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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!

Postnatal Sex

Name: Stacy
Gender: Female
Age: 24
Location: ND
Could you talk a little about postnatal sex? I’m a new mother and, while I love my husband and I know he’s got blue balls from lack of sex, I just don’t feel like it.


Hey, congratulations on the arrival of your baby. It’s cause for celebration, right? But you should know that experts pinpoint this event as the one that places the most strain on a relationship. When you think about it, there should be no surprise. The new mother is exhausted. She’s developing mothering skills she may have only read about before. First babies are a challenge – they can be colicky and demanding. If she’s going back to work, then organizing childcare is a big hurdle. With all this going on, what if her partner expects the sort of sex life that led to the pregnancy in the first place? She may feel like there’s just one more person to service, one more person with needs and demands that are keeping her from much-needed sleep.

New mothers can find sex unappealing for reasons both physical and emotional. If you’re breastfeeding, your breasts are sore, heavy and leaky. Your body just doesn’t feel sexy, with its stretch marks, cellulite, dark nipples and dark line down the abdomen, not to mention the weight gain and varicose veins. Then there is lochia, the discharge after the birth, which lasts for 3 to 4 weeks and does not smell very good. If you had an episiotomy, the stitches are very uncomfortable and you may worry about infection. Your hormones may still be in a state of flux, so you feel moody or depressed. And you may not have a good method of birth control, so sex is the last thing on your mind!

Some doctors recommend that new mothers refrain from sex until their first post partum examination, usually about 6 weeks after the birth.mommy, daddy, baby

Couples aren’t warned about all this, you’re totally unprepared. If you can’t talk about it, there may be trouble ahead. Many males firmly believe that once the baby is born, their sex life will go right back to how it was pre-pregnancy. This is unrealistic, and it puts pressure on both partners.

New fathers can help their partner move beyond those feelings of sexual disinterest by being a very involved parent and helping around the house.

Many new mothers are quite happy to perform a hand job and or a blow job until they are feeling sexual again. And many males will be quite happy masturbating until their partner is ready to resume sexual intercourse. (Here’s a fun sex toy that has gotten other couples through the postnatal sexual dilemma.)

Touching, hugging, kissing and snuggling are important for both, but remember, there should be no expectation that it will inevitably end up in sex.

It takes time, patience and understanding to return to a normal, intimate, loving partnership after your first baby is born.

Good luck

PS: For more information on this topic look HERE!

Nipple Play

BY A submissives journey


Nipple play or nipple torture as it is also called, with the acronym, NT, or even, Tit Torture, is intriguing and exciting for just about anyone, in one form or another!  Many women and men alike, enjoy the stimulation of their breast area during sexual contact or during BDSM play activities. Each person prefers different types of stimulation of their nipples/breast area, obviously. Some like pain, others like gentle licking and others like non-painful, varying pressure. Some like only the nipple being worked on, others like the entire area around the nipple being played with, and others like manipulation of the entire chest or breasts being cupped and fondled. There are some who like to be licked, bitten, chewed, sucked, nursed (a combination of extended sucking and chewing), massaged, pulled, twisted, clamped, slapped, whipped, poked, punched, pierced or, of course, any combination of these done within an infinite variety of intensities. The best approach is trying out various techniques, toys and sensations and go from there… Always start out with a warm-up period, first. Start lightly, then gradually, with fingers, tongue, and teeth. Then add more intensity with clamps or suction or wax.

Nipple Clamps

3-Speed Vibrating Nipple ClampsQuite simply, nipple clamps are items that pinch the nipples. Some have adjustable settings so the pressure can be customized or varied. Others work only by a single spring mechanism and do not allow for pressure adjustment. Nipple clamps can also be used on other areas of the body, such as the labia lips, ball sack, ear lobes… well you get the idea… It’s a good idea to test the clamps on the skin of the inner wrist or the webbing between the thumb and forefinger, to get an accurate “reading” of the level of intensity. If it’s bearable and  tolerable within that threshold of pain/pleasure, they should be fine for the nipples or labia or balls!

One of the best clamps is the  “Japanese” clover clamps. Clover clamps are intricately curved spring mechanisms, which closes when released from being squeezed open. The tips which make the direct contact on the nipple have rubber coverings. The pressure they yield is quite intense and cannot be adjusted. They do, however, tend to close and clamp even tighter when the chain attached to the clamps is pulled. Many find them extremely exciting for exactly those reasons! They have a very attractive look , which makes them even more popular, hence their nickname, “Japanese Nipple Clamps“, since they are used quite frequently in Japanese bondage films. They also work overtime as labia or ball sack clamps!

Another popular style of nipple clamp is the Tweezers Clamps, which comprises of matchstick-thin tweezers with small rubber coverings on the tips and a sliding ring allowing adjustment of the tightness. They work very well for many nipple sizes and types, as well as the labia and balls. The chains that attach to this style of nipple clamps  (and the Clover Clamps above) have a variety of uses. They can be pulled, weights can be hung from them, or they can be used to lead the “patient” around or tie them off!

If your fingers need an especially good grip on the nipples because you’ll be pulling and twisting exceptionally hard, clean the nipples with rubbing alcohol, which removes any oily substances that might make your fingers slip. Or just grasp the nipple with a cloth or tissue rather than with your bare fingers.

Rubber tipped forceps, tight squeezing tweezers and other medical devices which squeeze or clamp are great nipple play toys, too. Just let your imagination run wild…

When clamping, seat the clamp on the tit before pulling on it. Allowing it to squeeze into the tit helps it to get a firm grip. Place the clamp toward the back of the tit, away from the tip. A clamp on the tip can easily slide off when it is pulled.

Nipple clamps, like other tight binding, reduce circulation. The rule of thumb is no more than ten or fifteen minutes of use at a time.  Coldness, numbness, and discoloration are signals that it is time to release the clamp. Releasing the clamp often brings more pain than placing the clamp on in the first place because of the sudden inflow of circulation to the blood vessels. If you want to reduce the sudden pain, you can press  your warm palm or squeeze the tips of your fingers on the clamped area as you release the clamps. The pressure slows the blood return, which eases the sudden fierceness of the pain. Of course, sudden pain may be the goal, but it is always nice to have options.

Nipple Suction

Another great way to do nipple play is with suction… and cupping sets work just perfectly! The

Gripper Nipple Suckers by Atomic Jock

Gripper Nipple Suckers by Atomic Jock

plastic cups in the sets with a vacuum pump device are very handy and easy to use. And many seeking a more dramatic flair to their BDSM play, will use the Fire Cups, which add a certain ritualistic effect to the scene, since it incorporates the use of fire to heat the air inside the globe, before covering the nipple and breast area with the cup!
Using suction on nipples pulls the blood to the surface very rapidly, thus making the nipple tissue sensitive and swollen. With repeated use, many have enlarged their nipples with this technique. Always be safe and sane… leave the suction on only for a few (10-15 minutes) minutes at a time. Light bruising may occur, which is normal. Remember, though the area where cups are applied need to be hair- free! Otherwise the hair leaves pockets of air space which breaks the seal for the vacuum!

And More Nipple Play….

nipple rubTying or placing small rubber bands around the base of the nipple to force its protrusion, is another form of BDSM tit torture! One  method for doing this, is to first use the suction on the nipple to make it erect, then tie and thin string around the base of the nipple. This will keep it erect and is very stimulating to the “patient” as the nipple is so sensitive at this point. Another method is to use a device called the Elastrator (used on animals…), which stretches a small, thick rubber band wide open and allows it to be put on the base of the nipple, then releases, and the rubber band is left in place. This is a technique many use for “training” the nipple to stay firm and erect or protruding.

Another sensual nipple play scene is hot wax. Candles without perfumes are the best. Again, test the “heat” of the melted wax before applying any to sensitive nipple areas! If it is so hot that it is burning the skin on the back of the hand, just think how hot that will be on the soft tissue of a nipple or breast! If the melted wax is a very hot type of wax (there are different variations of wax, and thus the temperatures at which they melt also vary and the resulting melted wax may hold the higher temperature longer) just hold candle higher over the area and it will cool a bit as it falls. Dripping is the best way… Try dripping an inch or so of wax over the tit, which makes a cast of the nipple when you peel it off. Use ice to harden the wax quickly which also adds another sensation! Some, who are more experienced with playing with hot wax, like to let votive candles build a small pool of wax and then pour it all at once, but this too can burn, so it is not recommended unless one is experienced with this sort of “waxing” method. Be safe… practice first!

Complete Article HERE!

But to be young was very heaven!

This is the first time I’ve asked a question and my boyfriend said this is a great place to go, soo here goes…
I recently went off of the anti-depressant medication Lexapro, and what’s fantastic about it is that my sex drive has gone way up. The downfall is since I started that, it’s hard for me to get hard and to come. Now that I am off of the medication, I can come easier and everything feels better and my boyfriend is happy, but it’s still really hard to get hard and stay hard. My boyfriend says he doesn’t mind when I know he does, and it is a really big hit on my confidence and self-esteem. Here’s the kicker, I am a 17-year-old teenage boy.
Is this permanent? Will it, in the future, be easier to get and stay hard the longer I am off the medication? I don’t know if this is normal or not, but I remember before having absolutely no problems. Help? Thank you so much!!
-Very Shy

Well, Very Shy, what I can say for certain is that anti-depressants, as well as a host of other commonly prescribed medications, and even some over the counter meds, can and do have a major impact on a person’s sexual response cycle. Let me begin by asking you; how familiar are you with the concept of a sexual response cycle?

Considering your youth, you may have not heard of it at all. So ok, here’s the 411 on that. We all have a sexual response cycle, each person’s is unique, but everyone’s follows a similar pattern of phases.

sexual response cycle

Phase 1: Excitement — this phase, which can last from a few minutes to several hours, includes the following:

  • Muscle tension increases.
  • Heart rate quickens and breathing accelerates.
  • Skin may become flushed.
  • Nipples become harden or erect.
  • Blood flow to the genitals increases, which swells a woman’s clitoris and labia minora (inner lips), and a guy’s cock bones up.
  • Vaginal lubrication begins.
  • A woman’s breasts become fuller and her vaginal walls begin to swell.
  • The man’s balls swell, his scrotum tightens, and he begins secreting precum.

Phase 2: Plateau — this phase, which extends to the brink of orgasm, includes the following:

  • The changes begun in phase 1 intensify.
  • A woman’s vagina continues to swell from increased blood flow, and her vaginal walls turn a dark purple.
  • Her clitoris becomes highly sensitive and retracts under her clitoral hood.
  • A guy’s nuts further withdraw up into his scrotum.
  • Breathing, heart rate and blood pressure continue to rise.
  • Muscle tension increases.
  • Muscle spasms may begin in one’s feet, face and hands.

Phase 3: Orgasm — this is the climax of the sexual response cycle and it generally lasts only a few seconds. It includes the following:

  • Involuntary muscle contractions begin.
  • Blood pressure, heart rate and breathing are at their highest rates, with a rapid intake of oxygen.
  • Muscles in the feet spasm.
  • There is a sudden, forceful release of sexual tension.
  • A women’s vagina contracts. She may experience rhythmic contractions in her uterus.
  • The muscles at the base of a guy’s dick will rhythmically contract resulting in an ejaculation of his jizz.
  • A sex flush may appear over one’s body.

Phase 4: Resolution

  • The body slowly returns to its normal level of functioning, and swelled and erect body parts return to their previous size and color.
  • There’s a general sense of well-being, enhanced intimacy and, often, fatigue. Women are capable of rapidly returning to the orgasm phase with further sexual stimulation and can experience multiple orgasms.
  • Us men folk need recovery time after our orgasm. This is called a refractory period, during which we cannot reach orgasm again. The duration of the refractory period varies among men and changes with age.

With that behind us, I can turn my attention to your specific questions. At any point in this cycle there can be an interruption or break down. Like I said at the outset, some pharmaceuticals, as well as lots of over the counter remedies, can and do impede our sexual response.

You don’t mention how long you’ve been off the Lexapro, but I’ll wager it’s not long enough for it to have completely cleared your system. In that case, a little patience with yourself and perhaps a sense of humor about the whole thing will be the best therapy for you. I suspect that you will regain your sexual footing in time. However, a cockring may help you gain and retain an erection till that happens.

Good luck

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!