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Does Morning Wood Mean Someone Wants To Have Sex?

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By Cory Stieg

If you sleep in the same bed as someone with a penis, your partner’s boner poking you in the back in the morning is like a natural alarm clock: inevitable, not always welcome, and hard to snooze. And it’s not just in the morning: Men get three to five erections during one night of sleep, and each one can last between 20 and 30 minutes. But does that mean that each of those times your partner gets hard they’re turned on and want to have sex? Not exactly, and most people can’t help that they randomly get boners in the middle of the night.

The proper term for “morning wood,” or night boners, is “nocturnal penile tumescence” (NPT). Nocturnal erections seem to follow a man’s sleep cycle, and usually happen during the REM phase of sleep, says Aleece Fosnight, MSPAS, PA-C, a urology physician assistant and a sexual health counselor. “It doesn’t mean that he is aroused or had a sexual dream or fantasy, but rather [it’s] the body’s way of ensuring the penile tissue remains healthy,” Fosnight says.

So, if they’re not aroused, why exactly do people get full-fledged boners? There’s a neurotransmitter called norepinephrine, and it’s responsible for stopping blood flow from the penis, among other things, Fosnight says. “When your body goes into REM sleep, norepinephrine actually drops, causing a rush of blood flow into the penis,” she says. “The way that ‘morning wood’ happens is when you wake up during one of those REM cycles when the penis is fuller.” This might not happen every morning, because, technically, people with penises have to be experiencing REM sleep to wake up with a boner, and you usually don’t wake up during REM, because it’s the deep sleep phase. But still, morning wood is incredibly common, Fosnight says.

Some experts also say that when people with penises have a full bladder, there’s a mechanical pressure that their brain interprets as pleasurable sexual arousal, and causes an erection, says Laurie Watson, LMFT, certified sex therapist. Either way, when a person wakes up with a boner, there’s a good chance they weren’t aroused before. (Of course, that doesn’t mean they can’t become aroused once they realize they have a boner.) And this isn’t just biology’s way of messing with us; it could be evolutionary, Fosnight says.

“Most speculate that [NPT] helps to keep the penis healthy by promoting oxygen-rich blood flowing into those tissues,” Fosnight says, adding that NPT could also possibly prevent erectile dysfunction, or it could just be a sign that the penis is working normally. “Erections that occur during sleep are completely normal and happen nightly throughout a man’s life and are not caused by sexual stimulation,” she says.

And even though these boners may wake up sleeping partners in the middle of the night, NPT is considered beneficial from a sexual health perspective, too. “NPT is a wonderful thing, because it shows that a man is capable of achieving an erection organically,” says Eric Garrison, a clinical sexologist. “If he is incapable of achieving an erection with a partner, though he experiences NPT, then we would assume that there is an emotional cause for his erectile concerns.”

So, the next time your partner bumps you with their hard penis, they’re not necessarily trying to have sex, but you can consider it an opportunity to ask, “You up?”

Complete Article HERE!

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How to Have a Sex Life on Antidepressants

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When quitting isn’t an option, is it possible to overcome the sexual side effects that come with an SSRI?

By Shannon Holcroft

So, you’ve finally filled the antidepressant prescription that’s been acting as a bookmark for the most recent novel you’re feigning interest in. Somewhere between missing your own birthday party and watching everyone else have fun without you, you gave in. After a few medicated weeks, things are starting to look up. Except for your sex life, that is.

Just last week, you were tied to a kitchen chair enjoying an amazing (albeit rather mournful) few minutes of escape through sex. Today, getting naked seems less appealing than all the other pressing tasks you have new-found energy to complete.

“Is it the meds, or is it just me?” you wonder as you deep-clean the fridge with new vigour. After some soul-searching, it becomes clear that you’re still the same person—just with fewer festering foodstuffs and a lot less crying.

“It must be a side effect,” you decide. But months after filling your prescription, your genitals are still giving you the physiological equivalent of 8d2cc2c1a43108301b149f7f33e1664d.png

Why Antidepressants May Be a Downer for Your Sex Life

“[Sexual dysfunction] is a difficult, frustrating, and very common issue with this class of medications,” says Jean Kim, M.D., clinical assistant professor of psychiatry at George Washington University.

Twelve percent of American adults reported filling an antidepressant prescription in the most recent Medical Expenditure Panel Survey. Not just for clinical depression, but for all kinds of off-label conditions like chronic pain and insomnia.

Selective serotonin reuptake inhibitors (SSRIs) are the most commonly prescribed antidepressant class. And between 30 percent and 50 percent of individuals taking SSRIs experience sexual dysfunction. Desire, arousal and orgasm may be affected by changes in function of neurotransmitters like serotonin and dopamine; the very mechanisms through which SSRIs treat depression.

How to Work Around the Side Effects

When fighting to survive a potentially fatal mental illness, there are often more important concerns than getting it on. It’s frequently not an option to stop taking life-saving medication to avoid side effects. So what’s a sexual being to do?

Despite SSRIs being pretty pedestrian, there’s no concrete answer to addressing sexual side effects. “Unfortunately, not much is reliably effective to deal with this [sexual dysfunction],” Dr. Kim notes.

This may sound pretty gloomy, but there are plenty of things you can try to bring sexy times back around. “Don’t hesitate to bring up the issue with your prescribing clinician, as there might be some helpful interventions available,” says Dr. Kim.

Here are other ways to work around the sexual side effects of antidepressants:

1. Time It Right

“Some literature advises trying to have sexual activity when the serum level of a daily antidepressant might be lowest in the bloodstream,” says Dr. Kim. In other words, the ideal time to get it on is right before you take your next daily dose.

If your dosing schedule makes it tough to pencil in sexual activities, chat with your clinician about changing the time of day you take your meds. In many cases, there’s room for flexibility.

“This would not work much with some SSRIs that have a longer half-life like fluoxetine (Prozac),” Dr. Kim adds. Those taking antidepressants that exit the body quickly, like Paxil and Zoloft, could be in luck.

2. Switch It Up

Switching to a different medication, with the support of your prescribing clinician, may make all the difference. Certain antidepressants have a greater incidence of sexual side effects than others. Commonly prescribed SSRIs associated with a high frequency of sexual dysfunction include paroxetine (Paxil), sertraline (Zoloft) and fluoxetine (Prozac).

Besides exploring the SSRI class, venturing into atypical antidepressant territory is another option. Buproprion (Wellbutrin) is an atypical antidepressant observed to present the lowest sexual side-effect profile of all antidepressants.

It may take some trial and error, mixing and matching to identify what works best for you, but it will all be worth it when you can [insert favorite sex act here] to your heart’s content again.

3. Augment

Some treatment add-ons may act as antidotes to SSRI-induced sexual dysfunction. “Supplementing with other medications that have serotonin blocking effects (like cyproheptadine [Peritol] or buspirone [Buspar]) or enhance other neurotransmitters like dopamine (like Wellbutrin) might help,” says Dr. Kim. She is quick to note that these findings are yet be confirmed by “larger-scale randomized controlled clinical trials.”

“Another common strategy is to prescribe erectile dysfunction drugs like sildenafil (Viagra) and the like for as-needed use before activity,” says Dr. Kim. Viagra has been found to reduce sexual side effects, even if you’re not in possession of a penis. In Dr. Kim’s clinical experience, “[Viagra] seems to help in more than a few cases.” Discuss with your doctor before adding any more medications to the mix.

4. Exercise

Now’s the time to take up aquacycling, indoor surfing sans water or whatever fitness fad tickles your fancy. Keeping active could be the key to preventing sexual dysfunction caused by SSRIs.

“Sometimes sexual dysfunction is not just a primary SSRI drug side effect but part of underlying depression/anxiety as well,” Dr. Kim explains. “Anything that helps enhance overall blood circulation, mood and libido might be helpful, such as exercise.”

Complete Article HERE!

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Reality Check: Anal Sex

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First it was shocking, then it was having a cultural moment, now it’s practically standard in the modern bedroom repertoire—or so a quick scan of any media, from porn to HBO, will tell you. But the reality about anal is not, actually, that everyone’s doing it, says research psychoanalyst and author Paul Joannides, Psy.D., whose comprehensive book on sexuality, The Guide to Getting it On!, is used in college and medical school sex-ed courses across the US and Canada. The book is amazing not just for its straight-up factual information on practically any aspect of sex you can think of, but also for its easy, nonjudgmental, at-times humorous tone.

The CDC reports that the number of heterosexual men and women who’ve tried it vacillates between 30 and 40 percent (oddly, the CDC doesn’t report on how many homosexual men have tried it, except in a statistic that weirdly combines it with oral). If anal turns you on, you are definitely not alone, but its prevalence doesn’t change the fact that it’s the riskiest sexual behavior in terms of HIV and other STDs. Here, Joannides talks us through the realities of making anal both as safe and as pleasurable as possible.


A Q&A with Paul Joannides, Psy.D.

Q

When did heterosexual anal start to become a thing?

A

In the 80’s, I remember hearing from a friend that he had a videotape of anal porn. This seemed shocking at the time. (This was pre-Netflix: Everything was on videotape, from porn to Disney movies to highlights from the Olympics. Video rental stores were everywhere.) I’m not sure there are too many middle schoolers today who would be shocked or even surprised to watch anal sex on Pornhub or Xhamster.

Since porn became as easy to access as YouTube, porn producers have had to fight for clicks, and so porn has become more extreme. I’d say that by 2005, porn had totally blurred the distinction between a woman’s anus and vagina. This wasn’t because women were begging their lovers for anal, it’s because porn producers were afraid you’d click on someone else’s porn if they weren’t upping the ante in terms of shock value.


Q

Does the popularity of anal in porn reflect reality in both homosexual and heterosexual couples?

A

No. There are some couples who enjoy anal sex a lot, maybe 10 percent to 15 percent of all straight couples. But if you ask them how often they have anal vs. vaginal intercourse, they’ll say maybe they have anal one time for every five or ten times they have vaginal intercourse. We occasionally, as in once a year, hear from women who say they have anal as often as vaginal, but that’s unusual.

As for gay men, statistics vary widely, and studies aren’t always consistent in how they collect data—some might be looking at different levels of frequency, i.e. have you had anal once in the past year, or do you have it regularly? I’ve seen studies suggesting that 65 percent of men have anal sex, and others that suggest the figure is less than 50 percent. So, I don’t have exact figures for hetero or homosexual couples, but there is data suggesting that a good percentage of gay men would rather give and receive blowjobs than have anal sex.


Q

How should we modify the anal sex we see modeled in porn to best suit an in-real-life couple?

A

The way the rectum curves shortly after the opening tells us we need to make a lot of adjustments for anal to feel good. Also, the two sets of sphincter muscles that nature placed around the opening of the anus to help humans maintain their dignity when in crowded spaces (to keep poop from dropping out) mean there’s an automatic reflex if you push against them from the outside.

So one of the first things a woman or man needs to do if they want to be on the receiving end of anal sex is to teach their sphincter muscles to relax enough that a penis can get past their gates. This takes a lot of practice.

Also, unlike the vagina, the anus provides no lubrication. So in addition to teaching the sphincters to relax, and in addition to getting the angle right so you don’t poke the receiver in the wall of the rectum, you need to use lots of lube.

They show none of this in porn. Nor do they show communication, feedback, or trust. Couples who do not have excellent sexual communication, who don’t freely give and receive feedback about what feels good and what doesn’t, and who don’t have a high level of trust should not be having anal sex.


Q

What are the health risks of anal?

A

A woman has a 17-times-greater risk of getting HIV and AIDS from receiving anal intercourse than from having vaginal intercourse. So your partner needs to be wearing a condom and using lots of lube, unless both of you are true-blue monogamous, with no sexual diseases. Any sexually transmitted infection can be transmitted and received in the anus. Because of the amount of trauma the anus and rectum receive during anal intercourse, the likelihood of getting a sexually transmitted infection is higher than with vaginal intercourse.

Unprotected anal sex, regardless of whether it is practiced by straight or gay couples, is considered the riskiest activity for sexually transmitted diseases because of the physical design of the anus: It is narrow, it does not self-lubricate, and the skin is more fragile and likely to tear, allowing STDs such as HIV and hepatitis easy passage into the bloodstream.


Q

Are those risks all mitigated by the use of condoms and lube, or are there still issues, even beyond that?

A

The risks are substantially reduced by the use of condoms and lube as long as they are used correctly, but you won’t find too many condoms that say “safe for anal sex” because the FDA has not cleared condoms for use in anal sex. That said, research indicates that regular condoms hold up as well as thicker condoms for anal sex, so there’s nothing to be gained from getting heavy-duty condoms.

As for using the female condom for anal sex—studies report more slippage and more pain than with regular condoms.

Do not use numbing lube, and do not have anal sex while drunk or stoned. Pain is an important indicator that damage can occur if you don’t make the necessary adjustments, including stopping. If there is pain, perhaps try replacing a penis with a well lubed and gloved finger. The glove will help your finger glide more easily, and might be more pleasurable for the person on the receiving end. Also, this allows a woman to do anal play on a male partner. (When it comes to anal sex, what’s good for the goose should be good for the gander.)


Q

Are there known health consequences of anal practiced over the long-term? Can you do it too much?

A

One of the urology consultants for my book believes that unprotected anal sex can be a way for bacteria to get into the man’s prostate gland. He prefers the person with the penis that’s going into the other person’s butt use a condom.

Also, small chunks of fecal matter can lodge into the man’s urethra. So if the couple has vaginal intercourse following anal intercourse without a condom, the male partner should pee first in addition to washing his penis with soap and water.


Q

Do pre-anal enemas make a difference in terms of health safety? What about preventing accidents?

A

I know of no studies on the relationship between pre-anal enemas and health outcomes. As for its general wisdom, people seem as divided on that as on politics in Washington. So I would say, to each her own. Also, some people use a “short shot,” which is a quick enema with one of those bulb devices instead of using a bag and going the full nine yards. In any case, accidents are likely to happen at one time or another.


Q

What tests should people be getting if they practice anal?

A

There’s “should” and there’s reality. If I were on the receiving end of anal sex, I would want to be sure my partner did not have HIV before I’d even let him get close to my bum with his penis.


Q

Probably more people try anal today than in the past—are there ways to make a first experience a good one?

A

Both of you should read all you can about it first. Spend a few weeks helping the receiving partner train her/his anal sphincters to relax. Make sure you and your partner have great sexual communication, trust, and that you both want to do it, as opposed to one trying to pressure the other, or not wanting to do it but doing it because you are afraid your partner will find someone else who will. Do not do it drunk or stoned, and do not use lube that numbs your anus. If it doesn’t feel good when it’s happening, stop.


Q

Do people orgasm from anal stimulation? Is it common or uncommon?


A

Some women say they have amazing orgasms from anal, but usually they will be stimulating their clitoris at the same time.


Q

Does it usually take a few tries to enjoy anal? Are there positions that make it easiest?

A

It depends on how much you are willing to work on training the receptive partner’s anal sphincters to relax, how good your communication is, how much trust there is, and probably on the width or girth of the dude’s penis. Common sense would tell you it should go way better if a guy is normal-sized as opposed to porn-sized.


Q

What should we be telling our kids about anal?

A

We don’t tell them about the clitoris, about women’s orgasms, about masturbation, about the importance of exploring a partner’s body, and learning from each other. We don’t tell them that much of what they see in porn is unreal, and we don’t talk to them about the importance of mutual consent. So I don’t see anal being at the top of most parents’ “should talk to our kids about” lists. There are more important things we need to be talking about first.

Paul Joannides, Psy.D. is a psychoanalyst, researcher, and author of the acclaimed Guide to Getting it On!, which is now in its ninth edition and is used in college courses across the country. He’s also written for Psychology Today Magazine and authors his own sex-focused blog, Guide2Getting.com. Dr. Joannides has served on the editorial board of the Journal of Sexual Medicine and the American Journal of Sexuality Education, and was granted the Professional Standard of Excellence Award from The American Association of Sex Educators, Counselors and Therapists. Joannides also lectures widely about sex and sexuality on college campuses.

Complete Article HERE!

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A stressful life is bad for the bedroom

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If you are consistently emotionally distressed due to social, economic or relationship pressures, you can be sure to lose erections. Being annoyed with your intimate partner all the time, and feeling undermined or frustrated are bad for your erections.

By JOACHIM OSUR

Lois came to the sexology clinic because she was sexually dissatisfied with her husband. It had been six months of no sex in their 11-year old marriage. Before that, her man had suffered repeated episodes of erection failure. “The few times he did get an erection, it was flaccid and short-lived,” Lois explained. “You can only imagine how that can be frustrating to a faithful wife.”

Lois suspected that her husband was getting sexual satisfaction elsewhere, and had angrily told him she didn’t want to have sex with him anymore. “I thought he was no longer interested in me because I had gained too much weight after bearing our two children, a very hurtful thought,” she explained sadly.

And so for six months the couple kept off each other. The relationship got strained and unfortunately Andrew, Lois’ husband, threw himself into his work. He stayed late at work and came home after everyone was asleep. He woke up and left the house early. He paid no attention to their two children anymore.

“So how can I help you?” I asked, lots of thoughts going through my mind due to the complexity of the case. You see, the man, who was the one having a problem, had not come to the clinic. Erection failure or erectile dysfunction (ED) is a complex symptom that requires a thorough assessment for its cause to be pinpointed. I needed Andrew to come see me himself.

VICTIM OF THE RELATIONSHIP

“What do you mean that it is a symptom of complex problems?” Lois asked, frowning. ED is simply a failure to be aroused sexually. This could be due to the derangement of some chemicals in the brain such as dopamine. It could also be due to hormonal problems such as low testosterone, high prolactin and so on.

What we are also seeing at the clinic is a rise in cases of diabetes and hypertension, usually accompanied by obesity. Most of the affected people have high cholesterol. These diseases destroy blood vessels, including those in the penis, making erections impossible. Further still, the diseases can destroy nerves, and if the nerves of the penis are affected, erections fail. People with heart, kidney, liver and other chronic illnesses may similarly get ED either from the diseases or from the medicines used to treat them.

Stressful lifestyles are also contributing to ED quite a bit these days. Many people work two jobs to get by, and have no time to relax or get adequate sleep. A physically worn out, sleep-deprived body is too weak to have an erection and you should expect ED to befall you any time if this is your lifestyle.

But emotional distress is even more dangerous for ED. If you are consistently emotionally distressed due to social, economic or relationship pressures, you can be sure to lose erections. Being annoyed with your intimate partner all the time, and feeling undermined or frustrated are bad for your erections. Further, feeling like a victim in the relationship can lead to ED. All these are further complicated by anxiety and depression, which are bound to set in as part of the relationship problem or as a result of the ED itself.

“So can’t you just give me some medicine for him to try then if it fails he can come for full assessment?” Lois asked, realising that my explanation was taking longer than she had anticipated.

Unfortunately that was not possible. We get this kind of request all the time at the clinic. In fact, people make phone calls asking for tablets to swallow to get erections immediately. Sometimes they call from the bathroom with their partner in the bed waiting for action yet the erection has failed. There is however no alternative to a thorough assessment and treatment of the cause of the ED.

Andrew came to the clinic a few days later. A full assessment found that he had a stressful career and relationship difficulties, and both had taken a toll on his sex life. He had to undergo a lifestyle change. Further, the couple went through intimacy coaching. It was another six months before they resumed having sex.

Complete Article HERE!

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What do men really think about sex? This is why we need better education

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We asked men how they learned about sex, and found that puerility and pornography have always trumped the facts. Mandatory sex education is most welcome

‘Alan, now aged 79, was evacuated to the countryside at the age of five – and spotted a bull mounting a cow. “It was a significant part of my sex education,” he said.’

It was announced this month that sex and relationship education is to become mandatory in schools for children aged four to 15. About time too. It’s never been easy for children who have wanted to learn credible information about sex.

We’ve recently been interviewing men for a project to find out what they really think, feel and do about sex, and found the early information they received was, in many cases, baffling. “Women don’t like it,” Bill was told as a teenager in the 1960s, “but you can do it all the same … [and] you only do it on Sundays when the children are out.”

Back in the 1940s, communicative adults were hard to come by, and children had to solve the mystery by themselves. Alan, aged 79, was evacuated from London to the countryside, aged five. There he spotted a large bull mounting a cow. “It was very significant,” he said. “I have never forgotten it.”

At primary school Bill, now 75, believed boys stood behind girls to do “it” (he was basing this on his observation of dogs). He was hugely embarrassed when told to stand behind a girl in a school folk-dance performance. “I thought that was very dirty.”

It was a rare grown-up who suggested that sex might be something pleasant, or something to look forward to; rather, a child’s sex education was more likely to elicit feelings of fear, danger and shame – and would often involve a lonely search for the facts. By the late 1950s, parental guidance was still fairly non-existent. At 14, Michael remembered finding a “dirty book” belonging to his father: “The Kama Sutra was an excellent source of information, but often mind-boggling too … the contortions! The big penises! And the pleasure shown on women’s faces. I couldn’t believe it could be like that!”

‘The Kama Sutra was an excellent source of information – but mind-boggling, too!’

While Michael was studying the Kama Sutra, the only sex still being taught in the classroom involved plants and rabbits, and was often expressed in Latin. Several more decades were to pass before human genitalia and procreation were bravely described in English. Not until the early 1990s did the national curriculum specify that sex education must be taught. But just the mechanics. Nothing about relationships. And making the subject even more shambolic was the decision that each school could have its own individual policy, and each teacher was stuck with their own capabilities, experiences, terrors and confusions in conveying this information.

The easy way out was to explain that sex happened “when people loved each other and wanted babies”. Pleasure, variety and consent were rarely mentioned. But some teachers bravely tried to further enlighten the children. In 1994, in his last year of junior school, Dean, who was then aged 10, went to a sex education lesson in which his teacher tried her very best to take an innovative, practical and robust approach.

“Miss Woods asked the class if they knew of any ‘barrier methods’. I didn’t really know what they were, but someone said ‘condoms’. Miss Woods said, ‘Yes, anything else?’ Then a boy called Dave said, ‘You can get them with feathers on the end, Miss.’ Miss Woods looked cross, and said, ‘No you can’t’ – but Dave went on and on, saying, ‘Yes you can, they’re called French ticklers, I read in my Mum’s book. It had pictures in,’ and then Miss butted in, and said ‘Nonsense’, so Dave had to shut up.”

Here was Miss Wood’s chance to grasp the nettle. But even then, in the late 20th century, she could not. Although bolder than many teachers, she was still not able to respond to any surprises that might crop up.

Even if teachers now manage to describe sex as pleasant, it sometimes seems to frighten and shock, rather than enthuse the children. Informed, six years ago, by a comparatively enlightened teacher, that people had sex “because it felt lovely”, eight-year-old George was horrified. “Miss made a terrible mistake,” he told his Grandma, with great authority and concern. “She said it felt nice! She’s got it really wrong!”

Age specificity hadn’t really been thought through. Slightly older, more intrepid boys, sensing that they still weren’t quite getting at the truth, or any satisfactory explanations – either from each other, or from adults – now gained access to a greater selection of more flamboyant, salacious, almost cartoonish information: porn.

“I think as boys we’d seen a few porno films here and there,” said Jason. “The first stuff I saw was on a video. I was 13, and the tape started doing the rounds – we thought that was the way you did it.”

As the years have passed, and porn has become more widely available online, younger and younger children have been seeing such imagery. In 2001, Jack, then aged 10, learned about sex from pornography. “Everyone was looking at it,” he said. “That’s how I found out I was gay. I didn’t want to look at the girls.”

Despite the overwhelming flood of pornography – and the continuing lack of guidance – there do appear to be a few glimmers of hope. The importance of relationships and feelings is now creeping into sex education at last, and it is a relief to find the idea of consent has surfaced. Many of the young men interviewed in the BBC3 documentary Sex on Trial were sympathetic when shown footage of a young woman whose consent had not been clearly given. In fact, they were more sympathetic than the young women. That’s reason to be hopeful, at least where young men are concerned.

Unfortunately, most sex education is still passed between children themselves, taught by the “naughty” peers who seem to have found out more than anyone else. Or are pretending that they have. Boasting has always been, and still seems to be for many boys, the beginning of proving that you are a proper man. Frequency, volume, conquest and size still matter to them. How are young men to understand women if they have never been taught to understand themselves, and the people teaching them have been taught even less?

Hopefully the new national curriculum mandatory sex education plans will bring about change for the better. It might help if lessons could be conducted in small groups, with the sexes separated. It would need to be age-appropriate, of course – with less emphasis on the mechanical details, and more on the importance of relationships, with appropriately trained teachers, prepared for anything the children might say, know or have experienced. They also need to be unshockable.

Complete Article HERE!

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