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When a Partner Dies, Grieving the Loss of Sex

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After Alice Radosh’s husband of 40 years died in 2013, she received, in addition to the usual condolences, countless offers of help with matters like finances, her car and household repairs. But no one, not even close friends or grief counselors, dared to discuss a nagging need that plagues many older women and men who outlive their sexual partners.

Dr. Radosh, 75 and a neuropsychologist by training, calls it “sexual bereavement,” which she defines as grief associated with losing sexual intimacy with a long-term partner. The result, she and her co-author Linda Simkin wrote in a recently published report, is “disenfranchised grief, a grief that is not openly acknowledged, socially sanctioned and publicly shared.”

“It’s a grief that no one talks about,” Dr. Radosh, a resident of Lake Hill, N.Y., said in an interview. “But if you can’t get past it, it can have negative effects on your physical and emotional health, and you won’t be prepared for the next relationship,” should an opportunity for one come along.

Yes, dear readers of all ages and the children of aging parents, many people in their golden years still have sexual urges and desires for intimacy that go unfulfilled when a partner becomes seriously ill or dies.

“Studies have shown that people are still having and enjoying sex in their 60s, 70s and 80s,” Dr. Radosh said. “They consider their sexual relationship to be an extremely important part of their lives. But when one partner dies, it’s over.”

In a study of a representative national sample of 3,005 older American adults, Dr. Stacy Tessler Lindau and co-authors found that 73 percent of those ages 57 to 64, 53 percent of those 65 to 74 and 26 percent of those 75 to 85 were still sexually active.

Yet a report published by the United Kingdom’s Department of Health in 2013, the National Service Framework for Older People, “makes no mention of the problems related to sexual issues older people may face,” Dr. Radosh and Ms. Simkin wrote in the journal Reproductive Health Matters. “Researchers have even suggested that some health care professionals might share the prejudice that sex in older people is ‘disgusting’ or ‘simply funny’ and therefore avoid discussing sexuality with their older patients.”

Dr. Radosh and Ms. Simkin undertook “an exploratory survey of currently married women” that they hope will stimulate further study of sexual bereavement and, more important, reduce the reluctance of both lay people and health professionals to speak openly about this emotionally and physically challenging source of grief.

As one therapist who read their journal article wrote, “Two of my clients have been recently widowed and felt that they were very unusual in ‘missing sex at my age.’ I will use your article as a reference for these women.”

Another wrote: “It got me thinking of ALL the sexual bereavement there is, through being single, through divorce, through disinterest and through what I am experiencing, through prostatectomy. It is not talked about.”

Prior research has “documented that physicians/counselors are generally uncomfortable discussing sex with older women and men,” the researchers noted. “As a result, such discussions either never happen or happen awkwardly.” Even best-selling memoirs about the death of a spouse, like Joan Didion’s “The Year of Magical Thinking,” fail to discuss the loss of sexual intimacy, Dr. Radosh said.

Rather than studying widows, she and Ms. Simkin chose to question a sampling of 104 currently partnered women age 55 and older, lest their research add to the distress of bereaved women by raising a “double taboo of death and sex.”

They cited a sarcastic posting from a woman who said she was not a good widow because “a good widow does not crave sex. She certainly doesn’t talk about it…. Apparently, I stink at being a good widow.”

The majority of survey participants said they were currently sexually active, with 86 percent stating that they “enjoyed sex,” the researchers reported. Nearly three in four of the women thought they would miss sex if their partner died, and many said they would want to talk about sex with friends after the death. However, “76 percent said they would want friends to initiate that discussion with them,” rather than bringing it up themselves.

Yet, the researchers found, “even women who said they were comfortable talking about sex reported that it would not occur to them to initiate a discussion about sex if a friend’s partner died.” The older the widowed person, the less likely a friend would be willing to raise the subject of sex. While half of respondents thought they would bring it up with a widowed friend age 40 to 49, only 26 percent would think to discuss it with someone 70 to 79 and only 14 percent if the friend was 80 or older.

But even among young widows, the topic is usually not addressed, said Carole Brody Fleet of Lake Forest, Calif., the author of “Happily Even After” who was widowed at age 40. In an interview she said, “No one brought up my sexuality.” Ms. Fleet, who conducts workshops for widowed people, is forthright in bringing up sex with attendees, some of whom may think they are “terrible people” for even considering it.

She cited “one prevailing emotion: Guilt. Widows don’t discuss the loss of sexual intimacy with friends or mental health professionals because they feel like they’re cheating. They think, ‘How can I feel that?’ But you’re not cheating or casting aspersions on your love for the partner who died.

“You can honor your past, treasure it, but you do not have to live in your past. It’s not an either-or situation. You can incorporate your previous life into the life you’re moving into. People have an endless capacity to love.”

However, Ms. Fleet, who remarried nine years after her husband died, cautioned against acting precipitously when grieving the loss of sexual intimacy. “When you’re missing physical connection with another person, you can make decisions that are not always in your best interest,” she said. “Sex can cloud one’s judgment. Maybe you’re just missing that. It helps to take sex out of the equation and reassess the relationship before becoming sexually intimate.”

Dr. Radosh urges the widowed to bring up grief over the loss of sexual intimacy with a therapist or in a bereavement group. She said, “Even if done awkwardly, make it part of the conversation. Let close friends know this is something you want to talk about. There is a need to normalize this topic.”

Complete Article HERE!

Multiple Orgasms for Men?

Multiple Orgasms for Men? The Fascinating Technique That Might Open Up Whole New Sexual Experience

 

Women aren’t the only ones capable of a multi-orgasmic experience

By Carrie Weisman

As a society we carry a lot of entrenched ideas about sex. Perhaps one of the most deeply ingrained assumptions is that women can have multiple orgasms, and that men can’t. But is that really true?

In 1986, sex therapists William Hartman and Marilyn Fithian put together the book, Any Man Can. They describe that by withholding ejaculation, men can experience “a number of sexual peaks.”

“The multi-orgasmic men we have studied have chosen to develop that capacity (stopping ejaculation using learned techniques)… The behavior itself (interrupting orgasm via such techniques) appears to be at least four thousand years old,” they wrote,

More than a decade later, sex educator Jack Johnston came out with a training program to help men work towards this experience. Johnston told me over the phone that he’s made it his life’s work to dispel the myth that only women are capable of experiencing multiple orgasms.

“Men and women are physiologically a lot more similar than people realize. Vive la différence, of course, but in terms of the neurological capacity for experiencing the orgasmic impulses, we’re wired in quite a similar manner.”

He added, “I try to help reacquaint people with the idea that orgasm is an energetic event, and that for men, it’s not automatically linked to ejaculation. They’re two separate events. Two separate reflexes.”

In contrast to other “experts,” Johnston avoids conventional “squeeze techniques” that encourage men to stop just short of “the point of no return.” These techniques typically require that men clench pelvic floor muscles, slow their breathing and allow the urge to ejaculate to pass.

As Johnston explained, “That’s not really a whole lot of fun for anybody. You’re constantly monitoring, it’s like ‘Am I there yet? Maybe I can go a little further. Oh shucks, I went too far.’”

“My working hypothesis was that there’s got to be a better way than that. I don’t think our creator was sadistic in that way.”

Johnston’s program is known as The Key Sound Multiple Orgasm (KSMO) training. The “Key Sound” refers to a particular sound one can make while engaging in some light stimulation during solo (or partnered) practice sessions, separate from the act of intercourse. He insists the vibrations brought on by the sound can help “unlock” the key to multiple orgasms.

One satisfied client writes, “As the sensations became stronger, my vocal expressions became deeper and louder. I continued until I was so overwhelmed by this feeling I literally could not move anymore – pleasantly paralyzed by orgasm with no urge to ejaculate.”

But while most men believe penile stimulation to be the primary means by which to experience orgasm, Johnston recommends  guys bypass the penis and head for the perineum (the area between the scrotum and anus) during their solo sessions.

Johnston’s refers to the perineal area as the “the male G-spot.” Part of his training revolves around “helping men locate that area of their body, and then, as part of the ‘Multiple Orgasm Trigger,’ practice to gently massage [the perineal] area just enough to get a little tingle, or a little rush.” Johnston calls these sensations “Echo Effects.”

“How does one increase arousal to orgasmic intensity without using lots and lots of stimulation? For men in particular, more and more stimulation tends to trigger the ejaculation reflex. So the idea is, in a sense, how do you learn to sneak up on the orgasm?”

“Very often, orgasm is centered right in the genital area, whereas the method that I teach tends to occur throughout ones body. One experiences arousal throughout one’s body. Neurologically, it’s all connected throughout the body, so the idea is to become aware of that. To become aware that when someone becomes aroused it’s not just in the genital area, those waves of energy start flowing throughout one’s entire body.”

On the official forum, one of Johnston’s clients reports, “As I am doing my sessions, I am really getting new sensations each time. Presently, I am feeling my prostate pumping (for lack of a better word) and this is causing me to get a slight erection. When my prostate pumps, it is sending pre-cum and I am beginning to leak a little. I have to stay relaxed because I feel that I could cross over and ejaculate. This pumping of my prostate are mini orgasms (I assume) and they feel great. My entire body is hot, shaking, and feeling really amazing. I can do this for about an hour and maybe a little longer.”

Another writes, “Tonight, after doing my 20 minutes and then sort of absent mindedly continuing, I do believe I had my first full body, non-ejaculatory orgasm. It just sort of came on as I was massaging the base of my penis, from out of nowhere–NOT like it came from within my body. It felt like a heat throughout my body, and a sort of giddiness, almost like the light, first rush of MDMA (er…or so I’ve read…).

“And the crazy thing was, instead of feeling like the orgasm was in me, it felt like I was in the orgasm–like it was surrounding and suffusing my whole body like a field of energy. Pretty wild.”

Johnston recommends that his clients practice the technique for 20 minutes every other day. He notes that ejaculation should be avoided on days devoted to practice.

He explained that in contrast to the “traditional” male ejaculatory orgasm, multiple orgasms typically arrive in “waves.” And since they aren’t linked to ejaculation, one’s energy doesn’t dissipate as it does when one ejaculates. He added that after having mastered the technique, most men come to prefer these kind of orgasms.

He continued, “It lasts so much longer. The after glow lasts so much longer too. It’s the kind of energy that can infuse your whole being.” He also notes that, after having completed the training, many men report experiencing more intense ejaculatory orgasms as well.

But mastering the physical technique is only half the battle. As Johnston explained, a good part of his training revolves around teaching men to expand their understanding of sexual pleasure, and open themselves up to the different means by which it can be attained.

He tells me, “There are a lot of people who think that it’s important for intellectual integrity to be really, really skeptical. I think it’s appropriate to have some skepticism, but it’s also really essential not to just be attached to being a skeptic. In the face of evidence to the contrary, one needs to have the intellectual integrity to consider it.”

“Once we learn the facts about our physiology, and what’s really possible. That’s a whole new world.”

Some people have years of sexual experience under their belt. Some don’t. But no matter where you land on the path of sexual self-exploration, it’s never too late to rewrite certain standards, and never too soon to start experimenting with different points of pleasure, no matter how obscure they may seem.

Complete Article HERE!

Mouthwash Helps Kill Gonorrhea Germs in Mouth, Throat: Study

Listerine’s maker has long made the claim, and new Australian research seems to confirm it

by Robert Preidt

A commercial brand of mouthwash can help control gonorrhea bacteria in the mouth, and daily use may offer a cheap and easy way to reduce the spread of the sexually transmitted disease, a small study from Australia contends.

Gonorrhea rates among men are on the rise in many countries due to declining condom use, and most cases occur in gay/bisexual men, researchers said.

The maker of Listerine mouthwash has claimed as far back as 1879 that it could be used against gonorrhea, though no published research has ever proved it.

In laboratory tests, the authors of this new study found that Listerine Cool Mint and Total Care (which are both 21.6 percent alcohol) significantly reduced levels of gonorrhea bacteria. A salt water (saline) solution did not.

The researchers then conducted a clinical trial with 58 gay/bisexual men who previously tested positive for gonorrhea in their mouths/throats. The men were randomly assigned to rinse and gargle for one minute with either Listerine or a salt solution.

After doing so, the amount of viable gonorrhea in the throat was 52 percent in the Listerine group and 84 percent among those who used the salt solution. Five minutes later, men in the Listerine group were 80 percent less likely to test positive for gonorrhea in the throat than those in the salt solution group.

The study was published online Dec. 20 in the journal Sexually Transmitted Diseases.

The monitoring period after gargling was short, so it’s possible the effects of Listerine might be short-term, but the lab findings suggest otherwise, according to the researchers.

A larger study is underway to confirm these preliminary findings.

“If daily use of mouthwash was shown to reduce the duration of untreated infection and/or reduce the probability of acquisition of [gonorrhea], then this readily available, condom-less, and low-cost intervention may have very significant public health implications in the control of gonorrhea in [men who have sex with men],” Eric Chow and colleagues at the Melbourne Sexual Health Center wrote in the study. Chow is a research fellow at the center.

Gonorrhea, which is common in young adults, is spread by vaginal, oral or anal sex with an infected partner. It often has mild symptoms or none at all. If left untreated, it can cause problems with the prostate and testicles in men. In women, it can lead to pelvic inflammatory disease, which causes infertility and problems with pregnancy, according to the U.S. National Institutes of Health.

Complete Article HERE!

Is His Semen Normal?

All spunk is funky, but sometimes it is *too* funky.

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Very many things about the male human body are a mystery. Penises, hy? Those tiny nipples, what!? But dip beneath the hairy surface of a man’s skin, and even more mysteries await, hiding away in his male depths.

While usually contained, safe and sound inside of the body, semen is a fluid most people eventually come into contact with, but also do not know very much about. If it weren’t for Samantha Jones calling attention to the phenomenon of funky spunk in the “Easy Come, Easy Go” episode of Sex and the City in 2000, women the world over may have lived in quiet misery, forever perplexed by the unpleasantness of the male sex fluid.

To help educate the masses on the contents, and, yes, healthy range of funkiness in semen, Cosmopolitan.com spoke with a urology specialist and sexual health counselor about all things semen.

How semen should look

Aleece Fosnight, a urology physician’s assistant and sex counselor with AASECT, explained that healthy semen should be a milky white or slightly grayish color. “Right after ejaculation, it’s pretty thick,” Fosnight said. “And 25-30 minutes later, it becomes clear and runny.” The change in fluidity is to help aid in reproduction, and thin out the cervical mucous to aid in the implantation of a ~fertilized egg~.

How semen should (generally) smell and taste

Semen is a bodily fluid. Can you name any bodily fluids that smell like roses or taste like freshly baked cookies? No! There are none. So as a bodily fluid, you can expect semen to have a specific taste and odor that isn’t necessarily going to be lovely. Just to clear that right up.

The thing to note about semen is that it’s a vehicle for delivering sperm through a vagina. So everything in it is meant to aid in that process. Semen is mostly made up of sperm, proteins, fructose (to help energize the sperm for transport), and seminal fluid. Fosnight said the typical pH of semen is somewhere around 7-8, or slightly alkaline. The vagina, on the other hand, has a pH between 3-5, or slightly acidic, so the alkaline nature of semen helps keep the sperm alive in an acidic vaginal environment (are you having fun yet?).

Because of it’s slightly alkaline pH, Fosnight said healthy semen should have an “ammonia or bleach-like kind of a smell,” and will taste a bit sweet (because of the fructose) and salty — like the perfect trail mix, in drinkable liquid form, straight out of a penis!

Something Fosnight clarified was that semen left dormant for too long will start to develop a more concentrated taste or smell. Think of it like a stagnant body of water, collecting film and attracting flies. To keep semen from developing a stronger taste or odor — and also to promote prostate health — studies have found that ejaculating at least twice a week is beneficial to a man’s health.

That thing about food changing his taste is true

Remember when Samantha Jones makes the guy with the spunky funk choke down a series of wheatgrass shots in an attempt to improve his semen flavor profile? According to Fosnight, that wasn’t the smartest move.

Although there’s been very little research done on the subject, health care professionals often hear anecdotally from patients that certain foods can slightly affect the taste of semen. While Fosnight said it’s normal for fruits, which are high in sugar content, to change the taste of a person’s semen, vegetables generally don’t have much of an effect.

“Smoking can change the taste,” Fosnight added. “It will have more of a bitter taste to it with smoking and with alcohol.” So, no one’s saying you should avoid ingesting a mouthful of piping hot semen after your partner’s spent the night having too many drinks and then *whoops!* accidentally chain-smoking outside of the bar, but know that semen might taste especially bitter and, ahem, spunky after such an occasion.

When the spunkiness is trying to tell you something

Though there aren’t very many health issues that can be spotted based on a person’s semen, there are a few things to look out for. “A lot of times guys won’t notice it, so partners report if there’s something wrong,” Fosnight said. She also added that at her practice, they call this “when semen goes bad.”

The things to look out for are changes in color. “The biggest thing is if it has a yellow or green appearance to it,” Fosnight said. “Like a prominent yellow or opaque consistency.” An opaque yellow or green color is typically a sign of an STI — usually gonorrhea. A guy whose semen has changed colors like this should definitely see a doctor, and avoid sex until any sort of infection is either ruled out or treated.

It doesn’t happen all too often — Fosnight estimated maybe once in a lifetime for most men — but a busted blood vessel in the prostate (which is responsible for carrying semen out of the body) can cause the semen to have a red or brownish color. If that color normalizes within a few days, there’s nothing really to worry about. But as with any health concern, a persistent discoloration should result in a doctor’s appointment.

While not super common, blood in the semen is often indicative of a prostate injury, explained Fosnight. These can be caused by using anal toys or putting pressure on the prostate, and if the bleeding subsides and doesn’t come with any other symptoms like high blood pressure, things are fine.

As long as a man is doing his due diligence by having regular STI tests, regular prostate exams when he turns 40, and just FORCING himself to ejaculate a couple times a week, semen should be pretty healthy. It may never taste like frozen yogurt, but at least it will be healthy.

Complete Article HERE!

Sexual pain after cancer treatment an unspoken affliction for many women, UC Davis oncologist says

Sexual pain is a common, but unspoken, aftermath of women’s cancer treatment. Doctors can be reluctant and patients too embarrassed to discuss it.

But it’s an all-too-real aspect of cancer treatment for women, according to Dr. Vanessa Kennedy, a gynecological oncologist for the UC Davis Health System.

Dr. Vanessa Kennedy, assistant professor in gynecological oncology, UC Davis Health System, Sacramento.

Dr. Vanessa Kennedy, assistant professor in gynecological oncology, UC Davis Health System, Sacramento.

“Some patients are two to three years out of treatment and they’re dealing with sexual pain and no one’s talked about it. Patients hesitate to bring it up because it’s a sensitive issue,” said Kennedy, who recently discussed the problem in the journal Obstetrics & Gynecology. Her co-author, Dr. Deborah Coady of New York University Langone Medical Center in New York, is author of the book, “Healing Painful Sex: A Woman’s Guide to Confronting, Diagnosing and Treating Sexual Pain.”

Kennedy estimates that about 50 percent of female patients with cancer – of any type – experience some form of sexual pain, due to physical changes caused by surgery, chemotherapy and radiation. It can range from vaginal dryness caused by early menopause to anatomical changes that can make sex uncomfortable.

Some women feel guilty they’re even concerned about their sex lives, given what they’ve been through battling cancer. “There’s some guilt that they should just feel lucky to be alive and shouldn’t ask about these other things,” she said. But when sexual health is addressed, “They’re actually relieved to know they’re not alone.”

Twice a month on Fridays, Kennedy holds a regular clinic, seeing UC Davis patients who’ve been referred for post-cancer problems with sex. She works with patients on a number of interventions, including physical therapy, lubricants (even coconut or olive oil), vaginal dilators and couples counseling to re-establish intimacy.

Kennedy said doctors and medical students need to learn to be comfortable broaching the topic. “A lot of students and providers are still a little bit nervous asking about sex,” she said. “How do you get comfortable talking about these things? You just do it. It’s just like asking a patient about changes in appetite or changes in sleep. Sex is another thing (on the list). Get over it and ask about it.”

There’s a difference in how men and women cancer patients deal with sexual health, Kennedy contends. For men who’ve undergone prostate cancer treatment, there’s an emphasis on restoring their sexual function. For women, there’s often physical pain and a loss of intimacy, along with the added fear by some that their partners view them as less desirable. In some cases, where sex has become nonexistent, patients confide that their partners have threatened to leave or cheat on them.

Kennedy, who did fellowship training at the University of Chicago, which has a sexual health program for women cancer patients, says research on women’s sexual health issues is lagging, compared with that for men with prostate cancer. Next April, she’s hosting a national gathering of the Scientific Network on Female Sexual Health and Cancer, which promotes research and information for women patients and their providers.

“Sex is a quality-of-life issue and a core of our well-being,” Kennedy concludes. “We have to bring back the intimacy and make this a part of the body that’s associated with pleasure, rather than an uncomfortable, negative place.”

Complete Article HERE!