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Female Sexual Dysfunction, Another Perspective

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Hey sex fans,

It appears that my posting of last week, Female Sexual Dysfunction Is A Fictional Disorder, caused quite a stir.  As you recall, I was answering a question from a woman who asked if FSD, or female sexual dysfunction is real or a fictitious “ailment” that is being promulgated to sell pharmaceuticals to unsuspecting women.  I replied; “I think that, for the most part, female sexual dysfunction, or FSD, is a fictional disorder. I also think pharmaceutical companies are trying to hit on a female version of Viagra to treat this imaginary disorder so they can make a bundle, just like they did with as the male version.”

Well, that didn’t sit well with some friends and colleagues. One among them, Dr. Serena McKenzie took the most exception. She sent me a little note: “Your blog on female sexual dysfunction being fictitious is – respectfully – fucking bullshit sir.” Ok then!

I invited Serena to make her case not only to me, but to all my readers. What follows is Serena in her own words.

Flibanserin, the first and only medication available for use in reproductive aged women with low libido, becomes commercially available this week after a rocky and controversial road that led to its FDA approval Aug. 18. The view on the medication whose brand name is Addyi (pronounced ADD-EE) ranges from a historical achievement in women’s health care to an epic failure of commercialized medical propaganda. Despite the lengthy debate that has surrounded flibanserin, what most people want to know is whether it will help their sex life or not now that it is here.

addyi


First Things First

While sexual concerns can be difficult to discuss for many women and their partners, it is important to acknowledge that sex and intimacy are some of the great extraordinary experiences of being human. When sex goes badly, which statistically it does for 43 percent of U.S. women, the consequences can devastate a relationship and personal health. One of the biggest applauds I have for the FDA is their statement of recognition that female sexual dysfunction is an unmet clinical need.

Sexuality Is Mind-Body But Not-Body?

Sexuality is usually complicated, and problems with sex such as loss of libido are multifactorial for most women. Antagonists to flibanserin cite psychosocial contributions such as relationship discord, body image, or history of sexual abuse to be the most pinnacle causes of a woman who may complain of problematic lack of sexual desire, and that sex is always a mind-body phenomenon. While these factors often implicitly correlate to loss of sexual interest for a woman, they don’t always, and you cannot advocate that women’s sexuality is all inclusive of her mind, body, and spirit — and assert simultaneously that a biochemical contribution which flibanserin is designed to address in the brain to improve satisfying sexual experiences does not exist.

(c) Myles Murphy; Supplied by The Public Catalogue Foundation

(c) Myles Murphy; Supplied by The Public Catalogue Foundation

The Biochemistry of Sex

Antidepressant medications that alter brain biochemistry are notorious for having sexual side effects which can be prevalent up to 92 percent of the time, and are known to decrease sexual interest, disrupt arousal, and truncate orgasm in some women. Ironically, flibanserin was originally studied as an antidepressant, and while the exact mechanism of how a medication can impair or improve sexual interest is unknown, it should not be difficult to consider that if biochemical tinkering can crush sexual function, it may also be capable of improving it.

Efficacy Data Dance

Flibanserin is a pill taken once nightly, and has been critiqued as showing only modest increases in sexual desire, with improvements in sexually satisfying events rising 0.4 to 1 per month compared with placebo. However just because flibanserin has lackluster efficacy data, that does not mean it is ineffective, and even small improvements in sexual function can be life altering for a woman struggling with disabling intimate problems. If only 1 percent of women with low libido were to improve their sexual function with use of flibanserin, that equates to 160,000 women, or the population of Tempe, Arizona.

Blue Sky Side Effects

Flibanserin has side effects, and the sky is blue. All medications have pro and con profiles, and for flibanserin the most common consequences of use include fatigue, dizziness, sleepiness, and a rare but precipitous drop in blood pressure. Women may not drink alcohol while taking this medication. Providers who will prescribe it and pharmacies that will dispense flibanserin must be approved through what is called a Risk Evaluation and Management Strategy, or REMS, which means they are educated on advising women on how to take flibanserin safely. While a REMS program is arguably overkill compared to numerous higher risk, common prescriptions which do not require a REMS, it is an excellent opportunity for clinicians who have a background in sexuality to be the main applicants since they are far more qualified to assess proper candidates for treatment as well as continue to endorse holistic measures alongside flibanserin. Women who are interested in trying flibanserin should only obtain it from sexuality trained professionals.

The Proof Is In The Sexy Pudding

If flibanserin is worthless, the marketplace will bury it in a shallow grave quickly. Women will stop paying for it, and conscientious medical providers will stop prescribing it. Yet 8,500 women taking flibanserin were studied, over a 1,000 of them for one year, and the data suggests it will help some. Women deserve to be educated on their options, because sexual health is worth fighting for.

Changing The World, One Orgasm At A Time

We simply cannot overlook how astronomical of an achievement it is to even have a mediocre medication approved for female sexual dysfunction. Women’s sexuality has been ignored by medicine for most of history. At least now we have something to fight over.

The controversy about flibanserin is in fact magnificent, and frankly, the entire point. We must talk openly about sexuality and sexual concerns to improve them, personally for one woman at a time, but also uniformly to embrace female sexuality as a vastly larger societal allowance.

A satisfying sexual life is far more than the restoration of sexual dysfunction, it’s a thriving, multi dimensional, ever evolving weave of psychology, relationships, life circumstances, and yes can include a milieu of biochemistry and neurotransmitter pools.

Is a pill ever going to replace the vastly complicated arenas that fuse into our sexual experience? Of course not — it’s absurd and lazy-minded for anyone to suggest that is even being proposed. But it is necessary and inherently responsible to allow for all possible puzzle pieces to be utilized through the ever evolving navigation of sensuality, intimacy, and erotic fulfillment.

So will flibanserin make your sex life better? Maybe. But considering the conversation about it valuable as well as its use as merely one tool among many options to improve sex and intimacy would be the better bet. Ultimately, we “desire” sex that is meaningful, erotic, and dynamic. The journey of seeking sexual vitality deserves every key, crowbar, heathen kick, graceful acrobatics, or little pink pill that lends its part to the process, no matter how small or big, for the opportunity to discover and embrace a sexual aliveness.

Holistic physician, certified sexual medicine specialist, sex counselor, medical director of the Northwest Institute for Healthy Sexuality

Weed Lube Is Not Lube

But It Apparently Works Magic on Vaginas

Sensual cannabis

Sensual cannabis oil magnifies sensitivity and sensation.

People are freaking out over weed lube. Rightly so, I guess, because it’s apparently magical. But while weed lube is lubricating, it isn’t lube, per se. As in, its main use is not to facilitate intercourse.

Lena Davidson, the marketing manager for botanicaSEATTLE—the company behind BOND Sensual Oil—told me that what most people would call weed lube is really more of a massage oil. Like other cannabis topicals and unlike a traditional lube, it takes 20 to 40 minutes to work and is a self-contained experience that can be enhanced by sex. Being oil-based, it is also not latex safe. People call it weed lube, she says, because we’re basically all teenage boys and we can’t talk about weed or sex without snickering.

As much fun as it is to giggle about getting one’s “pussy stoned” (as Vice did), weed lube is serious business. Sensual cannabis oil, as it is more accurately called, has all sorts of awesome ramifications for sexual equity. Davidson pointed out that while there are more than 26 products approved by the FDA to treat sexual dysfunction in men, there is only one approved for women, and it is the subject of much controversy. Sensual cannabis oil is a long way off from FDA approval, but judging from testimonials thus far, it seems to be doing consistently what that one drug does inconsistently: increasing female sexual pleasure. Women who have used BOND reported “ethereal, long-lasting, and out of this world” sexual experiences, and the ability to rapidly “peak… and then do it again quite quickly,” according to testimonials on BOND’s website. Multiple orgasms are apparently common.

Cannabis-LubeHow does it work? Davidson writes: “THC is absorbed through the mucous membranes that are in high concentrations in a woman’s vagina. Once applied and absorbed, THC acts locally on the cannabinoid receptors, much like an edible. Functionally, the THC dilates the capillaries and increases blood flow in the smallest blood vessels in our body—this enhanced microcirculation magnifies sensitivity and sensation.” (She also mentioned that this same capillary reaction is what causes stoney red eyes.) The experience is not like the head high one gets from smoking or eating weed, but rather a localized sensation of pleasure, users report.

It’s also important to note that, at least here in Washington, sensual cannabis oil is safe. Davidson cautioned that not all weed lube is created equal, but BOND and Ethos Extracts‘ Temptress are made in a WSDA-approved kitchen with food-grade organic coconut oil and ultra-pure cannabis extracts. Coconut oil, though unfriendly to latex, is ideal for internal use because of its natural pH-balancing and antimicrobial qualities.

While the potential to help women with issues such as vaginismus (vaginal pain) and low libido is great in its own right, perhaps the most exciting thing about sensual cannabis oil is that it is a decidedly non-heteronormative phenomenon. What I mean by that is it takes the focus off of the penis as the center of sexual pleasure, where it has been for far too long.

My good friend Kat, a big proponent of sensual cannabis oil and the source of much of my education on feminism, put it thusly: “It’s unfortunately common during heteronormative sex that women feel like their partner’s ejaculative experience is the focal point. I’m usually acutely aware of the other person’s level of satisfaction, which takes me away from my own body. With the weed lube, I’m like, ‘Fuck yeah, I’m getting it and it feels fucking amazing.’ I’m actually relaxed and stimulated enough to invest in my own delectation.”Cannabis

And though much has been made of sensual cannabis oil not working for men, that’s not entirely true. It doesn’t work well for selfish straight men who are only interested in receiving blowjobs and having vaginal intercourse (because the penis does not absorb the cannabis oil in the same way that the vagina does). It does, however, work really well for men (and women) who are into anal play, as the absorption of THC through the back door is rapid. Used anally, sensual cannabis oil does not offer the same direct enhancement of physical sensation as it does to the vagina, but it does get you high as fuck, which enhances sex in its own right. Also, anyone willing to perform a little enthusiastic cunnilingus—as any self-respecting straight dude should be—will get a light edible-style buzz. Basically, anything that has not traditionally been part of the penis-obsessed, heteronormative sexual canon is made better with sensual cannabis oil. If that isn’t sweet sexual justice, I don’t know what is.

Speaking of sexual justice, sensual cannabis oil also works well for older women—another segment of the population whose sexual lives are often not valued in the heteronormative conversation. Women’s bodies produce less lubrication during and after menopause, and older women can also suffer from decreased libido and other sexual difficulties—problems that sensual cannabis oil can help with. Edward Lafferty, Ethos’s CEO, said that women older than 45 and gay men make up the bulk of his business for the Temptress oil. During product testing of BOND, “nearly every woman had a ‘Eureka!’ moment,” said Davidson. And “for women who had felt estranged from their innate sexuality by age or physical conditions, it instigated a wave of natural physiological desire.”

Davidson worries that those who might benefit most from sensual cannabis oil will not do so because of the continued cultural awkwardness around weed, sex, and weedy sex. She pointed out that women are statistically less likely to try cannabis products in general, let alone walk into a weed store and ask a scruffy dude about something as personal as their sexual health. What’s more, sensual cannabis oil is still perceived as a sex-shop novelty—something for young party people to rub on one another after the rave, not something that can help women have more sexually fulfilling lives.

But, as Lafferty put it, “The people who use it need it. It’s important. We can be squeamish, but it works.” So let’s get one thing straight: Weed lube isn’t lube, and it’s also not a novelty. According to many of those who’ve tried it, it’s a godsend. recommended

Complete Article HERE!

Twozies beats onezies, but nothing beats threes!

Name: Rebecca
Gender: Female
Age: 24
Location: Cincinnati
Last year I had a sexual relationship with a guy I met through work. We kept it light and had some fun. He has since relocated to another city, but we keep in touch and hook up whenever he’s in town. The last time he was here he asked if I would ever consider a threesome with him and one of his male friends. I told him I might consider it if I knew the other guy. As it turns out, the other guy and I went to the same college. I know, small world, huh? The idea of having a 3-way with these two guys is totally hot; I’m attracted to both of them. Even though this would be a first for me, I would like to give it a try. I guess my question is what should I look for in this kind of situation?

What should you look for in this kind of situation? Why, look for double the fun, you little vixen you!Vintage Two Men One Woman

You sound like you’re a pretty savvy chick when it comes to sex, Rebecca. I suspect you’ve been around the block a time or two. Good for you! You also seem to know what you want and how to go about getting that, kudos to you on that.

Trying new things can be really fun especially when your playing with people you like and are turned on to. I’d suggest you keep the event light and breezy. Too many people try to script a 3-way to within an inch of its life. And that can fuck up the whole damn thing. At the same time, just hooking up for quick shag can be a little too impersonal when it comes to 3-ways.

Luckily, there’s another way. I suggest the three of you start your encounter by getting a bite to eat together. A little food and a few cocktails can be a great start to the adventure. No doubt all three of you will be a little nervous, so make this part of the outing light, sexy and flirtatious. Practice your seduction skills on each of the guys. You will soon discover the sexual hierarchy…and there always is one in these kinds of encounters.

one-woman-two-men-3If there are to be any ground rules for this sexcapade, this is the time to mention them. The more you discover about the guys in this non-sexual environment the more prepared you will be for how the rest of the evening will play itself out. If I were you, I’d want to get a sense of how experienced the two guys are at having a 3-way. Do you happen to know if the guys are bisexual? If they are, you can be assured that the 3-way dynamic will be fundamentally different than if they guys are not bi and only want to shower their hot monkey-love on you. Maybe you could ask about their sexual fantasies and share some of your own. Just remember, you are an equal partner in this ménage. I’d make sure that the fellas knew what turned you on. Fortunately, you have the advantage of having already played with the one guys, so that should make things easier.one-woman-two-men

I hope you write back and let me know how the encounter went. My interest, of course, is purely scientific, don’t ‘cha know. But I will want all the gory details. And a detailed photo essay would also be deeply appreciated. 😉

Good luck

5 Ways to Make his Cock go from LIMP to LIVELY

Erectile Dysfunction (ED) means your man can’t get it up or keep it up during sex. Many men suffer from this condition — approximately 30 million men to be exact. To explain what causes this, let’s review the basic anatomy of the penis and what happens during an erection.

erection

The penis has four main parts: glans (the head), corpus cavernosum and corpus spongiosum (the shaft), and the urethra (the hole that you urinate or ejaculate from). When a man is aroused from sexual thoughts or direct stimulation, nerves and hormones work to cause the muscles in the penis to relax and the corpus cavernosum and spongiosum will fill with blood causing the shaft to get hard — an erection. Another set of muscles cuts off the blood supply when the penis is erect to maintain its hardness. Once he orgasms, the blood will drain and the penis softens.

So what causes erectile dysfunction? There’s more than one answer. Taking prescribed medications to control blood pressure, allergies, anxiety, depression, peptic ulcer disease and or your appetite can lead to ED as can aging, and being depressed. Chronic illnesses such as diabetes, high blood pressure, or high cholesterol which can lead to poor blood flow to the penis can cause a penis to be limp. Drinking too much alcohol, smoking cigarettes, doing illegal drugs, even being too tired, having relationship problems, being stressed out about work or being anxious can cause this problem.

Any type of damage to the penis, nerves, and arteries that help maintain his erection can also lead to ED. The good news is that ED can be treatable. Just talk to your doc — an urologist. They will do a history and physical and order lab tests. If embarrassment has caused you to turn to the Internet for treatment options, be warned that this can be dangerous. You just don’t know what is in the medications that you get from many online sites. Before you turn to medications or even surgery to fix this problem, let’s discuss some ways to cope with a man who can’t get or maintain an erection NATURALLY.

  1. Make him do more Cardio exercises. He needs only 30 minutes a day. This will boost his testosterone. He may also lose weight, which can help the testosterone to work better. Testosterone is one of those important hormones that work to get an erection. Exercising also reduces stress and increases blood flow — all factors that can help! Read all about sex hormones HERE!
  2. Cook for him. There are nitrates in leafy greens, lycopene in tomatoes, and zinc in oysters. These essential nutrients will help keep his penis erect. Diet is so important. Read all about sex and food HERE!
  3. Have more FOREPLAY with him. Try oral sex. And remember, oral doesn’t just mean the penis. Play with his nipples or the back of his neck. KISS him more. Add sex toys in the bedroom BUT make sure they are smaller than his penis. Read all about foreplay HERE!
  4. Purchase a vacuum penis pump. This fun device will draw blood into the penis to help get it erect. If you have an increased risk of bleeding, have sickle cell anemia, or other blood disorders, this is NOT for you. And be careful — if not used correctly, this can cause bruising. Read all about penis pumps HERE!
  5.   Try using a cock ring. Once you get the penis erect, this sex toy will keep it that way.  Read all about cock rings HERE!

You should also make sure your man gets his diabetes, cholesterol, and/or high blood pressure under control. Quit smoking. Make sure he doesn’t drink alcohol or do hard drugs. Find ways to reduce his stress and anxiety. Make sure he is getting enough sleep. Get help if you are suffering from depression. Ladies (and guys) try not to be discouraging. You both will overcome this.

Good luck

Mistress Matisse is Doing the Lord’s Work on Behalf of Sex Workers

By Noah Berlatsky

Mistress Matisse

At the end of July, Neal Falls booked an appointment with a sex worker named Heather in West Virginia. He planned to kill her, as police believe he may have murdered as many as nine other sex workers in Ohio, Illinois and Nevada. But with Heather he failed. But with Heather, finally, he failed. When he attacked her, she fought back, got his gun and killed him.

Falls’ death was national news but, as such things do, it soon faded out of the headlines. Heather, though, was still bruised and traumatized, unable to work and in difficult financial straits.

Luckily, not everyone forgot about Heather. Mistress Matisse, a writer and dominatrix in Seattle, heard about Heather’s experience and was determined to help. Through other sex workers she tracked Heather down, called her and booked a flight to West Virginia. She showed up at Heather’s door and hasn’t really left. She’s organized fund-raising, lined up medical assistance and connected Heather with nonprofit help.

This isn’t a new role for Matisse. She’s worked as a sex worker in various capacities since she was 19. But as she’s gotten established in Seattle, she says, “I have gotten to the point in my career where it is in many ways self-sustaining.”

As a result, she’s had more time to devote to activism. Matisse was there to help Heather because she’s made it her business to help sex workers who are in crises.

I talked to Matisse about her activism, her work with Heather and why sex workers are the best ones to help sex workers.


Most of your activism is independent, rather than directly working with non-profits or sex worker organizations. Why is that?

I get a lot out of sex worker organizations as a participant. I couldn’t be who I am without the sex work community. At a certain point it became clear to me that I should do sex work activism the way I do business.

I play well with others, but I’m also an introvert, and I don’t do well in people’s systems. I do well in my own system.

As a dominatrix, my work is creative. Someone is going to walk in, and you have a very short time where you sit and talk to them and kind of go, ‘What is it that you want and that you need? And how can that fit into things that I do, or am willing to do, in a way that’s creative and sexy and fun?’ In like five minutes, OK we’re doing that thing. It’s a very quick assessment. Make a plan. Make it happen. And that’s a dynamic that I do well with, and I enjoy it.

So for me what happens a lot is that I hear or see that there’s a sex worker who’s in a crisis, and I just reach out to her and say, ‘What do you need? How can I help you?’ And there’s a connection with her, and then I begin to address her needs at an individual level.

Working with an organization, you’re committed to working at a certain pace. They’re writing policy changes they want, or they’re lobbying in a very directed way to an elected official. They are process-oriented things, and I really want people to do them. It’s just that I’m not good at doing them. It just feels like slogging through mud to me.

So you’re working directly with Heather now?

Heather’s a case that moves me. My heart’s always very involved. And that’s why I like working the way I do. It’s emotionally very rewarding for me. Some people get rewarded from having written a really great policy, but that’s not rewarding for me.

I saw Heather on the news and I immediately knew — every woman who works alone, like I do, that’s the worst fear, is that you open the door to a murderer. And every time you see a new client, that thought is in your mind. I mean, I’ve opened thousands of doors over my career, to thousands of men, and crossed my fingers and hoped to God that it wouldn’t be one of those guys.

I’ve never been harmed by a client, but there have been a few cases where I have been very frightened, and that fear that you feel when you think, ‘Oh my god, is this guy going to hurt me? Am I going to be one of those girls?’ You never forget how that feels. So when I read this story…

This guy had a list of names of who he’s going after next. So Heather saved all those women’s lives. And it’s only sheer luck that the guy decided to go to West Virginia instead of Seattle. As far as I’m concerned, Heather saved my life and the lives of all the people I know in sex work, just as surely as she saved her own and the women on that list. This guy had been at it for a while. He’s a professional. So this is very emotional for me and very personal for me, and I decided that I was going to take care of it and make sure that she got everything she needed.

I started to call people (in the sex worker community) on the East Coast asking, ‘Who knows this girl? Who knows who she is? Who has met her?’ After a couple of days of calling around we came up with her phone number, so I called her and said, ‘You don’t know me, but I saw what you did and I’m a sex worker, too, and I would like to help you.’

Is it important that sex workers be the ones to reach out to help sex workers in need?

Well, for Heather, she was having a problem because there were some people local to her who had started a fundraiser for her, they said, but they were being really weird and controlling about the money. They weren’t going to let her have it unless she fulfilled certain things that they thought they should do.

They wanted her to give interviews, when she was clearly in no shape to give interviews. She told me they had bought her this dress they wanted her to wear. They wanted her to look like a nice respectable girl. They wanted to rescue her in the way, ‘We’re going to change your life. We’re going to change who you are, and we’re going to save you from this life.’

The reason that sex workers are the best people to help other sex workers is that we do it from a place of respect for the individual, and we understand that someone has to consent to being helped, at every stage of the way.

Trying to force ‘solutions’ on us that aren’t solutions just makes our lives more difficult. And most of the time, when you get a non-SW trying to help a sex worker who’s in trouble, they focus on sex work BEING the problem.

If someone wants to stop doing sex work, then we want options made available to them. But even in that situation, it’s crucial that you not shame someone who’s done sex work to survive. Like calling them a victim, even if that’s not how they identify, and focusing on how awful it must have been, asking for horror stories instead of just saying, ‘OK, so what do you want to be doing, and how can we get you there?’

I approach helping someone like I approach the BDSM scene. There’s a person here who I think wants me to take control of the situation. But you have to get consent for that. So I can say to you that I see that you’re having some trouble here, if you allow me to, I can do anything I can to alleviate these problems. Do you give me your consent to do that? Yes. You have to get the consent, and you have to go on getting the consent throughout the process.

These people wanted to get money for Heather, that’s great, but she didn’t even know them before they started doing that. And they were talking about her on the news and stuff. And they were going to hold onto the money until she did all these things they wanted her to do. What you’re doing to her she’s not consenting to, so it’s not really help.

I can look at Heather’s house, and say, moving out of here should be your first priority because a terrible thing happened here, and she’s like, ‘No, it’s not my first priority. X is my first priority.’ So that’s what we’ll do.

Do you consider your activism —helping sex workers— to be feminist activism?

The concept of feminism is kind of like the concept of God. There’s all this doctrine and dogma and stuff. And then there’s what people do. And everyone’s version of God is a little different. I’m very much in favor of a lot of the stated goals of feminism, just as I’m in favor of many of the stated goals of religion, which is be kind to other people, don’t lie and murder. It’s those ten commandment style things that I think we’re all on board with.

But mainstream feminism rejects sex work as an acceptable choice. So for me being a sex worker and being a feminist is kind of like being an immigrant who votes Republican. Even if you happen to agree with the rest of the party platform, there’s the small issue that they want to kick you out of the country. So I don’t describe myself as an adherent to a political philosophy that wants to eliminate me.

What can people do to help Heather if they’d like to contribute?

We’ve put together a crowdfund specifically to cover medical expenses; people can contribute to that here.

Complete Article HERE!

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