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Sex Therapy—What Is It and Who Needs It? – Part 2

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(Look for Part 1 of this series HERE!)

Of course, there are plenty of individuals—and couples—who haven’t waited until the last minute to seek help. These people want to be proactive about their concerns. Some people simply need some clear, unambiguous information about human sexuality. A surprising number of people are trying to piece together their sexual lives, but are hampered by misconceptions and misinformation.

Sometimes a momentous event motivates a person to address arising sexual or intimacy issues. The birth of a child, a disease process, a death in the family, or an accident can fundamentally alter the power dynamic of a relationship, which will require a rethinking of the entire relationship.

Or perhaps someone comes to a new realization about him or herself: Perhaps they are finally able to acknowledge their bisexuality, or that he’s gay, or she’s a lesbian. Maybe they are finally able to acknowledge a fetish—he’s a crossdresser, or she’s into another kink. Things like this obviously impact the individual, but if that person is in a relationship, the relationship is also affected. People in these self-revelatory situations are often unsure how to talk about their discoveries with a partner, which is another reason they seek counseling.

Some couples don’t fret when the sex vanishes from the relationship; other couples are devastated. What does one do when one partner still has sexual needs, but the other doesn’t? Often, there are unexplored options that can hold the relationship together, but will address the disparity in sexual interest and desire.

In this case, I can help the couple make compromises without losing their moral compass. Some couples navigate this with ease; others not so much. It can be extremely challenging, but there are ways to preserve what’s sacred about a primary relationship, while contemplating opening the relationship to include others. I can help a couple establish guidelines and ground rules for making the necessary adjustments.

Sometimes the relationship is really wonderful and fun. The couple really loves each other, but they’ve noticed their sex life together is pretty boring and stale. I’m often approached to simply help a couple spice things up. In this instance, my work is sheer joy. Mostly, I just give them permission to experiment and have fun.

You’ve probably noticed that a good portion of the work that I do as a sex therapist is merely giving permission. That may not sound like therapy at all, but when you consider that our sex-negative culture is so full of prohibitions; permission giving is often the front line of sexual rehabilitation. Most of the permissions I give are for an individual to educate him or herself about his or her body and his or her sexual response cycle. Personal exploration, such as masturbation, is the very best means to that education. I’m a huge proponent of partners masturbating together.

Happily, our need to reacquaint and reeducate ourselves about our bodies and our sexual response cycle is a life-long process. There is always something new to explore. As we age, our bodies change, and if we don’t keep up with those changes, we can become frustrated and disoriented. Older people, menopausal women and andropausal men, take longer to build up “a head of sexual steam,” so to speak. If they’re not attuned to the changes they’re going through, they can easily miss the important cues their body is sending to slow down and enjoy the sensuality.

Of course, I could go on and on, but now I want to leave you with what is the distillation of years my thinking about the role sexuality plays in our life:

I believe that sex is like food. We can enjoy it alone, or with others. We can be abstemious, or gluttonous. We can nosh or nibble; dine or devour. And we can be certain there will be both times of feast and famine.

Sex is like food. It can nourish and sustain us, or it can make us sick. We can consume all the available bounty, or restrict our diet. It can completely satisfy, or leave us devastatingly empty. We can employ it to express our highest aspirations, or allow it to rob us of our soul. We can give it as a gift, or use it as a weapon. It can be both bacchanal and sacrament.

One thing is for sure, whether purely physical or transcendentally spiritual, no one can live without food…or sex.

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Why Men Wake up With Erections

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Have you ever wondered why men often wake up with an erection?

The morning penile erection, or as it is medically known, “nocturnal penile tumescence”, is not only an interesting physiological phenomenon, it can also tell us a lot about a patient’s sexual function.

Morning penile erections affect all males, even males in the womb and male children. It also has a female counterpart in the less frequently discussed nocturnal clitoral erection.

What causes erections?

Penile erections occur in response to complex effects of the nervous system and endocrine system (the glands that secrete hormones into our system) on the blood vessels of the penis.

When sexually aroused, a message starts in the brain, sending chemical messages to the nerves that supply the blood vessels of the penis, allowing blood to flow into the penis. The blood is trapped in the muscles of the penis, which makes the penis expand, resulting in an erection.

Several hormones are involved in influencing the brain’s response, such as testosterone (the main male hormone).

This same mechanism can occur without the involvement of the brain, in an uncontrolled reflex action that is in the spinal cord. This explains why people with spinal cord damage can still get erections and why you can get erections when not sexually aroused.

What about erections while we sleep?

Nocturnal penile erections occur during Rapid Eye Movement (REM) sleep (the phase during which we dream). They occur when certain areas of the brain are activated. This includes areas in the brain responsible for stimulating the parasympathetic nerves (“rest and digest” nerves), suppressing the sympathetic nerves (“flight and fight” nerves) and dampening areas producing serotonin (the mood hormone).

Sleep is made up of several cycles of REM and non-REM (deep) sleep. During REM sleep, there is a shift in the dominant system that’s activated. We move from sympathetic (fight and flight) stimulation to parasympathetic (rest and digest) stimulation. This is not found during other parts of the sleep cycle.

This shift in balance drives the parasympathetic nerve response that results in the erection. This is spontaneous and does not require being awake. Some men may experience nocturnal penile tumescence during non-REM sleep as well, particularly older men. The reason for this is unclear.

The reason men wake up with an erection may be related to the fact we often wake up coming out of REM sleep.

Testosterone, which is at its highest level in the morning, has also been shown to enhance the frequency of nocturnal erections. Interestingly, testosterone has not been found to greatly impact visual erotic stimuli or fantasy-induced erections. These are predominantly driven by the “reward system” of the brain which secretes dopamine.

Men don’t wake up with erections because they’ve been having sexy dreams.

Since there are several sleep cycles per night, men can have as many as five erections per night and these can last up to 20 or 30 minutes. But this is very dependent on sleep quality and so they may not occur daily. The number and quality of erections declines gradually with age but they are often present well beyond “retirement age” – attesting to the sexual well-being of older men.

It’s also important to highlight the counterpart phenomenon in women, which is much less researched. Pulses of blood flow in the vagina during REM sleep. The clitoris engorges and vaginal sensitivity increases along with vaginal fluidity.

What’s its purpose?

It has been suggested “pitching a tent” may be a mechanism for alerting men of their full overnight bladder, as it often disappears after emptying the bladder in the morning.

It’s more likely the reason for the morning erection is that the unconscious sensation of the full bladder stimulates nerves that go to the spine and these respond directly by generating an erection (a spinal reflex). This may explain why the erection goes away after emptying one’s bladder.

Scientific studies are undecided as to whether morning erections contribute to penile health. Increased oxygen in the penis at night may be beneficial for the health of the muscle tissues that make up the penis.

What does it mean if you don’t get one?

Loss of nocturnal erection can be a useful marker of common diseases affecting erectile function. One example is in diabetics where the lack of morning erections may be associated with erectile dysfunction due to poor nerve or blood supply to the penis. In this case, there’s a poor response to the messages sent from the brain during sleep which generate nocturnal erections.

It is thought nocturnal erections can be used as a marker of an anatomical ability to get an erection (a sign that the essential body bits are working), as it was thought to be independent of psychological factors that affect erections while awake. Studies have suggested, however, that mental health disorders such as severe depression can affect nocturnal erections. Thus its absence is not necessarily a marker of disease or low testosterone levels.

The frequency of morning erections and erection quality has also been shown to increase slightly in men taking medications for erectile dysfunction such as Viagra.

So is all this morning action good news?

While some men will put their nocturnal erections to good use, many men are not aroused when they have them and tummy sleepers might find them a nuisance.

Since good heart health is associated with an ability to have erections, the presence of nocturnal erections is generally accepted to be good news. Maintaining a healthy lifestyle is important in avoiding and even reversing erectile dysfunction, so it’s important to remember to eat healthily, maintain a healthy weight, exercise and avoid smoking and alcohol.

Complete Article HERE!

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Pride 2017

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Happy Gay Pride Month!

gay-pride.jpg

It’s time, once again, to post my annual pride posting.

In my lifetime I’ve witnessed a most remarkable change in societal attitudes toward those of us on the sexual fringe. One only needs to go back 50 years in time. I was 17 years old then and I knew I was queer. When I looked out on the world around me this is what I saw. Homosexuality was deemed a mental disorder by the nation’s psychiatric authorities, and gay sex was a crime in every state but Illinois. Federal workers could be fired merely for being gay.

Today, gays serve openly in the military, work as TV news anchors and federal judges, win elections as big-city mayors and members of Congress. Popular TV shows have gay protagonists.

Two years ago this month, a Supreme Court ruling lead to the legalization of same-sex marriage throughout the whole country.

The transition over five decades has been far from smooth — replete with bitter protests, anti-gay violence, backlashes that inflicted many political setbacks, and AIDS. Unlike the civil rights movement and the women’s liberation movement, the campaign for gay rights unfolded without household-name leaders.

And yet, now in Trump’s America, we are experiencing a backlash in the dominant culture. I don’t relish the idea, but I’d be remiss if I didn’t mention it. And while we endure this be reminded that it won’t smart nearly as much if we know our history. And we should also remember the immortal words of Martin Luther King, Jr. “The moral arc of the universe bends at the elbow of justice.”

In honor of gay pride month, a little sex history lesson — The Stonewall Riots

The confrontations between demonstrators and police at The Stonewall Inn, a mafia owned bar in Greenwich Village NYC over the weekend of June 27-29, 1969 are usually cited as the beginning of the modern Lesbian/Gay liberation Movement. What might have been just another routine police raid onstonewall.jpg a bar patronized by homosexuals became the pivotal event that sparked the entire modern gay rights movement.

The Stonewall riots are now the stuff of myth. Many of the most commonly held beliefs are probably untrue. But here’s what we know for sure.

  • In 1969, it was illegal to operate any business catering to homosexuals in New York City — as it still is today in many places in the world. The standard procedure was for New York City’s finest to raid these establishments on a regular basis. They’d arrest a few of the most obvious ‘types’ harass the others and shake down the owners for money, then they’d let the bar open as usual by the next day.
  • Myth has it that the majority of the patrons at the Stonewall Inn were black and Hispanic drag queens. Actually, most of the patrons were probably young, college-age white guys lookin for a thrill and an evening out of the closet, along with the usual cadre of drag queens and hustlers. It was reasonably safe to socialize at the Stonewall Inn for them, because when it was raided the drag queens and bull-dykes were far more likely to be arrested then they were.
  • After midnight June 27-28, 1969, the New York Tactical Police Force called a raid on The Stonewall Inn at 55 Christopher Street in NYC. Many of the patrons who escaped the raid stood around to witness the police herding the “usual suspects” into the waiting paddywagons. There had recently been several scuffles where similar groups of people resisted arrest in both Los Angeles and New York.
  • Stonewall was unique because it was the first time gay people, as a group, realized that what threatened drag queens and bull-dykes threatened them all.
  • Many of the onlookers who took on the police that night weren’t even homosexual. Greenwich Village was home to many left-leaning young people who had cut their political teeth in the civil rights, anti-war and women’s lib movements.
  • As people tied to stop the arrests, the mêlée erupted. The police barricaded themselves inside the bar. The crowd outside attempted to burn it down. Eventually, police reinforcements arrived to disperse the crowd. But this just shattered the protesters into smaller groups that continued to mill around the streets of the village.
  • A larger crowd assembled outside the Stonewall the following night. This time young gay men and women came to protest the raids that were commonplace in the city. They held hands, kissed and formed a mock chorus line singing; “We are the Stonewall Girls/We wear our hair in curls/We have no underwear/We show our pubic hair.” Don’t ‘cha just love it?
  • Police successfully dispersed this group without incident. But the print media picked up the story. Articles appeared in the NY Post, Daily News and The Village Voice. Theses helped galvanize the community to rally and fight back.
  • Within a few days, representatives of the Mattachine Society and the Daughters of Bilitis (two of the country’s first homophile rights groups) organized the city’s first ever “Gay Power” rally in Washington Square. Some give hundred protesters showed up; many of them gay and lesbians.

stonewall02.jpgThe riots led to calls for homosexual liberation. Fliers appeared with the message: “Do you think homosexuals are revolting? You bet your sweet ass we are!” And the rest, boys and girls, is as they say is history.

During the first year after Stonewall, a whole new generation of organizations emerged, many identifying themselves for the first time as “Gay.” This not only denoted sexual orientation, but a radical way to self-identify with a growing sense of open political activism. Older, more staid homophile groups soon began to make way for the more militant groups like the Gay Liberation Front.

The vast majority of these new activists were under thirty; dr dick’s generation, don’t cha know. We were new to political organizing and didn’t know that this was as ground-breaking as it was. Many groups formed on colleges campuses and in big cities around the world.

By the following summer, 1970, groups in at least eight American cities staged simultaneous events commemorating the Stonewall riots on the last Sunday in June. The events varied from a highly political march of three to five thousand in New York to a parade with floats for 1200 in Los Angeles. Seven thousand showed up in San Francisco.

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A ‘Hand’ Book for Male Masturbation

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The new masturbation manifesto and advice manual Better Than the Hand has a bank of spank tips that are hard to beat.

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Every one knows that May is Masturbation Month, but they may not be observing this as an occasion to improve their masturbatory skill set. That’s why it’s a stroke of genius that a new book written by author Magnus Sullivan, Better Than The Hand: How Masturbation is the Key to Better Sex and Healthier Living, was just published, tossing off a toolbox of masturbation techniques and providing meaty tips to extend these practices into partner sex (if you will).

“Even after 22 years of International Masturbation Month, we still find that so many people hold a bias against masturbation,” Good Vibrations staff sexologist Dr. Carol Queen tells SF Weekly. “How can that be a good thing, to disrespect the one sexual pleasure-focused act that everyone can access whenever they want?”

Queen’s lessons on masturbation served as the inspiration for Better Than the Hand, a volume of pocket pinball tips for men or anyone with a penis. It describes a series of hand-y steps and exercises to maintain erections for longer than 15 minutes, employing various sex toys for unique penile arousal scenarios, and using masturbation tricks to regain that erection after having already blown your load once.

“Male masturbation is a very taboo thing for us to talk about, much more so than female masturbation,” Sullivan says.

Although it’s listed now, Better Than the Hand was not always available on Amazon. The online retailer’s censors shut down access to the book once they discovered it was about male masturbation, and other websites have been similarly unreceptive.

“I can’t advertise the book on Facebook,” Sullivan tells SF Weekly. “They rejected every single ad.”

He’s been able to get out of Amazon purgatory, but not without a fight.

“They sent me a note saying, ‘Your book is currently being reviewed for explicit content,’” he recalls. “There’s no explicit content in the book. We’re talking about masturbation!”

But ‘explicit content’ may be in the eye of the beholder. After all, this is a book that contains sentences like, “If you haven’t experienced the deep, muscle-penetrating hum of a Magic Wand on your perineum, anus, and cock, then you’re living in the sexual dark ages.”

Yes, this guy is advocating that men should apply the clitoral sex toy known as the Hitachi Magic Wand not only to their own junk, but to their intimate booty regions as well.

“I got one of the most powerful orgasms I’ve ever had from the Hitachi Wand,” Sullivan tells SF Weekly. “When you use it as a man, I think it’s the closest thing you can experience that’s akin to a female orgasm, because it just kind of happens to you. It isn’t this cock-centric stroking experience, it’s just like all of a sudden there’s this welling up of sensuality, sexuality, and orgasmic sensations that result in an orgasm.”

“For me, that was an eye-opener that there’s a much bigger world out there regarding my own body,” he adds.

Needless to say, there are some pretty freaky masturbation techniques described in this book. It’s called Better Than the Hand because your hand is what you’re already using for jackin’ the beanstalk, but this book sets out to expand your rubbing-out repertoire to include a number of unconventional sex toys that many heterosexual guys would be embarrassed to admit owning.

Better Than the Hand lists and evaluates a whole range of penis sleeves, Fleshlights, cock rings, penis pumps, Tenga eggs, prostate massagers, and more. There is even a section on those humanoid sex dolls, which the sex doll-owning community prefers we refer to as “full-size masturbators.”

“Masturbation isn’t seen by 99 percent of men as a way to experiment,” Sullivan says, passionately defending these sex toys for men. “Toys can be used to manage premature orgasms, to stay hard after orgasms, and to have multiple orgasms.”

Men’s sexual problems, as Sullivan sees it, can be attributed to male masturbation being a task traditionally handled quickly, quietly, and with great shame. Men have a tendency to go straight for their own primary erogenous zone and ejaculate as quickly as possible.

That’s bad technique, and why the Journal of Sexual Medicine estimates men last, on average, 5.4 minutes during vaginal intercourse. Sullivan sets out to establish male masturbation as a “process-oriented rather than a goal-oriented activity,” with specifics strategies to enhance the four separate identifiable stages of Excitement, Plateau, Orgasm, and Resolution.

In doing so, men can enhance not only their quality of sex but also their personal health. The book argues that masturbation has specific male health benefits, like reducing the risk of prostate cancer, boosting the immune system, and improving the quality of your sleep.

But most importantly, coming to grips with your masturbating habits — and being able to talk about them — can make men better lovers, and less chauvinistic as people.

“As men explore their own bodies, they’re also becoming much more skillful, knowledgeable, sensitive lovers,” Sullivan says. “When you have sexual identity and sexual behavior being constrained or restricted, it leads to a problem of toxic male sexuality.”

This toxic male sexuality has been seen in the headlines around Brock Turner, the Stanford student who assaulted an unconscious woman, or with our pussy-grabbing president. Having produced both straight and gay adult films for more than 20 years, Sullivan sees toxic male sexuality as a primarily straight male phenomenon.

“Most gay men have come to terms with what it is to be sexual,” he tells SF Weekly. “Most straight men aren’t dealing with questions like that, so they never develop the vocabulary, the empathy, or the emotional intelligence to have these subtle interactions.”

A lack of empathy or emotional intelligence can be seen in the pornography that straight men watch, and why this porn profoundly bothers their female partners.

“The biggest fantasy of most straight men is fucking some 18-year-old girl in the ass,” says Sullivan, who also manages an online porn streaming platform. “By far, the largest-watched category of porn is anal sex with young models.”

It might be fair to say this represents arrested emotional development among porn-watching straight men. But it also represents a psychological toll for their female partners, creating body-image issues and a sense of betrayal over how the porn-consuming straight guy prefers these adult-film starlets.

Men forget that feeling desired is a primary erotic trigger for many women, and that to desire someone else may feel like a violation of the couple’s intimacy. This sense of violation can also play out when masturbation or porn interferes with a guy’s ability to get erections.

“The desire thing is probably linked to the way some women freak out when their male partners can’t get erections on demand,” Queen says. “It feels like the cock is the barometer of desirability. It’s fucked up, but there it is.”

Better Than the Hand addresses many of the sticky topics that surround male masturbation, and it has some dynamite chapters on communicating masturbatory habits and the use of toys for couples, plus a detailed script for an outrageously hot mutual-masturbation scenario.

But the book’s main thrust is to give men a curiosity on how to make their dick work better, and how masturbating is key to this process. As so capably said by our long-lost muse Whitney Houston, “Learning to love yourself, it is the greatest love of all.”

Complete Article HERE!

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The New Hanky Code Is an Actual Thing. Do You Know It Yet?

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The hanky code (aka. “flagging”) was a ‘60s and ‘70s era way for gay men and BDSM fetishists to covertly signal their sexual interests in an age when seeking and having gay sex could get you arrested, beaten up or fired (it can still get you fired, by the way). Though it has largely fallen out of disuse, several queer artists have created new hanky codes in new and interesting ways.

What was the old hanky code?

Different colored handkerchiefs signified what sex acts you wanted (red for fisting and yellow for water sports, for example) and the pocket position indicated whether you were a dominant/top (left pocket) or submissive/bottom (right pocket).

Here’s a simple hanky code color chart:

The old (simplified) hanky code chart

As the hanky code became better known, marketers began creating meanings for every bandana color imaginable (dark pink for tit torture and leopard print for tattoo lovers, for example), but it’s likely that few people actually knew the entire spectrum because — as you’ll see in the chart below — who could possibly remember all 65 variations or tell the difference between orange and coral in a dark bar?

The waaaaay over-complicated hanky code

What is “the new hanky code”?

In our modern age of legalized gay sex and social apps, the hanky code has become more of a fashionable conversation starter at leather bars rather than an active way to solicit sex. Nevertheless, around 2014, a queer Los Angeles art collective called Die Kränken (The Havoc) began discussing what a new hanky code might look like.

Incorporating the sexual inclinations and gender identities of their members, Die Kränken designed 12 new hankies and created an exhibition entitled, “The New Rules of Flagging.” Their new hankies included ones for polyamory, outdoor sex, the app generation, womyn power, Truvada warriors and “original plumbing” (which was either a reference to the transgender male magazine or to urine and bathroom sex).

You should see all 12, but here’s some of our favorites:

Bossy bottom

Queens

Queer Punk

In addition to displaying the hankies, Die Kränken gave surveyed and interviewed attendees to figure out what hanky best fit them. He then invited the attendees to perform a short, pre-choreographed dance demonstrating the spirit of each hanky. The Truvada warrior’s dance, for instance, had people mimic a scorpion crawling up their arm before confidently brushing it off and flinging invisible pills into the air.

We asked Jonesy and Jaime C. Knight, two members of Die Kränken, why their hankies were so much more explicitly designed than the in-the-know ’70s era hanky code. They more or less responded, “Because we wanted to design something cool.” Their handkerchiefs aren’t for sale, sadly.

“The New Hanky Code” is also a hilarious stand-up routine….

In his 2014 stand-up routine, gay comedian Justin Sayre, plays the Chairman of the International Order of Sodomites who announces, “The board is thrilled to announce that we will be bringing back the hanky code, but this time, it’s to talk about your damage.”

“Long have these issues laid in the shadows of a second date,” Sayre says, “but no more. We’d like to put it out there.”

In Sayre’s new hanky code, wearing a handkerchief in your right pocket means that you self-identifying as having a particular issue whereas the left pocket means you’ve only been called out on it, “so it becomes a playful game amongst friends.”


 
According to Sayre, white hankies now signify racists, gray equals boring, yellow is for commitment-phobes, baby blue means you have mother issues, pink stands for ingrained homophobia (i.e. “masc-seekers”), mustard means you drink too much, magenta is poor personal hygiene and so on for conspiracy theorists, those who don’t like The Golden Girls and others.

In Sayre’s version, people can make up their own personal hankies (like charcoal for workaholic and eggshell for undiagnosed) and also assign hankies to one another. “We ask you all to be kind when assigning colors to other people,” he concludes. “because remember: You’ll be wearing them too.”

… and there’s also a Hanky Code film for queer fetish fans too.

Hanky Code is also the name of a 2015 queer indie film made up of 25 shorts from different international queer directors that each explore a different color and fetish from the hanky code. It’s quite artistic, avant-garde and even a little graphic (the segment on piercing almost made our squeamish editor pass out), but it’s a fine piece of film that re-interprets the decades-old hanky code for a new age.


 
Complete Article HERE!

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