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What your gynecologist wishes you would do

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.

Complete Article HERE!

The Ties That Bind

 An Exploration of Anchorage’s Kink Community

by K. Jered Mayer

“Here’s a couch you can sit and relax on, or whatever. I like to suck dick while the guy is reading. It’s the sapiosexual side of me.”

Surprised, I glanced at the man guiding me through the rooms to see if the statement was meant for me. It was not. Not all of it, anyway. Everything after introducing me to the furniture had been an aside to a friend of my leather-clad cicerone as they passed by, but it had been said so offhandedly and received so earnestly that I knew right then I had never been in a place quite like this before.

The Alaska Center for Alternative Lifestyles–mercifully acronymized and more commonly known as ACAL–has been labeled in the past as “Anchorage’s only sex club.” It’s an oversimplification that people are quick to correct, not least of all the Center’s founder, Sarha Shaubach. The website she set up for ACAL is done so in a way as to put focus on the real purpose behind the organization’s inception. Not for scintillation nor sexploitation. Certainly not for orgies, which require “a lot of planning and connection” to arrange. Instead, the focus is on community.

“Your Kink Community Home Base” graces the top of the main page, followed by a description promising “elevated kink education and foundation building,” as well as a “judgement [sic] free, body positive environment,” and protection and equipment for healthy exploration.

The FAQ section on their website goes even further into detail. Here, BDSM is defined as a more complex, overlapping number of ideas, and not just whips and chains and ball gags. There are answers in this area to questions about privacy, membership costs and advantages and various other things to expect regarding dress codes (there isn’t one), alcohol–there isn’t any of that, either; it’s critical there is zero confusion regarding consent–and what else is offered for those not interested in the tying or whipping side of it. And there is plenty offered: card games, movie nights, bootblacking (the polishing of one’s leathers) and regular classes on rope and knot work to promote healthy bondage and prevent serious injuries.

While the club itself had some initial troubles starting up–Sarha notably sent the Press a letter in December 2014 detailing her struggles getting ACAL up and running in the old Kodiak bar building while co-leasing the space with “Fuck It” Charlo Greene–classes, play sessions, recurring memberships and group events have proven strong enough to keep the community thriving.

So much so, in fact, that it was inevitable a larger venue would someday be needed. When that day came this last summer, ACAL didn’t need to look far to find it. Back in June, weekend events began being held in an 8,000-square foot space on 3rd Avenue. By July, they were fully moved in.

When ACAL finally came to my personal attention last month, they had fully settled into the location and I was chomping at the bit to write about it. Sexuality has always fascinated me in its myriad forms, as has people’s reactions to it and how readily some subscribe to an opinion based on what they think something is and not based on what it actually is.

I wanted to know. I wanted to learn.

ACAL offers a text-based subscriptions service to alert people of upcoming events. When I reached out to Sarha for the first time, she asked if she could sign me up for what she called “the same spam stuff” she gave to anyone interested in attending the Center for the first time. I agreed–I wanted to approach this from the ground up.

So it is that I found myself downtown on New Year’s Eve opening a door with a leather pride flag draped over it. I ducked inside and scaled a gray stone staircase, then waited my turn as the woman in the box office window politely explained to a couple men that no, this wasn’t the entrance to the Latin dance party that was also going on, that was the other side of the building, this was something much, much different. They shuffled back past me. It was my turn.

“Yeah, I’m here for the, ah…” At the time, I only knew it as the Alaska Center for Alternative Lifestyles, which was a rigid mouthful, or as the “fetish club,” which seemed remarkably ill-informed. Which I was. So I stammered.

“Are you here for the dance night or for ACAL,” she asked. I confirmed the latter. When she asked me if it was my first time attending, I confirmed that too and she handed me a five-page pamphlet on the rules to follow, appropriate and inappropriate behaviors and the safe word. Safety, discretion, clear-mindedness, consent and a zero-tolerance policy on hate speech were all heavily emphasized. I signed a consent sheet and returned it to the box office, where I was quizzed on what I had read before being allowed entry.

I passed my quiz with rainbow colors, paid my $25 non-member entry fee and had my license number written down and filed away with my paperwork. Once that was finished, I was assigned a guide to give me a tour of the facility.

“Normally, we’ve got the whole floor,” I was told. “But sometimes, like tonight, we rent out the big room to other events. Only this side is open tonight, but that’s okay. Sometimes I like that more. It’s more intimate.”

The first room I was led into was the social room. Cell phones are allowed here, but strictly for texts. Pictures are prohibited and people are asked to take calls outside, to maximize privacy. There are plenty of seats around the space to relax or recline upon. Snacks or food are customarily set out for guests, as are sodas and water. The night I went, there was a hummus plate. It was delicious.

The social area serves multiple purposes. Members and guests can meet here to discuss activities for the evening, or to shoot the shit, or to take a break from anything that was too exhausting or discomfiting in the play room. I saw an even mix of men and women sprawled out under a number of fantastic art pieces. Variety was the spice of life in the social room when it came to age, body types and dress. T-shirts and jeans here, corsets and leather chaps there. I saw smiling faces. I heard giggles, chuckles and guffaws. It felt safe. Relaxed.

From there, we moved into a second, transitional room. The room with the couch. While my guide took a moment to discuss oral sex preferences and unrelated plans for the weekend, I took in the small area. Some pornography sat on top of a cabinet for anyone needing a primer to get in the mood. On the walls were photos of bound men and women. There was a bookcase packed with books on sexuality and erotica. There was also a healthy collection of close-up, black and white photographs of vaginas with varying grooming situations and piercing statuses. It was fascinating to me, from an artistic perspective, to see such a display of body variance.

The last room, just beyond, was the playroom. Low-lit, blue themed. A long, padded table was positioned near the door for massages or wax play. A mattress was pushed against one corner on the right, covered in a Minions blanket that honestly struck me as the most out-of-place thing in the room. The bed was unoccupied, but the other corner on the right side was not, as a young man practiced different knots while binding his girlfriend. They moved thoughtfully, conscious of each other’s bodies, a sensuous grace about them.

To their left, against the center of the back wall, was a stand meant for kneeling over. A couple was wrapping up their spanking session. It was loud and vigorous and I could feel my cheeks flushing as aggressively as, well, hers.

And still there was more. Directly in front of me was a cushioned bench. A wooden overhang had a metal ring affixed to it. A man walked by me, trailed by a woman, as my tour guide described the layout. He stripped down to his underwear and his companion helped slip a restraint through the ring, binding his wrists above his head. She followed that with some light whipping and tickling. She massaged his bare back. She slapped his ass. The entire time, they communicated clearly.

There was one more room, an off-shoot to the left, that held a cage and two X-shaped structures one could be bound to. Whatever had been going on before I stepped in was over and the women there were busy getting dressed and cleaning the equipment.

My tour ended then, with an, “And there you go! Have fun!”

I did have fun, though I couldn’t help but feel a little like an outsider. I watched these men and women during intimate moments. A woman undressing while her friends bound her with thin rope. A young couple using the open floor space to wrestle, asserting dominance over each other. A lady in a frilly blue skirt being digitally stimulated by a man who looked like a sexy train conductor. I was a voyeur, drinking in the sights, but though I was fascinated, I wasn’t quite prepared for the role. I retreated after a while to the social room. Did I mention the hummus plate was delicious?

I left around midnight. The New Year. The ball had dropped, people were toasting. I left with nothing but positive impressions in mind.

But Sarha and I had agreed that you couldn’t gauge the Center based off one experience. And so a week later I returned. The full floor was open this time for a 12-hour lock-in event. I brought two women with me, neither of whom had ever been, to see how it felt to others.

On my return trip, the playroom I experienced the first time had been rearranged into a general activity room. There were more attendees as well, but fewer sexual activities. Instead, everyone was more focused on games like no-money strip poker and Cards Against Humanity.

My friends and I checked out the other half of the floor eventually, walking into a room I can only describe as cavernous. The floor was bare concrete, which tied up the winter cold and exposed it to us. Heat bars were plugged in, to little effect. A handful of lamps provided gloomy illumination.

There was plenty more room here to put on a show. Tables and mats were set up to lay and play upon. At the back, a silhouette screen and photographer were set up for discrete erotic photo sessions. To one side sat a Sybian. If you’re unfamiliar with those, it’s a sort of vibrating saddle to which you can secure a synthetic dick. A box nearby had an incredible assortment of different lengths, girths and angles.

The room was impressive and filled with orgasmic opportunities, but with so much cold and open space and with so few people occupying it, it felt almost too bare. I recalled my guide’s preference for the more intimate arrangements, and it made sense to me now. This felt less like a shared moment and more like an impersonal display, a sentiment shared by one of the women with me.

All the same, both of my companions–neither identified as particularly fetishistic or kinky–told me they could definitely feel the sense of comfort and community that permeated the walls of ACAL. It was a reminder, again, that this place was meant to be more than just a “sex club.”

My friends and I left and talked about the evening over drinks and in the days that followed I reached out to other members of Anchorage’s fetish and kink community to talk about their experiences in general and to see what their relationship with ACAL–if any–had been like. The majority of responses were positive, but not all of them.

In fairness and full disclosure, I did hear back from a pair of women who had been decidedly turned off by their visits. One lady told me she had been pressured multiple times by men ignoring the No Means No rule–victims of this harassment are encouraged to approach management immediately so the violator can be dealt with. Astoria, who gave me permission to use her name, told me she didn’t have confidence in the level of security or protection the club promised.

I can see how this could be a concern. Aside from having documented signatures and taking down license and ID numbers, there isn’t a way to effectively run background checks on everyone rolling through. Instead, members and guests are expected to be self-reliant and cautious through conversation. When it works–as in the case of convicted sex offender Daniel Eisman who broke his probation by attending last October–the nefarious entity is quickly rousted from the club. But when it doesn’t work? Well, it comes down to observation, communication, crossed fingers and a knock on wood.

That being said, my experiences with ACAL and my research into the community around it left me with the firm belief that these types of incidents are in the minority and that the heart of the organization beats around the desire to provide a sense of normalcy to lifestyles different than what most might be used to. They do this by promoting education, patience, discussion, acceptance and understanding that not everyone is going to get off to the same thing. And that’s okay! The lesson is to be comfortable with yourself.

Wrapping this up, I thought it best to end with something for people who might be on the fence. For that, I went back to the community. I asked Astoria–a 26-year-old local fetishist who says she’s tried just about everything–for one thing she would tell anyone curious about alternate lifestyles.

“SSC,” she said. “Safe, Sane and Consensual. That phrase is a big part of being kinky. People are in the lifestyle because it’s something they enjoy or need to get by with the rest of what life throws at you.”

Being safe, considerate of the comfort of others and treating people rationally. Crazy how key behaviors in an “alternative” lifestyle are the same things everyone should already be doing regularly.

And was there anything else I took home from the experience, I’m going to assume you’re asking. Did I come away with any new interests myself? Well, I’ll just have to get back to you. I’m a little tied up at the moment.

Complete Article HERE!

Middle-aged sex without the mid-life crisis

More people are dating in middle age, but are they looking after their sexual health?

A regular, happy sex life can benefit our physical, mental, emotional and social wellbeing, improving health and prolonging life

By

With more middle-aged people dating, or starting new relationships than ever before, are we taking enough care and consideration of our sexual health?

When we think of the faces behind recent statistics that are showing a rise in sexually transmitted diseases (STDs), we probably picture someone young. Those irresponsible students and twentysomethings playing around and not thinking through the consequences of their actions. But not so much. It is becoming clear that a large proportion of people contributing to those statistics are in fact, middle-aged. The Irish Family Planning Association (IFPA) annual report highlighted an increase in women aged over 50 coming to the clinics for sexual health services, including sexually transmitted infection screening and menopause check-ups.

The association said there was a perception that once women reached menopause, that they no long needed sexual health services. But that’s not the case. Minding our sexual health all through our life is as important as looking after our physical and mental health.

Unplanned pregnancies

For many women, perhaps coming out of a long marriage or relationship, they perhaps don’t seem to think they have to go back to the good old days of contraception and protection. Yet there are more unplanned pregnancies in the 40-plus age group than the younger ages.

“We definitely see an innocence and a lack of knowledge in middle-aged women seeking our services,” says Caitriona Henchion, medical director of the IFPA. “We see women not knowing if they need emergency contraception or whether they are experiencing menopausal symptoms. They’re not sure even in their late 40s and early 50s whether they still need contraception.”

The recommendation for contraception is very simple, yet perhaps not widely known. Until you have not experienced periods for two full years and you are under the age of 50, or one full year without periods after the age of 50, you need to still consider contraception. Amid constant talk of falling fertility as we age, many women are confused about their contraception needs.

This lack of knowledge about sexual health needs is apparent not just in the number of unplanned pregnancies in older women, but the rise of STDs in that age group as well. According to Henchion, advice from GPs can sometimes vary in quality and quantity, and so any sexually active woman over the age of 40 needs to seriously consider both her health risks and contraception needs.

Regular screening

The recommendation is that anyone who is sexually active needs regular screening. This seems to be something that many women feel unable to do. But emerging from a marriage or long-term relationship where the partner may have had other sexual partners means that STD screening is imperative.

“Discovering an unfaithful partner is a really common reason that we see older women coming to our clinics for screening,” says Henchion. “Our advice would be that the first thing to consider when starting with new partners is to ensure you have safer sex with condoms.”

But condoms don’t protect against everything, so the recommendation from the IFPA would be that if in sexual relationships you need to have testing twice a year.

“Obviously the people I see are a self-selecting group who are sexually active and attending our services, but certainly I would see a lot more people in the 50-plus [group] who are openly talking about their wants and needs and their problems with it, which is great,” explains Henchion. Who they do not see are the men and women not seeking sexual health services, or asking openly about their needs

One of the reasons there is a rise in general of STDs is because far more tests are being carried out, and therefore, more positive results. The tests are better now for chlamydia and gonorrhoea, so whereas a few years ago tests had less than 75 per cent detection rate, today it is 99 per cent. The tests themselves are simple. For men with no symptoms it is a straightforward urine sample and blood test, and for a woman, a vaginal swab and blood test in a nurse-led clinic.

Simple rule

According to Henchion, “the simple rule would be if you have a new partner for a few weeks, get tested.” But for many people, we perhaps don’t even know what to look for.

The top three STDs in terms of prevalence would be chlamydia, warts and herpes, and although many of the symptoms are obvious such as bleeding or physical warts, in more than 50 per cent of cases there are no symptoms. How many cases are picked up is through automatic testing when going for certain contraception options such as the coil.

Henchion believes we need better sex education and awareness for all generations. “I see 21-year-olds coming in with no understanding of how STDs such as herpes and warts can still be spread even though they are using condoms. And for sexually active people in middle age, there is often a significant lack of knowledge.”

For now, until sexual health education is more widely available, there are plenty of support services including GPs, well woman/well man sexual health clinics and the Guide Clinic at St James’s Hospital. The IFPA offers free advice, and there are plenty of online services such as HealthyIreland.ie.

“The key message is that early detection makes a huge difference in reducing risk of pelvic infection and obviously reducing the risk of passing it on,” warns Henchion. “Anyone, whatever age, who is sexually active needs to mind their sexual health.”

Middle-aged, single and on fire – or talking ourselves celibate?

For many women who have reached the supposed sexual prime of their 40s and 50s, their body image is shattered along with their energy. A recent survey suggested some women in this age bracket have the lowest confidence of any other age group regarding body image, and it’s affecting their sex lives. Yet another survey highlighted the fact that some women in middle age are having the best sex of their lives. If both surveys are right, is it all just down to attitude, and can changing your attitude change your sexual mojo?

In the two decades since the iconic shenanigans of the “man-eater” Samantha shocked a nation in Sex and the City (while women everywhere sniggered at the delight of it), middle-age sex is becoming mainstream. The BBC were at it with Happy Valley, and even Cold Feet caught up. First time round, Adam and co were in their youth, but now that they are heading towards 50, who is the one having all the sex? Karen. Middle-aged, single and on fire. Now that ordinary middle-aged women are being shown to be – gasp! – sexual, it begs the question: what does this mean for us? Is this liberating or intimidating?

It seems your answer to that question is the difference between having an active sex life in and beyond middle age and putting away the sexy knickers and taking out the comfy slippers.

Like tight skin and fashionable clothes, sex used to be the domain of the young. But now middle-aged women can have tight skin, fashionable clothes and sex as well. It all depends on your attitude. If you think your sex life is over at 50, it will be.

“Attitude is so important,” says sex therapist Kate McCabe. “I see women challenging traditional values and beliefs that you are past it sexually after a certain age. Women are having babies later, new relationships later, are mentally and physically healthier and anxious to be active and participate fully in every aspect of their lives.”

In fact, a regular, happy sex life can benefit our physical, mental, emotional and social wellbeing, improving health and prolonging life. This generation of middle-aged women have opportunities to redefine what stereotype they fit into, experiencing greater sexual, financial, social and intellectual freedom than at any previous time. Contraception has meant we are not overburdened with childbearing, and openness about sex means that issues which might have caused discomfort and difficulty can be addressed. The increase in divorce and separation now means that middle-aged dating is an acceptable social norm.

So why are all middle-aged women not taking advantage of the chance to flirt their 50s away and sex up their 60s

“Sex must be worth it,” explains McCabe. “I see women who come into therapy to see how they can best improve their sex life, even to the extent that they’ll bring in their partners and manage to engage in that conversation.

And it’s women of all ages. McCabe has clients in their 60s and 70s. “They are definitely getting out there, and they want really good, honest information on how to make the most of their sexual potential.”

But what about those women who are talking themselves celibate because of lack of confidence? Media plays a huge part in how women can often rate themselves. According to McCabe, feeling sensual has nothing to do with how you look.

“Finding intimacy is a brave step. Overcoming hang-ups to really explore our own sensuality is vital. And much of it relies on getting the right attitude.”

Complete Article HERE!

Demisexuality is an orientation—not a condition of ‘being picky’

It’s not a matter of fixing their libido.

by

The demisexual flag

You know that feeling. You’re at a friend’s party and you see a cute guy or girl. You begin to sweat just a little and smile, the kind that makes you bite your lip. The other person approaches, and you make small talk. As you discuss shared interests, the stranger casually looks you up and down, assessing. He doesn’t think you notice, but you notice. You’re thinking the same thing. After some time passes, he asks if you want to get out of here, and you do. You go back to his place. He doesn’t call the next day. You don’t text.

This scenario is familiar to many of us, a rite of passage on most college campuses. For Dill Werner, though, the concept of having a one-night stand is both alien and terrifying, like slipping through a wormhole into an alternate universe.

That’s because Werner, 30, identifies as demisexual. The term, which originated on the website of the Asexual Visibility and Education Network in 2008, denotes someone who doesn’t experience sexual attraction right away. These feelings often take weeks, months, or even years to form, the result of building a special bond with another person. The Demisexuality Resource Center describes the label as someone who “may experience secondary sexual attraction after a close emotional connection has already formed.”

Werner, a young adult author who focuses on LGBTQ themes, describes the process of developing attraction as “unique” to each individual that identifies as demisexual.

“It’s almost describing your soulmate. You know when you meet that person and something changes within you,” Werner said.Your body is giving you permission and your mind is giving you permission to click with that person and say, ‘Now we can take it to a more physical level.’”

The word demisexual has gained greater visibility in recent years with buzzy articles in Wired and Elle shedding light on the complex romantic lives of members of an emerging identity. It’s also gained a great deal of traction on Tumblr, a microblogging website that has also popularized labels like “sapiosexual,” describing someone who is attracted to others’ intellect. On Twitter, people along the asexual spectrum regularly meet for “Ace Chats,” which provide support and space for the community.

For those unfamiliar with the term, think of it as between the poles of asexuality, where you feel limited or no attraction to others, and what we think of as normative sexuality, where such feelings are frequent. If demisexuals do feel sexual attraction to someone they don’t know—a sexy train passenger—these moments are fleeting. They pass long before you get to the bedroom, and it’s different for everyone. Some will never have that experience.

Because demisexuality is along the asexual spectrum, it’s frequently referred to as “gray sexuality.” You might also hear words like “asexual-ish” and “semisexual” used to describe the phenomenon.

 

Although experiences vary for people who identify as demisexual, they often describe themselves as feeling “different” from a very young age. While schoolmates develop crushes on the cute boy in first period and go out on dates, they don’t. Instead, many demisexuals feel as if there’s something wrong with them. Why can’t they experience what everyone else does?

“I wanted to have the sorts of casual relationships other people were having because, to me, that’s what was ‘normal,’” Werner said. “That’s what it felt like I should have been doing in my 20s and late teens. I wanted to be like everybody else, but my body and my mind wouldn’t let me. Even when I tried to—with people I was in relationships with—alarm bells went off. It wasn’t the right time and it wasn’t the right circumstances.”

Meryl Williams, a writer for the Establishment, said that what made being demisexual particularly difficult is that she wasn’t aware—until recently—that the label existed.

“I didn’t have a name for it,” the 30-year old said. “It was this long, bumbling explanation. And it’s an uncomfortable topic! It’s hard to talk about, especially with someone you don’t feel comfortable with yet. I never really know what’s going to happen when I bring it up, which is scary, because it’s such a vulnerable subject.”

Williams claimed that being demisexual often makes dating “frustrating” because there’s no guarantee that she’s going to develop sexual attraction to that other person at all. Many people, she said, haven’t been willing to wait around to find out.

“It takes a lot more time for me than it does for most people,” she said. “Most people, they can tell pretty early on if they’re sexually attracted to that person. They know. And if they’re not attracted to them, they’re probably not going to continue seeing that person. But with me, I’ll probably give relationships a lot more time than I necessarily need to because I’m not sure. I want to go down that road of dating someone for a while, but nine times out of 10, I’m not going to feel attracted to them.”

What makes discussing demisexuality with partners and even friends and loved ones difficult is the great many misconceptions many people have about the term. After she came out as demisexual in the Washington Post, one reader told Williams she should go to conversion therapy.

Werner said that the most common myths about gray sexuality fall into five different camps. There are the types of people who believe that demisexuals are just waiting until they meet the right person. Others believe it’s a choice, akin to a young Christian waiting until marriage to have sex. Many might claim that demisexuality isn’t an orientation but instead the result of a low sex drive. Some claim that demisexuals are just “really picky.” The last, and perhaps most pernicious group, is the people who claim it’s merely a made-up label.

Cara Liebowitz, a 24-year-old disability activist, understands the confusion but says that these criticisms can be delegitimizing and invalidating, as if others would rather erase her experience than listen.

“I’m confused about my label, so anyone who is confused about my label can join the club,” Liebowitz said. “It makes me feel frustrated because people often tell me that it’s not a real thing. And I say, ‘I’m a real person, so obviously what I feel is real.’ People are so quick to judge, especially on the internet. It would be nice to talk about our sexuality without shame.”

A 2004 study conducted in the U.K. found that 1.1 percent of the population identifies on the asexual spectrum. If those numbers were the same for the United States, it would represent over 3.5 million people. That’s about the size of Connecticut.

While critics might lump this group in with people who experience “hypoactive sexual desire disorder,” there’s a difference between gray sexuality and a lack of libido. People with a low sex drive often feel intense depression and anxiety over their limited feelings of arousal. Most demisexuals, however, don’t want to change. A 2014 survey from AVEN found that two-thirds of demisexuals were not interested in having intercourse. It’s low on their priority list.

Werner, who is currently in a long-term relationship, said that it can be difficult to find someone you bond with, who brings out those feelings of sexual attraction. For many demisexuals, it only happens once or twice in their lives. But when it does, those feelings of connection are powerful. It’s worth the wait.

“When you meet the person you bond with, the heavens open up,” Werner said. “You see colors for the first time. Everything finally makes sense.”

Complete Article HERE!

Caught in the modesty bind: Why women feel shy to consult doctors for their sexual well-being

By Aditi Mallick

“I was 17, when I first got sexually intimate with my boyfriend,” says Kriya (name changed), a 23-year-old IT professional from Hyderabad, while speaking to The News Minute.

“Later we were very scared, as it was the first time for both of us,” she recalls. She missed her periods that month. The 17-year old who had never once been to hospital alone, was scared and unsure of what to do next.

Trying to glean more information online just added to her worry over getting pregnant. Finally she discussed the issue with her boyfriend, and both of them decided to consult a gynaecologist.

“I was already very scared. After I told the receptionist my age, she kept staring at me. It made me so uncomfortable. While other patients were called by name, when it was my turn, she said ‘Aey, hello.…go!’ I felt so bad.

I expected at least the doctor to act sensitive. She first asked me what happened. When I told her, she started lecturing to me about our culture, and how young I am. It was a horrible experience. After the check-up, once I reached home, I burst out crying,” she shares.

From then on, Kriya has always felt too scared to discuss any sexual health problem with a gynaecologist. She is now 23, but in her view, nothing much has changed.

“Last month, I had rashes all over my vagina right up to my thigh. I just could not walk. It was painful. In the beginning, I used anti-allergic medication and antiseptic cream. But I was finally forced to go to a doctor. But even this time, I was ill-prepared for those weird looks.

The receptionist first asked for my name, then my husband’s name. For a moment, I panicked. After a pause I said, I am unmarried.”

Kriya feels that such unnecessary queries have nothing to do with a particular health problem and should not be asked: “We are adults and should not be judged for such things. After all, it is my decision. But society does not think so.”

Dr Kalpana Sringra, a Hyderabad-based sexologist agrees:“Doctors should not interfere in a patient’s personal life. But sadly, some do. A few are open-minded. They do not care whether the patient is married or not. We do at times have to ask about how frequently they have sex to ascertain the cause.”

Kalpana believes the rigid cultural restrictions and undue secrecy about anything related to sex are what makes patients uncomfortable sharing sexual health issues with their doctors.

Prapti (name changed), a 21-year old second year engineering student says: “Ï had  quite a few relationships, and faced initial problems like bleeding and pain during sex. I sometimes lose interest while having sex, due to this immense pain in the vagina.”

But she does not want to consult a doctor: “I prefer advice from friends. At least, they will not judge me.” She remembers the time she had to consult a doctor two years ago, when after having sex, the pain persisted for a whole day.

“The doctor did not even try to explain the reason. I kept asking her whether it was anything serious. But she deliberately chose to ignore me. Later I heard her murmur ‘this generation….uff’! When I shared this with my friends, I realised they too had been in similar situations.

According to Kalpana, only ten percent women come forward to consult a doctor for sexual well-being, of which the majority are planning to get married soon and want to get themselves checked for infection and related advice.

No woman ever goes to the doctor for this, unless it is absolutely avoidable. Not just unmarried women, but even married ones are ignorant in this regard. Young unmarried women are only more hesitant to ask or seek medical help, fearing society and parents, she says.

“Both married and unmarried women are not comfortable. They mostly come with their partners. To make them feel comfortable, we talk to the women alone. After a while, they open up about their problems.”

She also claims that 20% of women who suffer from vaginal infection like UTI and rashes after marriage too feel shy to discuss it with the doctor: “Men seem more comfortable discussing their sexual problems. 90% of our patients are men. But they tend to come alone.”

That was not the case with Jayesh (name changed), a 27-year old. He used to earlier hesitate to talk about his sexual health: “It was only a year back that I consulted a doctor for premature ejaculation, something that I suffered from the age of 23. I used to think if my friends get to know, they would make fun of me.”

The common issues that men in the age group of 18-80 are premature ejaculation and erectile dysfunction. “Most men confess that they force their wives to use contraceptive pills, as they do not want to wear condoms,” Kalpana says.

Gaurav (name changed), a 29-yearold unmarried man insists that he has never forced his girlfriend to use contraceptive pills, but they do sometimes prefer pills over condoms.

Gaurav who is sexually active does not feel ashamed or uncomfortable consulting a doctor, but that is not the case with his girlfriend: “Four years back, she once started bleeding after we had sex. Honestly, I was clueless how to handle the situation and whom to contact. We did not go the doctor, fearing prejudice.

My girlfriend is not at all comfortable consulting a doctor. She usually avoids going to a gynaecologist, as they ask whether we are married or not. It makes her uncomfortable. It happened a few times with us in Hyderabad. That’s why sometimes she prefers to use emergency contraceptive pills rather than consult a doctor.”

“Sex jokes are allowed, but people are otherwise shy talking about sex. Parents do not talk freely on the topic. It is still a taboo for Indian society,” Gaurav remarks.

When Preeti (name changed) -who is now doing an event management course- was in her final BCom year, she led an active sex life:

“I went for a party and got drunk. That night my friend and I had sex. I did not then realise that we had forgotten to use a condom. After missing my periods, I freaked out. I was confused and went to see a doctor. They first asked if I was married. I lied.”

She also admits to feeling uncomfortable while buying I-pills, condoms or pregnancy test devices: “Once a medical shopkeeper asked whether it was for me, with those around giving me judgmental looks.”

Fearing societal disapproval, several unmarried women tend to take medications, after consulting the internet.

“They go to medical stores or send their partners to buy medicines without consulting a doctor. Emergency contraceptive pills have several side-effects like, dizziness, vomiting etc. Some even try to abort through pills, which is life-threatening and can affect their health in the long run,” warns Kalpana.

Complete Article HERE!