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Study shows impaired sexual health and function common after heart attacks

New research from the University of Chicago investigates what happens to men’s and women’s sexual function and relationships after a heart attack in an effort to help clinicians develop better care guidelines for patients. The study, published in JAMA Cardiology, shows impaired sexual function or new problems are common after heart attacks. They occur at the same rate as a loss of general physical function and at a higher rate than the incidence of depression after heart attack, but rarely do health care providers address these issues – particularly with women.

heart attack

“Too often physicians and researchers are too embarrassed to ask questions about sexual health, and yet these issues are important to many people,” said Harlan Krumholz, MD, professor of medicine at Yale and director of the Center for Outcomes Research and Evaluation, one of the authors in charge of the study. “We need to concern ourselves with gaining knowledge about how to help our patients achieve a high quality of life in all aspects of their lives.”

The data show that if a physician talks to the patient about sexual health and function after a heart attack the patient is more likely to resume sex. However, women were less likely to be counseled by physicians on what to expect and more likely to have problems with sexual function as they recover. More than half of women (59%) and less than half (46%) of men reported sexual function problems in the year after a heart attack.

“The next step is to design the optimal intervention to improve sexual function outcomes after heart attack for men and women,” said Stacy Tessler Lindau, MD, associate professor of obstetrics/gynecology and medicine-geriatrics at the University of Chicago, who authored the research. “The rehabilitation phase begins with the cardiologist counseling the patient about her or his functional capabilities and what she or he can expect, including physical, psychological, and sexual function.”

Complete Article HERE!

The Dark Heart of Homophobia…redo

The massacre in Orlando necessitates this reposting…

I’m riding the bus when we come to a stop near a local high school. Five teenage boys get on. They’re all jocks—football, probably. Their jackets are emblazoned with varsity letters and they appear to be fresh from practice. Each carries an oversized duffel.

They are boisterous and full of menacing bravado. The bus is immediately overwhelmed with a rush of testosterone. As they move toward the back of the bus, they purposely jostle everyone in their path. They’re rude and crude and every other word is fuck.

The bus lurches forward, and my fellow passengers instinctively know not to make eye contact. The older women clutch their belongings tight to their bosom. Everyone is tense.

The pack mentality emboldens the young men, who are flush with their newly discovered sense of male privilege. Hormones rage in their adolescent bodies, yet there is an awkward childishness about them too. They are alpha, but only in as much as they are part of a pack.

They have off-color comments for everyone around them. Girls are singled out for the most abuse. They make insinuations about their sexual prowess, while pawing at their groins. The women blush with embarrassment.

Despite being loud, obnoxious and brutish, they lack conviction. They giggle too much, indicating self-consciousness. It’s apparent that, at their core, they are still very uneasy about themselves, and have yet to grow into and own the alpha maleness they mimic.

The bus approaches the next stop, and several of us get up to exit. A nerdy boy with glasses and a violin case accidentally trips over one of the teen’s duffel bags. This is the spark. The jocks erupt, lunging at the offending kid. He is easy prey. He’s petrified, but his survival instincts kick in, and he quickly maneuvers further up the aisle. I grab his shoulder and push him toward the door ahead of me. He makes his escape.

Now I’m in the line of fire. The rear door is only a couple steps away, but I stand my ground. The jocks size me up. I’m not an easy mark; I’m older and more dominant than any of them as individuals, but they trump me as a group. I may even be dangerous. In a split-second, the teens reevaluate the situation and instead of coming at me, they try to take me down with their best verbal shot: “You motherfucking fag!”

I move to the door. This could end very badly for me, but I will not show any weakness. Adrenaline courses through my bloodstream. I alight from the bus, holding the door open so I can briefly yell back. “Hey, thanks for the recognition. Oh, and for your information, its father-fucking, brother-fucking and/or son-fucking fag, never mother-fucking. Get it?”

By the time the jocks realize what’s happened, the bus is in motion, and I am safe.

The teens thought better of physically attacking me, so they did the next best thing. It’s what most threatened males do: they tried to diminish the threat by calling into question my masculinity.  And they do it in that time-honored way—by inferring I was a defective male, a queer, and a sissy. Trouble is, I am queer, and I owned it—right in their faces. On top of that, I stood up to them and even had the temerity to publicly shame them. So that had to be unsettling to them on several levels.

How did the derogatory epithet fag become the quintessential means of destroying the male ego? Why has the only somewhat less offensive slur, “that’s so gay,” become emblematic for everything stupid, negative or girly? These questions get to the root of our culture’s deeply ingrained homophobia.

I contend that homophobia is rooted in a fear and hatred of women. It’s no accident that when we want to denigrate a man we call him a pussy—the same word we use to refer to female genitals. In our culture, men are superior to women—it’s the oily by-product of male privilege. A man who falls short of this lofty ideal, or, god forbid, assumes a passive role in sex, cheapens the “privilege” for all other males. This is a particularly sensitive issue for ostensibly heterosexual men.

This prohibition is so deep-seated in our culture, one can trace its roots back to the Bible. Leviticus 20:13: “If there is a man who lies with a male as those who lie with a woman, both of them have committed a detestable act; they shall surely be put to death.” In biblical days, women were nothing more than chattel. For a man to behave like a woman—particularly in a passive, receptive sexual way—back then was an even greater insult to the male privilege than it is nowadays (which explains the whole capital punishment thing.)

Women are also objectified as sexual objects before men dominate them. A woman is not so much a person as she is a collection of parts—tits, pussy, ass, etc. A heterosexual man, familiar with and practiced in this dynamic, will not tolerate another male objectifying him as a sexual object, either real or imagined.

These cultural triggers are exceptionally easy to trip. With very little effort at all, we can debase a man simply by suggesting that there’s a whiff of the feminine about him. In turn, the slandered male is burdened with proving the contrary, which often leads to overcompensation. To deflect suspicion, some men affect a macho bravado so as to appear even more masculine than their peers. And how better to do that than to suggest someone else is a pansy?

Omar Mateen, is this what happened to you?

God will punish those involved in homosexuality': Orlando nightclub shooter Omar Mateen's father Seddique Mateen

God will punish those involved in homosexuality’: Orlando nightclub shooter Omar Mateen’s father Seddique Mateen

I can say for certain that all those boys on the bus had been, at one time or another, accused of being a fag. It’s exceedingly common in sports for even teammates to insinuate a fellow athlete is not performing up to expectations. Each of them must have known the sting of that reproach. Some may even have had self-doubt about their own sexual tendencies. That’s why they hurled at me what they knew would hurt any other self-respecting male the most.

What they didn’t count on was that I had, long ago, inoculated myself against this poison. I own, even revel, in my queer sexuality. An insult doesn’t work if the one insulted self-identifies as the slur.

Institutionalized homophobia, on the other hand, is more insidious. The dominant culture enshrines male privilege and, like the boys on the bus, punishes anyone who attempts to undercut the paradigm. Discrimination is so widespread, ingrained—and sometimes so subtle—that many non-gay people don’t even notice most of it. But those of us on the receiving end of the bigotry are keenly aware.

It’s a particularly acute problem for young people who know they are different, and different in a way that isn’t tolerated of by the dominant culture. They are much more vulnerable because they have yet to developed the emotional resources to counteract the oppression. They don’t yet realize that it’s society’s problem, not theirs. Their peers mercilessly persecute them. And for the most part, authority figures don’t even try to stop the torment. That’s why young gay people commit suicide at a rate of about seven times that of straight kids.

You may have noticed that I’ve framed this presentation in terms of the natural world. Dominant and submissive behaviors in other species often have sexual overtones, especially in other primate species. A dominant male will harass a male subordinate until he submits and presents his rump. This establishes a pecking order in the troupe: a subordinate male is submissive and the dominant male is in control.

Some straight men see gay men as a threat, instinctively fearing a supposed challenge to the established order of things; who is in control. It’s basically a struggle for dominance and troupe status. A gay person who is a productive member of society, who is indistinguishable from his heterosexual counterparts, ups the ante. He’s a threat to anyone who believes what he may have been told all his life—that gays are perverted, miserable, lonely people who live short, desperate lives.

Institutionalized homophobia impacts so many aspects of our culture. It may be obvious how it skews our notions of sex and sexuality, of who can do what to whom and when. But did you know that it is often an underlying cause of much male sexual dysfunction? It also contaminates national policy in terms of public health issues, military readiness and the rights and freedoms we afford our citizenry. The business sector also suffers. Harassment and intimidation of gay workers result in loss of productivity costing businesses millions every year. But the most tragic is the toll it takes on individual relationships. Families are torn apart, friendships end, and people sometimes are killed or kill themselves over a futile and misguided attempt to uphold the status quo.

You’re gonna have to come out as a perv, sweetheart!

Name: Tammy
Gender: Female
Age: 32
Location: Chicago
My innermost desire is to have a dominant type man take control in sex and get down and dirty with me. But I never meet that kind of guy in my regular social life. It doesn’t seem like such a difficult thing, but it’s been out of reach all of my life. It has left me feeling like I don’t want to get involved with anyone and only have to deal with more disappointment. I feel like I’m at a dead end…and troubled about it!

Tammy, don’t despair. You’re just looking in the wrong place for the thing you desire most.wishin' & hopin'

Before I get too far into this, I just want to make sure I understand you correctly. When you say you want a dominant type of man to take control in sex; I’m gonna assume you don’t want some loutish, uncouth Neanderthal who will treat you like shit, right? You do, however, want a man to dominate you, but not without respecting you first, right? Ok, lets start there.

First off, you’re gonna have to come out as a perv, sweetheart…yeah, “perv” like in pervert. That’s what the folks in the kink community call themselves. You’re a kinky perv! Say it loud, Say it proud! And you need to connect with other kinky pervs. There may be some closeted pervs in your current social circle, but you’ll probably never know for sure. Times being what they are, most kinksters save that information for their friends in the kink community. So it’s high time to shift gears and start socializing in that community. They’ll welcome you, embrace you and help you realize your innermost desires.

Once you can admit to yourself who you are and give a name to what you desire, you will have more success finding what you want. Tammy, you are a submissive (sub) in search of her Dom (dominant). You also need to figure out if you are looking for a casual hookup or if you want to make this a lifestyle. Here’s a tip; kinksters and pervs alike will be less likely to embrace you if they think you’re a dilettante. A true Dom/sub relationship is one that permeates all layers of a person’s life, not just a role-play in the boudoir. In fact, most Dom/sub relationships are not centered on sex. Not that sex is ruled out, of course.

Begin the process of self-identification by taking stock of who you are, everything from your taste in music to your spirituality and politics. The more you know about yourself, the easier it will be for you to connect with the dom of you’re your dreams.

kinkyThe internets is gonna be your new best friend as you begin your search. You’ll need to learn some of the lingo and there are plenty of resource sites out there that can help you. Do a search using keywords like Dominant, Master, Domme, Mistress, Submissive. Luckily, you’re in a major metropolitan area. You’ll have no trouble at all connecting with the perv community in your area by just following some of the links you discover in your online search.

Be sure to check out Fet Life, it’s the Facebook for the pervy set. Heck, you’ll even find me there if you look hard enough.

Most kink sites have bulletin boards and/or member profiles. Once you get your bearings and have a grip on some of the vocabulary, you’ll want to set up a profile yourself. Be as clear about what it is you want as possible. Big cities, like Chicago, also have perv organizations that welcome a novice kinkster to local social events and meet and greets. Some even have demo’s and workshops. You’d do well to immerse yourself in this subculture, because the more information you have the more enlightened your future choices will be.

When connecting online with other pervs, be courteous. You’ll no doubt encounter an array of lifestyle choices and sexual proclivities, some of which may be off-putting to you. Remember, you are the guest here. Leave your uptight judgments and provincial attitudes at the door. You’re will have to earn the trust and respect of this community if you ever hope to be taken seriously by them.

Once you are acclimated to your new surroundings, you might want to set up a meeting with a Dom who interest you. This should strictly be a vanilla meeting in a neutral place. Look for a seasoned Dom. Ask for references from the Dom you are interviewing. These should include other submissives that this Dom has been with. Beware of a Dom without proper references.

Before connecting with a Dom, be sure you get his/her phone numbers — home, cell phone. Of course, you’ll have to share your numbers with him/her as well. If ya can’t trust one another with phone numbers there’s no likelihood that this is gonna be the match made in heaven. The more confidence you have in the Dom the more trust you’ll able to invest in him/her…the safer you’ll be. And since all sub/Dom relationships are grounded in trust there’s no substitute for absolute trust.

Being a submissive is a state of mind. It is not a particular sex act, it is not a game, and it is not role-playing and it is not gender specific. The best Dom/sub relationships are those that express a mutuality of care, concern and trust. And here’s a tip: your commitment to you Dom ought exceed your need for him/her.

Finally, if ya don’t mind a little shameless self-promotion, allow me to introduce you to The Gospel of Kink; A Modern Guide To Asking For What You Want And Getting What You Ask For. It’s a communication and relationship-building workshop in book form and it is written specifically for budding kinksters, just like you.Gospel of Kink

The Gospel of Kink’s innovative and interactive format presents the reader with numerous situations and dilemmas that arise as people embrace their kinkiness and integrate their eroticism into daily life.

The Gospel of Kink is on the cutting edge of the sex-positive and kink-aware movements. This workbook helps the reader break free from the painful silence the dominant culture imposes on alt culture and those of us on the sexual fringe.

The Gospel of Kink provides an opportunity to learn from people just like you. Its on-the-page workshop features a group of ten fictional characters who are your fellow participants. In addition, it includes a panel of actual seasoned kinky, BDSM, and alt culture practitioners who share their expertise and life experience with you.

The Gospel of Kink engages you with numerous exercises and homework. As a workshop participant, you will complete A Personal Alt Relationship Inventory, discuss the Essentials of Effective Communication, identify Tools and Techniques for Navigating Alt Relationship Conflicts, and learn how to Keep Things Fresh and Interesting.

The Gospel of Kink provides a safe and secure place for you to air your concerns without fear of being judged for how you live your life or with whom you choose to live it. You will learn within a framework of honesty, activity, alliance, support, and humor.

Good luck

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Open Hearts, Open Minds, And Open Relationships

Name: Deborah
Gender: female
Age: 36
Location: Rome
I like your site very much. Thank you for some much honesty. I have a question; do open relationships really work?

Well gee, thanks for your kind words, darlin’; I appreciate it.

To your question about open relationships, I guess that depends on the maturity level of the people considering opening their sexually exclusive relationship. And how much work they are willing to put forward to communicate with one another through all the details that such a decision entails.open relationship

That being said, there are a few things us sex researchers know for sure. In most cultures, people claim to practice sexual exclusivity, which is commonly referred to as monogamy. Although I think that’s a misnomer. Monogamy literally means having one union, which, as we all know, tells us nothing about sexual expression of either or both partners.

Lifetime sexual exclusivity (being sexually involved with only one person for one’s entire life) is rare. Serial sexual exclusivity (having a series of exclusive relationships over one’s life) is much more common. And despite knowing that we humans do not mate for life, we continue to presume that sexual exclusivity, or monogamy is the only legitimate kind of coupling.

This, unfortunately, leads to our culture’s obsession with cheating — that is, having sex with someone outside of a monogamous relationship. And frankly, what I know about humans, human relationships, and human sexuality; I can say for certain that fidelity is not necessarily a genital issue. One can indeed be faithful to someone else and still have the freedom to express him/herself sexually with others. It happens all the time. In these cases, fidelity is to the relationship and the agreements, parameters, and boundaries mutually agreed upon by the partners. Which get me back to my opening comment about the need for communication. Of course, it’s much easier to presume that everyone in a relationship is working under the same rubric, but that kind of presumption is a fool’s paradise.

polyamory1Another shortcoming of setting up sexual exclusivity, or monogamy as the only legitimate kind of coupling is that it diminishes all the other types of relationships that flourish albeit in a more covert sort of way. And here I’m talking about an array of open relationship models and polyamory. The fact that we don’t hear a lot about these non-traditional relationships shouldn’t suggest to you, or anyone, that they don’t exist or that they aren’t practical or practiced my a lot of people. They are! It just means that most people in non-traditional relationships know not to go public in a society that would denigrate them for their lifestyle choices. That’s how things are here in the good old US of A; and I’ll wager it’s also true for you Italians. Am I right, or am I right?

Open relationships and polyamorous relationships work because the people in them adhere to some basic tenets about how to conduct themselves.

First among them is the notion that these alternative relationships must be chosen; they can’t be mandated. If one or another of the persons considering an open or poly relationship is being pressured to go along with the flow, or is fearful that he/she will be alone if he/she doesn’t comply with the will of the other(s), that kind of duress is not gonna work.

Each person in the relationship needs to take responsibility for the choices he/she is making. If you’re not up for the task, or if this kind of arrangement is not compatible with your personality type, don’t attempt to override that. You will only jeopardize the relationship for the other(s) involved. However if the idea appeals to you, give it your best shot. I can guarantee it will be a learning experience. Just remember, exploring something and having it carved in stone are two very different things.

Second, communication is key. The more complex the relationship structure the greater the need for open lines of communication. Know your boundaries and express them clearly. Ask questions; never assume you know something when you don’t. If you will allow me some shameless self-promotion, I’d like to direct your attention to my latest book, The Gospel Of Kink — A Modern Guide To Asking For What You Want And Getting What You Ask For. It’s a communication and relationship-building workshop, for folks in nontraditional relationships, in workbook form. I think you will find it most enlightening. GOK small cover

Third, know yourself! You must be able to deal with your emotions, particularly jealousy, in an up-front, adult way. This is often much easier said than done. If you need to be the center of attention just so you can feel good about yourself, or you have serious territorial issues — this is mine, this is mine, and this is mine! Alternative relationships are probably not for you.

Know what keeps you even keel in terms of what you need and what you are able to give. There has got to be a healthy tension between these two things. If you’re the kind who gives too much and resents not being rewarded for your gifts, stay away from alternative relationships. Or if you are so needy that you can’t stand it when someone else is enjoying his/her time in the sun; open or poly relationships are decidedly not for you.

You should also know that alternative relationships, of whatever stripe, are, for the most part, on the fringes of what society will accept. And some are outright taboo. This doesn’t mean you will have to slug it out on your own, in a vacuum of support. On the contrary, you will no doubt find that the people who are living contrary to the expectations of the popular culture are often a whole lot more generous with their support and compassion then those following all the rules.

You will find that your support system will shift from more traditional sources like family, church, and community to alternative sources like clubs and social groupings of other like-minded individuals as yourself. A common mistake made by those in non-traditional relationships is to take their problems and issues to their traditional support systems. This rarely works because the traditional support system will inevitably blame the non-traditional relationship setup for the problem. This is not true, of course, but how would those in traditional relationships know otherwise.

I always suggest that those in non-traditional relationships bring their issues to their non-traditional support system. Here you are less likely to encounter judgments about your life choices and more help with overcoming the problems at hand.

Good luck

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Backdoor Basics at Wild At Heart

Hey sex fans!

Particularly those of you who are living in and around the Emerald City. I have some swell news for ya’ll. I’m scheduled to present one of my most popular workshops at Seattle’s very own woman owned sex emporium, Wild At Heart.

The title of the Workshop is
Backdoor Basics

Sunday, December 16, 2012 7:00 PM

Ticket information HERE!

Learn the ins and outs of anal pleasure in this introductory class to backdoor fun. Anal play is a source of curiosity for many, but often surrounded by fear that it’s gonna be painful, or worse- messy. This class will help answer those questions and put those fears to rest.

We’ll cover a wide variety of topics, including:

  • Anal anatomy
  • Preparation and hygiene
  • Lubes, toys, and safer sex
  • Beginner booty play
  • All-important warm-up techniques
  • Anal sex myths and misconceptions
  • Sex Toy giveaways
  • and so much more!

We all have one, lets relax and enjoy it!

This workshop is open to all regardless of gender, orientation, or relationship status.

Workshop attendees also get a 15% discount on any store merchandise while they’re at the workshop.

This workshop is based on my wildly popular tutorials — Liberating The B.O.B. Within and Finessing That Ass Fuck.

BE THERE OR BE SQUARE!