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New treatments restoring sexual pleasure for older women

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By Tara Bahrampour

When the FDA approved Viagra in 1998 to treat erectile dysfunction, it changed the sexual landscape for older men, adding decades to their vitality. Meanwhile, older women with sexual problems brought on by aging were left out in the cold with few places to turn besides hormone therapy, which isn’t suitable for many or always recommended as a long-term treatment.

Now, propelled by a growing market of women demanding solutions, new treatments are helping women who suffer from one of the most pervasive age-related sexual problems.

Genitourinary syndrome, brought on by a decrease in sex hormones and a change in vaginal pH after menopause, is characterized by vaginal dryness, shrinking of tissues, itching and burning, which can make intercourse painful. GSM affects up to half of post-menopausal women and can also contribute to bladder and urinary tract infections and incontinence. Yet only 7 percent of post-menopausal women use a prescription treatment for it, according to a recent study.

The new remedies range from pills to inserts to a five-minute laser treatment that some doctors and patients are hailing as a miracle cure.

The lag inaddressing GSM has been due in part to a longstanding reluctance among doctors to see post-menopausal women as sexual beings, said Leah Millheiser, director of the Female Sexual Medicine Program at Stanford University.

“Unfortunately, many clinicians have their own biases and they assume these women are not sexually active, and that couldn’t be farther from the truth, because research shows that women continue to be sexually active throughout their lifetime,” she said.

With today’s increased life expectancy, that can be a long stretch – another 30 or 40 years, for a typical woman who begins menopause in her early 50s. “It’s time for clinicians to understand that they have to bring up sexual function with their patients whether they’re in their 50s or they’re in their 80s or 90s,” Dr. Millheiser said.

By contrast, doctors routinely ask middle-aged men about their sexual function and are quick to offer prescriptions for Viagra, said Lauren Streicher, medical director of the Northwestern Medicine Center for Sexual Medicine and Menopause.

“If every guy, on his 50th birthday, his penis shriveled up and he was told he could never have sex again, he would not be told, ‘That’s just part of aging,’” Dr. Streicher said.

Iona Harding of Princeton, New Jersey, had come to regard GSM, also known as vulvovaginal atrophy, as just that.

For much of their marriage, she and her husband had a “normal, active sex life.” But after menopause sex became so painful that they eventually stopped trying.

“I talked openly about this with my gynecologist every year,” said Mrs. Harding, 66, a human resources consultant. “There was never any discussion of any solution other than using estrogen cream, which wasn’t enough. So we had resigned ourselves to this is how it’s going to be.”

It is perhaps no coincidence that the same generation who first benefited widely from the birth control pill in the 1960s are now demanding fresh solutions to keep enjoying sex.

“The Pill was the first acknowlegement that you can have sex for pleasure and not just for reproduction, so it really is an extension of what we saw with the Pill,” Dr. Streicher said. “These are the women who have the entitlement, who are saying ‘Wait a minute, sex is supposed to be for pleasure and don’t tell me that I don’t get to have pleasure.’”

The push for a “pink Viagra” to increase desire highlighted women’s growing demand for sexual equality. But the drug flibanserin, approved by the FDA in 2015, proved minimally effective.

For years, the array of medical remedies has been limited. Over-the-counter lubricants ease friction but don’t replenish vaginal tissue. Long-acting mosturizers help plump up tissue and increase lubrication, but sometimes not enough. Women are advised to “use it or lose it” – regular intercourse can keep the tissues more elastic – but not if it is too painful.

Systemic hormone therapy that increases the estrogen, progesterone, and testosterone throughout the body can be effective, but if used over many years it carries health risks, and it is not always safe for cancer survivors.

Local estrogen creams, suppositories or rings are safer since the hormone stays in the vaginal area. But they can be messy, and despite recent studies showing such therapy is not associated with cancer, some women are uncomfortable with its long-term use.

In recent years, two prescription drugs have expanded the array of options. Ospemifene, a daily oral tablet approved by the FDA in 2013,activates specific estrogen receptors in the vagina. Side effects include mild hot flashes in a small percentage of women.

Prasterone DHEA, a naturally occurring steroid that the FDA approved last year, is a daily vaginal insert that prompts a woman’s body to produce its own estrogen and testosterone. However, it is not clear how safe it is to use longterm.

And then there is fractional carbon dioxide laser therapy, developed in Italy and approved by the FDA in 2014 for use in the U.S. Similar to treatments long performed on the face, it uses lasers to make micro-abrasions in the vaginal wall, which stimulate growth of new blood vessels and collagen.

The treatment is nearly painless and takes about five minutes; it is repeated two more times at 6-week intervals. For many patients, the vaginal tissues almost immediately become thicker, more elastic, and more lubricated.

Mrs. Harding began using it in 2016, and after three treatments with MonaLisa Touch, the fractional CO2 laser device that has been most extensively studied, she and her husband were able to have intercourse for the first time in years.

Cheryl Edwards, 61, a teacher and writer in Pennington, New Jersey, started using estrogen in her early 50s, but sex with her husband was painful and she was plagued by urinary tract infections requiring antibiotics, along with severe dryness.

After her first treatment with MonaLisa Touch a year and a half ago, the difference was stark.

“I couldn’t believe it… and with each treatment it got better,” she said. “It was like I was in my 20s or 30s.”

While studies on MonaLisa Touch have so far been small, doctors who use it range from cautiously optimistic to heartily enthusiastic.

“I’ve been kind of blown away by it,” said Dr. Streicher, who, along with Dr. Millheiser, is participating in a larger study comparing it to topical estrogen. Using MonaLisa Touch alone or in combination with other therapies, she said, “I have not had anyone who’s come in and I’ve not had them able to have sex.”

Cheryl Iglesia, director of Female Pelvic Medicine & Reconstructive Surgery at MedStar Washington Hospital Center in Washington D.C., was more guarded. While she has treated hundreds of women with MonaLisa Touch and is also participating in the larger study, she noted that studies so far have looked only at short-term effects, and less is known about using it for years or decades.

“What we don’t know is is there a point at which the tissue is so thin that the treatment could be damaging it?” she said. “Is there priming needed?”

Dr. Millheiser echoed those concerns, saying she supports trying local vaginal estrogen first.

So far the main drawback seems to be price. An initial round of treatments can cost between $1,500 and $2,700, plus another $500 a year for the recommended annual touch-up. Unlike hormone therapy or Viagra, the treatment is not covered by insurance.

Some women continue to use local estrogen or lubricants to complement the laser. But unlike hormones, which are less effective if begun many years after menopause, the laser seems to do the trick at any age. Dr. Streicher described a patient in her 80s who had been widowed since her 60s and had recently begun seeing a man.

It had been twenty years since she was intimate with a man, Dr. Streicher said. “She came in and said, ‘I want to have sex.’” After combining MonaLisa Touch with dilators to gradually re-enlarge her vagina, the woman reported successful intercourse. “Not everything is reversible after a long time,” Dr. Streicher said. “This is.”

But Dr. Iglesia said she has seen a range of responses, from patients who report vast improvement to others who see little effect.

“I’m confident that in the next few years we will have better guidelines (but) at this point I’m afraid there is more marketing than there is science for us to guide patients,” she said. “Nobody wants sandpaper sex; it hurts. But at the same time, is this going to help?”

The laser therapy can also help younger women who have undergone early menopause due to cancer treatment, including the 250,000 a year diagnosed with breast cancer. Many cannot safely use hormones, and often they feel uncomfortable bringing up sexual concerns with doctors who are trying to save their lives.

“If you’re a 40-year-old and you get cancer, your vagina might look like it’s 70 and feel like it’s 70,” said Maria Sophocles, founding medical director of Women’s Healthcare of Princeton, who treated Mrs. Edwards and Mrs. Harding.

After performing the procedure on cancer survivors, she said, “Tears are rolling down from their eyes because they haven’t had sex in eight years and you’re restoring their femininity to them.”

The procedure also alleviates menopause-related symptoms in other parts of the pelvic floor, including the bladder, urinary tract, and urethra, reducing infections and incontinence.

Ardella House, a 67-year-old homemaker outside Denver, suffered from incontinence and recurring bladder infections as well as painful sex. After getting the MonaLisa Touch treatment last year, she became a proslyter.

“It was so successful that I started telling all my friends, and sure enough, it was something that was a problem for all of them but they didn’t talk about it either,” she said.

“I always used to think, you reach a certain age and you’re not as into sex as you were in your younger years. But that’s not the case, because if it’s enjoyable, you like to do it just as much as when you were younger.”

Complete Article HERE!

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7 contraception options that won’t screw with your hormones

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Plus the pros and cons of each.

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Hormones are what make the world go round. They play a massive part in influencing your bodily functions, your mood, your behaviour, and of course, your sex life – which is why, when yours are out of whack, it can have an enormous impact on your whole damn existence.

Hormones can also be a big factor in the type of contraception you use, and increasing numbers of women are looking for non-hormonal methods of preventing pregnancy and sexually transmitted infections (STIs). If you’re one of them, here are seven contraception methods you could consider:

1. Male condoms

What is it?
Probably the most familiar method of non-hormonal contraception, male condoms are thin latex sheaths that go over the penis during sex.


Pros and cons:

“They’re really easy to use and you only need to use them when you have sex,” says Sue Burchill, head of nursing at sexual health charity Brook. “They protect against sexually transmitted infections (STIs) as well as pregnancy. Plus, they are available for free from Brook services (for under 25s), some youth clinics, contraception and sexual health clinics and some GPs. You can also buy them at any time of day from supermarkets, vending machines in public toilets, petrol stations etc, even if you’re under 16. They also come in different shapes, sizes, textures, colours and flavours which can make sex more fun.”

Condoms are the only type of contraception that a man can use to control his own fertility, but they do also have some potential disadvantages. “Some people are allergic to the latex used in condoms. This is rare but if you or your partner is allergic, it’s possible to use latex free polyurethane condoms,” Sue adds. “Sometimes they can split or slip off – if this happens or you are worried you may need emergency contraception.”

2. Female condoms

What is it? Female condoms, sometimes known as ‘femi-doms’, are similar to male condoms, except they’re worn internally, inside the vagina, instead of going over the penis.

Pros and cons:
Like their male counterparts, female condoms also protect you against STIs and pregnancy, and are available for free within many of the same services. You can also put them in before you have sex (up to eight hours before).

If they’re not used properly, however, female condoms can slip or get pushed up into the vagina – and again, if this happens, you might need to seek emergency contraception. “You need to make sure the penis goes into the condom and not between the condom and the vagina,” advises Sue. It’s also worth noting that female condoms are not always available at every contraception and sexual health clinic and can be more expensive to buy than other condoms.

3. IUDs

What is it?
Intrauterine devices, or IUDs, are t-shaped plastic devices that contain copper, and stop an egg from implanting in your uterus. They need to be fitted by your doctor or nurse.

Pros and cons:

IUDs are often recommended for women who cannot use contraception that contains hormones, like the pill or the contraceptive patch. They provide a long-term solution that once fitted, can prevent pregnancy immediately, and for up to 10 years (depending on what type of IUD you go for). They don’t interrupt sex, or mess with your fertility, and, crucially, you don’t have to remember to pop a pill every day for it to be effective. “The IUD is not affected by vomiting, diarrhoea or other medicines like other methods of contraception,” Sue notes – in fact, it can even be fitted as a method of emergency contraception.

This is not to say that the IUD has no potential pitfalls – “it does not protect against STIs, and your periods may be heavier, more painful or last longer,” she adds. There are also several risks, although slim and unlikely, that come with fitting and using the IUD – you may get an infection when it’s inserted, it can be be pushed out or displaced, and there is very minor chance of perforation of the uterus. If you do somehow get pregnant when you’re using one, there is also a small risk of ectopic pregnancy.

4. Cervical caps or diaphragms

What is it? These are dome-shaped devices which look similar, but diaphragms fit into the vagina and over the cervix, whilst caps need to be put onto the cervix directly. They need to be fitted by a professional on the first occasion, and used in conjunction with spermicide for maximum effectiveness.

 


Pros and cons:
“They can be put in before sex so they don’t disturb the moment (you will need to add extra spermicide if you have sex more than three hours after putting it in),” says Sue. “They are not affected by any medicines that you take orally, and don’t disturb your menstrual cycle” – although it is recommended that you do not use the diaphragm/cap during your period, so you will need to use an alternative method of contraception at this time.

And the downsides? As with pretty much all methods except condoms, they don’t provide protection against STIs, and they’re also not as effective at preventing pregnancy as other methods (around 92-96%, compared with 98% for male condoms, for instance). “They can take a little getting used to before you’re confident using them,” Sue admits, “Some women can develop the bladder infection cystitis when using diaphragms or caps – check with your doctor or nurse if you need further advice. Some people may be sensitive to latex or the chemical used in spermicide.”

5. Sponges

What is it? As you might imagine from the name, the sponge is a… well, sponge, which contains spermicide to help to prevent pregnancy. They’re a single use option, and cannot be worn for more than 30 hours at a time.

Pros and cons:

Sponges provide protection from pregnancy on a two-fold basis – the spermicide slows sperm down and stops them from heading towards the egg, and the sponge itself covers your cervix, to block them if they do get there. They are easy to use, but require a little bit of prep – you have to wet the sponge to activate the spermicide, and then insert it, as far up as you find comfortable. They also need to be left in your vagina for at least six hours after having sex, so you have to remember to include this in your 30 hour calculation. It shouldn’t happen, but if the sponge breaks into pieces when you pull it out, you need to contact your doctor right away.

Once again, there’s no STI protection, and you can’t use them when you’re on your period, or have any form of vaginal bleeding, as this could increase your chances of getting toxic shock syndrome. They’re also not recommended for women who’ve had physical trauma in the area, or given birth, been through miscarriage or abortion recently. If you’re unsure, talk to a professional before making your purchase (because unlike many other options, sponges aren’t given out for free).

6. Natural family planning

What is it? Natural family planning involved monitoring your fertility signs, such as cervical secretions and basal body temperature, to find out when during the month you can have sex with a reduced risk of pregnancy.


Pros and cons:
It can be used to plan pregnancy as well as avoid pregnancy, if you’re thinking of starting and family – and if you’re not, it does not involve taking any hormones or other chemicals or using physical devices, like many other methods do. The NHS states that it’s up to 99% effective if the method is followed precisely – but you need proper teaching about the indicators, and because it can be tricky to master, mistakes happen, so it’s generally around 75% mark instead.

You’ll still need to consider protection from STIs, and use a different form of contraception if you want to have sex during your fertile times. “You need to keep daily records, and some things such as illness or stress can make results difficult to interpret,” says Sue. “It can take longer to recognise your fertility indicators if you have an irregular cycle, or have stopped using hormonal contraception. It demands a high level of commitment from both partners.”

7. Tubular occlusion

What is it? Tubular occlusion, or female sterilisation, is a surgical method of contraception that involves using clips or rings to block your fallopian tubes. It is thought to be more than 99% effective, and doesn’t effect hormone levels – you’ll still get your period if you have it done.

Pros and cons:

If you’re certain that sterilisation is the right option for you, it means that you no longer have to worry about pregnancy (although the same can’t be said for STI’s, which you’ll still need protection from). There shouldn’t be any impact on your sex drive, and rarely has any other long-term effects on your health.

However, as with any operation, there are potential complications, including internal bleeding, infection, or damage to your other organs. The chance of sterilisation failing is around in 1 in 200, but it can happen, and if it does occur, there’s a higher chance of the pregnancy being ectopic. Surgeons are generally more willing to carry out sterilisation on women who are over 30 and have already had children, but you can request it whatever your circumstances. It’s likely you’ll be referred to counselling before making your final decision, because of the permanent nature of the choice that you’re making.

Complete Article HERE!

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A history of sexual depictions in art

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‘Sex has been evoked in ways that simultaneously challenge, repress and embrace its notions’

Even though the existence of humankind is dependent on sex, it has always been a taboo topic of discussion.

The entire history of art, from ancient to contemporary, has portrayed sex in very overt ways, bringing the subject of sex into the institution of art museums. Because of the lack of recorded history about sex, these frank depictions of sexuality in art visually uncover the way sexuality was viewed over time. These works of art can help us understand attitudes towards sex as they were transformed and shifted geographically through time.

Studying erotic art exposes the open attitude ancient Romans had towards sex. Statues, frescoes and household decorative items from ancient Rome prove that sex was an integral part of their everyday lives and that they were not afraid to show it.

The Secret Museum in Naples exhibits ancient Roman works of people having sex, phallic statues and beastiality, which is sexual relations between a human and an animal. Although the ancient Romans were seemingly comfortable with sex, the museum is called The Secret Museum because King Naples I of Naples deemed the works inappropriate and demanded they be locked away. Art’s attempts to comfortably illustrate sex have been historically shunned and disapproved because it is considered taboo.

Mesopotamian art (c. 4500-539 BCE), like ancient Roman art, portrayed sex openly. Observing these works reveals the sex customs in the culture as well. For example, it was a custom for every woman to perform a specific type of prostitution at least once in their life. This ritual was for women to sit outside the Temple of Ishtar and have sex with a man who chooses them. Mesopotamian plaques frankly evoke people having sex as well as this ritual of prostitution.

Western culture is particularly known to disapprove of open sexuality. But, Western artists rebelled against this notion, especially with the introduction of Modernism. Prior to what we call Modern art (1860s-1970s), was the Renaissance in Europe. Renaissance art is typically more discrete with depictions of sex and sexuality. Because it is inspired by classical antiquity, nudity is common among the works. This portrayal of nudity is not shunned because it depicts religious figures and figures of the past.

As a response to urbanization and industrialization, Modern art took a major turn from classical antiquity, which created a shift in subject matter. This introduced illustrations of what were contemporary figures rather than ancient ones. Suddenly, sex and nudity were deemed inappropriate and tasteless. Modern artists have intentions of being radical, disregarding this response to their work.

Modern artists in Europe explored how the rapid urbanization and industrialization of the time period commodified sex and alienated figures of the modern. Egon Schiele frankly depicts sex to address this condition of modernism in his work “Two Women Embracing” (1915). The drawing portrays two women being sexually intimate in front of a blank background.

Although the figures are embracing, the perspective and the background make them appear as if they are floating in a space of loneliness and alienation. This melancholy feeling of isolation that stems from modernization is a condition that Modern artists repeatedly evoked. Schiele expresses this feeling through a depiction of sex to elicit that even in the highest forms of intimacy, feelings of loneliness exist.

“Two Women Embracing” and the rest of Schiele’s works were extremely radical for the time. In fact, Schiele was forced to spend time in jail as a pornographer. His frank representations of sexuality were so incredibly radical because of his depictions of modern subjects and lesbianism. Schiele revolutionarily instigated a discussion about sex and sexuality in the Western world where it had been neglected and shunned.

Following Modern art is what we call Contemporary art, which was produced from the late 20th century to the 21st century today. Performance art was a medium introduced with Contemporary art. The medium aimed to create a bodily encounter between the artist and the viewer. Many performance artists took advantage of the live relationship between artist and viewer to bring sex into their workplace.

A lot of performance art would be considered abject art — art that works to introduce the bodily functions that are silenced and taboo into the museum. When a viewer encounters an abject work of art, they are forced to think about their own body and what they repress everyday. Abject artists oftentimes work with the concept of sex in an attempt to dismantle its history as something forbidden and address issues about sex and sexuality.

Vito Acconci’s abject work titled “Seedbed” (1972) encounters the viewer in a shocking and vulnerable way. It was a performance piece in which Acconci said sexual comments to the audience members walking past a little wooden square in the corner of a museum. During the performance, he hid under a ramp so the viewers could hear his vulgar comments out of a speaker yet they could not see him. Under the ramp, Acconci was masturbating to those who encountered the wooden square. By making the repressed sexual act of masturbation a public performance, Acconci attempted to break stigmas about sex while simultaneously addressing issues of sexual objectification.

The Contemporary artist Carolee Schneemann evoked sex through performance art as well. In her 1964 performance “Meat Joy,” men and women wrestled sexually with meat in an orgy encounter. She provoked the viewer to look at sex in a profoundly unusual way. Through this seemingly odd performance, Schneemann confronted the audience with this overt sexuality in an attempt to reject the notion that sex should be repressed.

Throughout the history of art, sex has been evoked in ways that simultaneously challenge, repress and embrace its notions. From ancient art to contemporary, artists have continuously worked to make sex a comfortable topic that should be embraced and addressed openly.

Complete Article HERE!

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How sex with a small penis can actually give you more pleasure – and how to tell your partner you have one

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Only a small number of men have a micropenis, and it’s not necessarily bad news for their sex life

By Zahra Mulroy

Penis size is the butt of many a joke, and, wrongly, nothing will elicit a titter more than the mention of a micropenis

With 0.6 per cent of the male population affected, they remain comparatively uncommon, but the physical and psychological repercussions can be serious and the cause of much anguish.

There’s undeniably a stigma attached: “Size matters” , you’re less of a man if you have one, your partner will get no enjoyment out of sex with you – the list goes on.

But having a micropenis isn’t necessarily the dire news it’s assumed to be – at least, according to sex therapist Elizabeth McGrath .

McGrath counsels clients with micropenises, and their partners.

She helps them get the most out of their sex lives and will talk them through “clothed, non-genital touch” the Daily Dot reports.

“I really practice this work and I believe in it, primarily because sex is of our bodies,” McGrath said. “When it comes to sex and relationships, I believe there’s only so much talking can do.

“So much of what keeps people down, makes them feel awful, are these ideas about what good sex is, and it’s a box, a very, very small box,” McGrath adds.

“For somebody with a micropenis or their partner, not fitting in that box is very painful.”

So what does McGrath advise?

“There’s humping, there’s grinding, there’s rubbing the penis on the labia or on the side, and then it expands into ‘What kind of fun things can we do together?'” she explains.

“Look at it as an opportunity to find new things rather than focus on one way of doing it specifically.”

McGrath also goes on to recommend oral sex becomes the “main event” and suggests that toys be used too.

“I think any augmenting toys can be fun. But more importantly, is it comfortable and does it feel good? Are you doing it because you enjoy it or is it because you feel like it makes you more normal?”

As for breaking the ice with a new partner and being honest about having a micropenis, McGrath says a man shouldn’t stress about this, as it only reinforces the idea that it’s something to be ashamed of.

Complete Article HERE!

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How to Do Prostate Massage (For Better Sex)

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Men who are suffering with prostatitis or an enlarged prostate (aka, benign prostatic hyperplasia, BPH) or who want to promote better sexual health can often benefit from prostate massage therapy (aka, prostate milking). If the thought of doing a prostate massage for yourself or having a partner do it for you is uncomfortable, you should know that learning how to do prostate massage or having it done for you could provide significant symptom relief and be highly beneficial for your sex life and sexual performance.

Historically, prostate massage has been used over the centuries to enhance a man’s sexual prowess. Men who had many partners or who were very sexually active used prostate massage to help ensure they could maintain their sexual activities. The benefits of prostate massage have now been expanded to include therapeutic advantages for men who are living with common prostate conditions as well as enhance orgasms and erectile function.

Please note, however, that you should not attempt prostate massage until you have consulted with your healthcare provider to ensure it is safe for you to do so.

How to do prostate massage manually

Prostate massage therapy can be performed in two basic ways: externally or internally, and each of these methods can be done manually or using a special prostate massage device. Some men prefer one approach over another, while others switch between them. In any case, prostate massage can improve blood flow in the treated area, enhance urinary flow, and help promote the integrity and health of the prostate tissue.

To prepare for a prostate massage, first empty your bowels and bladder. If you are going to have the massage done by hand, get a nonlatex glove or a condom and some lubricating gel, such as KY jelly. You can either lean over a table or get on all fours on the floor or a bed. Now you are ready for a self-prostate massage or one done by a partner or health professional.

Here is how to do a manual prostate massage using a finger:

  • Insert the lubricated finger into the anus and gently probe for the prostate. The prostate feels like a small round ball.
  • Once the prostate has been located, apply light pressure for several seconds, then pull back slightly to release the pressure.
  • Advance the finger again and apply gentle pressure on the same or a different spot if you can. Hold for several seconds and then release. Application of pressure to the center of the prostate releases fluid to the tip of the penis.
  • Repeat this massage process five to ten times. You may experience an erection, which is normal.

Another manual approach using a finger involves applying pressure to the perineum, which is the area located between the scrotum and anus. You can choose to use or not use a glove or condom with lubricant. Massage the entire length of the perineum for several minutes.

Here is how to do a manual prostate massage using a finger:

  • Insert the lubricated finger into the anus and gently probe for the prostate. The prostate feels like a small round ball.
  • Once the prostate has been located, apply light pressure for several seconds, then pull back slightly to release the pressure.
  • Advance the finger again and apply gentle pressure on the same or a different spot if you can. Hold for several seconds and then release. Application of pressure to the center of the prostate releases fluid to the tip of the penis.
  • Repeat this massage process five to ten times. You may experience an erection, which is normal.

Another manual approach using a finger involves applying pressure to the perineum, which is the area located between the scrotum and anus. You can choose to use or not use a glove or condom with lubricant. Massage the entire length of the perineum for several minutes.

When using an internal prostate massage product, you must lubricate it well before inserting it. Those with a vibration feature will vibrate when pressed against the prostate, which will help reduce inflammation, improve blood flow, and relax the gland.

External prostate massage products are designed so you can sit on them, which applies pressure to the perineum.

Regardless of which prostate massage approach you choose, you need to be patient. It typically takes several weeks before you will notice appreciable benefits of daily prostate massage therapy.

Complete Article HERE!

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