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Doctors urged to advise patients about risks of abstinence-centric sex education

American Academy of Pediatricians’ new report is the clearest denouncement of the failures of not talking about STIs and pregnancy prevention

Across the US only 50% of high school students receive sex education that meets the recommendations of the federal Centers for Disease Control and Prevention.

Across the US only 50% of high school students receive sex education that meets the recommendations of the federal Centers for Disease Control and Prevention.

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The country’s largest organization of pediatricians entered fraught political territory on Monday, with a call for doctors to use their time with patients to combat the potential health consequences of abstinence-centric sex education.

In a new report, the American Academy of Pediatricians (AAP) issued its clearest denunciation yet of sex education programs that fail to offer comprehensive information on topics such as sexually transmitted infections (STIs) and pregnancy prevention.

“This is the mothership telling pediatricians that talking about sex is part of your charge to keep children and adolescents safe,” said Dr Cora Breuner, a professor and pediatrician at Seattle Children’s research hospital and the report’s lead author.

“These guidelines give pediatricians in communities where people might say, ‘We don’t want you talking to our kids about this stuff,’ permission to say, ‘No, I can talk about this, I should talk about this, I need to talk about this.’”

The report is broadly a call for pediatricians to help fill in the gaps left by the country’s patchwork sex education programs. It urges pediatricians to teach not only contraception and the benefits of delaying sexual activity, but to cover topics such as sexual consent, sexual orientation and gender identity with school-aged children who may not receive any information in the classroom and involve their parents.

But the authors single out abstinence-heavy education, which sometimes excludes information about contraceptives, as a key concern for doctors looking to help adolescent patients avoid sexually transmitted infections and unintended pregnancy. As a result, it is likely to fuel an already contentious debate.

Groups that have advocated for sex education to emphasize abstinence instantly found fault with the new guidelines.

“A health organization like the AAP should not be affirming a behavior that can compromise the health of youth,” said Valerie Huber, the president of Ascend, a group that promotes abstinence-centric sex education and advocates for federal funding. The group was formerly known as the formerly the National Abstinence Education Association.

“They recommend ‘responsible sex’ for young adolescents. Exactly what is responsible sexual activity for adolescents? … The science is clear that teens are healthier when they avoid all sexual activity.”

Moreover, Huber said, programs that “normalize teen sex” are unpopular with many parents.

“Most communities do not support the type of sex education they recommend,” she said.

Still, others embraced the report as bringing the AAP’s recommendations more in line with the reality.

“This is a fantastic move,” said Chitra Panjabi, the president of the Sexuality Information and Education Council of the United States (SIECUS), a research group that supports comprehensive sex education. “It’s really important that our medical providers are standing up and saying, hey, the youth in our communities are coming to us because they’re not getting the information they need. And so we need to step in.”

The US does not enforce national standards for sex education and schools in many states are not required to teach it. Across the country, SIECUS estimates, only 50% of high school students receive sex education that meets the recommendations of the federal Centers for Disease Control and Prevention. The other half of students receive anything from an incomplete sex education, to education that emphasizes abstinence, to abstinence-only education, with a focus on delaying sex until heterosexual marriage.

In February, Barack Obama proposed a budget for 2017 that eliminated the $10m the department of health and human services spends on abstinence-only programs every year. But funding continues to flow to those programs from other sources. Title V, an abstinence-only program, allocates $75m a year to abstinence-only programs, money that states match by 75%.

In the last quarter-century, programs emphasizing abstinence as the optimal way to avoid pregnancy and STIs have received more than $2bn in funding from the federal government. Comprehensive sex education, by contrast, has no dedicated federal funding stream.

“It’s a political climate where people don’t want to talk about these issues,” said Breuner. “But it makes our job so much harder when we cannot coordinate our efforts with the schools. It takes time away from the other safety issues we need to be discussing. Don’t smoke weed. Don’t text and drive.”

Recently, two major surveys of existing research on sex education concluded that there was no evidence or inconclusive evidence to show that abstinence-centric programs succeeded in delaying sexual activity. One of the surveys found that comprehensive sex education was actually more effective than abstinence education at delaying sexual activity in teens. (Ascend points to select studies which show the opposite.)

A long-term study found that teens receiving abstinence-only programs were less likely to use contraceptives or be screened for STIs, although rates of infections were not elevated.

The studies helped compel the AAP to issue its first major guidance on sex education since 2001.

“It’s important for pediatricians to have the backing to say, ‘Look, I can’t support telling this stuff to children,’” Breuner said. “I have to deal with the aftermath, which is a 15-year-old who’s pregnant, or a 16-year-old who has a sexually transmitted infection he’s going to have for the rest of his life.”

Breuner said a number of her patients have suffered consequences from abstinence-only education. Many of them are pregnant teenagers and girls who, in the absence of accurate information, came to believe in common myths about pregnancy prevention.

“They’ll say, ‘I thought you couldn’t get pregnant when you were having your period,’ or, ‘I thought it took two or three years after you get your period to be able get pregnant.’ It’s heartbreaking, because I know with education, this could have been prevented.”

Complete Article HERE!

I am slightly paranoid about being a clean bottom

Name: Carl
Gender: Male
Age: 45
Location: Seattle
I am a 45 year-old gay man who has not bottomed in over 15 years (which included a 10 year monogamous relationship). I am interested in doing bottoming again. However, I am worried about my cleanliness and smell. As a top, it never bothered me that much with my bottom partners, and it was rarely a problem. I never asked them if they prepared ahead of time.

I am slightly paranoid about being clean as a bottom. Should I use an enema, and if so, with what liquid? How does diet help? I am basically vegetarian, although will occasionally eat meat if it’s served to me (no pun intended). Obviously, this apprehension will not help when the time comes because I’ll likely just tighten up. I know this based on past experience.
I could go on with other details but will stop here and see about your reply.

Thanks!

Hey Carl,

Worrying about stuff is just about the best way to mess up a sexual experience of any kind. But I’m sure that you know that already, huh? This is particularly true for someone reacquainting himself with the pleasures of being a bottom.

I’ve written and spoken extensively about this very thing. I’d like to direct your attention to the CATEGORIES section in the sidebar of my site. It’s a pull-down menu. You will notice that the second category is ANAL. Under this is a whole bunch of subcategories. Click on any one of those you will be taken to all the posting I’ve made on that particular subject. Of particular interest to you would probably be my tutorial for being a good bottom: Liberating The B.O.B. Within.

In terms of douching, warm water is all you need. Never use soap. Some people add lemon juice or vinegar (1-2 Tbs per quart) of the warm water. Others dissolve (2 Tbs) of baking soda in a quart of warm water.Ergo Speed Douche

Stay away from commercially produced douches, most contain harmful and irritating chemicals. And trust me, you don’t want that. Besides, commercial douches are expensive and all that packaging is definitely not Eco-friendly. And we all want to be green sodomites, don’t we?

Finally there is always the ever-versatile shower or bath bidet option. You can find one model, the Ergo Speed Douche, in My Stockroom. Look for the Dr Dick’s Stockroom banner in the sidebar of my site.  (Everyone here at Dr Dick Sex Advice is a big fan of the Perfect Fit Brand line of adult products.)  Look for our review of the Ergo Speed Douche HERE.

I also know that a vigorous fucking will introduce more air into a bottom’s rectum expanding it and making for that “OMG, I gotta take a dump” feeling. So take it easy the first few times you get back into the saddle, so to speak, as it were.

Diet can indeed make a difference in the composition of your shit and how you and it smell. But, that being said, you have to realize your bowels are working properly when they eliminate waste from your body, so don’t try and mess with that. And just so you know, there are often some unpleasant side effects to rootin’ around in someone’s hole, regardless how fastidious the bottom is about his hygiene. So why not just relax and if there’s a little mess, clean it up with some soap and water. Its not the end of the world.

Good luck

7 Things I Learned After A Year Of Celibacy

(Personally I wouldn’t use the term celibacy to describe sexual abstinence and HERE is why.)

 

The most important lessons I learned about sex were when I wasn’t having any.

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1. I used to have a lot of sex.

I’m not shy about it. I was a woman with many casual sexual partners, and for a while it was really very fun. I revelled in it. Played up to the role. I was a good-time gal and wanted you to know it. I was in control of my sexuality and unafraid to explore it – and exploit it.

Then it stopped being fun. Somewhere along the way – the way being several years of drunken promiscuity with more men than I’ll admit to – my intentions got muddied. Tarnished. I was using sex as a weapon, a way to keep distance between me and every bloke I kicked out of my bed at 4am. Hats off to you if you can enjoy no-strings-attached sex, but me? I was playing a role, a sort of Samantha-Jones-meets-Russell-Brand playgirl, and I wasn’t happy. It took me a while to realise it, but once I did – once it hit me that I was lonely, and a bit of a phoney – the reality was devastating. So I closed my legs. For a year I didn’t date. For 12 months I asked myself who I was, what I wanted, and how I could bridge the gap between those two things.

2. It’s lonelier to be in bed beside a stranger than it is to be in bed alone.

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The turning point for me was being in bed with a balding Australian who wouldn’t speak to me on nights out with mutual friends and yet, somehow, I’d always take home. One lazy morning I leaned over to him and said, “Make me come…” His answer was to check his watch, and get up to go shower. He might’ve known the sound of my orgasm and the taste of my kiss, but I couldn’t find the words to tell him how humiliating his treatment of me – our treatment of each other, to be fair – was, because there was absolutely no intimacy. Once I was celibate, I saw that the sex had been a pseudo-surrender: I could pretend to be revealing parts of myself, but really was using my body to ensure I’d never have to. It’s the most isolating thing I could’ve done. No wonder I felt lonely.

3. Nobody can love you until you love yourself.

It’s almost embarrassing to write that, hackneyed phrase as it is, and yet it’s the truest thing I know. I reckon on some level I was after somebody to prove my own worth to me. My high school sweetheart of almost a decade had dumped me to marry my best mate, and that affected, so deeply, how I thought of myself. I think I was looking for parts of myself in every man who I seduced. I revealed my most unkind, mean version as if to see who would challenge me and love me anyway. Some men tried, and I couldn’t respect them for it. I didn’t trust anyone who wanted to be with me, because what poor judgment did that demonstrate? I could never date a man actually interested in such a broken half-woman. It’s because I didn’t like myself that I couldn’t believe anybody else did. Nobody can love you until you do.

4. Good sex is sex with somebody you actually like.

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In my most promiscuous years, the sex I was having was terrible. I didn’t appreciate it at the time, but once I declared my year-long vow of celibacy I allowed myself to have the kind of fantasies I’d previously denied. I let my mind wander as to what it would be like to be kissed – every last inch of me. To have a man take his time, to be explored deeply, widely, to be looked in the eye. Sex with somebody you like as expression of intimacy, and not as a substitute for it, is just about as hot as it gets. Sex acting out what you think you should do based on some bad porn you’ve googled? Not so much. Sex with a man who claims not to “know you well enough” to go down on you? Even worse.

5. A sexless life isn’t a loveless life.

As soon as I stopped making sex my focus for a night out, or for parties or work events or any other time I left the goddamn house, the love in my life increased exponentially. It was inversely proportional. When I wasn’t trying to sleep with men, men were suddenly more interested in me. In what I had to say. I was very honest about my year of celibacy, and it fascinated them. I had so many conversations about the pressures they felt to “perform” a certain way in the bedroom, about how much they, too, wanted real connection, a partner. It was enlightening. We’re largely sold this idea of men as single-minded fuckboys, shagging around and not wanting to be bothered by commitment, that it’s us girls who pressure them into marriage and babies, and it shouldn’t have been so shocking to me that actually they wanted to be as seen and as valued as I did. They want families and community, too. Plus, boys make really good mates when you’re not trying to shag them. A revelation.

6. It’s not actually as hard you you’d think to go without.

The most commonly asked question I get about a year of celibacy is “But didn’t you go insane?” Look, I’ll be upfront: I wanked furiously. Of course I did. And I missed the weight of a man’s body on top of me. But the longer I went without sex the easier it became, and the more I was determined that when I did start engaging again it would have to mean something. It’s a bit like doing dry January – there’s an end point, and when you reach it it’s not worth your first drink being a warm chardonnay in a plastic cup. Oh no. On 1 February you spend all day dreaming about an ice-cold pint served in a frosted glass, beads of condensation dripping down the glass as you lift it to your mouth and let the bubbles dance on your tongue. And so with the first lay after a dry spell.

7. I will never be ashamed of my history.

My story is one about sex and the body – it’s one about feelings and the heart. Nobody else gets to decide what my history is. I got hurt, like a bajillion other people have been, and I had to figure out my shit, like a bajillion other people have. That’s not sickening and unworthy. That’s human.

Some men I’ve dated don’t get it – but I’d do it all again, unapologetically. I continue to date again, in hope. Unapologetically. I will meet a million different men at a million different events, and with some of them I will think, OK, let’s see if there is something here. I will go out with them and drink with them and laugh with them and wonder about them. Sometimes, I’ll go home with them too. If it feels right. I play fast and easy with my feelings because the alternative – shutting off my feelings entirely, as I had done – is just too damned depressing. It’s par for the course that some men won’t understand that. That some won’t understand that I’m proud of what I did to become who I am. Not that I shagged around, but that I got down in the trenches with every last damned hang-up I have, and shone a light on the fuckers until I wasn’t scared any more.

I did the work. I did the work, and I will never not reveal what that work looked like. I’m still learning, but I have learned enough to understand that you have to own what you’re ashamed of or else it owns you. My one won’t be deterred by the dirt under my fingernails. My one will thank me for it. My one will understand. The blokes who don’t understand, who don’t get what it took, they
aren’t my one. The ones who don’t understand are another lesson learned, all
in the name of what will be.

Complete Article HERE!

5 everyday ways to teach your kids about consent

Sexual consent can be tough to explain to young kids. But this psychotherapist has some advice.

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By Lisa McCrohan

My daughter and I are waiting in the exam room for the pediatrician. We are here for her annual wellness checkup.

And from the moment our pediatrician walks through the door, she is all about focusing on my daughter. She looks my daughter in the eyes and kindly greets her. She shakes her hand. She addresses my daughter with her questions. She explains what we’ll be doing today.

And the pediatrician asks for consent. She asks, “May I listen to your heartbeat now?”

As a psychotherapist, I’m tuned into the ways in which our pediatrician is communicating this message to our daughter: “I regard you as a human being,” “You matter,” and “Your body is to be regarded.”

This is very different from a routine doctor’s visit at a different office I had many years ago with my son, though.

During that visit, the pediatrician rushed through the exam. He didn’t look at my son or address him. The nurse came in with the immunizations and said, “Hold him down. It’s better if we do this fast without him knowing what’s coming. He won’t remember this.”

As a mom, I knew my son. As a body-centered psychotherapist, I knew that his nervous system would remember this experience. And I knew that conditions like that can cause an experience to be traumatic for a young person. “No,” I said. “I know what my son needs. I need to talk to him first and explain what we are doing.”

That day, we didn’t rush, we didn’t surprise him, we didn’t hold him down, and we didn’t give him a treat for “not crying.” I showed my son regard by honoring what I knew he needed.

Parents: Teaching sexual consent to our children begins with us.

Every parent I know wants their child to grow up to be confident, be resilient, feel good about who they are, and show compassion toward others. As parents, we want to communicate: “You matter. Your body matters. Your consent and boundaries matter.”

This is regard, and it begins the moment our children are born. We communicate messages that help our children form their self-concept and sense of self-worth. And they learn how to interact with themselves and others through our regard for their bodies, emotions, opinions, and personhood.

With regard as your foundation, here are five everyday ways you can teach your children about sexual consent:

1. Ask for their consent often.

Last night, my son and I were walking home from the park. I went to reach for his hand, but then I stopped myself and asked him, “Can I hold your hand?” He smiled at me and reached out.

Asking for your child’s permission to touch them or come into their personal space can be this simple. You can ask such questions as: “May I brush your hair?” “Can I have a hug?” and “Is it OK if I hold your hand?”

Does this mean you have to ask for their consent every time? As parents, we want to be intentional about what we are doing and why we are doing it.

Imagine your children as teenagers going out with friends with hundreds — if not thousands — of experiences at home where you modeled consent day after day. They will be more likely to respond to any situation with regard for their bodies, and they will be more likely to regard others’ bodies and ask for consent, too.

2. Teach them that their “no” matters.

A client came to me because she was feeling distant from her 12-year-old daughter. And in working together, we eventually realized that her daughter wanted more regard for her personal space, time, and boundaries.

So she started to look for ways she could ask, rather than demand, that her daughter engage with her. Instead of saying, “Give me a hug goodbye,” she would ask her daughter, “Can I have a hug goodbye?” And on the days her daughter said “no” or her body language indicated “no,” she would say, “That’s cool. If you ever want a hug, I’m here. I love you. Have a great day.”

If you ask to brush your daughter’s hair, and she says “no,” it’s so important to regard her “no.” If you ask to hug your son, and he says “no,” regard his “no,” too. You could reply with, “OK, I respect that. Let me know if you change your mind.”

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It’s also OK if your child doesn’t want to hug anyone at all. They can still respectfully greet others with a sincere acknowledgment of “hello.”

When you or anyone else begs or tries to convince a child to change their answer now, they learn to override their inner barometer of what feels comfortable and what doesn’t feel comfortable just to give in to someone who they perceive has more power. Over time, you respecting their “no” teaches your children that their “no” matters.

3. Model to your child that “yes” can become “no” at any time.

Let’s say you are gently wrestling with your young child, and she says, “Stop!” What do you do? You stop. Even if she is joking, you stop and check in with her.

Let’s say you have a group of elementary-school-aged boys over your house, and they are running around with swords and roughhousing. Teach them to pause the game every so often and check in with each other to see if the game is going OK for everyone.

And if you have a tween or teenager? Have “the conversation.” As you share about sexual intimacy based on your family’s values, include communicating to them that the absence of “no” is not “yes.” Teach them that a “yes” can turn into a “no” at any time.

When you model to your child that “yes” can become “no” at any time in everyday experiences, you are sending the message “at any point when you feel uncomfortable or have had enough in any situation, you are to listen to that inner voice. And at any point another person feels uncomfortable and has had enough, you are to respect them and stop what you are doing.”

4. Seek to understand.

This past spring, my daughter announced, “I don’t want to take gymnastics anymore!” I was confused. I thought she loved gymnastics. I had put a lot of thought and effort into finding the right place for her. But instead of saying to her: “Yes, you do! I know you do!” I said, “Tell me about it.”

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This opened the door for my daughter to feel comfortable to share what she was feeling and for me to listen to her. I came to understand that actually she loved gymnastics, but what she really loved was doing gymnastics on her own at home and making up routines rather than being in a structured class.

When you seek to understand your child, you communicate the message: “Your opinion matters. Your voice matters. Your feelings matter. And I’m here to listen and be alongside you.” Even if you think your child is playing around or sharing an opinion out of frustration, when you seek to understand, you are connecting to your child with regard.

5. Keep “regard” at the forefront of your mind.

Our children have their own bodies, minds, feelings, opinions, and dreams. Just like adults, our children want to be regarded, listened to, and respected. So ask for your child’s opinion. Speak your child’s name in a way that is regarding. Look at your child when he or she is talking. These are everyday ways that you can communicate the message “You matter.”

We are our children’s first teachers.

The recent Stanford sexual assault case reminded me, yet again, that we have work to do as a culture when it comes to teaching our children about sexual consent.

As parents, it can feel scary to broach loaded and triggering topics like sexual consent. However, these simple, everyday actions can empower us to show regard to our children in our daily lives. And as our children experience our regard in everyday ways, they are more likely to regard themselves and other people’s bodies and integrity, too.

No matter the age of your child, you can support your child being a confident, resilient, compassionate (to self and others) person by choosing to look at, talk to, and be with your child. You can support your child’s future by the regard you show them today.

Complete Article HERE!

I start to get wet, but then I dry up like a prune

Name: Heather
Gender: Female
Age: 36
Location: USA
I have been married for 10 years. I have told my Husband 6 years ago I am not physically attracted to him anymore. I stopped wanting sex from him because he just turned me off no matter what he did. He cleaned, cooked, run me a bath, eat me out, and so on but nothing works. I start to get wet but as soon as he gets started I dry up like a prune. What should I do? I have not had good sex in a long time.

Well, if you’re not attracted to him anymore, you’re not attracted to him anymore…plain and simple. But what I don’t get is, how come after six years you’re old man is still hanging in there? Is he some kind of glutton for punishment?

If I was your long-suffering hubby and I was doin all this stuff, including cooking, cleaning, and eatin’ out your pussy, I’d sure as hell demand an explanation for your attitude change. Of course, maybe he likes being the doormat. Some men really get off on being dominated and treated like shit. Is that why you are no longer into him?

body as artOr is there something else he’s done that has put you off? Did he gain weight? Does he not attend to his personal hygiene? Did he become a Republican? Ya know, things like that. If it is something he’s done or failed to do and he can change his behavior to better suit you, maybe you oughta clue him in on this.

If however, it’s not something he’s done or failed to do, but it’s you. Then he needs to know that too. You did say that you dry up like a prune. Perhaps it’s your libido that’s gone south, not his relative attractiveness? Sometimes people get these two things confused.

Do you have sexual fantasies? Do you masturbate? Are horny for anyone else — either real or imagined? How’s your health? Are you on birth control? Are you depressed? Sleep deprived? Are you putting on the pounds? Could you be experiencing early-onset menopause? As you can see, there are innumerable reasons for a decrease in libido.

At any rate, Heather, you really need to get to the bottom of this, and soon, six years is a mighty long time to live like this. I’d look for a sex-positive therapist to connect with, if I were you. Clearly, you’ve been unable, in six years, to discern the cause of your attitude change on your own. It’s irresponsible to continue to drift with the status quo.

Good luck