The pandemic is over, and it’s time for the tops to show up and show out. Yes, we know, 99.99% of us gays prefer to bottom, but that doesn’t mean the other half of the equation gets to be lazy.
Here are 20 tips that will help you step up your top game and be sure to lay that pipe just right.
1. Have some serious foreplay
We’ve all been there. We’re turned on, we’re excited, we just want to get to the game, but sometimes the tailgate is the best part. You want the experience to last. You want him to feel comfortable. Take your time before getting to the actual penetration.
2. Don’t fear a little intimacy
I bet you gay gasped at the thought. Listen, physical touch and intimacy heighten all the sensations. Even if this is the first (and only) time you get together, use your hands and your lips just as much as your other parts.
2. Have the condoms
While it’s not the job of all tops to carry condoms, it’s often expected that they are the ones who will. Don’t rely on the bottom to carry the condoms. As the top, the responsibility is more on you. Also, yes, I know PrEP is a thing, and you should be on it. While a miracle drug, it doesn’t protect against other STIs besides HIV, and even if your partner is on PrEP, he may still want to use a condom.
3. Gently enter and ask how it feels
For the love of god, don’t start off by jack hammering. Go slow. Let him get used to having you inside of him. Ask how they feel. Ask if he needs more lube or if you need to pull out for a second.
4. Switch up positions and speeds
Don’t do the same thing the whole time. Speed up. Slow down. Switch positions. While (most) bottoms like to be pounded extra hard in doggystyle, that’s not the only thing we like. Oh, and it can be super sexy to make out while you’re inside of him. If you can jerk him off while you’re inside him too, even better.
5. Give him a break if he’s on top
It takes a lot of work to do cowboy, or any other riding position. Unless he’s a porn star, he’s going to get tired. Sometimes he won’t feel comfortable asking you to switch positions, which is why you should preemptively ask him if he wants to switch it up.
6. Do not false advertise
You know your junk better than anyone else. One of my biggest pet peeves is when I meet a guy, we go back, and he is freakin’ huge. Like donkey d*ck, monster huge. I’m like, where do you expect me to put that? Why did you not give me fair warning? I could have loosened up for you. This is no longer sexy that you’re well-endowed. It’s just annoying. Then there’s the other side of the coin. Don’t lie about being bigger than you are. You can’t hide it. Like, we’re going to find out and be annoyed if you gave yourself an extra three inches.
7. Pull out if you’re going to orgasm too quickly
Slow it down if you’re about to orgasm. If that’s not enough, pull out and do some other “stuff” while your body takes a break. You don’t want to ejaculate within seconds of being inside of him.
8. If you do ejaculate prematurely, let him know your refractory time, and go again
It’s not the end of the world if you orgasm quickly. Just let him know you can have some other fun for a little bit, and then go at it again. Just because you finish once, doesn’t mean that’s the end. Go again! And the second time, you’ll be able to last longer.
9. Don’t be annoying with putting on the condom
Don’t try to sneak it in there without asking. For the love of God, don’t take it off in the middle of having sex without telling him. Sex with condoms can be really annoying. Trust me, I know. But you need to respect your bottom and his wishes.
10. Say his name during sex
This is just hot. It makes him feel special and wanted. I haven’t met a single guy who doesn’t like hearing his name out loud during sex. It’s a simple yet effective turn-on technique.
11. Don’t make a big deal if you get a little “mud” on you
Butts are not chocolate soft serves. Yes, some poop can come out, but not that often or that much if you’re aware of your body. That said, it will happen at some point. It’s inevitable. Don’t make a big deal. Simply ask to change condoms. Or, if you don’t mind, afterwards, take off the condom, wrap it in a paper towel and throw it out without him seeing. Then go wash yourself off. You don’t need to tell him it happened if he didn’t realize. There’s no reason to embarrass him.
12. Read your partner and when in doubt, ask
Sometimes your partner will be vocal. It’ll be clear what he wants you to do. Other times, you’ll have to read him more. Would he like you to go slower or faster? Harder or softer? If you’re not sure, just ask!
13. Let him know when you’re about to finish and ask him where he wants you to orgasm
Some guys like it when you finish inside of them. Other guys, not so much. Some guys like you to finish on unlikely places. Be a gentleman and do what he asks. If he says he doesn’t care, still give him a heads up by telling him where you’re going to ejaculate.
14. Help him finish afterward
Just because you finished doesn’t mean the fun is over. Some bottoms don’t like to ejaculate, but many do. Don’t assume because you were the top that sex is over once you finish. Don’t be greedy. Help him finish if he wants to.
15. Don’t rush out afterward
If you want him to feel used, then yes, rush out afterwards. If not, lay in bed with him for a while. Cuddle. Have some pillow talk. Let him know that he’s more than just a piece of meat. Unless, of course, this was the agreement and both you knew it was a quickie. If that’s the case, then don’t overstay your welcome. Get the hell out.
If you’re someone who deals with stress and anxiety, the unwanted mental and physical effects can creep up during the most inopportune times. Perhaps you’re just hanging out, catching up on the latest episode of your favourite TV show and suddenly you begin to worry about everything in your life. Maybe you’re worrying about nothing in particular, but feel panicky nonetheless. Symptoms of anxiety include ruminating in your own thoughts, focusing on past regrets, a racing heart, sweaty palms, and a general feeling of impending doom. It’s a sneaky not-so-little feeling that can happen at any moment. And one of the worst moments it can strike is when you’re having sex and trying to orgasm.
“Anxiety and stress can have a huge impact on someone’s physical and mental health all around the body and, unfortunately, it’s not uncommon for sex, arousal and pleasure to be affected, too,” AASECT-certified sex therapist Melissa Cook tells Refinery29. During sex you’ll want to be present and enjoy the moment, but if you’re feeling anxiety during the act — whether it’s related or unrelated to sex — that can be a problem for your pleasure and your partner’s. This inability to be in the moment can affect your ability to climax.
Of course, orgasming isn’t the only goal of sex, but for many, it’s an important part of the sexual experience. And if you’re feeling anxious during foreplay, intercourse, oral play, or other sexual activities, reaching climax becomes harder, making it feel almost unreachable. Here’s exactly how feelings of anxiousness and stress can mess with your orgasms, and what you can do about it.
Anxiety Kills The Mood In Your Brain
For many people, focus is a critical element in experiencing an orgasm. And this is especially the case for those with vulvas. Many of us are conditioned to cater to our partner’s pleasure (especially if that partner is a cis man), putting it above our own, as society has long given precedent to the male orgasm. For those who aren’t men, orgasm can often feel secondary: great if it occurs, but certainly not necessary for a complete sexual experience.
Focusing on our bodies, without shame, can prove very difficult given this context. Though it varies from person to person, it takes the average woman about twenty minutes to become aroused enough to have intercourse. Allowing yourself the time to relax and get to that place can be an anxious person’s personal hell.
When you’re anxious, you typically can’t focus or be “in the mood” to orgasm. According to Avril Louise Clarke, a clinical sexologist and intimacy coordinator at ERIKALUST, anxiety has the ability to disrupt sexual energy and pull you entirely out of a positive headspace. “These negative emotions can interfere with the body’s ability to relax and fully engage in sexual activities,” she says. “The ‘fight or flight’ response triggered by stress can lead to heightened tension, making it difficult to reach orgasm.” In other words, when your mind is elsewhere, it creates a barrier to sexual pleasure.
“What’s more, when someone is anxious, they may be more likely to be self-critical of themselves, including about their body or sexual performance,” Cook adds. “This can affect someone’s self-worth and their overall sexual body image which can prevent someone from reaching orgasm or fully enjoying the experience.”
And it’s not just orgasms that are impacted by anxiety and stress. “In fact, sex as a whole can be affected by these feelings,” Cook explains. “To begin with, any type of stress, but especially chronic stress, can decrease someone’s desire to have sex. An anxious or stressed mind can result in someone not being fully present in the moment, meaning they lack libido or struggle to focus during sex.”
Anxiety Messes With Arousal
Stress and anxiety have long been linked to physical sexual concerns, as well. “This is because anxiety and stress can alter the body’s blood vessels and constrict them which makes it harder for someone to experience arousal and pleasure as during an orgasm the blood vessels rush to the genitalia.”
When you are aroused and when you orgasm, the body is flooded with dopamine, the brain’s motivation hormone, and oxytocin, the “love hormone,” which promotes feelings of tranquillity, closeness, and pair bonding. It’s a cocktail of all things that feel good.
When you’re stressed, your body releases cortisol, the body’s stress hormone. It is basically the arch-nemesis of orgasms. “Studies have found that an increase in the hormone cortisol can reduce overall sensitivity, again making it harder for that person to feel aroused and achieve orgasm,” Cook says. Plus, apart from stress’ impact on sex, studies have also linked cortisol to poor sleep, weight gain, and overall feelings of personal distress.
Because of these hormonal changes, stress and anxiety can also lead to vaginal discomfort. “In women, anxiety can result in the vagina muscles contracting frequently which can make penetration very challenging and sometimes painful,” Cook says. This can lead to pain, spotting, or tearing during sex. In short, anxiety impedes your ability to create the hormones needed to become properly sexually aroused.
How To Stop Anxiety From Hindering Your Orgasms
So how exactly can you have more orgasms and try to quiet the anxious thoughts inside your brain? “The most important thing to remember is you’re not alone and there are plenty of steps you can take that will help you to hopefully feel more relaxed in the bedroom and get closer to achieving orgasm,” Cook says.
Forget About Orgasms
For one, when you put pressure on yourself to orgasm, you become more stressed about not orgasming, which only makes experiencing orgasm that much harder. It’s a treacherous sexual catch-22. So, you might want to consider taking orgasm off the table for a bit and stop making climax the goal of sex. Learning to give weight to sexual pleasure in and of itself, rather than holding orgasm as the pinnacle of sexual fulfilment is a beneficial practice, in general. If you take away the pressure, sometimes things just flow better and make the whole experience enjoyable.
Communicate With Your Partner/s
Communication between sexual partners also goes a long way to help with stress in the bedroom. “I always advise couples to communicate first, in a safe and non-judgmental way,” says Cook. “Perhaps there is something that you feel you need in order to be able to orgasm or maybe you’d like to do things differently. Either way, you should both listen to each other and create an open environment where you can talk about your desires, preferences and boundaries.”
Build A Relaxing Environment
In the bedroom itself, it can also be helpful to build the right, comfortable atmosphere. “Consider lighting, candles and music to help you to relax and get into the moment,” Cook says. “You may also want to try foreplay in various settings including in the bath to help you to switch off.”
Try Breathwork Exercises
Another way to combat anxiety when it comes creeping in during sex is to simply breathe, which we often forget to do during sex. “Techniques to help you stay calm and focused on the sensations can help too, such as breathwork,” says Cook. Consciously pulling your breath into your body, letting it fill you, and releasing it slowly can help calm your mind and body. For more techniques, check out more breathing exercises here.
Avoid Drugs & Alcohol
Though it may sound counterintuitive, you should also avoid things like alcohol and drugs if you’re having trouble orgasming due to stress and anxiety. “While many see them as a relaxant, it’s also common for them to impact sexual ability and function,” Cook says.
Perhaps most importantly, though, try your best not to panic if you’re feeling anxious during sex. Be open about your feelings with your partner. Accept this challenge as a part of your life and commit to alleviating anxiety, when possible. Remember, it’s OK to ask for help.
Don’t Suffer In Silence
Anxiety — whether it’s a disorder you struggle with daily or something that happens sporadically — is a huge pain, but if we take time to recognise it for what it is and develop skills to cope, we can keep it from messing with our orgasms.
Orgasms aside, it’s also important to recognize the kind of anxiety you experience, whether it is sporadic or a more far-reaching mental health issue. If you experience debilitating anxiety on a regular basis, seeking professional help is a great first step. Society stigmatizes mental health almost as much as it does sex. Depending on the person, anxiety may or may not need the help of outside sources. Regardless, taking control of yours is a sign of strength.
Threesomes can be a bit of a juggling act. I’m thinking: ‘Is our guest at ease? Who are they focusing on? Who am I focusing on?’
Felix and I had sex the first afternoon we met, and I remember that he made a huge amount of noise. I have an office on the floor above my apartment and the walls are very thin. I have a vivid memory of being right in the middle of a particularly intimate moment and actually hearing the telephone ringing upstairs through all the racket Felix was making. It suddenly became obvious that if I could hear that telephone, everyone in the office could hear us. I did try to shush Felix a bit, but I found his lack of inhibition refreshing.
We had met on Grindr, and some of the other men I had slept with via the app seemed uneasy with their homosexuality. I live in Spain, and while it’s not exactly dangerous to be gay, life still revolves around the church. I’ve met men who wanted to keep the lights off during sex, or who kept their shirts on, or who begged me to treat them like dirt. Felix was utterly unlike that: he was sunny and playful. He wanted us to have lunch, not just say hello and then take our trousers off.
Felix was sunny and playful. He wanted us to have lunch, not just say hello and then immediately take our trousers off
I am the top with Felix, meaning I am the active partner, whereas Felix is the bottom. But in reality, Felix is much more versatile – he’s just forced to stick to a passive role with me because I can’t physically cope with being the bottom. It’s an anatomical thing. Mentally I’d love to, but physically it simply doesn’t work. Felix and I agree that it’s unfair that I can’t satisfy him in that way, so we decided to open up our relationship. We’ve been together for two years, but every few weeks we will each go out individually and sleep with another man. We also like to meet men together and have threesomes.
Threesomes are sexy, but they take a surprising amount of organisation. We chat to contenders online, and Felix does most of the texting because he is a lot better at flirting than I am. The threesome itself can be a bit of a juggling act. I’ll be thinking: “Is our guest at ease? Who are they focusing on? Who am I focusing on?” It’s like tapping your head and rubbbing your tummy at the same time. I think we’re getting better at them, though. I suppose threesomes, like twosomes, are a learning curve.
Felix, 28
After the initial excitement has worn off with another man, I usually end up missing Lorenzo
My sexual energy is extremely high, and occasionally a little too much for Lorenzo. If we’re in the kitchen, for example, I’ll want to be right behind him at the sink, hugging and touching and grabbing his bum. I don’t think he likes it. He shows his love in other ways, through acts of care and by how attentively he listens. He is less sexual than me, and that is partly why we have decided to sleep with other people.
We are always updating the terms of our arrangement, and part of the deal is that we debrief one another about every man we have sex with. I will show him pictures of the men I have been home with, particularly the cute ones, and talk through their best moves. Lorenzo and I have always been truthful, even about our sexual compatibility. Lorenzo is a top, whereas I like to switch roles. Because he couldn’t give me everything I needed, early on he decided that wasn’t fair on me, so he insisted that we should both be free.
We rarely agree on who’s hot and who’s not. I fancy young-looking, curly haired men. Twinks, really. That’s not his type
Occasionally I will sleep with a particularly attractive guy and then arrange a date to bring him home for a threesome. The trouble is, we rarely agree on who is hot and who is not. Lorenzo has shown me men he liked in the past and I have been like: “Ew.” I fancy young-looking, curly haired men. That’s not his type, but we take it in turns to compromise.
We have strict rules about falling in love. We aren’t allowed to develop feelings for other people. That’s never been a problem for me – after the initial excitement has worn off with another man, I usually end up missing Lorenzo. I’ll be put off by the way this strange man kisses or the way his tongue feels in my mouth. I’ll smell his trashy aftershave and it will make me think of the very specific, fresh scent of Lorenzo’s skin. Every time I sleep with another man, I end up loving Lorenzo a little more.
— Whatever you’re into, here’s what you need to know…
By Alice Porter
If you’re looking to change up your sex life and try new things, you might be interested in exploring the world of kink. But whether you’re googling new kinks in a private browser or dipping your toe into something like BDSM with a partner, you might end up feeling a little overwhelmed.
And if your only introduction to kink is how it’s portrayed in the media (Fifty Shades of Grey, we’re looking at you), you might assume it’s all dungeons, ropes and floggers. Of course, this is the case for some people, but there’s so much more to kink than just latex and rough sex and there are plenty of ways to explore it that are safe and pleasurable.
With more people exploring kink than ever – Feeld, the kinky dating app, saw a 250% rise in users between 2021 and 2022 – it’s worth knowing your safe words from your scene acronyms.
If you’re new to kink, you’re likely discovering lots of ideas that are new to you. This is exciting and you might just be about to open yourself up to a whole new world of pleasure. But there are a few things to keep in mind to ensure you and your partner(s) are safe as you step into a wonderful new world.
But listen, kink isn’t for everyone and it’s not something you should be pressured into by either society or a sexual partner. Sometimes good old back to basics sex is great. There’s a reason vanilla is everyone’s favourite flavour.
What is kink?
Kink refers to a wide range of sexual interests and activities, but it’s generally defined as a sexual activity or interest that society, generally, might consider unconventional. This includes things like roleplay, outdoor sex and power dynamics like Dom/Sub play, praise and degradation and cuckolding (watching your partner have sex with someone else).
You might have also heard of fetishes, which are slightly different, as they tend to involve attractions to very specific non-sexual things, like an inanimate object or a body part, such as feet. It’s important not to get kink and fetish confused because a fetish is a very specific sexual proclivity whereas kinks are much more common, although there are plenty of overlaps.
The most common kink you’ve probably heard of is BDSM, which stands for bondage and discipline, dominance and submission, sadism and masochism. It’s a catch-all term for lots of different types of relationships, dynamics and experiences, that often involve practices like choking, spanking and other elements of rough sex, if both partners consent to this. But many elements of BDSM are purely psychological, involving relationships where one person is sexually dominant and the other is sexually submissive.
Are BDSM and rough sex the same thing?
Rough sex isn’t necessarily BDSM and if rough sex is your kink, that doesn’t mean you’ll naturally be into chains and whips or psychological games and control. Rough sex tends to refer to sexual experiences that incorporate elements of pain or intensity for the purpose of pleasure. Of course, elements of rough sex are often part of BDSM practices and relationships, but they don’t have to be.
“Interestingly for many, BDSM doesn’t always include rough sex, but for some that enjoy combining rough sex with BDSM, there may be a mixture of consensual sadomasochism and power play dynamics happening,” explains Ness Cooper, a therapist and resident sexologist for sex toy company Jejoue. “Within some Dom and sub relationships, the individuals involved don’t explore sadomasochism at all and more see it as a form of relationship structure built around care, such as service submission or female led relationships,” Cooper continues.
Sometimes, simply knowing that you’re submissive or dominant to your partner is enough to turn you on and there are plenty of ways to show this that don’t involve physical domination. What matters is that you know your limits and how far you’re willing to give up control or be controlled, in and out of the bedroom.
“For some BDSM is a way of forming relationship routines and rituals, and this doesn’t have to include roughness or pain,” Cooper adds. “Rather these individuals may thrive from having a structured relationship that a heteronormative vanilla non-BDSM relationship structure doesn’t offer.”
How to stay safe when exploring kink
Kinks vary a lot and some kinks are riskier than others. For example, if your kink is wearing a particular type of outfit and engaging in gentle roleplay, there may be less of a physical risk than if your kink is being spanked with a paddle. Either way, there are a few things to keep in mind to make sure your experience of exploring kink is safe, sane and consensual.
1. Have a proper conversation about consent
It’s crucial that you take the time to talk about consent with a new partner and ensure you keep having these conversations on a regular basis, particularly if you’re experimenting with more unusual kinks or BDSM.
This might also include specifying what you like and dislike, which could change over time. “If you’re exploring any forms of rough play, chat about areas that you’re ok with being marked,” Cooper recommends. “Talk about consent and explore consent models that may work for your relationship dynamic,” she adds. There are a couple of consent models to consider, including FRIES and RACK. FRIES stands for consent that is Freely Given, Reversible, Informed, Enthusiastic and Specific. Apply this checklist when discussing what you do and don’t consent to. Or use RACK, which stands for Risk Aware Consensual Kink when you’re discussing the possible outcomes of what you’re about to do. Do some research on consent to help facilitate your conversations and figure out what works for you.
2. Take things slowly
Just because you’re experimenting with kinky sex, that doesn’t mean you need to jump right in at the deep end and passion in the heat of the moment doesn’t excuse rushing in and not giving or getting consent. It can be exciting trying something new, especially if the idea of it turns you on, but your body and your brain will need time to adjust so don’t go steaming in.
“If you’re exploring BDSM with someone for the first time, including sex may be too much all at once and may result in some individuals crashing quickly during the experience,” says Cooper. “Taking things slowly and breaking things up into micro BDSM sessions [where you don’t actually have sex] may be easier at first until you’re both used to how each other’s bodies react.”
When it comes to other kinks and fetishes, you don’t have to dedicate a whole evening to them. There are ways you can incorporate them into the type of sex you usually have, easing yourself and your partner(s) in with little tasters here and there.
3. Keep things clean
If your kinks involve any types of prop or toy, remember the importance of hygiene. Taking your toys to the sink after hours of hot sex isn’t the hottest part of sex, but it’s definitely worth doing in order to avoid infections and things like thrush.
Looking after yourself as well as your toys is also important, explains Cooper. “Cleaning any areas that may have consensual marks before and after is important to avoid infection and making sure you disinfect items such as spanking paddles can help reduce any future risks,” Cooper adds.
4. Use safe words
A safe word is a term or phrase that signifies that one partner wants whatever is happening to stop. Choose one with your partner(s) and agree on what it means to you. For example, does it mean you simply want to stop the specific thing that is happening and move on to something else, or do you want to take a break from the scene altogether? Many people use the traffic light system – red, amber, green – so there’s a way to signify both of these things.
“Keeping safe words simple and accessible is important and talking through them before BDSM play is important,” Cooper says.
5. Remember aftercare
One of the most important parts of exploring a kink is aftercare. This is the part post-sex where you check in with your partner, talk about what just happened, what you enjoyed and what you didn’t enjoy and what you’d do differently next time. After sex, especially doing something kinky or new, it’s normal to feel vulnerable, so take this opportunity to show each other care and support.
If you’ve had some intense moments in your play session, ease each other down off the adrenaline high with soothing cuddles, massages and anything that makes you both feel good. Aftercare can be as simple as a shower together and a cup of tea.
Experts increasingly know that human connection is integral to well-being, every bit as essential as getting enough sleep or moving your body. But relationships, particularly romantic partnerships, can be tricky. And we seldom receive the straightforward, evidence-based guidance we might get from a doctor about exercise or rest.
Relationships are a big part of what we cover on the Well desk, and we spend lots of time talking to researchers and therapists who are steeped in this stuff. So we are looking back on some of the best relationship advice we’ve covered so far in 2023.
Here is a roundup of tips to keep your connection strong and healthy.
Those silly-but-frequent fights have a root cause.
If you find yourself squabbling with your partner over low-stakes matters such as unwashed dishes or dirty laundry, pick a calm moment and sit down together, said Talal Alsaleem, a couples counselor from Rosedale, Calif.
Then, explore what is actually bugging you about the situation. Often, “it’s safer to fight about taking out the garbage” than about issues that revolve around, say, feeling powerless or dismissed, Dr. Alsaleem said.
Delve deeper to figure out what sets you off, said Patricia Lamas Alvarez, a couples therapist from South Pasadena, Calif., by asking yourself questions like: “What feeling does this bring up for me? Is it something I felt in childhood?” Then share these insights with your partner.
Ask this question if a loved one is upset.
When Heather Stella, a special-education teacher in upstate New York, has a student who is agitated or overwhelmed, she asks them one question: Do you want to be helped, heard or hugged?
This simple question, Jancee Dunn discovered, works just as well in adult relationships. It shows empathy, respects boundaries, calms swirling emotions and helps partners take positive action.
Finding out whether your loved one wants to be helped, heard or hugged is really asking, “How can I meet your needs?” said Jada Jackson, a licensed mental health counselor in Dallas.
Defuse a fight with four simple phrases.
Here’s a situation that might seem familiar: As a conflict with your partner rises, you picture a thought-balloon above their head and fill it with whatever you imagine they are thinking.
This relationship-sabotaging habit is known as “unconscious storytelling,” said Terrence Real, a family therapist and the author of “Us: Getting Past You and Me to Build a More Loving Relationship,” and “it can escalate an argument and distort the issue.” Instead of making assumptions that are possibly untrue, Mr. Real counsels people to share perceived slights using a therapeutic tool known as “the feedback wheel.”
It consists of four prompts: This is what I saw or heard. This is what I made up about it. This is how I felt. This is what would help me feel better. (The final statement, is vital, because “you can’t complain about not getting what you never asked for.” Mr. Real said.)
This process can help you shift from anger to vulnerability, Mr. Real said, so you can communicate respectfully, without placing blame.
Beware of ‘phubbing.’
“Phubbing” — a portmanteau of “phone” and “snubbing” — is an admittedly goofy word. But research shows that ignoring your partner to engage with your phone can lead to marital dissatisfaction and distrust.
“It really can have an impact,” said Anthony Chambers, the chief academic officer at the Family Institute at Northwestern University, even if one partner is just glancing briefly at his or her phone in the middle of a conversation.
Couples should set clear rules around phone use, said Katherine Hertlein, a professor at the Kirk Kerkorian School of Medicine at the University of Nevada, Las Vegas, who studies the effect of technology on couples and families. Consider setting phone-free zones, like the dinner table or bedroom.
And don’t let resentments simmer. “As soon as you’re starting to identify those feelings of being hurt or frustrated or being snubbed,” Dr. Chambers said, “those are the times when you need to let your partner know.”
Increase your tolerance for talking about sex.
Most people rarely talk about sex with their partners, said Vanessa Marin, a sex therapist and co-author of “Sex Talks: The Five Conversations That Will Transform Your Love Life.” Or, as she previously told The Times, they discuss it only when there’s an issue.
But Ms. Marin believes communication is the foundation of a satisfying sex life, and talking about it is a skill partners can learn. She recommends starting with compliments, maybe about your partner’s appearance or about the connection you share. It can increase intimacy, and ease you into talking about sex on a more regular basis.
Or, consider a “sexual state of the union,” said Emily Morse, a sex educator who told The Times that couples should have a frank conversation about how things are going about once a month.
Keep it brief — not more than 10 minutes, Ms. Morse said — and try to be compassionate and open. Ask questions like: What would you like to see more of in our sex life?
Make the most of outside help.
Many couples delay seeing a therapist until they are stuck in patterns that have calcified, said Orna Guralnik, a Manhattan-based clinical psychologist and psychoanalyst featured in the Showtime documentary series “Couples Therapy.” At that point, she said, love (or good will) may have run out.
Still, experts acknowledged that finding a couples therapist could be time-consuming and difficult. Online digital directories, like those of Psychology Today and the American Association for Marriage and Family Therapy, can be a useful starting point. When you find a therapist, ask preliminary questions like: What will working with you be like? Have you dealt with my issue before? How do you handle secrets?
And don’t be afraid to offer feedback about your sessions, said Vanessa Bradden, a licensed marriage and family therapist and the founder and clinical director of Lakeview Therapy Group in Chicago.
“If somebody came to me and said: ‘Hey, you know what? In that last session I really wanted you to be a little more direct with me,’” she said, “I would love that.”
The phrase “don’t ask, don’t tell” may bring to mind the discriminatory policy from the ’90s that kept LGBTQ+ folks in the U.S. military from sharing information about their sexuality or non-cis gender. But the phrase has another meaning in polyamorous circles: a non-monogamous relationship structure that allows some kinds of physical, sexual, and/or emotional connections with people outside the core (or primary) relationship.
Thankfully, the former interpretation of “Don’t Ask, Don’t Tell” was repealed by Congress in 2011, while the latter is a relationship agreement practiced by many lovers today. But what does a DADT relationship look like exactly? And can it work? Due to the down-low nature of the extra-relationship flings involved, the answers to these basic questions can feel nebulous—so we asked relationship therapists to set the record straight.
Don’t Ask, Don’t Tell (DADT) is a relationship agreement where both (or all) people in the relationship have enthusiastically consented to a relationship structure where one or more of the people in the relationship are free to pursue and engage in sexual, romantic, and/or emotional mingling with someone(s) outside of the relationship.
The catch, however, is that the people in the “original” relationship do not discuss these extra-relational connections, and therefore do not know what their partner is up to, explains psychotherapist and sex and relationship expert Rachel Wright, LMFT, host of the podcast The Wright Conversations: A Podcast About Sex, Relationships, and Mental Health. “Someone in one of these agreements, for example, might say things like, ‘I don’t care if my partner has sex with someone, but I don’t want to know anything about it’,” she says.
“Someone in one of these agreements, for example, might say things like, ‘I don’t care if my partner has sex with someone, but I don’t want to know anything about it.’”
—Rachel Wright, LMFT, psychotherapist
Exactly what the individuals in the relationship are allowed to pursue will vary, says Brett Chamberlin, executive director at the Organization for Polyamory & Ethical Non-monogamy. “Some agreements will allow the partners to have intercourse with other individuals so long as they use barriers, while other people may limit activity to kissing in public places, like on the dance floor,” he says. In the former example, it would be considered a breach of the relationship agreement (aka cheating) if one of the partners did not use protection, while in the other it would be considered a breach if someone went home with the cutie from the dance floor, he says.
How little (or much) the individuals in the relationship ask and tell also varies among DADT relationships. “Some people might want to know who their partner is seeing and where they are going, but not any of the specific details of what happens on the date,” says Chamberlin. Meanwhile, other people might be okay simply knowing that their partner is going out—and not knowing whether that’s with a right swipe, friend, or ongoing boo, he says.
Regardless of the exact agreements at play, a “Don’t Ask, Don’t Tell” relationship structure allows people to receive only the information they actually want to receive, within a container that is safe, loving, and consensual. “It offers a clear and intentional way to create a filter valve on the flow of information,” says psychotherapist and board-certified sex therapist Shadeen Francis, LMFT, CST.
Is DADT a form of non-monogamy?
Great question. “If everyone involved is consenting to it being a DADT situation, then yes, it is a form of non-monogamy,” says Wright.
As a refresher: Non-monogamy is any kind of relationship wherein people are allowed to, within the agreements of their relationship(s), form romantic and/or sexual connections with multiple people, explains Wright. You may have heard non-monogamy referred to as ethical non-monogamy (or ENM), but many polyamorous educators, therapists, and practitioners are moving away from that nomenclature, she says. Simply, because there is no such thing as unethical non-monogamy—if it’s not ethical, it’s not non-monogamy at all, but cheating.
“If not everyone is consenting to the DADT situation, then that would be cheating,” says Wright. Cheating, she explains, is about breaking a relationship agreement. “If the agreement is ‘don’t ask, don’t tell,’ then there’s nothing being broken when nothing is asked and nothing is told, and therefore it is not a form of cheating, but a style of non-monogamy.”
No, DADT relationships aren’t (usually) just lying in disguise
DADT relationships are often stereotyped for being used by monogamous folks to excuse away affairs and other extramarital lies, says Francis.
But there are many (many!) ways for folks to set up their DADT relationship that don’t involve lying, says Francis. “There is a common understanding that being honest means sharing all information possible at all times, and under this perspective, privacy—especially when there are firm lines around it—is deception,” she says.
But in actuality, it’s possible to be honest with your partner(s) without sharing absolutely everything. People with all different relationship structures actively filter out details of what they share and don’t share with their partner, says Francis. For instance: Do you volunteer all your financial activity to your partner? Do you share with them the details of your conversations with your friends? Do you talk about your bowel movements? “Every person and relationship has different agreements about what they do and do not choose to be shared,” says Francis.
The difference: In a relationship marked by honesty, the people within the relationship have created agreements about what needs to be shared—and what does not need to be shared—in order to honor each individual’s wants and boundaries.
The potential downsides of DADT
“There can be many problems with DADT, however it isn’t an inherently flawed relationship modality,” says Francis. Still, if you’re considering the structure for yourself, certain potential issues are worth acknowledging.
Generally speaking, DADT relationship structures work best when one (or all) of the people in the primary relationship travel for work, or the individuals do not live (aka nest) together, says Zane. Without these built-in separations, you’re more likely to fall into the pitfalls of lying, he says.
DADT dynamics also generally work best when the amount of sex, romance, or other agreed-upon form of intimacy you want to have outside of the relationship is relatively low. “If you’re constantly having sex with others, and then needing to lie about what you did and where you were to your partner, it’s likely that your relationship will explode rather quickly,” sex educator Zachary Zane, sex expert for the dating app Archer, previously told Well+Good.
Given the nature of the arrangement, DADT can offer particular challenges when a boundary is broken. After all, it can be tricky to disclose that a boundary was breached without sharing information that is normally deemed off-limits. That’s why Francis says it’s important to preemptively have a plan of action in place for moving forward if this happens. (More on this in a sec!)
A “Don’t Ask, Don’t Tell” relationship can work—here’s how to tell if it’s for you
1. Reflect, reflect, reflect
Sure, this type of agreement might sound perfect to you (and your partners) upon first glance. But before you implement it, Wright recommends digging a little deeper to understand why, exactly, this relationship set-up is appealing to you.
Start by analyzing your current relationship, she says, assuming you’re in one. Is a DADT relationship something that uniquely excites you… or is it your first-stop solution to a component that currently feels like it is missing? Are there other things you could implement—for instance, a weekly date night, mutual masturbation, a vibrator, etc.—that could also fill the same void? In general, introducing third (fourth, or fifth) parties is a messier, less effective way at fixing existing relationship issues than solving for the issue within the pre-existing dyad (or triad).
2. Think about your communication skills
Next, noodle on your comfortability communicating with your boo. Does this relationship structure have appeal to you because you don’t trust that your partner can share about their dalliances in a way that honors your feelings? Or, maybe it’s because you don’t trust yourself to tactfully share about your other bonds with your boo?
While these are both *fine* reasons to come to a “Don’t Ask, Don’t Tell” relationship, they do hint at other communication break-downs within your dyad that will likely continue to come up, no matter your relationship structure.
“In an ideal situation, the folks practicing DADT are not using the label to shield themselves from honest communication, from the vulnerable process of relationship negotiation, or to ignore one another’s boundaries by doing things in secret,” says Francis. But rather, they are open to vulnerability, have strengthened their communication skills, and are choosing this structure because they’ve discerned it’s best for them after thoughtful deliberation, she says.
3. Negotiate for success
Given that the degree of discretion in DADT agreements can range from complete secrecy to, “I’d rather not hear about details of how you spent your time together with others until I’m in the right headspace to listen,” Francis notes that you and your partner(s) will need to get granular about what the DADT framework means for you specifically.
Here, Francis offers some questions to consider together:
What information do you want to know for your health, safety, or well-being?
What information do you need to know to feel respected, loved, and invested in this relationship?
What information do you not want or need about my other relationships?
Under what circumstances should I make something known, or signal to you that I want or need to share something with you?
How will you signal to me that you’d like to know more details or information?
“Asking these questions bi-directionally can help you build a solid foundation for your non monogamy, and keep your choice to practice DADT,” she says.
4. Work with a couples therapist or polyamory coach
PSA: You don’t have to make this decision all on your own. A non-monogamy-informed couples therapist or polyamory educator can help you and your partner(s) figure out exactly what kind of relationship agreement(s) make sense for you.
“I work with a lot of couples who are opening up their monogamous relationship into a non-monogamous relationship and help them come up with agreements around what they want to ask and share, if anything,” says Wright.
5. Research other forms of non-monogamy
A DADT style relationship may be what you and your boo(s) decide works best for you. However, you won’t really know if that is the case until you learn about other forms of relationship agreements.
“There are some great discord servers, meet-up groups, online educators, and written resources on these topics,” Chamberlin says. Some great starting points are listening to the Multiamory podcast, reading books like Polysecure by Jessica Fern, and following polyamorous and non-monogamist sex educators like Remodeled Love, Gab Alexa, Bear & Fifi, and Chill Polyamory on Instagram.
Whether you enjoy being called things you’d never accept outside of the bedroom or just enjoy your partner describing what they will be doing to you or what they are doing to you, dirty talk is a popular bedroom practice with seven in 10 Brits admitting that they can’t get enough of it and nine in 10 admitting that they get aroused whenever their partner talks sexually.
Not only is dirty talk incredibly arousing for some people, it’s also great for your relationship. A 2012 study published in the Journal of Social and Personal Relationships found the more comfortable we are talking about sex, the more satisfactory our sex lives will become.
The researchers added that even the slightest bit of anxiety around communication affected whether partners were communicating or not which directly affected their satisfaction in the bedroom.
However, those who did communicate during sex were more likely to experience sexual satisfaction. Basically, enthusiastically engaging in sexy talk with your partner can heighten the sexual experience and improve communication between you both.
Of course, speaking sexy in dulcet tones doesn’t come naturally to all of us and as a nation, we’re quite prone to feeling self-aware and are famous for not being the most openly expressive people, to say the least.
For those of us that don’t feel like we can easily pull off dirty talk, HuffPost UK spoke to Jay Stark, a non-binary sex worker about how to get started on dirty talk.
Sex worker reveals how to get started with dirty talk in the bedroom
Stark admits that sexy talk didn’t come naturally to them either, saying, “’When I first started exploring dirty talk, it felt really intimidating. I’m a writer as well as an escort so I choose my words carefully… that can be quite unsexy in the bedroom!”
However, they admit that over time, they learned how to get into the groove of it and now, these are the tips they’d give to any beginner:
Narrate what you’re doing (to a point)
Dirty talk needn’t be complicated, you can quite literally narrate what you’re doing – especially if you’re stuck for ideas. Don’t be too formal and detailed though, no one needs a running commentary! Instead, focus on your more sensual movements and the things that are likely to turn your partner on, such as: “I’m caressing your side”, “See how I’m teasing your nipple”, and “I’m taking you in my hand and can feel you getting hard”.
Describe what you’re enjoying
Dirty talk is best when it’s vivid, descriptive, and positive. Think about what it is you’re enjoying about your sexual experience and describe that in real-time. For example, “I love your scent”, “Your skin is so wonderfully smooth”, “When you touch me there, it tingles in the best possible way”. This will fill your partner with confidence, deepen your connection and help ease you into the wild world of dirty talk.
Think about what you could do
Dirty talk is a way of bringing fantasies to life; if there’s something you would like to do, you can use dirty talk to introduce that idea. Equally, by talking about what you’re doing next, you can build excitement and intrigue, turning your partner on at the mere thought of what’s about to happen.
“I’m going to remove my panties and let you see how eager I am already”, or “I’m going to bury you under my body, push you into the mattress, and have my way with you” will definitely get you both going!
Of course, talking about hypotheticals can also be a fantasy of its own, completely unrelated to what you’re going to do in the moment. This way, you can add another layer to the erotic experience you’re enjoying.
Clarify your partner’s preferences
It’s important that you speak with your partner about any words they dislike; everyone has different preferences and you want to make sure they feel completely comfortable. For example, some people love degrading language during dirty talk, whilst others prefer more appreciative, complimentary words. Always check on this, the wrong tone can stop a hot session in its tracks.
When telling your partner about a particular kink or fetish you have, here’s some pretty solid advice: “Don’t sit them down to tell them you’ve ordered vampire gloves and a fuck cage and that you want them to use them on you.”
At least, that’s what Lucy* recommends, who believes that it’s better to start small. BDSM is a spectrum, after all. Lucy’s kink is rough sex (but “only with the right man”) and being dominated. Before vocally broaching this with existing partners, Lucy tends to hint at these desires during sex. “If you like your hair pulled, or think you’d like it, make lots of noise of pleasure if they put their hands in your hair,” she suggests. “Give your partner confidence; tell them what’s amazing with your voice, sounds, body, and reactions.”
She’s also into shibari, a form of rope bondage that centres on visual aesthetics, but usually brings this up a little later – and eases them in. “I explain how liberating and freeing I find being tied up,” says Lucy. “I use life-drawing classes as my comparison, and show them pictures of me clothed in a non-sexual dynamic with my rigger.”
Although new partners tend to figure out their shared politics, values, and relationship goals early on, for many, discussions about sexual desires tend to come later – if at all. Combine this with the fact that many non-‘traditional’ sexual practices still remain taboo, and suddenly, being honest with your partner about your desires can feel like a daunting task.
“Telling a partner about a fetish can be like sharing a secret,” says Judith Langer, a sexologist who works at the sex-positive community JOYclub. “We make ourselves vulnerable, and that requires courage. This might be the first time you have openly spoken about your kink, it might be less common, you may even be unsure of your own feelings, and you might be uncertain about how your partner will react. All of these factors can understandably cause anxiety.”
Still, that doesn’t mean you should shy away from sharing the secret – after all, vulnerability can make for a stronger relationship and a more intimate sex life. Plus, your partner may share your desire and it’ll be another way you connect. Or, they might not; but that doesn’t mean they’ll react badly, nor that the two of you are destined to be sexually incompatible.
Before you talk to your partner about a kink (something that increases your pleasure, but isn’t essential) or fetish (something that you need for arousal and pleasure), you might want to explore kink for yourself first, especially if it’s new to you. This can involve watching different types of porn, exploring materials, smells, sounds, or aesthetics that you find pleasurable, learning about the kink via podcasts, articles, talks, or classes, and experimenting with solo play. “Doing a little bit of this on your own can better equip you for having conversations with a partner,” says Sophia Rose, a London-based facilitator, educator, and artist working with consent, rope bondage, kink, and sexuality. “Consent and getting in touch with our limits and boundaries starts with ourselves.”
There’s no right way to then share this interest with your partner, and the way you approach it will depend on your relationship to them, your sexual history, whether you’re sharing a kink or a fetish, and what type of kink or fetish it is. Having said that, there are some general tips that are worth considering.
Don’t worry if your first time isn’t perfect “It’s not helpful to think of sex as having one big ‘first time’. You’ll probably have lots of first times,” says Milly Evans, author of Honest: Everything They Don’t Tell You About Sex, Relationships and Bodies Instead, she advises breaking it down into all the individual firsts you might have – “your first time having oral sex, penetrative sex, using hands or using toys”. Even if you experience all of these with one person, there will be a whole new set of firsts to explore with a different partner.
Communication is the thing that matters most This holds true whatever age you are, according to Clover Stroud, author of My Wild and Sleepless Nights “Communicating clearly about desire, or how you like to be touched or treated, isn’t easy. I wish I’d known how much sex improves as you get older and become more confident about what you like and how to communicate those needs.”
Being ready to have sex is more than just a feeling
“It’s about lots of practical and emotional things too,” says Evans. “Does the idea of having sex make you excited or anxious? Do you know enough about contraception, STIs and consent? Do you know where to access support if something doesn’t go to plan? Would you have to drink alcohol in order to feel confident enough to have sex? Is there a safe place for you to have sex? Safety, comfort and wellbeing are essential.” If you can’t answer all of these questions positively, you probably aren’t ready.
Think about what you want ahead of time “Reflecting can help you feel more prepared and in control,” says Evans. “Take a look at boundaries around things like touch, communication and time. Ask yourself if the relationships or sex depicted on TV, in books or on social media are what you’d like from your own. And remember that sex is something that happens with you, not to you – speak up about what you want, and encourage partners to do the same.”
Switch off negativity “As you’re looking at movies or television or porn, or magazines or music videos or social media, ask yourself, ‘After I see this, am I going to feel better about my body as it is today, or worse?’” says sex educator Emily Nagoski, in her book Come As You Are. “If the answer is ‘worse’, stop buying or watching those things.” This is especially important where porn is concerned.
As the recent report from the children’s commissioner for England, Rachel de Souza, has highlighted, the increasingly abusive, aggressive behaviour depicted on many mainstream porn sites is normalising sexual violence and exploitation among teenagers, affecting their mental health and undermining their ability to develop healthy sexual relationships.
You have the right to change your mind
“Don’t feel pressure to do something sexually that you’re not comfortable with,” advises psychotherapist Silva Neves, author of Sexology: The Basics. “You can always say ‘no’ or ‘pause’, or say ‘no’ after you’ve said ‘yes’.”
Age 25-35
It’s good to simmer
“The happiest erotic couples make a point of enjoying feeling aroused together for its own sake – even on days when sex isn’t on the menu,” says US sex therapist Stephen Snyder, author of Love Worth Making: How to Have Ridiculously Great Sex in a Long-Lasting Relationship. “In sex therapy we call this simmering. It’s what teenage couples do whenever they get a moment’s privacy. Quick, intimate bodily contact, fully clothed – just enough to get you slightly buzzed.”
Penetrative sex isn’t the gold standard (nor, for that matter, is simultaneous orgasm) Many of what we have come to perceive as cultural markers of sexual excellence are spurious ideas that are now being refuted by science – and more honest, open debate around the subject. Such ingrained cultural beliefs are worth challenging. Do what works for you rather than what society tells you ought to work for you. For example, says Neves: “Many gay men don’t have anal sex at all, but prefer oral sex and intimate touching. Similarly, many women have very good sex without penis-in-vagina sex.”
You need to set the right conditions for sex Context is everything, explains Nagoski. If you’re feeling relaxed, loved and fully present (as opposed to, say, worrying about an email you need to send, an argument you’ve just had, or whether the children might walk in on you) you’re likely to have better sex. If you’re not, it doesn’t matter how sexy your partner is, how much you love them, how fancy your underwear is or how many candles you light – almost nothing will activate that desire. Nor is it about what you do with your partner, which body parts go where, or how often, or for how long. It’s about sharing sensation in the context of profound trust and connection, and recognising the difference between what great sex is really like and what most of us expect great sex to be like.
You don’t have to have sex at all “Gen Z are having less sex than millennials, who have less sex than older generations. This is often treated as a bad thing, but it might reflect more self-awareness in a hypersexual society,” says Aimée Lutkin, author of The Lonely Hunter: How Our Search for Love Is Broken. “Think about what you want out of sex and be honest about whether it is the thing you are really seeking. Is it intimacy? Community? Distraction? If it is sex, that’s great. The more in touch you are with your needs, the more likely it is you’ll make the connections you want to.”
Commitment and monogamy can be exciting “In my teens and 20s, I thought good sex was about physical desire,” says Stroud, “but in my 30s I realised that feeling psychologically ‘seen’ by another, and trusting them implicitly, is where good sex starts. Then you learn to take huge risks with them too. At that point, commitment and monogamy get really exciting.”
Age 35-45
It’s normal for sex to drop off the list of priorities “When you have a new baby or you’re caring for an elderly parent, overwhelmed with work or coping with some other form of stress, sex won’t be top of the agenda (though for some it will be a useful stress reliever),” writes Nagoski. “Don’t panic about it. It’s a phase you’ll pass through when you’ve managed the stress, and you’ll find your way back to the other side.”
Have a six-second kiss “Greet one another at the end of the day with a kiss that lasts at least six seconds, or a hug that lasts at least 20 seconds. That guarantees you will both produce the hormone of emotional bonding, oxytocin,” says relationships expert John Gottman, co-author of The Seven-Day Love Prescription.
Make sex a priority “Don’t make lovemaking the very last item on a long to-do list,” says Gottman. “Make it a real priority. Go on an overnight romantic date at a local B&B, or farther afield, at least four times a year.”
Don’t try to second-guess what your partner will enjoy Whether you’re trying to sustain sexual satisfaction in a long-term relationship or wondering why a new partner isn’t responding to your usual moves the way a previous one did, the key is to be really honest about what works (or doesn’t) for you, instead of expecting your partner to guess. “About a quarter of women orgasm reliably with intercourse,” writes Nagoski. “The other 75% sometimes, rarely or never do, but might orgasm through manual sex, oral sex, vibrators, breast stimulation, toe sucking or pretty much any way you can imagine. They’re all healthy and normal. Similarly, a woman can be perfectly normal and experience arousal nonconcordance, where the behaviour of her genitals (being wet or dry) may not match her mental experience (feeling turned on or not).”
Have sex with yourself
Whatever age you are, “masturbation can be a great way to explore your body and fantasies”, says Evans. “Spend time creating your own storylines and find out what turns you on. You can also explore a whole world of visual, written and audio erotic content – but make sure it’s ethical (ie it is consensual, treats performers with respect, and pays performers and makers fairly). Audio erotica, in particular, has become more mainstream, especially among those who aren’t into visual porn, enjoy bringing their imagination into solo sex or want to try something new.” Two of the best-known platforms are Quinn and Dipsea, but it’s a fast-growing market.
Mothers are allowed to enjoy sex, too “It is a complicated balance, being both a mother and a sexual being,” says Lucy Roeber, editor of the Erotic Review, which relaunches later this year. “In our society, we sometimes expect women who give birth to pass through a door into an idealised state of maternal preoccupation without a backward glance. Yet they have the same messy lusts and cravings. My advice is: don’t strive to be too perfect a mother and don’t deny yourself pleasure. It is surprisingly easy for women to accidentally put their sexual being to one side while they work on motherhood. Yet the two can and should work together. After all, in most cases, it was sex that started the process of parenthood in the first place.”
Age 45-55
To cuddle or not to cuddle? Snyder says that “cuddling tends to deplete a couple’s erotic energy. If you like to cuddle together while watching TV, then be sure to ‘simmer’ [see above] during the ad breaks.” Gottman, however, advises “a daily cuddling ritual for watching films and TV shows at home where you actually stay physically in touch with one another. On one of these nights offer to give your partner a 15-minute massage.”
Don’t wait for desire to strike – practise creating it “Too many couples only have sex when they feel desire,” says Snyder. “That’s fine when you’re 20. But by 50 most people are more interested in a good night’s sleep. What to do? Have sex anyway.” Nagoski agrees that pleasure matters more than desire. She says: “Create a context that allows your brain to interpret the world as a safe, fun, sexy, pleasurable place. It’s called responsive desire and it asks that your partner help you in creating good reasons for you to be turned on. While some people have a spontaneous desire style (they want sex out of the blue); others have a responsive desire style (they want sex only when something pleasurable is already happening). The rest, about half of women, experience some combination of the two.”
Embrace body confidence “I’ve found that being in my 40s is entirely liberating. We get better as we shed the self-consciousness of youth, the desire to please, the emotional pliability. I love my body. It is the map of the years I’ve lived,” says Roeber. Nagoski questions wider sex-negative culture. “If you’ve learned to associate sexual arousal with stress, shame, disgust and guilt, you won’t have as good a sex life as someone who associates it with pleasure, confidence, joy and satisfaction,” she says. “Begin to recognise when your learned disgust response is interfering with your sexual pleasure. Your genitals and your partners’, your genital fluids and your partners’, your skin and sweat, and the fragrances of your body – these are all healthy elements of human sexual experience.”
Manage the menopause Hormonal changes during the menopause and perimenopause can trigger a host of symptoms (low libido, fatigue, low mood, vaginal inflammation or dryness) that do not make a recipe for romance, according to Dr Louise Newson, GP, menopause specialist and founder of the Balance app. “If you notice any of these changes, see a healthcare professional for a proper diagnosis and to discuss treatment options.” Don’t assume these issues will only start in your late 40s, either. “Though the average age of menopause is 51, one in 100 women will go through menopause before the age of 40. Even if you have an ‘average’ menopause, the perimenopause often starts in your early 40s.”
Have a sex date “Set a date to meet naked in bed to do absolutely nothing at all,” advises Snyder. “Talk, if you like, but this isn’t the time for deep conversation. Instead, focus on experiencing what’s going on in your body at that moment. Time is an endless string of such moments. Pay attention to a few of them. That’s often the best preparation for good lovemaking afterwards.”
Learn how to reconnect “It can be hard to connect to someone intimately if you don’t feel connected to them emotionally. Launching into ‘You don’t make me come any more’ or ‘You never want sex and I feel rejected’ will put your partner on the defence,” says Ammanda Major, head of service quality and clinical practice at Relate. “Saying, ‘I’ve noticed we seem to have drifted a bit on this and I’m really hoping we might talk about it’ is gentler. You’re not making assumptions about what your partner might be feeling, but you are showing that you’re interested in what they have to say about it. Once you’ve got those things in place, you can have a conversation about how to deal with it.”
You’re never too old to experiment “We have one body, but it can experience so many different forms of pleasure, especially when we open our minds. The more we accept the lie that our lives are over at 40, the more we are just cutting ourselves off from possibility,” says Lutkin. Newson agrees: “Your 50s and 60s can be a time of sexual liberation when your children may have flown the nest or you may be back on the dating scene after the end of a relationship. Many of my patients tell me that HRT and testosterone have given them a new lease of life. Make sure you are using lubricants [see below] and toys that are safe. These can ease discomfort and make sex more enjoyable, but many brands of lubricant contain irritants like glycerine and parabens, and should be avoided.”
Age 55-65
Focusing on sex drive is a wrong turn
So often we use the catch-all phrase “sex drive” to describe our enthusiasm for, or lack of interest in, sexual activity. In reality the process is more complicated than whether you’re feeling in the mood or not. “Your brain has a sexual ‘accelerator’ that responds to ‘sex-related’ stimulation: anything your brain has learned to associate with sexual arousal,” says Nagoski. “It also has sexual ‘brakes’ that respond to anything your brain interprets as a reason not to be turned on. Constantly monitoring for footsteps in the hallway? Have sex when no one else is home. Tired? Have a nap. Icked out by grit on the sheets? Change them. Cold feet? Put on socks. Sometimes it really is this simple.”
Follow the recipe for romance
While everyone’s particular sexual preferences may differ, studies suggest there are some commonalities among couples who claim to have great sex lives. “From the largest study ever done on what makes for great sex, the Normal Bar study, as well as our own studies, there are a baker’s dozen suggestions that set apart people who say they have a great sex life from people who complain that their sex life is awful,” says Gottman. “Things that work include kissing passionately, giving each other surprise romantic gifts, talking comfortably about their sex life and having weekly romantic dates.”
Manage dryness “One symptom affecting a healthy sex life that should be on every woman’s radar is vaginal dryness,” says Newson. “You might also experience soreness, itching, irritation, painful sex, vulval changes and UTIs. It can be hugely distressing – I’ve treated women who have been in so much discomfort they can’t put on a pair of trousers or even sit down, let alone have intercourse. But it can be managed by using vaginal oestrogen or HRT and avoiding tight-fitting clothing. You should also avoid perfumed soaps and shower gels or intimate-hygiene washes.”
Find out what you like as a couple and make it happen Monogamy is sometimes framed as the death knell of erotic connection, but, says Nagoski, this is a red herring. “Passion doesn’t happen automatically in a long-term, monogamous relationship. But it does happen if the couple takes deliberate control of the context,” she says. So find out what is pleasurable for you as a couple and spend time creating the context that leads to it. Often, but not always, we fall into one of two categories – those who need space from a partner in order to create spontaneous desire and those for whom great sex tends to happen when it’s preceded by affection and intimacy.
Don’t take things for granted People often get stuck in familiar routines in the bedroom but, whether you’re with a long-term partner or starting a new relationship, it’s important to check in now and then and ask whether your usual approach is working. “If something doesn’t feel quite right, it’s important to be able to talk about it honestly and caringly,” says Major.
Age 65-plus
Don’t rush things “If you’ve been in a partnership for many years that has now ended, you may want to get out there and meet people,” says Major. “But if something doesn’t feel right, it isn’t. Whether you’re 18 or 58, having sex is something to do when you feel confident that there is a degree of trust. New partners may have different expectations from you and different experiences. That’s potentially two very different sets of boundaries.”
Make the wellness connection Older generations sometimes see sex as a taboo subject. If that’s the case for you, try reframing sexual wellbeing as one component of your wider physical and mental wellbeing. Whether you’re eager to discover positions that are easier on arthritic joints or prefer the closeness of a cuddle, maintaining intimacy can significantly boost overall wellness. Conversely, good health habits can improve our sexual wellbeing, particularly as the effects of ageing start to kick in. “Not drinking too much, eating sensibly and exercising regularly can all have a beneficial impact on our sex lives,” says Major.
Seek medical help when needed Many older couples say erectile dysfunction medications make sex less anxiety-provoking, says Snyder, just as a lubricant can help some women. “Sex and worrying don’t go well together. As a sex therapist, I’m always happy when a couple has one less thing to worry about.” Major agrees: “Issues like erectile capacity and vaginal dryness need not rule out a satisfying sexual connection. But seeking medical help where needed is important – lumps, bumps, weird bleeding and poor erectile capacity can be symptomatic of health issues. And with the number of STIs in the over-65s having significantly increased as people move out of long-term relationships and start new ones, it’s important to get checked out.”
Strive for connection “Being able to share intimacy with a partner, as opposed to just wanting intimacy for yourself, is vital,” says Major. “Your level of energy or physical connection might be quite constrained, but it’s very possible through gentle touch, words or kindness to maintain that core intimacy. For some couples, the physicality of sex becomes unimportant in later life, but what they have is a deep emotional connection – an ability to talk honestly and openly and caringly with one another.”
Welcome your sexuality “The most important thing you can do to have a great sex life is to welcome your sexuality as it is, right now,” says Nagoski, “even if it’s not what you wanted or expected it to be.”
If you’ve ever heard someone say their sex life is subpar, chances are a lack of foreplay is on their list of complaints. This gripe is so common that most of us treat it as fact — consistently skipping foreplay leads to consistently disappointing sex.
What we rarely talk about, however, is what comes after sex, and it’s arguably even more critical than foreplay. The way we behave post-intercourse affects our sexual health, how we feel, how we value ourselves, and how we view sex.
What is Sexual Aftercare?
Just as foreplay deals with the way we treat each other before sex, aftercare is about how we treat each other when sex is over. It encompasses a wide range of activities that involve your body and mind.
Hygiene and Self-Care
You’ve heard it before, and you’ll hear it again: pee after sex! This is the easiest and most common example of postcoital hygienic self-care. Peeing after sex can help prevent infections or irritation in your genitals.
Do you or your partner take any medications? Setting the alarm or reminding each other to take them after sex, if needed, is aftercare. Anything that promotes your overall health and comfort is usually a good idea, such as a glass of water or a hot shower.
A hot cup of tea or a greasy order of takeout can help your bodied replenish nutrients. If you’re the kind of person who’s very active during sex, you may want to soothe your muscles by stretching, trading massages with your partner, or simply cuddling together for a while.
You might be noticing a theme here; aftercare is about you and your partner taking care of each other. It doesn’t matter if it’s casual sex, a new relationship, or your spouse of many years; your experience will always be more positive when you express intimacy and care, even if you don’t plan on staying together.
Intimacy and Emotional Well-Being
The human mind is an enigma, so it’s never easy to tell what your partner – or even yourself – needs after sex. Some of us naturally want distance, while others want to be closer. Some need the validation of physical touch and conversation, while others feel overwhelmed by intimacy and just need to spend ten minutes alone on their phone.
As long as it doesn’t hurt your partner, there’s no wrong answer; that’s why communication is so important. If you’ve been with your partner a while, they might already know what you need after sex and be ready to provide. If they’re a newer partner, you may need to learn what they need while expressing what you need.
So tell them and ask them what. It’s okay to say that you want to cuddle or that you need space. It’s okay to balance your needs with theirs. At some point, most of us will experience Post-Coital Dysphoria (PCD), which hits us with a tide of sadness, irritability, or even tears after sex. If this happens, it’s okay! Let your partner know what’s going on and that it’s not their fault. If they’re experiencing PCD, let them know it’s okay and ask what they need.
Most of all, though, be cognizant and considerate of both your emotions. Treat each other as attentively and kindly as you did before sex.
Why Aftercare Matters
Whether we like it or not, sex is an experience that triggers some kind of emotion and connection in most of us. Even the partners who run for the door when it’s over aren’t necessarily feeling nothing; rather, they’re cautious about what they might feel.
That’s okay, and to each their own, but sex is inherently intimate. When we treat each other with care and consideration after sex, we build on that intimacy. In a relationship, this brings two people closer together and positively associates sex with feelings of nurture and love.
Even after casual sex, good aftercare reaffirms both partners’ inherent value as people. In simpler terms, it reminds us that we deserve to be treated well even when no one wants something from us. This not only boosts our self-esteem but it reinforces positive behaviors that make us better lovers and better people.
On the other hand, ditching aftercare can make both partners feel the opposite. It’s common for people who neglect aftercare to feel used, and their self-esteem might take a hit too. In long-term relationships, this can give one or both partners negative feelings toward sex. This, in turn, might make them lose interest in sex, which often causes other problems in a relationship.
In terms of hygiene, people who don’t pee or clean themselves after sex are more likely to suffer from infections or deal with irritation in or around their genitals. No one wants that.
So why is aftercare so important? It keeps your body healthy and your sexual experience positive. In a relationship, it enhances your intimacy and, in any scenario, it reminds you that as a human in any situation, your partner is worth taking care of — and so are you.
Imagine Sarah and John have been in a monogamous relationship for five years. Although they love each other, Sarah, who is bisexual, has recently started feeling an attraction to her coworker, Andrea. This has led to several sexual encounters, leaving Sarah feeling guilty. However, she has not talked to John about her feelings or experiences with Andrea.
No matter how much you love your partner, it’s common to feel attracted to someone outside of a relationship. Some couples may even want sexual encounters with other people. It can be difficult to navigate these feelings, especially when they conflict with the commitment and promises made in the relationship. While the sex between Sarah and Andrea was consensual, Sarah engaged in non-consensual sex by stepping outside of her monogamous relationship without John’s consent.
There is growing curiosity about ethical or consensual non-monogamous relationships, particularly among young people. YouGov data found that 43% of millennial Americans say their ideal relationship is non-monogamous, even if few are in such a relationship. And a survey commissioned by sex toy brand Lelo, found that 28% of aged 18 to 24 would consider an open relationship.
What makes non-monogamy “ethical” is an emphasis on agreed, ongoing consent and mutual respect. All parties involved are fully aware of the situation and voluntarily agree to participate. Partners are free to change their minds at any time and (re)negotiate boundaries that work for everyone involved. Ethical non-monogamy can take many forms, including polyamory, open relationships and swinging.
These relationships are often stigmatised and misunderstood. They challenge the traditional notion of monogamy, which is commonly viewed in most western and religious societies as the only acceptable way of engaging in romantic relationships.
Yet research has shown that consensual non-monogamy can have positive effects on relationships and the people in them. People in consensual non-monogamous relationships have reported higher levels of sexual and relationship satisfaction and greater relational intimacy than people in monogamous relationships.
Misconceptions and stigma
One stigmatising view is that people in non-monogamous relationships pose a greater risk to their partners’ sexual health. This is based on the assumption that having multiple sexual partners increases the likelihood of sexually transmitted infections (STIs).
However, research shows that people in open and non-monogamous relationships have safer sex practices than monogamous, but unfaithful partners. Ethical non-monogamy can be a safer outlet for sexual expression compared with monogamous relationships that have led to cheating where someone ends up passing an STI to their partner.
In healthy relationships, partners recognise that each person has their own unique sexual preferences and diverse needs. For consensually non-monogamous partners, this means understanding that their primary relationship may not always fulfil all their sexual desires.
Although jealousy can still exist within non-monogamous relationships, research has found that it can be more manageable than in monogamous ones. This is because, in secure non-monogamous partnerships, there are open discussions about sexual attraction and setting boundaries, where partners can address jealousy anxiety.
Exploring non-monogamy
Ethical non-monogamy is not for everyone. You should only explore this type of relationship if it feels comfortable, you seek appropriate consent and the existing relationship is solid. Outsiders often hold the stereotypical view that people only engage in ENM if their current relationship is unstable.
If you decide that it’s right for you, keep the following in mind.
1. Communicate openly
Communication is important in any relationship, but especially critical in ENM relationships. Partners must be transparent and honest about their intentions, feelings, expectations and boundaries. People in non-monogamous relationships need to be aware of their emotional boundaries and be prepared to navigate feelings of jealousy.
2. Practice safe sex
Sexual health is key regardless of your relationship status or style. Get tested regularly for STIs and to use protection during sexual encounters to minimise the risk of transmission.
3. Stop shame
Managing stigma is one of the most difficult parts of an ENM relationship. When people are socialised to believe that having multiple partners is wrong or immoral, this can lead to feelings of shame and self-doubt. It is important to recognise that consensually non-monogamous and multipartnered relationships are a valid lifestyle choice. You can seek support from like-minded people or talk to a sex and relationship therapist if necessary.
While non-monogamy is not everyone’s cup of tea, these tips can be helpful for any relationship. Ultimately, it is essential to keep communication, consent and respect at the heart of your partnership.
Sex is a fundamental part of a healthy, intimate relationship. It’s where people display their love and affection for each other in a physically intimate way. But what happens when the sex isn’t great? When one spouse isn’t feeling satisfied or is left underwhelmed? It can be a tough topic to bring up but good sex it’s crucial for any relationship to work. Here are some ways you can talk to your spouse about the intimacy not satisfying your needs while maintaining open and honest communication.
Figure Out What’s Missing
The first step is to identify what specifically isn’t working for you. Is it a lack of emotional connection, intimacy, or physical pleasure? By figuring out what isn’t working, you can approach the conversation with your spouse clearly and confidently.
Be Direct but Tactful
Confronting your partner about subpar sex can be uncomfortable for both parties, but it’s essential to address the issue head-on if you’re not satisfied. In order to do so tactfully, without attacking or blaming your partner, it is best to use “I” statements. In a problem-solving context, “I” statements are a non-judgmental way to frame the conversation. For example, “I don’t feel satisfied sexually” or “I would like us to be more intimate.” By using “I” statements like “I notice we aren’t connecting as well as we used to in the bedroom, and I wonder how we can make things better,” the conversation can be framed as a problem-solving exercise rather than something to be ashamed of. In this way, you avoid blame and your partner is able to understand the impact of their actions on you.
Use Positive Reinforcement
Positive reinforcement can go a long way in boosting your sexual connection with your partner. Instead of focusing on what’s not working, focus on what is. Give your partner specific examples of things they do that you enjoy and ask them to do more of that. For example, “I love when you touch me like that, and it really turns me on. Can we do more of that next time?” Positive reinforcement is a great way to build your partner’s confidence in the bedroom and motivate them to keep trying new things.
Talk About Your Needs and Desires
Another way to broach the subject of unsatisfying sex is to talk about your needs and desires. Often, couples struggle to communicate openly about what they want in bed, which can lead to disappointment and frustration. Make sure to communicate your needs clearly and listen to your partner’s needs as well. Understanding your partner’s desires and preferences can help you both achieve greater sexual satisfaction. Find out what arouses your partner and work on fulfilling that longing desire.
Offer Solutions
If you’re in a sexual rut, trying new things together can be a great way to reignite the flame. Come up with suggestions to add spice to your sex life. Share your fantasies with each other, and brainstorm ways to make them a reality. Whether it’s exploring new positions or experimenting with toys, introducing new elements into your sex life can be a fun, exciting way to deepen your connection with your partner. Ask your partner to suggest new ways you can both enjoy sex more. If you can’t get to a solution, consider seeing a sex therapist for guidance.
Seek Professional Help if Necessary
If you’ve tried everything and still can’t seem to get your sexual connection back on track, seeking professional help could be an option worth considering. A sex therapist can provide unbiased, expert advice on how to improve your sex life and help you and your partner overcome any obstacles that may be hindering your connection. Don’t be afraid to reach out for help — sometimes, a fresh, professional perspective is all you need to get your sexual relationship back on track.
Intimacy is an essential part of a relationship, and if it’s not adequately addressed, it can affect the bond between partners. Talking to your spouse may be daunting, but it’s essential to approach it with love and respect while highlighting your needs and concerns. Be prepared to listen and offer solutions that work for both of you. Remember that it’s a journey towards better intimacy and emotional bonding. And if the conversation doesn’t go as planned, it’s perfectly okay to ask for guidance from a therapist. The most crucial thing after the conversation is to keep the lines of communication open. Don’t let the conversation be a one-time event, but rather a starting point for a regular conversation and improvement of your intimacy.
The first time Isabel and her husband did MDMA together, they were at Burning Man, just a couple of weeks before their wedding. It was a profound experience.
“It was like being seen for the first time for who we really were because it allows you to be super vulnerable and allows you to share these deep parts of yourself without fear of being judged,” said Isabel.
“I felt like we got married out there.”
She and her husband Joseph, both physicians in their 40s who live in British Columbia, have been together for 15 years. VICE News has changed their names to protect their privacy because MDMA is illegal. They don’t use drugs often—the Burning Man trip, 11 years ago, was Joseph’s first time taking MDMA. These days their trips look pretty different from a festival. Once a year, they get a babysitter for their two kids, rent a room at a resort and take the psychedelic to work through conflicts in their relationships.
“We wind up spending a night and just pushing through about six months worth of marriage crap all at once,” Joseph said. “You’re just kind of a different couple on the other side of it. It’s very interesting.”
Because of Isabel’s training in using both ketamine and MDMA for therapeutic reasons, the couple generally trips on their own while going through their issues. But they’ve also had a guided trip with an underground therapist who serves people under the influence of psychedelics. They’re part of a growing number of couples who are adding psychedelics to their couples’ therapy experiences.
Psychedelics are having a renaissance, with substances like ketamine, psilocybin (the active ingredient in magic mushrooms), and MDMA being studied and used to treat issues like depression, post-traumatic stress disorder, drug addiction, and end-of-life anxiety. While MDMA remains illegal in the U.S. and Canada, last year the nonprofit group Multidisciplinary Association for Psychedelic Studies (MAPS) completed a second phase-three trial on using the drug as PTSD treatment and is expecting the Food and Drug Administration to evaluate its findings in 2023, potentially approving it for people with the disorder. In the meantime, MAPS and other groups already offer training in psychedelic-assisted therapy, while some therapists are already adding ketamine to their services because it’s legal. Others are offering discreet therapy sessions using illegal drugs. And both underground and above ground practitioners told VICE News demand is growing among couples who think psychedelics could help them take on their issues.
“I tell my couples, ‘Look, this is not a magic pill. It’s an assist.’ And I would say that if they’re willing to do the work, it expedites forgiveness,” said Jayne Gumpel, a Woodstock, New York-based clinical social worker who has treated around 150 couples using ketamine.
Some of them have recommitted to each other after being on the brink of divorce, she said.
Gumpel also offers group retreats for couples; private sessions run for $200 an hour, while four-day retreats are $1,850 a person on a sliding scale. She said people often choose partners who provoke their defences or trigger trauma for their childhood, but they don’t necessarily realize it. While using ketamine, she said people’s defences are lowered and they’re less attached to the idea that their side of the story is correct.
“When the person who’s listening learns how to hold that space and not get reactive…what happens is the person who’s sharing their frustration about messiness starts to talk about their childhood when their mother was alcoholic and the house was a mess and they took it upon themselves to have to be the one to keep things organized. And that’s how she felt safe,” Gumpel explained. “All of a sudden, the partner who feels ragged on because he’s sloppy has empathy for the person who’s complaining to him about it.
“It’s like a magical moment when they’re now understanding they have consciousness of this pattern they’re stuck in,” she added.
Recently, Isabel said she and Joseph had a similar revelation, where she told him about “something really horrible” that happened to her as a child.
“It was one of those moments in the relationship where you’re like, ‘Oh, that explains 40 percent of what I’ve been wondering about you for 15 years,” Joseph said, adding that it gave context to questions he had about her relationship with her family. During other sessions, they’ve cried, and even vomited.
Dr. Reid Robison, chief clinical officer at Numinus, a mental health care company that provides ketamine-assisted therapy to couples in the U.S. and Canada, said having one partner supporting the other as they work through trauma can be a powerful bonding experience.
“We can identify the barriers that we have to love in ourselves, and then we can just do it so much more freely in our partnership.” Numinus charges around $300 for dosing sessions, but typically a person also has integration sessions afterwards to talk about what they learned.
Robison said whether a person is using MDMA or ketamine, the drugs help people in “turning towards each other” instead of turning away. He’s even seen it work with people going through a divorce, helping them to get over old wounds so that they can co-parent better.
Isabel and Joseph have put up signs in their home that say “turn towards”—gentle reminders that they’ve put in place to integrate the lessons they’ve learned while on MDMA. She said they’ve managed to break a pattern where she would complain about something, and he would withdraw, causing her to also pull away.
Both of them said doing MDMA, which boosts a person’s levels of dopamine and serotonin (neurotransmitters that impact pleasure and sexual desire), has also greatly improved their sex life.
“We had a good sex life, but now we have an amazing sex life,” Isabel said, noting they’ll typically put in five hours of work on their relationship before having sex during one of their resort stays. “It really allowed us to explore breathing together and doing all these like deepening, like soul connection things.”
Joseph said he considers MDMA a medicine, not a drug, and that it should be legally available to people. In fact, it was legal and used for couples therapy in the 1970s and 1980s, before being designated a Schedule I drug in 1985, meaning the government determined it had no medical use and a high potential for abuse. Early reports found that it was useful in navigating relationship issues and communication.
Depending on what happens with the FDA’s evaluation of MAPS’ study, it may soon be available for people with PTSD.
Robison said that could open the door for it being allowed to be used for people with other issues, though it’ll be a slow process. He said people with PTSD can also struggle with relationships or have depression and anxiety, though, so “there are ripple effects to their healing work that will be felt in their partnerships.”
He said more research is needed on the impact of psychedelics on couples and he expects to see more therapists wanting to work with it in the years to come.
It’s taken a long time. But there is finally a growing awareness of the importance of discussing health issues openly and honestly.
By Northern Life
A lot of men shy away from discussing their health concerns because of social stigmas and embarrassment. Sometimes it’s because they simply don’t know where to turn for help. Addressing these issues openly and providing the necessary information and support is crucial.
Testicular Cancer
Testicular cancer is another health issue that often goes unaddressed due to embarrassment or fear. However, early detection is crucial for successful treatment and improved outcomes. It happens when abnormal cells develop in the testicles.
Common symptoms include a painless lump or swelling in one or both testicles. You might notice a feeling of heaviness in the scrotum or that your testicles have changed shape or weight. These symptoms can also be caused by other conditions, it’s true, but you need to talk to a doctor if you notice any of them.
Regular self-examinations are recommended. By familiarizing themselves with the normal size, shape, and weight of their testicles, men can quickly identify any changes or abnormalities. If a lump or other concerning symptoms are noticed, it is crucial to consult a doctor promptly.
While the topic of testicular cancer may be uncomfortable to discuss, early detection and treatment can significantly improve the chances of a full recovery. Men should prioritize their health by raising awareness and openly discussing this issue.
Erectile Dysfunction
Erectile Dysfunction (ED) affects a significant number of men, but it remains shrouded in silence. ED refers to the inability to achieve or maintain an erection sufficient for sexual intercourse. It can stem from various factors, including physical, psychological, or lifestyle-related causes. It’s normal to have trouble getting or maintaining an erection sometimes. But persistent problems can have a significant impact.
One common physical cause of ED is the restricted blood flow to the penis. Diabetes, high blood pressure, or cardiovascular disease can be potential causes. You might also suffer from ED if you are dealing with stress, anxiety, or depression. It’s probably not too surprising to learn that smoking, drinking too much booze, and not having an active lifestyle can increase the risk of developing it.
The first step in addressing ED is to have an open conversation with a healthcare professional. Doctors can help identify the underlying causes and recommend appropriate treatment options.
It is essential to recognize that ED is a treatable condition. By breaking the silence and seeking medical assistance, men can regain control over their sexual health and improve their overall well-being. If you want to learn more about treatments for ED, then you can check out what’s available at The Independent Pharmacy. They are a regulated online pharmacy that can help you find the right prescription and over-the-counter treatment.
Mental Health
Societal expectations that encourage men to be stoic and tough can create barriers to seeking help. However, mental health issues can affect anyone. It doesn’t matter what your gender is.
Depression, anxiety, and stress are widespread right now. Men need to understand that seeking help for these kinds of issues is a sign of strength. Mental health professionals are trained to provide support and guidance in managing these conditions. There’s therapy, medication, or a combination of both. Lifestyle changes such as regular exercise, healthy eating, and practicing stress-reducing techniques like meditation or mindfulness can also help to
By breaking the silence surrounding mental health and seeking appropriate support, men can effectively manage their mental health conditions and lead fulfilling lives.
Prostate Health
Prostate health is a critical aspect of men’s overall well-being. But it can be so tough for people to talk about it openly. Prostate cancer is the most common cancer among men, and it is essential to address it openly. Early detection is crucial for successful treatment and improved outcomes. However, the fear, stigma, or lack of awareness surrounding prostate cancer can discourage men from discussing it or seeking regular screenings.
Regular prostate screenings are recommended for men over the age of 50. You should get one earlier if you have a family history of prostate cancer. These screenings can help detect any abnormalities in the prostate gland and identify potential cancerous cells.
By breaking the silence and openly discussing prostate health, men can become proactive in monitoring their prostate health, addressing any concerns, and seeking timely medical intervention when necessary. Open conversations and awareness about prostate health can help save lives and ensure a better quality of life for men as they age.
Sexual Health And STDs
Sexual health is integral to overall well-being, and men should prioritize discussions about it. Safe sexual practices and regular check-ups can help prevent and detect sexually transmitted diseases. They also mean that you can enjoy an active sexual life.
Engaging in unprotected sexual activity or having multiple sexual partners can increase your risk of catching something. Open and honest communication with sexual partners about sexual health is essential. Discussing sexual history, STD testing, and using barrier methods such as condoms can help reduce the risk of contracting or spreading STDs. Regular STD testing is recommended, especially after engaging in unprotected sexual activity or changing sexual partners.
If diagnosed with an STD, it is crucial to seek prompt medical treatment and inform any sexual partners to prevent further transmission. A lot of STDs can be treated with antibiotics or antiviral medications. Additionally, healthcare providers can offer guidance on preventive measures, safe sexual practices, and regular screenings.
Men can reduce the stigma surrounding STDs, increase awareness, and take necessary precautions to protect themselves and their partners by promoting open conversations about sexual health,
Substance Abuse And Addiction
Substance abuse and addiction are significant health concerns that affect men disproportionately. Societal expectations and pressures can sometimes lead men to turn to substances such as alcohol, tobacco, or drugs as coping mechanisms, as we saw a lot during the pandemic. There can be serious mental and physical consequences when any of those substances are abused.
Breaking the silence surrounding substance abuse and addiction is essential. Men should be encouraged to seek support. There are treatment options out there, from counseling to detox and rehab programmes.
Men can smash the stigma associated with seeking help and create a supportive environment for those struggling with these issues when they talk about them. Addiction is a treatable condition, and men can embark on a journey towards recovery and regain control over their lives with the right support,
Wrapping It Up
Addressing the health issues men often avoid discussing is crucial for their well-being. By breaking the silence and encouraging discussions about these topics, men can take control of their health, seek appropriate medical assistance, and lead healthier, fulfilling lives. Remember, it’s time to break the barriers and prioritize men’s health through open dialogue and support. There is no such thing as an embarrassing health concern. And you might just be amazed by how much better you feel once you start talking.
It’s taken a long time. But there is finally a growing awareness of the importance of discussing health issues openly and honestly. The idea of “embarrassing” health problems is being challenged more and more frequently. But some topics still get swept under the carpet, especially when it comes to men’s health.
A lot of men shy away from discussing their health concerns because of social stigmas and embarrassment. Sometimes it’s because they simply don’t know where to turn for help. Addressing these issues openly and providing the necessary information and support is crucial.
Coming this fall to your TV screen: “The Golden Bachelor.” That’s right, reality television fans, seniors are finally getting their shot at this (somewhat unscripted) love connection. The suspenseful rose ceremonies and extravagant date nights are likely. But will there be an overnight in the fantasy suite?
If this is, in fact, reality, then there should be. Physical intimacy important — sex even has health benefits. Yes, even for those in their twilight years. Shining a light on sex after 60 may be just what the doctor ordered. But seniors also need to know how to protect themselves from sexually transmitted diseases (STDs).
STD Rates Rise Along with Sex After 60
Sexual health may not be a topic older adults are keen on discussing — even with their care providers. “Unfortunately, this reluctance to talk about sex is putting newly single seniors at risk for sexually transmitted infections,” says Laurie Archbald-Pannone, MD, a geriatrician with UVA Health. As a geriatrician, she specializes in primary care for older adults.
One analysis showed that in adults over age 60, diagnosis rates for STDs (also known as sexually transmitted infections or STIs) increased 23% in 3 years.
That’s more than double the increase seen in the rest of the population, which saw a rise of just 11% in diagnoses of STDs. The main STDS are gonorrhea, chlamydia, and herpes simplex.
Why the STD Boom Among Boomers?
The rise is likely due to “a lack of awareness among this age group about STI prevalence and prevention,” says Archbald-Pannone.
“A common scenario is when someone older in life suddenly rejoins the dating scene after a decades-long monogamous relationship. This person may not have a history of STI education, so may not be aware of appropriate prevention or STI signs and symptoms,” she says.
With increased availability of medications for menopausal symptoms and erectile dysfunction, sex after 60 is more common. But older adults are also more susceptible to infections due to age-related changes in immune function. For women, postmenopausal vaginal dryness can increase the risk for tears in the vaginal wall, which can accelerate the spread of infection.
Let’s Talk About Sex After 60
Unfortunately, says Archbald-Pannone, many clinicians are missing an opportunity to educate this population about STD prevention, including the use of condoms and the importance of screening.
“In terms of sexual health, we as providers readily talk about STI prevention with younger patients,” she says. “Among older adults, however, studies show clinicians are not having the same conversations. Often it’s because the provider is uncomfortable bringing up the topic. At any age, it’s difficult to discuss sensitive topics. But, as providers, we can have a big impact by talking to our patients about sexual practices, sexual health and STI prevention.
“We have to make sure that, as clinicians, we’re well educated on these topics so we can be a resource for our patients,” adds Archbald-Pannone. “We also have to create a judgment-free, open environment so patients feel comfortable having those conversations.”
4 Tips for STD Prevention
For anyone entering a sexual relationship, Archbald-Pannone has the following advice:
Talk to Your Partner
Be aware of your partner’s sexual history and STD risk factors before being intimate.
Use Protection
Condoms or other barrier methods used during intercourse prevent infections.
Looking for Senior Healthcare?
UVA Health geriatricians are experts in senior care.
Get Screened & Encourage Partners to Do the Same
If you are sexually active — either with a new partner, with several partners, or if your partner has recently had sex with others — you should have an annual STD screening. There is no age cutoff for screening.
Know STD Symptoms
If you’re having sex after 60 or any age, educate yourself on the signs and symptoms of gonorrhea, chlamydia, and herpes simplex. Some of the most common include:
Bumps, sores, or lesions around the genitals
Discharge from the penis or vagina
Painful urination
Get Treated
If you experience any unusual symptoms after engaging in sexual intercourse, don’t delay treatment. The condition can get worse.
Be sure to discuss your diagnosis with your partner so that they can get treatment as well.
Talk to Your Doctor
Your sexual health is an important part of your overall well-being. So don’t hesitate to discuss your questions and concerns with a clinician. Make your doctor aware of changes in your sexual practices to ensure you’re making safe choices when having sex after 60 or any age.
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