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Gettin’ and Stayin’ Clean

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Name: Augustt
Gender: Male
Age: 52
Location: San Francisco
Hey Doc,
I have been clean from meth for just over 6 years but was a hard-core user (injecting) from 1995 until March of 2002. Since then I have no sex drive and low self-confidence since my usage brought me to having Tardive Dyskinesia. What can I do to bring back my sex drive?

Yep, seven years of slammin’ crystal will seriously fuck ya up, no doubt about it. I heartily commend you on gettin’ and stayin’ clean. CONGRATULATIONS! I know for certain that ain’t easy.

You are right to say that the residual effects of years of meth use can devastate a person’s sexual response cycle. Perhaps that’s one of the reasons people take as long as they do to rid themselves of this poison. While they are using, they are oblivious to the effects meth is having on their sexual expression.

Before we go any further, we’d better define Tardive dyskinesia for our audience. It is a condition characterized by repetitive, involuntary, movements. It’s like having a tic, but much worse. It can include grimacing, rapid eye blinking, rapid arm and leg movements. In other words, people with this condition have difficulty staying still. These symptoms may also induce a pronounced psychological anxiety that can be worse than the uncontrollable jerky movements.

That being said, there is hope for you, Augustt. Regaining a sense of sexual-self post addiction is an arduous, but rewarding task. With your self-confidence in the toilet and zero libido, I suggest that you connect with others in recovery. They will probably be a whole lot more sympathetic to your travail than others.

Try connecting with people on a sensual level as opposed to a sexual level. I am a firm believer in massage and bodywork for this. If needs be, take a class or workshop in massage. Look for the Body Electric School Of Massage. They have load of options. He has created over 100 sex education films, most of which are available at his online schools: www.eroticmassage.com and www.orgasmicyoga.com.

You will be impressed with the good you’ll be able to do for others in recovery as well as yourself. Therapeutic touch — and in my book that also includes sensual touch — soothes so much more than the jangled nerves ravaged by drug and alcohol abuse. It gives the one doing the touch a renewed sense of him/herself a pleasure giver. The person receiving the touch will begin to reawaken sensory perceptions once thought lost.

I encourage you to push beyond the isolation I know you are feeling. Purposeful touching, like massage and bodywork will also, in time help take the edge off your Tardive dyskinesia. I know this can happen. I’ve seen it happen. Augustt, make it happen!

Good luck.

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What’s Love Got to Do With It?

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Study: Sex Ed Should Include Advice About Relationships, Consent

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Most parents aren’t great at educating their kids about the birds and the bees. But children are also missing out on general relationship advice, according to a new study. Researchers found that 75 percent of kids surveyed wish their parents had taught them how to manage the emotional aspects of their relationships, rather than just informing them about sex. The findings suggest that parents are largely doing “the talk” wrong—and that we need to focus less on how youth should manage casual sexual relationships, and more on how they should foster healthy, romantic ones.

We tend to assume that our kids “are going to learn to love naturally, or that they will magically or organically figure this out,” coauthor Richard Weissbourd of Harvard University told Quartz. “There’s a lot of evidence that’s not the case.”

Parents, as well as schools, tend to approach sex education with a heightened focus on hook-up culture. But the data indicate that the notion of a pervasive, high school hook-up culture is mostly a myth. When students were asked about their ideal Friday nights, only 16 percent of those surveyed indicated interest in casual sex. The rest felt their weekends would be better spent with significant others, with friends, or alone. That’s not to say solid sex education isn’t essential. But the study suggests focusing on the sexual sides of relationships isn’t serving the needs of the average kid.

Our overemphasis on sex rather than romance can also lead to a number of problems for kids as they mature, including high divorce rates, unhappy marriages, and even domestic abuse. Despite statistics suggesting misogyny and sexual harassment are as prevalent as ever, the study found that more than 60 percent of kids never have a conversation with their parents about consent, or even about the “importance of not pressuring someone to have sex with you.” Shockingly, two thirds of the kids also told researchers they felt media reports of sexual harassment were “overhyped”.

Parents need to have more detailed, meaningful conversations with their kids about the differences between healthy and unhealthy relationships, the authors conclude. And we desperately need to revamp our approach to sex ed, so it addresses the issues kids are actually facing. Because while we now thoroughly address a hook-up culture that barely exists and arm our kids with condoms, it seems we’ve forgotten to teach them how to navigate relationships, obtain consent, and be safe, supportive partners. Unfortunately, that’s something they’re unlikely to figure out on their own.

Complete Article HERE!

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Why Aftercare Is The BDSM Practice That Everyone Should Be Doing

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By Sophie Saint Thomas

If you’re unfamiliar with the BDSM scene, you might think it’s all whips, handcuffs, and pleasurable pain, but there’s one important element that BDSM practitioners have built into their sex lives to make sure that everyone involved feels safe and cared for after play time is over: a practice known as aftercare. And whether you’re into BDSM or have more vanilla tastes, aftercare is something everyone should be doing.

In the BDSM world, aftercare refers to the time and attention given to partners after an intense sexual experience. While these encounters (or “scenes,” as they’re called) are pre-negotiated and involve consent and safe words (in case anyone’s uncomfortable in the moment), that doesn’t mean that people can forget about being considerate and communicative after it’s all over. According to Galen Fous, a kink-positive sex therapist and fetish sex educator, aftercare looks different for everyone, since sexual preferences are so vast. But, in its most basic form, aftercare means communicating and taking care of one another after sex to ensure that all parties are 100% comfortable with what went down. That can include everything from tending to any wounds the submissive partner got during the scene, to taking a moment to be still and relish the experience, Fous says.

Specifically, with regards to BDSM, the ‘sub-drop’ is what we are hoping to cushion [during aftercare],” says Amanda Luterman, a kink-friendly psychotherapist. A “sub-drop” refers to the sadness a submissive partner may feel once endorphins crash and adrenaline floods their body after a powerful scene (though dominant partners can also experience drops, Fous says).

Of course, you don’t have to be hog-tied and whipped to feel sad after sex. One 2015 study found that nearly 46% of the 230 women surveyed felt feelings of tearfulness and anxiety after sex — which is known as “postcoital dysphoria” — at least once in their lives (and around 5% had experienced these feelings a few times in the four weeks leading up to the study). Experts have speculated that this may stem from the hormonal changes people (particularly those with vaginas) experience after orgasm, but many also say that it can come from feeling neglected. The so-called “orgasm gap” suggests that straight women, in particular, may feel that their needs in bed are ignored. And Luterman says that people in general can also feel lousy post-sex if they’re not communicating about what they liked and didn’t like about the experience.

Clearly, taking the time to be affectionate and talk more after sex — a.k.a. aftercare — can make sex better for everyone, not just those who own multiple pairs of handcuffs. So what does that mean for you? It depends on the kind of sex you’re having, and who you’re having it with.

Taking the time to be affectionate and talk more after sex — a.k.a. aftercare — can make sex better for everyone, not just those who own multiple pairs of handcuffs.

Like we said, there are lots of guidelines for BDSM aftercare, specifically. If you’re having casual sex, aftercare can mean simply letting your guard down and discussing the experience, something that can be scary to do during a one-night stand. It’s definitely dependent on the situation, but Luterman says that you can just express that you had a good time and see if they’re interested in seeing you again (if those are thoughts you’re actually having). “People want to be reminded that they still are worthwhile, even after they’ve been sexually gratifying to the person,” Luterman says. If your experience didn’t go well, it’s important to voice that, too.

And those in long-term relationships are certainly not exempt from aftercare, Luterman says. It’s something couples should continue to do, especially after trying something new (such as anal sex), she says. Did the sex hurt? Do they want to do it again? What did they like and not like about it? You can’t know what your partner is thinking unless you ask them. Plus, it can be easy for long-term partners to feel taken for granted, so making sure to cuddle, stroke each other’s hair, and savor the moment after sex can make even the most routine sex feel special.

One thing we should all keep in mind? It can also be helpful to continue these conversations when everyone’s vertical (and clothed) and any post-orgasm high has faded.

At the end of the day, aftercare is just a fancy term for making sure everyone’s happy once the sex is over. And while communication needs to be happening before and during sex as well, having these discussions afterwards comes with an added bonus: You can learn from the experience so that the sex is even hotter the next time.

Complete Article HERE!

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Married LGBT older adults are healthier, happier than singles, study finds

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Same-sex marriage has been the law of the land for nearly two years — and in some states for even longer — but researchers can already detect positive health outcomes among couples who have tied the knot, a University of Washington study finds.

For years, studies have linked marriage with happiness among heterosexual couples. But a study from the UW School of Social Work is among the first to explore the potential benefits of marriage among LGBT couples. It is part of a national, groundbreaking longitudinal study with a representative sample of LGBT older adults, known as “Aging with Pride: National Health, Aging, Sexuality/Gender Study,” which focuses on how historical, environmental, psychological, behavioral, social and biological factors are associated with health, aging and quality of life.

UW researchers found that LGBT study participants who were married reported better physical and mental health, more social support and greater financial resources than those who were single. The findings were published in a February special supplement of The Gerontologist.

“In the nearly 50 years since Stonewall, same-sex marriage went from being a pipe dream to a legal quagmire to reality — and it may be one of the most profound changes to social policy in recent history,” said lead author Jayn Goldsen, research study supervisor in the UW School of Social Work.

Some 2.7 million adults ages 50 and older identify as lesbian, gay, bisexual or transgender — a number that is expected to nearly double by 2060.

Among LGBT people, marriage increased noticeably after a 2015 U.S. Supreme Court ruling legalized same-sex marriage nationwide. A 2016 Gallup Poll found that 49 percent of cohabiting gay couples were married, up from 38 percent before the ruling.

For the UW study, more than 1,800 LGBT people, ages 50 and older, were surveyed in 2014 in locations where gay marriage was already legal (32 states and Washington, D.C.). About one-fourth were married, another fourth were in a committed relationship, and half were single. Married respondents had spent an average of 23 years together, while those in a committed, unmarried relationship had spent an average of 16 years. Among the study participants, more women were married than men, and of the respondents who were married, most identified as non-Hispanic white.

Researchers found that, in general, participants in a relationship, whether married or in a long-term partnership, showed better health outcomes than those who were single. But those who were married fared even better, both socially and financially, than couples in unmarried, long-term partnerships. Single LGBT adults were more likely to have a disability; to report lower physical, psychological, social and environmental quality of life; and to have experienced the death of a partner, especially among men. The legalization of gay marriage at the federal level opens up access to many benefits, such as tax exemptions and Social Security survivor benefits that married, straight couples have long enjoyed. But that does not mean every LGBT couple was immediately ready to take that step.

According to Goldsen, marriage, for many older LGBT people, can be something of a conundrum — even a non-starter. LGBT seniors came of age at a time when laws and social exclusion kept many in the closet. Today’s unmarried couples may have made their own legal arrangements and feel that they don’t need the extra step of marriage — or they don’t want to participate in a traditionally heterosexual institution.

Goldsen also pointed to trends in heterosexual marriage: Fewer people are getting married, and those who do, do so later.

“More older people are living together and thinking outside the box. This was already happening within the LGBT community — couples were living together, but civil marriage wasn’t part of the story,” she said.

The different attitudes among older LGBT people toward marriage is something service providers, whether doctors, attorneys or tax professionals, should be aware of, Goldsen said. Telling a couple they should get married now simply because they can misses the individual nature of the choice.

“Service providers need to understand the historical context of this population,” she said. “Marriage isn’t for everyone. It is up to each person, and there are legal, financial and potentially societal ramifications.” For example, among the women in the study, those who were married were more likely to report experiencing bias in the larger community.

At the same time, Goldsen said, single LGBT older adults do not benefit from the marriage ruling, and other safeguards, such as anti-discrimination laws in employment, housing and public accommodations, are still lacking at the federal level.

Over time, Goldsen and colleagues will continue to examine the influence of same-sex marriage policy on partnership status and health.

The study was funded by the National Institutes of Health and the National Institute on Aging. Other researchers were Karen Fredriksen-Goldsen, Amanda Bryan, Hyun-Jun Kim and Sarah Jen in the UW School of Social Work; and Anna Muraco of Loyola Marymount University.

Complete Article HERE!

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Undoing the STIgma: Normalizing the discourse surrounding STIs

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April is STD/STI Awareness Month.

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Let’s talk about sex. It’s fun, it’s natural.

Now, considering that April is STD/STI Awareness Month, let’s take it one step further and talk about sexually transmitted diseases and infections, or STDs/STIs.

They’re not so fun and not “natural,” per se, but they can and do happen to many people. In fact, according to the American Sexual Health Association, or ASHA, “one in two sexually active persons will contract an STD/STI by age 25” and “more than half of all people will have an STD/STI at some point in their lifetime.”

Yet for the most part, society hasn’t entirely accepted the reality of STIs. Instead, mainstream conversations about STIs rely on seeing them as punchline. This quote from “The Hangover” is a good example: “Remember what happens in Vegas stays in Vegas. Except for herpes. That shit’ll come back with you.”

If STIs aren’t portrayed as comical, then they’re seen as shameful.

“Some people believe that having an STI is horrible and people who have them are bad,” explained John Baldwin, UC Santa Barbara sociology professor and co-author of “Discovering Human Sexuality.”

In other words, there is a stigma associated with STIs.

“It’s not a death sentence.”

– Reyna Perez

Reyna Perez, the clinic lead for UC Berkeley’s Sexual Health Education Program, or SHEP, defined STI stigma as “shame with oneself (about) having an STI or amongst other people.”

“(They think) they’re ‘dirty’ or (use similarly) negative terms,” Perez said.

She went on to explain that campus students often think contracting an STI is the end of their sex lives and lives in general. But this is not true.

“It’s not a death sentence,” Perez said. “Most of them are curable or at least treatable.”

Despite the prevalence of STIs, people don’t know much about them. This lack of understanding reinforces the misconceptions surrounding them.

To help resolve this issue of ignorance, Baldwin first shed light on the difference between STDs and STIs.

“STD is the common language that a lot of people use and (the Centers for Disease Control and Prevention, or the CDC) uses because it communicates with large numbers of people, but medical doctors sometimes like to use ‘STI,’ ” Baldwin explained.

According to Baldwin, the term “STI” is more inclusive because it also considers people who don’t have symptoms but are infected and could infect others.

It’s true: People can be asymptomatic and transmit STIs to their partners.

“Large numbers of Americans have HIV and no symptoms and have sex with lots of others and infect others,” Baldwin said.

Additionally, sexual intercourse isn’t the only method by which STIs can be transmitted, a fact that more people should be aware of. There are many ways in which STIs can be spread, but they often go unnoticed.

According to Perez, “(People) don’t realize how you can contract them and there’s a gap in knowledge.”

Perez said STIs can be transmitted through oral sex or, in rare instances, fingering, which many people are unaware of. She also pointed out that HIV can be spread through non-sexual bodily fluids such as blood and breastmilk.

STIs can also be transmitted by something as simple as skin contact — Elizabeth Wells, lead and co-facilitator of the Sex 101 DeCal, said genital warts and herpes can be spread this way.

Even when it comes to sexual intercourse, the way by which most people believe STIs are spread, people don’t always take preventative measures.

“It’s not like everyone is consistently using condoms or barrier methods,” Perez said.

Another notable fact is that some STIs aren’t even viewed as STIs at all. For instance, cold sores on the mouth region are a form of herpes.

“They don’t realize it until someone brings it up to them,” Perez said. “Once you attach the title of ‘STI,’ suddenly it becomes something to be ashamed of. But it shouldn’t be that way.”

When the facts are laid out like this, it becomes apparent that there’s no reason to make STIs something to feel ashamed about. Many people contract them at some point, and although there are preventative measures such as condoms and other barrier methods, there are many possible avenues through which people can get them.

“Shit happens,” Wells said. “Who are we as individuals and society and people who are sex positive to vilify people that made decisions in the heat of the moment, or it just happens (that) the condom breaks?”

Yet the stigma surrounding STIs persists, largely because of the long societal tradition of suppressing discussions surrounding sex as a whole.

Baldwin expressed his belief that the stigma stems from the Judeo-Christian tradition. Judeo-Christian culture has been a prominent force that has shaped society’s views for hundreds of years. It frowns upon sexual activity, and looking down on STIs — perceived to be spread through sexual means alone — is part and parcel of that general disapproval.

“Society doesn’t evolve very fast in terms of thinking that I think you still see that mindset permeating today,” Wells said. “(STI stigma) is rooted in this idea that we’re not going to be talking about sex.”

Delving even deeper into the issue of STI stigma shows that it is further problematic because it is linked to racism.

According to a 2015 report by the CDC, STIs are more prevalent among certain racial or ethnic minorities than they are among white people. Being part of a racial or ethnic minority group also entails a plethora of issues that make it generally more difficult to find and receive appropriate sexual health services.

“It’s largely an issue of access, and you’re seeing a lack of comprehensive sexual education in those areas,” Wells said.

To vilify someone for getting an STI when they don’t even have the resources to know how to prevent them is to vilify them for not having access to sexual health resources. It is to vilify them for structural inequalities in access to education — inequalities which they did not ask for and cannot control.

“Being part of a racial or ethnic minority group also entails a plethora of issues that make it generally more difficult to find and receive appropriate sexual health services.”

Not only is it problematic to treat STIs as a taboo subject when this attitude stems from sexually repressive and prejudiced notions, but STI stigma also is harmful because it inhibits people from seeking medical treatment.

“If someone has an STI, we shouldn’t stigmatize them,” Baldwin explained. “We should try to help them get the best medicine and treatment.”

STI stigma also causes “intense emotional distress,” according to Perez.

“It’s so difficult to start support groups at the Tang Center because there’s stigma,” Perez said.

Considering all these facts and issues, the obvious final question is, “How do we get rid of the stigma surrounding STIs?”

One key component is awareness.

Awareness that people with STIs can and do lead normal lives helps. Modern science has allowed for medication that can either cure or treat STIs.

“It’s a world changer,” Perez said.

When engaging in sexual activity during an outbreak, there is also world of possibilities.

“There are creative ways to have sex while having an outbreak,” Perez explained.

She expanded upon this statement to say that, for instance, partners could use strap-on dildos when the involved parties are having a herpes recurrence.

“I believe that we are moving away from the preceding era of ignorance and successfully moving to have more scientific knowledge of STIs and their treatment so that more people are, in fact, getting good care,” Baldwin said. “Our society is moving in the right direction.”

“The need for action if you are diagnosed with an STI is further reason to destigmatize STIs –– so people can recognize the symptoms and be unafraid to seek help.”

To promote awareness, according to Perez, the Tang Center and SHEP offer programs for people who are curious to find out more about STIs as well as for people who have already been diagnosed with an STI who desire health coaching and/or emotional and mental support.

Awareness includes being conscious of preventative measures.

“Just being aware of sexual health resources (is) also really important,” Wells said. “A lot of people don’t know about it because it’s not talked about, because sex isn’t talked about.”

Wells explained that, for instance, people can take pre-exposure prophylaxis, or PrEP, before having sex with someone who has HIV or AIDS. This will lower the chance that the partner without HIV/AIDS will also get the infection. Similarly, taking post-exposure prophylaxis, or PEP, after sex with someone who has HIV/AIDS will help prevent transmission of the disease.

Although STIs aren’t the end of the world, if left undiagnosed or untreated, they can become serious health risks. The need for action if you are diagnosed with an STI is further reason to destigmatize STIs –– so people can recognize the symptoms and be unafraid to seek help.

According to Wells, on the last Friday of every month, the Tang Center offers free STI tests that take approximately 20 minutes. She clarified that there is, however, a six-month period after the initial infection in which the tests might not detect its presence.

Another key factor to destigmatizing STIs is simply talking about them. To emphasize this point, Wells quoted a SHEP saying: “Communication is lubrication.”

In other words, people need to start talking about STIs so that it will become acceptable to talk about them as well as to prevent them.

“It shouldn’t be uncomfortable for people because the way I see it, it’s mutual respect within relationships,” Perez explained. “I’m respecting my partner and getting myself tested and taking preventative measures, and my partner should respect me back by also being open to talking about STIs and … getting tested and (taking) those preventative measures as well.”

The way in which the discussion around STIs is being framed is also something to consider. For instance, discerning between STDs and STIs is important. Likewise, it’s crucial not to define people by their STIs.

“We don’t even like to use the word ‘HIV-positive,’ ” Perez said. “We like to use the phrase ‘a person living with HIV’ because they’re a person first before their STI.”

Awareness and communication aimed at undoing the stigma around STIs are imperative for the sake of public health but also for the sake of true sex positivity.

Complete Article HERE!

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