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a pretty good looking guy, but a total wanker

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Name: Anonymous
Gender: male
Age: 22
Location: Phoenix
Dear Dr. Dick, Im a pretty good looking guy, with a pretty average penis size, with a pretty average ego and confidence level. I am unable to make a first move. Whenever the situation rises, I become nervous as a little girl and the only thing I can think of is the awkwardness of rejection. Its really starting to throw me off balance when I cant get the physical attention I need, you know? It’s starting to make me think I’m gay also, which is totally fucking with my head. Help me out doc, what’s going on?

head up your ass

Well, anonymous, the fact that you couldn’t even bring yourself to put your own first name on this anonymous submission form, or even think up a plausible substitute marks you as a world-class wimp. And hey, here’s a tip, stop comparing your total lack of cojones to being a girl or being gay. You are neither — a girl don’t need no balls and gay men have ‘em. You, on the other hand, need to grow yourself a pair, pal!

So you’re 22, a pretty good-looking guy (or so you report) with an average sized dick (although I don’t see what that has to do with anything.), and yet you still are stumped on how to connect with a chick. Holy cow, did you miss junior high? Is there anything about you that women might find interesting? Are you intelligent, witty, fun to be with, a good conversationalist, sensitive, kind, a good cook, romantic…are you rich? Listen chum, you’re gonna need more to recommend you than bein’ pretty good lookin’ and a modest peanut.

“I can’t get the physical attention I need…” I’m gonna go way out on a limb here and guess you mean you can’t get laid, right? Maybe you need to work on your presentation. Because what self-respecting woman is gonna want to put out for someone as desperate as you. Start by getting off the pity-pot and learn to handle rejection. Don’t take it personal, rejection is just part of being a grownup. Also, jettison the notion that women are put here simply to satisfy men’s physical needs, that’s so freakin’ Neanderthal.

Put your pride aside and start connecting women as friends, not as potential sex partners. For most women, sex flows from intimacy. If you take the time to get to know a woman first, without that lean and hungry sex-starved look that I just know you have about you, you’ll find that, unless you are a totally dorky klutz, even you will get laid sooner or later.

Good luck

Does Manspreading Work?

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Participants in a “No Trousers Day” flashmob ride the London Underground in 2012.

A study suggests people find expansive, space-consuming postures more romantically attractive

Manspreading might make you the villain of the morning L train, but a new study suggests it could also make you lucky in love. People who adopted “expansive postures”—widespread limbs and a stretched-out torso—in speed-dating situations garnered more romantic interest than those who folded their arms in “closed postures,” the researchers found.

For her recent paper, published this week in Proceedings of the National Academy of Sciences, Tanya Vacharkulksemsuk, a post-doctoral research fellow at the University of California, Berkeley, performed two studies. First, she and her team watched videos of 144 speed-dates and correlated them with the participants’ ratings of each other. People who sat in expanded postures were deemed more attractive, and for both men and women, postural expansiveness nearly doubled their chances of getting a “yes” response to a second date. Even laughing and smiling didn’t work as well as spreading out, Vacharkulksemsuk found.

Examples of expansive postures used in the study

Examples of expansive postures used in the study

Next, Vacharkulksemsuk posted pictures of people in open and closed postures on a dating site. Again, those in the expansive postures were about 25 percent more likely to generate interest from another user. However, this strategy worked much better for men than women. Men, overall, received far fewer bites than women did, but 87 percent of their “yesses” came in response to an open posture. For women, meanwhile, 53 percent of “yes” responses came when they were in an expansive posture.

Examples of contractive postures used in the study

Examples of contractive postures used in the study

In a separate test, Vacharkulksemsuk found that both the male and female “expansive” photos were considered more dominant than the “closed” photos. That dominance might suggest an abundance of resources and a willing to share those resources. When potential romantic partners are evaluating each other for just a few seconds, in other words, money talks—mainly through bodily breadth.

So should you rush to change your Tinder picture to something a little less pouty and a little more Backstreet Boys cira Millennium? Like with almost every study, there are reasons to be skeptical. “Power poses” made a big splash in 2010 when it was found that adopting them could tweak hormone levels—then sparked controversy after a follow-up study failed to replicate the effect.

Several researchers who weren’t involved with the study expressed doubts about its methodology. Agustín Fuentes, a professor of anthropology at the University of Notre Dame, said the findings might be a sign of general social preference for openness, but not necessarily that open-looking poses are sexier. “The connection to mating/dating assessment they suggest is superficial,” he said in an email.

Irving Biederman, a professor of neuroscience at the University of Southern California, said some of the “expansive” women might have looked vulnerable, rather than powerful.

To Vacharkulksemsuk, though, the fact that her study subjects rated both the male and female “expansive” photos as dominant—and found that dominance attractive—might signal the start of something very exciting. For decades, women have been told they’re most attractive when they’re demure, high-pitched, and generally non-threatening. This data “may be signifying a change in what men are looking for in women,” she said. Perhaps commuters should brace themselves for the rise of fem-spreading.

Complete Article HERE!

The Ultimate Guide to Pregnant Sex

By Lauren Katulka

Takeaway: The nine months of pregnancy bring with them a host of coital challenges, but with our handy guide you can enjoy good loving during any trimester.

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You’ve just received the happy news that you’re expecting and you’re feeling more connected to your partner than ever. Although those nine months of pregnancy can be a challenging time to be a woman, that doesn’t mean you need to sacrifice time between the sheets. Read on to discover the difficulties you might face during each trimester, and how you can overcome them to experience some of the best sex of your life.

First Trimester Fun

It wasn’t too long ago that you were getting down to business on a regular basis, but now that you’ve got a bun in your oven you might be thinking of sex less often. The first trimester can leave you exhausted and morning sickness can make you feel far from sexy.

Just know that you’re not alone. A waning libido is only natural as your body stops sending signals to pass on your genes. You’re also feeling the maternal urge to protect your tiny offspring. Even if the doctor assures you sex is safe, a mother’s instinct might have you second-guessing hanky-panky.

During the first trimester it’s good to remember that sex doesn’t have to mean intercourse. If you’re not feeling up to going all the way, perhaps you could rediscover the joys of outercourse or even a simple massage. Touching one another and talking about your desires can ensure you stay close to your partner through these challenging months. (Get some tips in Double the Fun! 5 Hot Tips on Self Touch for Two.)

You don’t have to take intercourse off the table though. Sex during pregnancy has plenty of perks, including better sleep and a feelings of wellbeing . Sex during these early months can also be really enjoyable, even if you don’t feel up to it from the outset. Allow yourself to be seduced with an open mind and you might be surprised how much fun you’ll have.

Steam It Up in the Second Trimester

Many women say their second trimester is their favorite part of pregnancy. The fatigue and morning sickness are gone and your libido has returned. Your genitals will also be constantly engorged and lubrication is increased. These changes can make you feel more open to sex and can maximize your enjoyment.

Your changing body can be a bit of a stumbling block though. A baby bump and the extra curves that come with it may take some getting used to, but it’s important to take pride in these changes. Your awesome body is building a baby! (Get some tips on body confidence in 6 Steps That’ll Help You Love Love Love Your Naked Self.)

Urinary tract infections can also curb your sexual activities for a while. Pregnant women are more likely to contract these painful problems, and they can have nasty implications for pregnancy and your sex life. Don’t ignore painful urination or cramps; see a doctor as soon as you notice these symptoms. An untreated UTI can bring on early labor, so it’s crucial that you act quickly.

Connect in the Third Trimester 002

We hope you enjoyed your second trimester, because the third might be tough. That cute little baby bump has grown so large many women find that it feels impossible to get comfortable. And your estrogen and progesterone levels are at their highest.

This is the perfect time to remember the tactics you used to get through your first trimester. You might not always feel like intercourse, but sex can take many forms. Communicate about how you’re feeling so that you can stay close to your partner, even if you aren’t getting as close physically.

Oh, and with that big bump in the way, it can be difficult to get as close as you might like. Sex might seem daunting, but there are ways to work around your new body shape. Women on top and rear entry positions are ideal. See our article on safe, sizzling sex positions for pregnant women for enough inspiration to spice up this final trimester.

Your bump is also a real reminder that baby is on board, and men can struggle with this. However, doctors insist that no matter how hung your man is, his penis can’t possibly go through the cervix, amniotic sac and placenta. In simple terms, sex is totally safe for the little one (and good for you). For normal pregnancies, sex also won’t cause miscarriages or preterm labor.

And Another Thing

While sex is safe for most pregnant women, those with high-risk pregnancies should exercise caution and consult their doctor if they have any concerns. More important than sex itself is the intimacy this act can foster between new moms and dads. If you can get steamy during this time, go for it. If not, make sure you talk about your feelings and remember to show your affection in other ways. This will help couples deepen their connection with each other before the new addition to the family.

Complete Article HERE!

The Pill That Prevents HIV Is As Safe As Daily Aspirin

Taking Truvada every day to prevent HIV isn’t any more dangerous than taking a daily aspirin to prevent heart attacks, a new study finds.

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Truvada

People who take Truvada, the once-a-day pill that prevents HIV, are no more at risk for dangerous side effects than those who take an aspirin a day to prevent heart attacks, according to a new study.

Researchers compared Truvada and aspirin by looking at the drugs’ risk profiles in large, published studies. Although the two drugs come with distinct side effects — Truvada most commonly causes dizziness, vomiting, and weight loss, whereas aspirin is most commonly associated with bleeding problems — the frequency of side effects is roughly equivalent.

But the drugs have very different reputations, among both doctors and the general public. Century-old aspirin, when taken as a preventative tool against heart attacks, is viewed as an everyday medication, no big deal. But Truvada, also known as pre-exposure prophylaxis (or PrEP), is a new pill, intertwined with the loaded issues of HIV and sex habits, and mired in uncertainty.

“Everyone’s got aspirin in their medicine cabinet,” Jeffrey Klausner, professor of medicine and public health at the University of California, Los Angeles, and lead author of the study, told BuzzFeed News. “But as a physician I’ve seen people come into the hospital and die from aspirin overdoses — people can be allergic.”

The side effects of each drug are markedly different, Klausner noted, and affect different organs. But after crunching the numbers, he said, “it really looked like I could say Truvada compared favorably, in terms of its safety profile, to aspirin.”

An estimated 52% of American adults aged 45 to 75 are prescribed a daily aspirin to prevent cardiovascular and gastrointestinal diseases, including heart attacks and cancer.

Truvada, which was approved by the FDA in 2012, has been shown to have roughly 92% efficacy in preventing transmission of HIV. The CDC estimates that about 1.2 million Americans are at high enough risk for contracting HIV that they should be prescribed the drug. But only about 21,000 currently get it.

According to Klausner, who trains doctors around the country on how to treat and prevent HIV, much of this has to do with ambivalence about prescribing otherwise healthy individuals a daily pill.

“A lot of the concerns I hear from providers are about safety,” Klausner said. “There have been continued voices saying, ‘Wouldn’t it just be better if people used condoms, or reduced their number of partners?’ Those are important strategies, but they don’t work for everyone.”

The issue of doctor awareness about PrEP is one of the biggest barriers to its wider use.

The new study “is an interesting thought experiment,” Dawn Smith of the CDC’s Division of HIV/AIDS Prevention, told BuzzFeed News. But, she added, “I’m not sure it addresses the safety concerns that some clinicians have.”

Smith noted a CDC study showing that in 2015, about one-third of primary care doctors and nurses had never heard of Truvada. Beyond the lack of awareness, she said, doctors don’t want to cause any side effects, no matter how minor, in otherwise healthy patients.

In his analysis, Klausner looked at the “NNH” — or “number needed to harm” — meaning the number of people who take the drug before one person experiences a harmful side effect. The NNH for Truvada in gay men or transgender women was 114 for nausea and 96 for unintentional weight loss. In women, side effects appeared more frequently, with 1 in 56 women experiencing nausea, 1 in 41 vomiting, and 1 in 36 mildly elevated liver enzymes.

Rarer adverse events for Truvada include kidney problems and a small decrease in bone mineral density, but Klausner notes that both of those effects have been shown to be reversible once the medication is discontinued.

In contrast, aspirin had an NNH of 15 for bleeding problems and 20 for easy bruising. Rarer problems included ulcers and other gastrointestinal problems.

Because it’s so much older, aspirin has been tested in many more people with many more years of follow-up, Klausner noted. Because Truvada is a relatively new drug, it will take awhile to accrue the data needed to make its long-term safety bulletproof.

In the meantime, however, Klausner hopes more doctors will educate themselves about the HIV prevention drug. And after that, he said, “we should work to make it the same price as aspirin.”

Complete Article HERE!

2.5 Years Later, Zero Cases Of HIV In Large San Francisco PrEP Group

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A new study reveals that after 2.5 years, a group of more than 600 San Francisco men who have sex with men (MSM) taking Truvada as pre-exposure prophylaxis (PrEP) have had zero cases of HIV contraction.

The study also finds that many of these individuals are using condoms less and more than half of those in the group study had contracted at least one sexually transmitted infection (STI) within a year.

From POZ.com:

Researchers at Kaiser Permanente published their findings in Clinical Infectious Diseases. The paper represents a powerful endorsement of PrEP’s ability, in a real-world setting, to prevent HIV infection among those at very high risk of contracting the virus. The lack of new HIV infections among these men challenges the stance of AIDS Healthcare Foundation president Michael Weinstein, who has vigorously campaigned that PrEPshould not be used as a widescale public health intervention.

On the flip side, the Kaiser findings challenge the received wisdom from PrEP clinical trials that those taking Truvada as HIV prevention do not increase sexual risk-taking while on the medication.

“Our study is the first to extend the understanding of the use of PrEP in a real-world setting and suggests that the treatment may prevent new HIV infections even in a high-risk setting,” reports lead author Jonathan Volk, MD, MPH, a physician and epidemiologist at Kaiser Permanente San Francisco Medical Center. “Until now, evidence supporting the efficacy of PrEP to prevent HIV infection had come from clinical trials and a demonstration project.”

It’s important to reiterate that according to Kaiser, though no one using PrEP contracted HIV, there was a very high rate of other sexually transmitted infections (STIs).

POZ.com breaks it down:

After six months, the clinicians at Kaiser surveyed 143 of the cohort about their sexual risk-taking. At that time, 74 percent reported that their number of recent sexual partners had not changed since starting PrEP, while 15 percent said they had fewer sexual partners and 11 percent said they had more. Regarding condom use, 56 percent said they used them at the same rate after starting Truvada, 41 percent used them less and 3 percent used them more.

Because these individuals were not engaged in a clinical trial, there is no control group to measure the change in these men’s sexual risk-taking against. So there is no way to tell if the group would have changed their risk-taking in a similar pattern if they had not been taking PrEP.

One thing is clear, however: These men would have been at very high risk of contracting HIV had they not been taking PrEP while engaging in the same level of sexual risk-taking. The evidence is in their very high rate of STIs. Six months into taking PrEP, 30 percent of the PrEP users had been diagnosed with at least one STI. After a year, half of them had contracted one or more STIs, with 33 percent diagnosed with a rectal STI, 33 percent with chlamydia, 28 percent with gonorrhea, and 5.5 percent with syphilis. As noted, two of them contracted hep C.

“Without a control group, we don’t know if these STI rates were higher than what we would have seen without PrEP,” stressed the paper’s co-author Julia Marcus, PhD, MPH, postdoctoral fellow at the Kaiser Permanente Division of Research. “Ongoing screening and treatments for STIs, including hepatitis C, are an essential component of a PrEP treatment program.”

No one in the group has been diagnosed with HIV.

Our takeaway, PrEP is clearly doing its job in HIV prevention, however we need to remain vigilant in testing and treatment for STIs. The choice to use or not use condoms is up to the individual, but be aware of the risks and ensure that you’re regularly being tested to protect your health and potentially that of your sexual partners.
Complete Article HERE!