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Multiple Orgasms for Men?

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

 

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

By Carrie Weisman

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

Complete Article HERE!

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5 Health Reasons To Make Love, Even When You’re Not In The Mood

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At the start of every relationship, everything is brand new, and we just can’t get enough of our partner. During the honeymoon phase, we engage in extra PDA, barely keeping our hands off each other, especially sexually. However, there comes a point where one of us wants sex, and the other isn’t in the mood for it, but science suggests we should consider having more sex for our health’s sake.

Sex droughts can hit couples, which can be a sign of comfortability, or married life. Infrequent sex can occur due to children, work, and stress, but having sex can actually lighten the load of these daily obstacles.

April Masini, relationship expert and author, believes “intimacy is as important as an apple keeping the doctor away.”

“Nurturing intimacy in relationships is important — and should be just as important a health concern as getting a regular mammogram or a colonoscopy! Happy, healthy, intimate relationships are crucial to good physical and mental health,” she told Medical Daily.

Scientists have found the reason why sex feels so good is due to the release of dopamine and opioid chemicals. Sexual stimulation sends the brain into an altered state of consciousness; it blocks out everything else, and allows us to solely concentrate on the sensation. In other words, it enhances brain activity.

Regular sex can do more than make us feel good; it can boost our overall health in these five ways.

Boosts Immune System

Frequent sex can help keep our immune system strong, protecting us from getting the common cold. Dr. William Kolbe, author of the book The Rejuvenating Power of Masturbation, suggests sex’s immune boosting power comes from its interaction with the pituitary.

“Sexual intimacy(solo and paired) sends signals to the pituitary to stimulate the major endocrine axis including the thymus gland, a major player in our immune system,” he told Medical Daily.

A 2009 study in Psychology Reports found having sex at least once or twice a week led to 30 percent more immunoglobulin A (IgA) in their saliva, than those who reported having no sex. IgA is an antibody that helps fight infections and the common cold. They reach their peak in couples who had sex a few times a week.

Lowers Blood Pressure

Sex does not significantly raise blood pressure in men, rather it can help lower it to normal levels. A 2000 study in Biological Psychology, researchers asked 51 healthy men and women, between the ages of 20 to 47 about how much sex they have; followed by measuring their blood pressure.

They concluded more sex was linked to decreased blood pressure.

According to Kolbe: “Intimacy is an excellent cardiovascular workout thus providing positive effects to blood pressure. The increase in sex hormone production, especially estrogen, is very beneficial for the heart.”

Aids Heart Health

Unsurprisingly, sex is good for lowering our blood pressure, and for reducing the risk of heart disease. A 2002 study in J Epidemiol Community Health found regular sexual intercourse reduces the risk of stroke and coronary heart disease (damage or disease in the heart’s major blood vessels) in men.

Similarly, a 2010 study in the American Journal of Cardiology found men with low frequency of sex had an increased risk of cardiovascular disease. Men who reported sexual activity of once a month or less had a higher risk of cardiovascular disease than men who reported having sex twice a week or more. This study is the first to look at frequency of sex and heart risk independently from erectile dysfunction, according to the researchers. They speculate men who are having sex regularly, may be in supportive intimate relationships. This may improve health via stress reduction and social support.

Stress Reducer

Feeling relaxed and mellow after sex tend to go hand in hand in the bedroom. A 2002 study in Archives of Sexual Behavior suggests semen may have antidepressant properties. Contact with semen during sex can help boost happiness levels for women, therefore, reducing stress

“Sex can reduce a woman’s stress level. This is especially so if the woman is relaxed and not constricted during the sex,” Dr. Fran Walfish, Beverly Hills family and relationship psychotherapist, told Medical Daily.

Keri Simon, a clinical social worker in St. Louis, who sees many couples, believes the stress hormone cortisol is reduced via a connection.

“More is communicated through intimate gestures which in a primitive example, communicates we have no need to be on defense, addressing our fight or flight responses. This communication is powerful — just ask anyone who has felt connection through a squeeze of the arm, pat on the back, hug, etc., and they can share that human intimacy is a powerful force of connection,” she told Medical Daily.

Improves Sleep

It’s likely some of us pass out right after sex, and this happens for a reason. The endorphins released during sex can help us enter natural states, like euphoria, leading us to feel less stressed. The oxytocin released during orgasm also promotes sleep. They’re released from the pituitary gland of the brain during periods of strenuous exercise, emotional stress, pain, and orgasm. Oxytocin is known as the “love hormone” because it’s typically released when two people make physical contact.

Interestingly, a 2014 study found women in romantic relationships who got an extra hour of sleep had higher levels of sexual desire. They also experienced a 14 percent increase in the likelihood of sex the next day. Women with longer average sleep duration also reported greater vaginal lubrication during sex than those with shorter average sleep.

The relationship between going to sleep and good sex seems to work both ways.

Complete Article HERE!

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Everything about female orgasm and how to touch a woman

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By Zoey Miller

How to Touch a Woman: Everything You Need to Know About the Female Orgasm

Are you wanting to become a better lover? Do you want to make a woman go wild? Is your ultimate goal to please a woman and drive her to the best orgasm she’s ever had?

If you want to learn to please a woman — and please her well over and over again — then you have to practice. With every encounter or relationship you have, you’ll build your skills and get better at knowing what to do. Every woman is different, and so you really won’t know what truly turns her on until you have the opportunity to interact.

The bottom line is that figuring out what makes her go wild is a journey and it will take time — but it can be a fun journey that is informed by research and practice. And if we’re talking about sexual encounters, then there’s nothing more fun than that.

If you’re ready to take your sexual encounters and your ability to please a woman to a new level, then read on to get our full guide that will lead you through everything you need to know — and everything you need to do to get better with every interaction. There are few things that are more of a turn on to a woman than to know her lover want to make her scream.

Let your woman know this, and she’ll feel a comfort level with you that will allow her to reach the place where she can let go and experience a real orgasm.

Are you ready to get started? Here’s everything you need to know about how to touch a woman right now:

Everything About the Female Orgasm

What is an orgasm?

The female orgasm — much like the male orgasm — at its very base is a physical, pleasurable reflex when the woman’s genitals relax during sex. During intercourse, the muscles in the body are tightened, and when the female orgasm occurs, they release and return to what is known as the pre-arousal stage.

Depending on a woman’s anatomy and unique being, she may be able to have multiple orgasms in a row. Following an orgasm, a woman is going to be sensitive because of the overpowering sensation of her muscle’s reflexes. That’s because the blood rushes to the vessels in her muscles to create that sensation.

What does the female orgasm feel like?

Every woman’s experience in feeling an orgasm will be different but some very common occurrences are a feeling of intense warmth or sweating, heavy or increased breathing, vibrations of various body parts and the urge to scream out in pleasure.

An orgasm will feel differently and will be unique to each woman, so that’s why it’s so important that a woman really know her body and be able to articulate what turns her on. If a woman says she has never experienced an orgasm, then that’s an opportunity for you to show her that she can.

This is addressed in more detail in the next section.

What if my female partner can’t have an orgasm?

If you’ve ever had a woman tell you she cannot have an orgasm, then it’s time to stop in your tracks and do a little pressing. What you may find is that some women may feel embarrassed or ashamed to let go and be turned on — or they may think they are taking too long to achieve an orgasm and believe that they are being a burden to you.

Still others may find it challenging to have an orgasm because anatomically, their clitoris is too far away from their vagina. Researchers have discovered that typically, if your clitoris is more than 2.5 centimeters away from your vagina, or roughly the tip of your thumb to your knuckle, that you may not be able to achieve an orgasm by penile penetration alone. That doesn’t mean they can’t achieve orgasm through intercourse. It just means you need to work a little harder and be little more creative to find what really turns on your partner.

A very low percentage of women — less than 10 percent — claim that they can achieve an orgasm by penile penetration alone. It’s more likely that your partner prefers and needs more than one method of stimulation. So from oral sex to masturbation to using a vibrator — there are many different ways you can get your female partner to reach climax. It’s just a matter of knowing her anatomy and what she prefers in bed.

Overall, however, it’s really important that you create a safe and welcoming environment for your woman to relax and really let go. In that trusted space, she will be able to open up to you and tell you what she wants — what she wants you to say, how she wants you to touch her and what her fantasies are. Those are critical clues that will help you achieve her orgasm together.

At first it takes a little work, but it’s all in love and fun — and once you get there, the two of you will have a renewed and special trust that will take you into the next bedroom encounter.

How to Touch a Woman

Create an Environment for Intimacy

You’ll want to start out the night by creating a safe, trusted and intimate environment that will make your woman feel comfortable and loved. Women like many different environments for sex, and again, no one woman is alike.

So you need to know your woman well. Does she respond to flowers, candles and romance? Does she want sex quick and dirty? Does she need a chance to unwind with a glass of wine or a hot bath? Whatever her triggers are for relaxation and comfort, you’ll want to deploy those for her.

What this does is let her know you are watching, listening and responding to what will make her feel most wanted and loved. So pay attention — or ask her — and that will go a long way in creating a better environment for being vulnerable when it comes time to making that climb toward the female orgasm.

Kissing is Key

If you want to give a woman an orgasm, kissing is going to be key. Lower yourself to her vagina and use your tongue to massage her clitoris with slow licks. Pay attention to her breathing as you are doing this, as you may want to speed up or slow down depending on how she is responding.

Some patterns think that if they do everything quickly, then that is a turn on. But that’s likely going to make her feel like she needs to perform and fake an orgasm because she knows it’s not going to come quickly.

Instead, ask her what is feeling good as you are doing it. Ask her if she wants more kissing, more tongue licking or flicking, or the speed to be faster or slower. If she feels comfortable with you, she will tell you what is feeling especially good.

Ask her to guide your head as you are giving her oral sex so that you know the exact position that feels the best.

A bonus move that works really well: Ask her to masturbate if she feels comfortable while you are kissing or licking her, as you can watch her do this and pay attention to where her fingers are going. She is going to know her body the best, and you can know the exact location of where your tongue or fingers should be next.

Start Out Slowly When Penetrating

Another urban myth about penetrating a woman with your fingers, also called “fingering.” You can’t do it quickly at first. If you’ll remember from the first section, a woman’s muscles are usually tight during sex. When she orgasm’s they contract.

Leading up to the Big O, her muscles will begin to relax and it will be easier to penetrate her and arouse her as you lead her to an orgasm. But at the beginning, start out slowly.

Use your mouth to apply a good amount of saliva to her vagina so that your fingers can slip in fairly easily. Start with one finger and move it very slowly back and forth. If you find that there is more room and that she is getting more aroused with one finger, try to insert two fingers.

Move those two fingers back and forth very slowly, while asking your partner if she is enjoying it along the way. If she is showing signs of discomfort or pain, stop. Communication is really key as you are participating in fingering because your woman will give you clues that she is ready for penetration with your penis.

If she prefers fingering over your penis, then continue in the method of moving your fingers in and out slowly. When she is just out of breath and close to having an orgasm pull out your fingers and begin using your tongue to rapidly flick her clitoris. Continue massaging the area around the clitoris as you are flicking it until she reaches orgasm and screams or sighs in delight.

You may not get verbal affirmation as not every woman is not a screamer. But, ask her if she is reaching orgasm and pay attention to her body. Usually a woman will become very sensitive and she won’t be able to handle you touching her in her vaginal region any longer. She’ll need some time to reset. Some women can have an other orgasm a few minutes later. Keep that communication open so you know what to expect and exactly what you need to do to get her to that place of absolute pleasure.

Should I Be Ashamed of Using a Vibrator?

We get this question a lot — and the answer is you absolutely should be willing to use a vibrator. It says nothing about you that your female partner is not achieving orgasm with your penis alone. It’s actually quite common that this happens because sex takes a lot of practice to get both partners to achieve that pleasurable moment.

So if this is the challenge that you are experiencing — or even if you’re not — try a vibrator! They are fun and safe to use. They come in a wide variety of sizes and textures so that you can experience different sensations. This is especially a great way for a woman who hasn’t been extremely communicative about what she likes sexually to experiment with and decide what she truly loves — and wants you to try to replicate!

Remember to Engage Your Brain

The ability to reach an orgasm is more than half of your brain. You have to exert mental energy to reach that level of being able to let go. If you’ve been able to do it, then it’s good to encourage your partner that it can happen for her as well.

Before you engage in any kind of sexual activity, sit down with your partner and talk to her about expectations and what she should expect out of you. Let her know that you are there for her — to pleasure her and to make her feel good. That’s going to put her at immediate ease and let her know that you are there for her. You’re not there to get the first orgasm. You want her to be happy first.

That’s a great first step along the way to working together to achieve the female orgasm — and your partner will thank you again and again for all of your effort along the way in your bedroom journey.

In conclusion, with this guide, you can get to the skill level you want and learn to please a woman in a way that will make her happy and confident in you. Remember that it does take practice — but don’t let that discourage you.

Learning to give a woman an orgasm is an enjoyable experience and you’ll feel more confident knowing that you have pleased her and that she is impressed with you and your abilities. That should empower you and make you feel good in the process of learning to be a better lover.

If you’re ready to experience that confidence, happiness, health and true skill — then continue implementing our guide in your practice sessions. Every moment you are with the woman you care about is an opportunity to learn what she likes, to better understand her body and to build trust with her so that she truly can let go and experience a real orgasm.

So many women end of faking orgasms because they don’t feel they can be honest with their partners. But if you take the initiative to truly understand what turns them on and to study their body’s response — in time, you’ll know exactly how to touch the woman you love to get her to that moment of pure ecstasy.

Complete Article HERE!

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What getting intimate at 60 really means

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Most people assume getting saucy under the sheets it just for the young, but what about the young at heart?

By Ashley Macleod and Marita McCabe

Sexuality encompasses sex, gender identities and roles, sexual orientation, eroticism, pleasure, intimacy and reproduction and what we think, feel and believe about them. It has been a research focus for over a hundred years, and highlighted as an important part of the human experience. Since the first studies on human sexuality in the 1940s, research has consistently demonstrated that sexual interest and activity are sustained well into old age. However, only a fraction of the research has explored sexuality in the later years of life.

Most of the early research on sexuality and ageing looked at the sexual behaviours and biology of older adults, generally ignoring the wider concept of sexuality. When researchers did discuss sexuality more broadly, many referred to sexuality as the domain of the young, and emphasised this was a major barrier to the study of sexuality in older adults.

Sexuality in later life ignored

Towards the end of the 20th century, research expanded to include attitudes towards sexual expression in older adults, and the biological aspects of sexuality and ageing. Consistently, the research showed sexual expression is possible for older adults, and sustained sexual activity into old age is more likely for those who had active sex lives earlier in life.

By the late 1980s, there was a strong focus on the biological aspects of ageing. This expanded to include the reasons behind sexual decline. The research found these were highly varied and many older adults remain sexually active well into later life.

But despite evidence adults continue to desire and pursue sexual expression well into later life, both society in general and many health professionals have inadvertently helped perpetuate the myth of the asexual older person. This can happen through an unintentional lack of recognition, or an avoidance of a topic that makes some people uncomfortable.

Why does this matter?

These ageist attitudes can have an impact on older adults not only in their personal lives, but also in relation to their health needs. Examples include the failure of medical personnel to test for sexually transmissible infections in older populations, or the refusal of patients to take prescribed medications because of adverse impacts on erection rigidity. We need more health practitioners to be conscious of and incorporate later life sexuality into the regular health care of older adults. We still have a long way to go.

By ignoring the importance of sexuality for many older adults, we fail to acknowledge the role that sexuality plays in many people’s relationships, health, well-being and quality of life. Failure to address sexual issues with older patients may lead to or exacerbate marital problems and result in the withdrawal of one or both partners from other forms of intimacy. Failure to discuss sexual health needs with patients can also lead to incorrect medical diagnoses, such as the misdiagnosis of dementia in an older patient with HIV.

It’s not about ‘the deed’ itself

In a recent survey examining sexuality in older people, adults aged between 51 and 89 were asked a series of open-ended questions about sexuality, intimacy and desire, and changes to their experiences in mid-life and later life. This information was then used to create a series of statements that participants were asked to group together in ways they felt made sense, and to rank the importance of each statement.

The most important themes that emerged from the research encompassed things such as partner compatibility, intimacy and pleasure, and factors that influence the experience of desire or the way people express themselves sexually. Although people still considered sexual expression and sexual urges to be important, they were not the focus for many people over 45.

Affectionate and intimate behaviours, trust, respect and compatibility were more important aspects of sexuality than intercourse for most people. Overall, the message was one about the quality of the experience and the desire for connection with a partner, and not about the frequency of sexual activities.

People did discuss barriers to sexual expression and intimacy such as illness, mood or lack of opportunity or a suitable partner, but many felt these were not something they focused on in their own lives. This is in line with the data that shows participants place a greater importance on intimacy and affectionate behaviours such as touching, hugging and kissing, rather than intercourse.

These results help us challenge the existing stereotype of the “asexual older person” and the idea intercourse is necessary to be considered sexually active. They also make it clear researchers and health practitioners need to focus on a greater variety of ways we can improve the experience and expressions of sexuality and intimacy for adults from mid-life onwards beyond medical interventions (like Viagra) that focus on prolonging or enhancing intercourse.

Complete Article HERE!

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What your gynecologist wishes you would do

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By Linda S. Mihalov, MD, FACOG

No matter a woman’s age or how comfortable she is with her gynecologist, she may still be unsure about a few things — like which symptoms are worth mentioning, how often to make an appointment and how to prepare for an exam.

Based on my 30 years of providing gynecologic care to women of all ages, I thought it would be helpful to provide a few tips about how to make the most of your care visits.

Keep track of your menstrual cycle

Dr. Linda Mihalov

Menstruation is a monthly recurrence in women’s lives from early adolescence until around the age of 51, when menopause occurs. Because of the routine nature of this biological process, it’s easy to become complacent about tracking your periods. Thankfully, there are numerous smartphone apps that help make tracking periods easy.

Keeping track of your period is important for numerous health-related reasons. A missed period is usually the first sign of pregnancy. Determining the due date of a pregnancy starts from the date of the last menstrual period. Most forms of birth control are not 100 percent effective, and an unplanned pregnancy is best recognized as soon as possible.

Conversely, women attempting to get pregnant can use period tracking to learn when they are most fertile, which may greatly increase the chances of conception.

In addition, a menstrual cycle change can indicate a gynecologic problem, such as polycystic ovarian syndrome, or even uterine cancer. It is also often the first obvious symptom of health issues that have no obvious connection to the reproductive organs. When a regular menstrual cycle becomes irregular, it may indicate a hormonal or thyroid issue, liver function problems, diabetes or a variety of other health conditions. Women also often miss periods — or experience menstrual changes — when adopting a new exercise routine, gaining or losing a lot of weight or experiencing stress.

One late, early or missed period is not necessarily reason for alarm. But if menstrual irregularity is accompanied by other symptoms, a woman should schedule an appointment with her gynecologic care provider.

Get the HPV vaccine

Human papillomavirus, or HPV, is a very common virus. According to the Centers for Disease Control and Prevention, nearly 80 million Americans — about one in four — are currently infected. About 14 million people, including teens, become infected with HPV each year. Most people who contract the virus will clear it from their systems without treatment, but some will go on to develop precancerous or even cancerous conditions from the infection.

The HPV vaccine is important because it protects against cancers caused by the infection. It can reduce the rate of cervical, vaginal and vulvar cancers in women; penile cancer in men; and anal cancer, cancer of the back of the throat (oropharynx), and genital warts in both women and men.

This vaccine has been thoroughly studied and is extremely safe. Also, scientific research has not shown that young people who receive the vaccine are more prone to be sexually active at an earlier age.

The HPV vaccine is recommended for preteen girls and boys at age 11 or 12 so they are protected before ever being exposed to the virus. HPV vaccine also produces a more robust immune response during the preteen years. If you or your teen have not gotten the vaccine yet, talk with your care provider about getting it as soon as possible.

The CDC now recommends that 11- to 12-year-old girls and boys receive two doses of HPV vaccine — rather than the previously recommended three doses — to protect against cancers caused by HPV. The second dose should be given six to 12 months after the first dose.

Teen girls and boys who did not start or finish the HPV vaccine series when they were younger, should get it now. People who received some doses in the past should only get doses that they missed. They do not need to start the series over again. Anyone older than 14 who is starting the HPV vaccine series needs the full three-dose regimen.

Young women can get the HPV vaccine through age 26, and young men can get vaccinated through age 21. Also, women who have been vaccinated should still have cervical cancer screenings (pap smears) according to the recommended schedule.

Do not put off having children

Fertility in women starts to decrease at age 32 and that decline becomes more rapid after age 37. Women become less fertile as they age because they begin life with a fixed number of eggs in their ovaries. This number decreases as they grow older. Eggs also are not as easily fertilized in older women as they are in younger women. In addition, problems that can affect fertility — such as endometriosis and uterine fibroids — become more common with increasing age.

Older women are more likely to have preexisting health problems that may affect their or their baby’s health during pregnancy. For example, high blood pressure and diabetes are more common in older women. If you are older than 35, you also are more likely to develop high blood pressure and related disorders for the first time during pregnancy. Miscarriages are more common in older pregnant women. Losing a pregnancy can be very distressing at any age, but perhaps even more so if it has been challenging to conceive.

So, women who are considering parenthood should not put off pursuing pregnancy for too long or it may become quite challenging.

See your gynecologist for an annual visit

For women to maintain good reproductive and sexual health, the American College of Obstetricians and Gynecologists recommends that they visit a gynecologist for an exam about once a year. Generally, women should have their first pap test at age 21, but there may be reasons to see a gynecologic care provider earlier than that if there is a need for birth control or periods are troublesome, for instance. Although pap tests are no longer recommended every year, women should still see their provider annually for a gynecologic health assessment. This may or may not involve a pelvic exam.

Other reasons to visit a gynecologist include seeking treatment for irregular periods, sexually transmitted diseases, vaginal infections and menopause. Women who are sexually active or considering it can also visit a gynecologist to learn more about contraceptives.

During each visit, the gynecologist usually asks about a woman’s sexual history and menstrual cycle. The gynecologist may also examine the woman’s breasts and genitals. Understandably, a visit like this can cause discomfort among some women. However, periodic gynecological exams are very important to sexual and reproductive health and should not be skipped. The patient’s anxiety can be significantly decreased if she knows what to expect from the visit. Prepared with the knowledge of what actually occurs during an annual exam, women often find it can be a straightforward, rewarding experience.

There are several things women should do to prepare for a gynecological exam, including:

  • Try to schedule your appointment between menstrual periods
  • Do not have intercourse for at least 24 hours before the exam
  • Prior to the appointment, prepare a list of questions and concerns for your gynecologist
  • Since the gynecologist will ask about your menstrual cycle, it will be helpful to know the date that your last period started and how long your periods usually last

The pelvic exam includes evaluation of the vulva, vagina, cervix and the internal organs including the uterus, fallopian tubes and ovaries. Appearance and function of the bowel and bladder will also be assessed.

The gynecologic provider will determine whether a pap test is indicated, and order other tests as necessary, including tests for sexually transmitted infections, mammograms and screening blood work or bone density studies. Even a woman who has previously undergone a hysterectomy and, as a result, no longer needs a pap test can still benefit from visiting her gynecologist.

Primary care providers, including family practitioners and nurse practitioners, internists and pediatricians can also provide gynecological care.

Menopause

Menopause can be a challenging time. Changes in your body can cause hot flashes, weight gain, difficulty sleeping and even memory loss. As you enter menopause, you may have many questions you want to discuss with your gynecologist. It is important that you trust your gynecologist so you can confide in them and ask them uncomfortable questions. The more open you are, the better they can guide you toward the right treatment.

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