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Cancer patients and survivors can have trouble with intimacy


People who survive cancer treatment — a growing group now topping 5 million — often have trouble with intimacy afterward, both from the actual treatment and physical recovery and from the psychological damage of feeling so vulnerable.

People who survive cancer treatment — a growing group now topping 5 million — often have trouble with intimacy afterward, both from the actual treatment and physical recovery and from the psychological damage of feeling so vulnerable.(Photo: Getty Images/Comstock Images)

In the mirror, Kelly Shanahan looks normal, even to herself.


Kelly Shanahan of South Lake Tahoe, Calif., has been battling breast cancer for eight years. She’s a big believer in doctors and their patients discussing sexual health.

But she does not feel like herself.

The breasts she had reconstructed eight years ago look real, the nipples convincing. But her breasts have no sensation. The only time she feels them at all is during the frigid winters of her South Lake Tahoe, Calif., home, when they get so cold, she has to put on an extra layer of clothing.

“For a lot of women, breast sensation is a huge part of sexual pleasure and foreplay. That is totally gone,” says Shanahan, 55, who has lived with advanced breast cancer for three years. “It can be a big blow to self-image, even though you may look normal.”
Kelly Shanahan of South Lake Tahoe, Calif., has been battling breast cancer for eight years. She’s a big believer in doctors and their patients discussing sexual health. (Photo: Kelly Shanahan)

Shanahan is part of a growing group of patients, advocates and doctors raising concerns about sexual health during and after cancer treatment.

“None of us would be here if it weren’t for sex. I don’t understand why we have such a difficult time talking about it,” she says.

Though virtually all cancer diagnoses and treatments affect how patients feel and what they think about their bodies, sex remains an uncomfortable medical topic.

Shanahan, an obstetrician herself, says that until her current doctor, none of the specialists who treated her cancer discussed her sex life.

“My former oncologist would rather fall through the floor than talk about sex,” she says.

Major cancer centers now include centers addressing sexuality, but most community hospitals still do not. The topic rarely is discussed unless the patient is particularly bold or the doctor has made a special commitment.

There’s no question that cancer can dampen people’s sex lives.

Hormone deprivation, a common therapy for breast and prostate cancer, can destroy libido, interfere with erections, and make sex extremely painful. Weight gain or loss can affect how sexy people feel. Fatigue is unending during treatment. Body image can be transformed by surgeries and the idea that your own cells are trying to kill you. The constant specter of death is a sexual downer, as are the decidedly unsexy aspects of cancer care, like carrying around a colostomy bag. Then, there are the healthy partners, feeling guilty and terrified of causing pain.

And once people start to associate sex with pain, that can add apprehension and muscle tightness, which makes intercourse harder to achieve, says Andrea Milbourne, a gynecologist at the University of Texas MD Anderson Cancer Center in Houston.

There’s almost never a medical reason cancer patients or survivors shouldn’t be having sex, says Karen Syrjala, a clinical psychologist and co-director of the survivorship program at the Fred Hutchinson Cancer Research Center in Seattle. Even if there is reason to avoid intercourse, physical closeness and intimacy are possible, she says, noting that the sooner people address sexual issues the less serious those issues will be.

“Bodies need to be used and touched,” she says said. “Tissues need to be kept active.” Syrjala recommends hugging, romantic dinners, simple touching, “maybe just holding each other naked at night.”

There are ways to improve sexual problems, starting with doctors talking to their patients about sex. Milbourne and others say it’s their responsibility, not the patients’, to bring up the topic.

Hormone deprivation, a common therapy for breast and prostate cancer, can destroy libido, interfere with erections, and make sex extremely painful. Lubricants can help smooth the way.

Hormone deprivation, a common therapy for breast and prostate cancer, can destroy libido, interfere with erections, and make sex extremely painful. Lubricants can help smooth the way.

Communication between partners also is essential. “A lot of times, it’s unclear, at least in the mind of the other partner who doesn’t have a cancer, what has happened. ‘Why does this hurt? Why don’t you want to do anything?’ ” Milbourne says.

For women who have pain during sex, Milbourne says one study found benefit to using lidocaine gel to numb vaginal tissue.

Jeanne Carter, head of the female sexual medicine and women’s health program at Memorial Sloan Kettering Cancer Center in New York City, recommends women do three minutes of Kegel exercises daily to strengthen their pelvic floor muscles and improve vaginal tone, and to help reconnect to their bodies.

For women sent abruptly into menopause, moisturizing creams can help soften tissue that has become brittle and taut. Carter says she’s conducted research showing that women with breast or endometrial cancers who use moisturizers three to five times a week in the vagina and on the vulva have fewer symptoms and less pain than those who don’t. Lubricants can help smooth the way, too.

“We’ve got to make sure we get the tissue quality and pain under control or that will just undermine the whole process,” Carter says.

Sex toys also take on a different meaning after cancer treatment. Specialized stores often can offer useful advice and the ability to examine a product before buying. Rings and other equipment, in addition to medications such as Viagra, can help men regain erections.

Doctors and well-meaning friends also need to stop telling cancer patients that they should simply be glad to be alive, Shanahan says. Of course she is, but eight years after her initial diagnosis and three years after her disease advanced, Shanahan wants to make good use of the time she has left.

And that, she says, includes having a warm, intimate relationship with her husband of 21 years.

Complete Article HERE!

15 Women Give Constructive Criticism On How To Actually Make Them Orgasm (And Not Just Fake It)

By Nicole Tarkoff

Constructive Criticism

1. “When you’re giving me oral, just because you’re moving your tongue really fast, doesn’t mean you’re moving it in a way that feels good. It’s a beautiful combination between sucking and licking that you have to practice, not just flicking your tongue around mindlessly.” —Cara, 25


2. “Don’t just stick it in, warm me up first. Rub my body, kiss my body, make me feel something before you put your dick inside me and cum in 3 minutes.” —Tiffany, 26


3. “Let me take control once in a while. I understand you’re a man, and you don’t have to tie me up to prove it. Some women get off from control alone, so if I tell you you can’t touch me until I say so, don’t.” —Vanessa, 25


4. “Oral works so much better when you use your mouth AND your fingers.” —Meghan, 26


5. “When I’m rubbing my clit while you’re inside me, don’t take it as an insult, just accept it as some extra assistance, a helping hand.” —Alanna, 26


6. “When you kiss me, don’t dig any deeper than necessary. Your tongue should not be down my esophagus.” —Molly, 24


7. “You stare at my boobs all day, so don’t ignore them when we finally decide to have sex, that’s just negligent.” —Emily, 25


8. “Not all girls want you to ‘make love’ to them. Occasionally we like to be fucked.” —Chloe, 24


9. “If you’re wondering about something, just ask. Literally the best way to have the best sex is to talk about what’s going to make it THE BEST. Pretty self-explanatory.” —Arianna, 25


ıo. “Not all women are vocal, just because I’m not screaming at the top of my lungs, doesn’t mean I’m not enjoying myself.” —Morgan, 27


11. “Foreplay is key. Don’t rush it.” —Victoria, 26


12. “Let me help you with my bra. I understand it can be confusing at times, but it will be 100% less awkward if you just let me help you take it off rather than both of us waiting 5 minutes for you to figure out it clips in the front, not the back.” —Zoe, 24


13. “Stamina. Try to last. Please.” —Hailey, 25


14. “Openly communicate what you like or don’t like. You won’t know that I like you biting my nipples unless I tell you so, just like I won’t know whether or not you’d like me to suck your balls. It’s amazing what improvements we each can make if we just talk about it.” —Adrienne, 26


15. “Stop asking for anal. Ain’t gonna happen.” —Casey, 28 TC mark

Complete Article HERE!

7 Tips For Better Sex

By Chloe Kraven


Sex is a craft; and just like any other craft, one improves with study and practice. In our Western Society, sex is taboo, and most of us look on it with varying degrees of shame and embarrassment, but this need not be the case. Whatever your feelings are personally about sex, the fact remains that the more you practice sex with one partner or with many, the better at it you will become. This holds especially true if you take interest in actually being good at it, which is a loaded situation, especially for women. You don’t want to be ‘too good’ because then you’ll raise suspicions about how many men you’ve slept with, but you also want to be ‘good enough’ to please your partner and keep them satisfied.

So as I’ve mentioned, for many sex is a minefield, both emotionally, psychologically and physically. Since I am not a licensed therapist, I cannot walk you through the emotional or psychological aspects of this situation; however, since sex is my craft, something I’ve spent years and years of my life indirectly studying and practicing, I can offer you some physical tips to improve the quality of sex you are or will have. Whether you’re a male or a female, gay or straight or bi, in a monogamous relationship or seeing multiple partners, these tips should improve the sex you’re having. They are general, all around tips for increasing satisfaction and intimacy levels.

Let’s get started!

7. Just Relax!black-lesbian-couple

First of all, sex, as mentioned above, is a very loaded experience for many people. Even for men, despite what most women thing. Men, as much as women, and perhaps more so, experience a large amount of anxiety when it comes to sex, even if they don’t show it, or don’t admit to. Mostly, men are anxious about the actual performance, and if they are with a new partner, being able to please their partner. This is a huge male insecurity—to somehow come up short on actually pleasing the person they are with. Women tend to be more insecure about their looks and their bodies; but either way, there’s a ton of anxiety that happens whenever sex is involved.

Anxiety has no place in the bedroom, though. It makes sex a rushed and shameful affair, and anyone would be hard pressed to enjoy sex if they are too worried about their performance or their looks. So relax! Maybe have a drink beforehand (but not too many!), take a hot bath, sit and meditate for a while. Do something that loosens you up and gets you out of your head, and into your body. Sex is best experienced in a physical way, so when you’re having it, the place to be, mentally, is inside your body, not your head! This is especially true for women, because so much of our orgasm is mentally based. If you can’t let go and get outside of your own insecurities, you’re never going to have a great orgasm. Men as well can experience performance problems if they are too nervous, so do what you can to minimize the anxiety, and also know that whoever your partner is, they obviously like you enough to want to have sex with you, so bare it all! What have you got to lose?

And women—know that not all men are into the type of so-called perfect bodies you see in the magazines. Plenty of men love a muffin top, or a tummy, so even if you think your body isn’t perfect, chances are the man you’re seeing probably disagrees with you. For every body type, there is a man who fetishizes it. Got stretch marks? Some men love that. Saggy boobs? There’s a man who loves those too. And men, your woman wouldn’t be with you in the first place if you didn’t satisfy her. Women don’t need or generally want a 12” penis and 3 hours of hard sex. Your 5” or 4” one is great because it’s attached to you, and so what if you only last 5 minutes? You’re your own worst critic and probably comparing yourself to male porn actors, which is absolutely ridiculous because no woman wants to have sex like that. Don’t aspire to it!

6. Be Gentle

senior coupleAgain, most people don’t want or even like porn sex in real life! Women like a soft touch, and most men like to start off slow, even if they enjoy harder stuff later on. The most erotic thing to both sexes is a soft and velvet touch.

Caress and undress your partner like they were a porcelain doll, and move with caution around them. Do not throw your entire body weight on top of them or accidentally smack them in the face with your elbow because you were not paying attention to where they were anticipating a move. Be aware of your own body and how it’s interacting with your partners, which is a key part of what I mean when I say ‘be in your body’. Be aware of where it is and what it’s doing. And make full use of subtle touches; a piece of hair that drags slowly across their face, or a breath of hot air from your mouth before placing your lips on their stomach. Sex is about the small, gentle, intimate moments between two individuals, and whether you’re going to see this person again or not should be irrelevant. If you’ve chosen to be intimate with someone, no matter who they are or what they mean to you, they deserve to be treated with respect and care because it’s a scary thing indeed to be intimate with anyone. We forget that sometimes, we forget the bravery involved in sex and intimacy, and how much we all risk in sharing this with each other.

So be gentle physically and emotionally with your partner. If they want something rougher later on, you can build to that. It helps to also ask your partner what they want out of the sexual encounter and what type of sex they generally like; however, most people who really enjoy rough sex with share that with you before starting sex, or pretty blatantly indicate it once sex has begun. If you are with a partner who enjoys rough sex, please do remember that human beings are fragile and even then start slowly and build pressure. If they like to be choked, don’t start with a full on grasp of the throat. Start with a gentle but firm grasp of the neck and continue to apply pressure, while gauging their reaction. This applies to all sorts of situations, anal included. Always start slow and gentle.

5. Move Slowly

Slow is always sexy. Always. Sure, there are times, especially towards the end of sex that things torsocan get faster and heavier, but in the initial seduction and foreplay of sex, rushing things and moving fast is really a buzz kill. Unless you’re having a quickie in the coat closet, take your time to enjoy your partner.

Move slowly and pour like water over your partner. A large part of sex is just simply the way you move—be smooth and have rhythm. The best sex is always with people who have a kinesthetic intelligence; i.e. they are very gifted with the way they move. Not all of us can be so gifted and some of us are clumsy and awkward, but that’s where practice comes in. Practice moving in slow motion, trying to feel all parts of your body at once and to glide them over things very slightly. It helps to be in good physical shape, not for looks, but simply because being in good shape makes this aspect of sex much easier. If you’re strong enough to hold yourself up off of your partner instead of laying, full body weight on top of them, it’s much more enjoyable for your partner; plus, later on, once the sex gets going, you’re going to be able to have better rhythmic strokes and you’ll be able to last longer on top and not end up sweaty and winded after 2 minutes of pumping.

Foreplay is an important, if not the most, important part of sex, and when you’re playing with your partner, do it slowly. Most people rush through foreplay or forget it all together, skipping straight to the actual insertion. This is a mistake because foreplay is the singular best way to build intimacy between partners. Sticking something inside of someone doesn’t build intimacy—laying next to each other, gazing into each others eyes, and running ones fingers across one’s skin, that does. The act of sex, in and of itself, is not intimate which is why porn stars don’t fall in love with each other. If you’re with a person you love deeply, or desire to, give them the time to get to know your body as well as your mind and soul. Use your hands to caress their hair and their head while you’re kissing them, and pull them closer to you, or sit on their lap and use your breath to tickle their earlobes. Ears are such an underrated erogenous zone on both men and women.

Even if you’re not trying to emotionally connect with your partner, these slow, sexy moments do help turn them on. Women especially need a lot of foreplay to get close to orgasm, and most men forget this or rush through it, despite wanting to please their partner. Men, in general, watch too much porn and focus too much on the orgasm a woman has during penetration, which is a mistake. Most women don’t orgasm from penetration, despite misleading porn movies. So if you’re genuine and want to please a woman, give her slow foreplay! There’s a reason the word ‘slowly’ shows up often in erotica—it is simply sexier.

4. Skin To Skin Contact

nude-black-couple-photographyOne of the greatest things in sex is the feeling of another human being’s skin touching your skin. It’s an underrated pleasure, and one that many people don’t notice until they haven’t experienced it for a while. Skin to skin contact stimulates a vast variety of neurotransmitters in our brain that bring us feelings of connection and empathy with each other. Not only that, but the feeling of another human’s skin on yours is also a very big turn on. No matter how badly you may want to keep your bra on if you’re ashamed of your boobs, or no matter how much you might want to be lazy and not get fully undressed, I urge you to get over your fear and don’t be lazy and go ahead and get fully naked. You cannot have a truly enjoyable sexual experience without a bit of skin to skin contact.

Even if you’re in a hurry and having a quickie, make time to touch each other. Put your hands up her shirt or down her pants, or kiss his neck and let your hands brush against his stomach. Make sure that your bodies touch and get close to each other; sex should be intimate even if it’s with someone you’re not interested in falling in love with. If the sex is robotic and lacking in human connection, you’re doing a disservice to your partner and it borders on being unhealthy. As I’ve said before, you don’t have to love someone to be intimate with them, and everyone deserves human compassion and care if they are willing be to brave enough to be intimate with you. So make and effort to connect with your partner through skin to skin contact and other things, such as kissing and eye contact.

And lastly, one of my favorite things to do is to smell your partner. Not smell their cologne or their perfume, but to really smell their body and their scent. This is especially important for couples who are in love, as smelling your partner should turn you on and help stimulate you for sex. One of the largest signs of basic compatibility is finding your partner’s natural body scent attractive. It’s also, on the scientific side, a good indicator of reproductive compatibility and a sign of a good genetic match for you.

3. Focus On Your Partner

Focusing on your partner is so important! For a mutually satisfying sexual experience, you must always keep an eye on your partner’s reactions to your sexual moves. Do not just continue doing what you’re doing, and as assume that because a previous sexual partner enjoyed your technique, that your current sexual partner will enjoy it as well. This also applies to what you see in pornography—just because a woman paid to pretend she enjoys some sexual move you saw in a porn does not mean a real woman, or the woman you are with, will enjoy it as well. Always keep an eye out to gauge how your partner is reacting to how you’re treating them and if they look uncomfortable or even bored, switch it up!holding hands

This is especially important during intercourse, because you can learn a lot about your partner and their likes and dislikes by just watching their body react to the things you’re doing together. A man’s body is more obvious about whether it likes or dislikes something, but women have tell tale signs of arousal too; namely, perky nipples, flushed cheeks or faces, and becoming lubricated. If you’re having sex and you don’t see these signs of arousal, switch it up and try something else. Don’t keep doing what you’re doing, and expect your partner to tell you if they dislike something. A lot of people have a hard time voicing their feelings during sex, or in the bedroom, so it’s always good to either make the first move yourself and ask “are you enjoying this?” or if they are obviously not, try something else or ask them what they would prefer. Women especially think that being assertive and knowing what they like and dislike during sex and voicing these opinions and thoughts is a turn off for most men, and are unlikely to really be sexually forward in that manner. However, women should remember that in general, this is NOT true and that most men actually love a woman who knows what she likes and dislikes and who isn’t afraid to tell them straight away!

Which leads me too….

2. Communicate, communicate, communicate!

Whether you’re shy or reserved or outgoing and outspoken, you must, either verbally or nonverbally, communicate with your partner! This is very, very important and it is one of the most important things to do if you’re looking to have better sex!

kissing.jpgSex is all about learning what another person likes and learning what you like. Sex is about exploration, and if you’ve chosen to include another partner, it is very important that you share that experience with them. You cannot properly share the experience or have any intimacy with someone who you don’t communicate with. Whether it’s telling them your life’s story and all of your personal turn ons, or simply telling them “faster” or “slower”, communication helps both of you figure out how to please each other. Otherwise, it’s a crap shoot, as human sexual preferences are infinitely variable. What works for one person, won’t for another; what is appealing to one man or woman, is disgusting to another one. Don’t ever assume that you know everything there is to know about sex, or that you know the one true way to great sex and that you will force that one way of having sex onto every partner you may have! The most important thing to remember is that there is no one right or wrong way to have sex because every single person has a special and different sexual “formula” that they prefer and the only way to figure out this formula is to communicate with your partner!

There are two ways to communicate—either verbally or non-verbally. You can either talk to your partner and ask them outright what they like or prefer, or if that’s uncomfortable, be very aware of their reactions to the moves you make in bed. It’s often easy, if you’re paying attention, to figure out what someone prefers in bed. If they are into slow, soft sex, if you experiment and go faster, they will give you signs of discomfort. Obviously it’s easier and more ethical to ask up front, but many, many people are too uncomfortable with the topic of sex to be that forthright. So switch things up and gauge reactions and find out what turns on your partner and what doesn’t, and don’t for a minute think that you can “change someone’s mind” or “turn them on” to a sex act, such as anal, that they show a fundamental dislike towards. Not everyone likes the same thing, and just because your ex-girlfriend was really into anal does NOT mean all women are into it! We are all born with our own sexual formula and it doesn’t change, in general, ever; and if it does change, it’s a self discovered change, and it happens when we are ready to explore more or different sides of our own sexuality. You cannot force anyone to like or to try a sexual experience simply because you want to, or because you yourself enjoy it. That is always unethical and uncalled for.

On the flip side of this, it is also advisable for you to be expressive in your enjoyment during sex. Be appreciative of your partner when they are doing something you are really enjoying! Be vocal, be intimate—grab their butt and pull them deeper into you or closer to you, or reach up and kiss them passionately! It’s never attractive to be a dead fish in bed (male or female). People want to know how you’re feeling, what’s going on with you, and there’s no better reward for good sex than returned passion. Don’t be afraid to look stupid, and don’t be self-conscious; sex has no room for such hang ups. Let the feelings and sensations flow through you and generously release passion. Your partner will love it, guaranteed.

1. Eye Contact

This is the very first thing I say to people who ask me how to have better sex. Eye contact. And I always get the same response, every time: “But isn’t that creepy/weird/uncomfortable/awkward??”.

I feel complete when I'm with you

I feel complete when I’m with you

Short answer: NO. I’m not asking you to stare at your partner, unblinkingly, for 10 minutes straight. I’m simply telling you to make prolonged eye contact with them while being intimate. Eye contact, more than anything else, builds intimacy and connection and eyes express more emotion than words, pictures and hand gestures combined.

Women especially feel awkward making strong eye contact with men because it’s inherently an aggressive thing to do. If you think about it, we find eye contact to be aggressive even in normal situations; aggressive and intrusive. However, if you ask a man what makes a blow job average or phenomenal, chances are he will say ‘eye contact’. So there is a fine line between staring too long and not at all, but I have a 3 to 4 second rule that seems to work well. If you’re having intercourse or oral, take a moment to look deeply into your partners eyes for 3 to 4 seconds, and if you want the connection, bare your soul in those moments. It’s difficult to describe how one bares ones soul through a look, but if you just think about an emotion you’d like to convey while looking at your partner, chances are it will come through your eyes. So if you’re truly enjoying yourself, look deeply at your partner with joy and happiness. They will pick up on that emotion, somehow. That’s the mystery and beauty of human connection; somehow, these things transfer.

Take my word for it—eye contact is sexy and it helps build intimacy and helps further communication between both partners!

I hope that this helps everyone who is looking for a better sexual experience, and remember that while love is not mandatory for all sexual activities, mutual respect and intimacy is! No matter who you are intimate with, whether it’s a one night stand, an escort, your wife, or your girlfriend or possibly a third partner, everyone who is brave enough to get naked and expose themselves to you deserves both respect and mutual intimacy. We must all remember and respect the power that the act of sex holds, and so while it can be fun and light hearted, it must always stem from a mutual and equal point of openness and willingness to be vulnerable with each other.

Complete Article HERE!

5 Ways to Make his Cock go from LIMP to LIVELY

Erectile Dysfunction (ED) means your man can’t get it up or keep it up during sex. Many men suffer from this condition — approximately 30 million men to be exact. To explain what causes this, let’s review the basic anatomy of the penis and what happens during an erection.


The penis has four main parts: glans (the head), corpus cavernosum and corpus spongiosum (the shaft), and the urethra (the hole that you urinate or ejaculate from). When a man is aroused from sexual thoughts or direct stimulation, nerves and hormones work to cause the muscles in the penis to relax and the corpus cavernosum and spongiosum will fill with blood causing the shaft to get hard — an erection. Another set of muscles cuts off the blood supply when the penis is erect to maintain its hardness. Once he orgasms, the blood will drain and the penis softens.

So what causes erectile dysfunction? There’s more than one answer. Taking prescribed medications to control blood pressure, allergies, anxiety, depression, peptic ulcer disease and or your appetite can lead to ED as can aging, and being depressed. Chronic illnesses such as diabetes, high blood pressure, or high cholesterol which can lead to poor blood flow to the penis can cause a penis to be limp. Drinking too much alcohol, smoking cigarettes, doing illegal drugs, even being too tired, having relationship problems, being stressed out about work or being anxious can cause this problem.

Any type of damage to the penis, nerves, and arteries that help maintain his erection can also lead to ED. The good news is that ED can be treatable. Just talk to your doc — an urologist. They will do a history and physical and order lab tests. If embarrassment has caused you to turn to the Internet for treatment options, be warned that this can be dangerous. You just don’t know what is in the medications that you get from many online sites. Before you turn to medications or even surgery to fix this problem, let’s discuss some ways to cope with a man who can’t get or maintain an erection NATURALLY.

  1. Make him do more Cardio exercises. He needs only 30 minutes a day. This will boost his testosterone. He may also lose weight, which can help the testosterone to work better. Testosterone is one of those important hormones that work to get an erection. Exercising also reduces stress and increases blood flow — all factors that can help! Read all about sex hormones HERE!
  2. Cook for him. There are nitrates in leafy greens, lycopene in tomatoes, and zinc in oysters. These essential nutrients will help keep his penis erect. Diet is so important. Read all about sex and food HERE!
  3. Have more FOREPLAY with him. Try oral sex. And remember, oral doesn’t just mean the penis. Play with his nipples or the back of his neck. KISS him more. Add sex toys in the bedroom BUT make sure they are smaller than his penis. Read all about foreplay HERE!
  4. Purchase a vacuum penis pump. This fun device will draw blood into the penis to help get it erect. If you have an increased risk of bleeding, have sickle cell anemia, or other blood disorders, this is NOT for you. And be careful — if not used correctly, this can cause bruising. Read all about penis pumps HERE!
  5.   Try using a cock ring. Once you get the penis erect, this sex toy will keep it that way.  Read all about cock rings HERE!

You should also make sure your man gets his diabetes, cholesterol, and/or high blood pressure under control. Quit smoking. Make sure he doesn’t drink alcohol or do hard drugs. Find ways to reduce his stress and anxiety. Make sure he is getting enough sleep. Get help if you are suffering from depression. Ladies (and guys) try not to be discouraging. You both will overcome this.

Good luck

The extraordinary case of the Guevedoces

Catherine and his cousin Carla, Guevedoces in the Dominican Republic

Catherine and his cousin Carla, Guevedoces in the Dominican Republic

The discovery of a small community in the Dominican Republic, where some males are born looking like girls and only grow penises at puberty, has led to the development of a blockbuster drug that has helped millions of people, writes Michael Mosley.

Johnny lives in a small town in the Dominican Republic where he, and others like him, are known as “Guevedoces”, which effectively translates as “penis at twelve”.

We came across Johnny when we were filming for a new BBC Two series Countdown to Life, which looks at how we develop in the womb and how those changes, normal and abnormal, impact us later in life.

Like the other Guevedoces, Johnny was brought up as a girl because he had no visible testes or penis and what appeared to be a vagina. It is only when he approached puberty that his penis grew and testicles descended.

Johnny, once known as Felicita, remembers going to school in a little red dress, though he says he was never happy doing girl things.

“I never liked to dress as a girl and when they bought me toys for girls I never bothered playing with them – when I saw a group of boys I would stop to play ball with them.”

When he became obviously male he was taunted at school, and responded with his fists.

“They used to say I was a devil, nasty things, bad words and I had no choice but to fight them because they were crossing the line.”

We also filmed with Carla, who at the seven is on the brink of changing into Carlos. His mother has seen the change coming for quite a while.

“When she turned five I noticed that whenever she saw one of her male friends she wanted to fight with him. Her muscles and chest began growing. You could see she was going to be a boy. I love her however she is. Girl or boy, it makes no difference.”

Child on swing



So why does it happen? Well, one of the first people to study this unusual condition was Dr Julianne Imperato-McGinley, from Cornell Medical College in New York. In the 1970s she made her way to this remote part of the Dominican Republic, drawn by extraordinary reports of girls turning into boys.

When she got there she found the rumours were true. She did lots of studies on the Guevedoces (including what must have been rather painful biopsies of their testicles) before finally unravelling the mystery of what was going on.

When you are conceived you normally have a pair of X chromosomes if you are to become a girl and a set of XY chromosomes if you are destined to be male.

For the first weeks of life in womb you are neither, though in both sexes nipples start to grow.

Then, around eight weeks after conception, the sex hormones kick in. If you’re genetically male the Y chromosome instructs your gonads to become testicles and sends testosterone to a structure called the tubercle, where it is converted into a more potent hormone called dihydro-testosterone This in turn transforms the tubercle into a penis. If you’re female and you don’t make dihydro-testosterone then your tubercle becomes a clitoris.

Foetus at 12 weeks

When Imperato-McGinley investigated the Guevedoces she discovered the reason they don’t have male genitalia when they are born is because they are deficient in an enzyme called 5-alpha-reductase, which normally converts testosterone into dihydro-testosterone.

This deficiency seems to be a genetic condition, quite common in this part of the Dominican Republic, but vanishingly rare elsewhere. So the boys, despite having an XY chromosome, appear female when they are born. At puberty, like other boys, they get a second surge of testosterone. This time the body does respond and they sprout muscles, testes and a penis.

Imperato-McGinley’s thorough medical investigations showed that in most cases their new, male equipment seems to work fine and that most Guevedoces live out their lives as men, though some go through an operation and remain female.

Another thing that Imperato-McGinley discovered, which would have profound implications for many men around the world, was that the Guevedoces tend to have small prostates.

This observation, made in 1974, was picked up by Roy Vagelos, head of research at the multinational pharmaceutical giant, Merck. He thought this was extremely interesting and set in progress research which led to the development of what has become a best-selling drug, finasteride, which blocks the action of 5-alpha-reductase, mimicking the lack of dihydro-testosterone seen in the Guevedoces.

My wife, who is a GP, routinely prescribes finasteride as it is an effective way to treat benign enlargement of the prostate, a real curse for many men as they get older. Finasteride is also used to treat male pattern baldness.

A final interesting observation that Imperato-McGinley made was that these boys, despite being brought up as girls, almost all showed strong heterosexual preferences. She concluded in her seminal paper that hormones in the womb matter more than rearing when it comes to your sexual orientation.

This is still a controversial topic and one I explore later in the film when I meet Mati, who decided from the earliest age that though “he” looked like a boy, Mati was really a girl.

As for Johnny, since he developed male genitalia he has had a number of short term girlfriends, but he is still looking for love. “I’d like to get married and have children, a partner who will stand by me through good and bad,” he sighs wistfully.

Complete Article HERE!