taken its toll. We were terribly mismatched sexually, and it wasn’t something that he was interested in addressing.

My experience led me to listen differently to women speaking about their sex lives with men, whether in my office or in my personal life. There are spaces between words that tell entire stories. When I ask someone about her sex life and there is a pause or a generic “O.K.,” I say, “You know, the libido issue is often with the man.”

I say this to friends, acquaintances and even people I barely know on airplanes (after they learn what my job is). The responses from women are so similar that I could script it. A pause, then relief that it’s not just them, followed quickly by the desire to hear more. Many tell me intimate details, so glad to have someone in whom they can confide.

Libido can be affected by a number of things, including depression, medication, stress, health, affairs, previous sexual trauma, pornography, pain with sex and relationship dissatisfaction (having sex while going through an ugly divorce is probably an outlier).

Erectile dysfunction is a factor for some men, especially over the age of 40. Other men may have low testosterone (although there is a lot of dispute in this area). There is also the possibility that one partner in a heterosexual relationship is gay.

New love is intoxicating, and I’m not being metaphorical. A functional MRI study suggests that new love activates the reward centers of the brain and, like opioids, increases pain tolerance. I wonder how much the drug that is new love affects libido? If some men and women are simply on a lower libido spectrum in everyday life, might they revert to that once this “love drug” subsides, leaving those with a higher libido frustrated?

I want women to know that if they are on the wanting end for sex, they are not alone. If you love the person you’re with, then the sooner you speak up, the better. You can try what I did — sleeping naked and scheduling sex — because the more you have sex, the more you may want to have it, if you’re doing it right and it feels good. However, if things are not changing in the way you want, you may need help from a couples counselor, a sex therapist, a clinical psychologist or a medical doctor, depending on the situation.

Waiting until months or even years have passed can weaponize the bedroom. It will add so much more complexity because resentment compounds like a high-interest credit card.

Sexuality and relationships are complex, and there are no easy answers. It’s not good or bad to have a high, a medium or a low libido. You like what you like, but if you don’t speak up about what you want, you can’t expect the other person to know.

Our society seems almost built on the erroneous idea that all men want sex all the time, so I imagine it would be hard for men to admit to a lower libido, even anonymously. I have lied about my weight on many forms. That doesn’t make me a broken person; it just proves that a cloak of invisibility doesn’t hide you from yourself. The most damaging lies are the ones we tell ourselves.

Complete Article HERE!

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