By Patricia Weiser, PharmD
Plan B One-Step is a single-dose emergency contraceptive (EC) pill. It contains the active ingredient levonorgestrel, a synthetic hormone belonging to the progestin class. Plan B One-Step and its generic alternatives are available over the counter (OTC).
The Food and Drug Administration (FDA) has approved the use of Plan B One-Step to reduce the chance of pregnancy if taken within three days (72 hours) after unprotected sex.1
Plan B One-Step is intended for use if another contraceptive method fails (such as a condom breaking during sex) or isn’t used.2
Taking Plan B One-Step may affect your period. Some females get their period about a week early or a week late after taking Plan B One-Step, and their bleeding may be lighter or heavier than usual. However, if your period is more than a week late, you could be pregnant.3
Keep reading to learn more about the link between taking Plan B One-Step and your period’s timing, along with basic safety and dosage information regarding its use.
Understanding the Morning-After Pill
Emergency birth control such as the morning-after pill, can help decrease your chance of becoming pregnant after unprotected sex. EC pills, like Plan B One-Step, work by preventing ovulation, the release of an egg from the ovaries.
By stopping this process, the sperm cannot fertilize the egg, thus avoiding a pregnancy.
It is important to note that EC will not have any impact if ovulation has already taken place. As a result, EC does not affect fertilized eggs or pregnancies already implanted.4
EC, including Plan B One-Step, differs from Mifeprex (mifepristone). Mifeprex is a medication given in combination with the drug misoprostol for medical termination of a pregnancy up to 70 days into the pregnancy.5
EC, on the other hand, only works as a preventive measure against pregnancy, with no effect after pregnancy begins.2
Some states restrict access or completely disallow the use of Mifeprex. Fourteen states have banned access to Mifeprex for medical termination of pregnancy, while another 15 states limit its use to certain situations.
In contrast, Plan B One-Step is legal and available in all 50 states.6
What Is Plan B One-Step?
The FDA approves Plan B One-Step for use in females to reduce the likelihood of pregnancy following unprotected sex. It comes as a single-dose oral tablet that you swallow. It is intended for use in females of reproductive age.
Plan B One-Step works up to 72 hours after unprotected sex to prevent pregnancy. Taking it as soon as possible increases its effectiveness and reduces the chances of getting pregnant.1
The sooner you take it after sex, the more effectively it works, though some research suggests that it may still work up to four days (96 hours) afterward.4
Levonorgestrel, the active ingredient in Plan B One-Step, is also available OTC as several other emergency contraceptive products, such as Her Style, Opcicon One-Step, and Fallback Solo.2
Levonorgestrel is also an active ingredient found in other contraceptives, such as certain types of birth control pills, transdermal patches, and intrauterine devices (IUDs).7
How Does Plan B One-Step Work?
Plan B One-Step prevents or delays ovulation when the ovary releases an egg. As a result, sperm cells cannot reach or fertilize the egg, which helps prevent pregnancy.3
Plan B One-Step works by preventing or delaying ovulation. If you take it after ovulation has already occurred, it may be less effective.
However, since you may not know when you ovulated, you can still take Plan B One-Step at any time during your menstrual cycle to help prevent pregnancy within three days after having unprotected sex.8
Note that it offers no protection against HIV (human immunodeficiency virus) or other sexually transmitted infections (STIs). Therefore, it should not be considered a preventative measure against STDs.1
Taking Plan B One-Step may result in changes to the menstrual cycle. After taking Plan B One-Step, your period may be earlier or later than expected. In most cases, individuals taking it will get their period within a week when expected.
However, if your period is more than a week late, this could be a sign of pregnancy; take a pregnancy test or talk to a healthcare provider for guidance.
Period flow and duration may be similarly affected by Plan B One-Step. Some individuals experience heavier or lighter bleeding than usual, and their period may be longer or shorter than usual.
Some people may notice spotting or light bleeding after taking Plan B One-Step, but this side effect may not be your actual period. You should still anticipate your period within a week before or after the expected time.
After taking Plan B, you may feel anxious while waiting to see if it was successful at preventing pregnancy. The most typical indication of its effectiveness is the arrival of your period. You can also take a pregnancy test if your period is late.
There is no other method to determine the effectiveness of Plan B One-Step if signs such as a negative pregnancy test do not occur.3
Why Does Plan B Affect Your Period?
Levonorgestrel, the active ingredient in Plan B One-Step, results in possible changes to the menstrual cycle. Levonorgestrel is a synthetic progestin hormone.
It is a lab-made version of a naturally occurring progesterone hormone and acts similarly.1
Because Plan B One-Step contains a more significant amount of hormone than the body naturally produces at various stages of the menstrual cycle, the medication can alter the flow, duration, and timing of the next period.
In general:9
- Taking Plan B One-Step after the midpoint of the menstrual cycle (the time of expected ovulation) may result in extended periods and/or delays in period onset.
- Taking Plan B One-Step before the midpoint of the menstrual cycle is more frequently associated with spotting and earlier period onset.
Dosing Guidelines
The table below shows the strength and dosage of Plan B One-Step:1
Plan B One-Step can be taken with or without food as long as you take it within 72 hours of unprotected sex. If you vomit within three hours of taking it, you may need to repeat the dose.2
Consult a pharmacist or healthcare provider for advice if you have questions about taking Plan B One-Step.
Precautions & Safety
The FDA advises pregnant individuals against using Plan B One-Step. However, the drug is not known to cause harmful effects if taken during pregnancy, and it does not affect an established pregnancy. Plan B One-Step will not terminate an existing pregnancy.
In addition, individuals should not rely on the morning-after pill as their primary form of contraception.
Other options, such as birth control pills or vaginal rings, are more effective when used as prescribed compared to Plan B One-Step or other emergency contraceptive pills.
Certain medications interact with Plan B One-Step and may lead to less effective results for Plan B One-Step when taken simultaneously.
These medications include:1
Side Effects
Generally, Plan B One-Step provides safe emergency contraception. However, some individuals may experience side effects from the medication.
The most common side effects are:10
In most cases, these side effects are mild. Notably, abdominal pain could be a sign of ectopic pregnancy.
If you’re experiencing severe abdominal pain after taking Plan B One-Step, contact a healthcare provider for evaluation and observation.
How Effective Is Plan B One-Step?
Plan B One-Step provides a practical option for preventing pregnancy. In a major clinical study, Plan B One-Step prevented 84% of expected pregnancies.
This was a drop from 8% to 1% in the expected pregnancy rate following unprotected sex without EC.1
However, other factors can alter the effectiveness of Plan B One-Step. Studies show that taking the medication as soon as possible after the time of unprotected sex increases the chances of effectively preventing pregnancy.
Furthermore, the point in the menstrual cycle when you take Plan B can affect how it works.11
An independent study of Plan B One-Step showed that while the medication may still be effective after ovulation, it is more effective if taken before ovulation.8
Summary
Plan B One-Step (levonorgestrel 1.5 mg oral tablet) is an OTC EC pill.1 It is taken to reduce the chance of pregnancy if taken up to 72 hours after unprotected sex.
After taking Plan B One-Step, it’s common for individuals to experience some changes to their normal menstrual cycle.2
Your period can come one week earlier or later than expected. Plan B One-Step may cause spotting and/or periods that are heavier, longer, or lighter than usual.
If more than a week has passed since you expected your period after taking Plan B One-Step, you may be pregnant. Take a pregnancy test; if the result is negative and another week passes without a period, take another test or reach out to a healthcare provider for medical advice.
Frequently Asked Questions
- How can I safely store Plan B One-Step?
Store Plan B One-Step at room temperature (68-77 degrees F) and keep it away from any area susceptible to high levels of heat or moisture, such as the bathroom.
Keep Plan B out of the reach of children and pets.10
- Will Plan B One-Step affect future fertility?
No. Plan B One-Step does not impact future fertility. The medication works quickly and only stays in your system for a few hours without making any lasting changes to hormones or fertility.12
- What is the shelf-life of Plan B One-Step?
Plan B One-Step comes with an expiration date on the product packaging. It is usually four years after the date of manufacturing.
Once expired, the medication may be less effective, so dispose of any unused Plan B One-Step and replace it with a fresh supply if desired.13
- How commonly used is EC?
EC has gained popularity over the last two decades.
According to a 2019 survey, more than 25% of females of reproductive age reported taking EC at least once; a similar survey from 2002 found that only 4% of females reported using EC.
This increase is likely because EC is now an easily accessible OTC product that had previously required a prescription.7
Complete Article ↪HERE↩!
— Masturbation is a natural and healthy aspect of sexual development that has many health benefits. There are various ways for individuals with vaginas to self-pleasure, including using their hands and toys to stimulate their genitals and other erogenous zones, like the nipples.
By Rhiannon John, MSexol
Key takeaways:
- Masturbation has many health benefits, including reducing stress, improving sleep quality, and learning what feels pleasurable.
- The most common types of masturbation include clitoral, vaginal, and anal stimulation or a combination of the three.
- Tips for exploring each area include applying a lubricant, slowly increasing arousal, and experimenting with different strokes, pressures, and speeds.
If you’re new to exploring self-pleasure or looking for ways to enhance your experience, we’ve gathered some tips and insights below that may be helpful.
Benefits of masturbation
Masturbation has a myriad of health benefits, making it a healthy and fun sexual activity. Masturbation has been found to:
- Reduce stress
- Relieve sexual tension
- Improve sleep quality
- Enhance knowledge of how you like to be pleasured
- Improve mood
- Strengthen the pelvic floor muscles
- Alleviate period pain for some people
Different types of masturbation
There are various erogenous zones for people with vaginas for self-pleasure. In this article, we’ll focus on the most commonly practiced types of masturbation to help you get started. However, there are many ways to explore and enjoy your body, and you should always feel empowered to pleasure yourself in a comfortable and pleasurable way.
Clitoral masturbation
Clitoral masturbation is the most common form of masturbation for folks with vaginas, as many people cannot orgasm without clitoral stimulation. The clitoris is a highly sensitive erogenous zone that contains approximately 10,000 sensory nerve endings, making it a prime area for self-pleasure. You can pleasure the clitoris using your fingers to rub all areas of the clitoris, or you can use a vibrating or suction sex toy for extra stimulation.
Vaginal masturbation
Vaginal masturbation is also another common form of masturbation, and while it feels pleasurable for many people, not everyone can orgasm from vaginal stimulation. There are several pleasurable areas in the vagina that you can explore, and many people find stimulating the top wall of the vagina, often referred to as the G-spot, pleasurable. You can pleasure the vagina using your fingers or a sex toy.
Anal masturbation
The anus and rectum contain many sensory nerve endings, making anal masturbation a highly pleasurable experience. You can please the anus externally using fingers or a vibrator or internally using anal toys or fingers.
How to get started
While each person’s self-pleasure routine will look different, there are a few tips that many people use to help get them in the mood.
Create a relaxing environment
To maximize pleasure during masturbation, it’s important to ensure that you have a cozy environment. To do this, first, ensure that you have some privacy by locking the door and switching off your phone to avoid any unwelcome interruptions. If you live somewhere with limited privacy, consider jumping in the bath or shower and locking the door behind you.
Next, make your chosen room as desirable as possible by considering what is pleasurable to each of your five senses. Consider lighting candles, dimming the lights, wearing something that feels luxurious or turns you on, and playing relaxing music or sounds.
Don’t forget lubrication
You may know that a lubricant is an essential ingredient for pleasurable intercourse, but did you know that it also makes masturbation feel amazing too? While the vagina is self-lubricating, sometimes it doesn’t produce enough lubrication to make sex pleasurable. This is why you should always use a lubricant when having any kind of sexual activity. And if you’re exploring anal play, lubrication is a must, as the anus isn’t self-lubricating.
Get exploring
No matter which area of the body you intend to explore, the key is to keep an open mind and get curious about how your body can feel and respond to pleasure. Explore different sensations, pressures, speeds, and areas of the body to find out what feels best for you. You may also want to experiment with toys or erotica to help increase arousal.
Tips for exploring the clitoris
The clitoris is a highly sensitive part of the body. Here are some ways you can begin exploring what feels good to you:
- Start slowly. Start by applying some lubrication to the clitoris and labia, then slowly begin stroking your vulva. There’s no rush to get to the clitoris, so take your time by slowly building up arousal and allowing blood to flow to the area.
- Vary speed and pressure. When ready, move to the clitoris, rubbing or stroking it with little pressure. Then slowly increase the pressure and the speed of the strokes to your liking.
- Different techniques. You may want to explore different techniques, such as pinching the clitoris, rubbing it in circles, or stroking it up and down. You can also use a sex toy, such as a vibrator, to gently rub or press onto the clitoris.
- Increase the pressure. Once you have found a sensation that feels good, increase the pressure and intensity of the strokes, rubbing, or vibrations until you reach orgasm or feel like you’ve had enough.
Tips for exploring the vagina
Finding out what feels good for you inside your vagina is important for increasing sexual pleasure. Try these tips to begin your exploration slowly and sensitively:
- Stimulate blood flow. Start by applying a lubricant to the clitoris, labia, fingers, and sex toy. Then slowly begin stroking your vulva and clitoris to increase arousal and blood flow to the vagina.
- Slowly insert fingers or sex toy. When ready, part opens your vagina with your fingers and insert your fingers or a sex toy. Then slowly start exploring the vagina, moving your fingers or toys in a circular motion inside the vagina to find a pleasurable spot.
- New techniques. You may want to explore different techniques, such as using your fingers in a “come here” motion to stimulate the G-spot, moving your fingers or toys in and out of your vagina, or simultaneously playing with the clitoris.
- Keep going. Once you have found a sensation that feels good, increase the pressure and intensity of the strokes until you reach orgasm or feel like you’ve had enough.
Tips for exploring the anus
The anus can be a deeply pleasurable area for some people. Try these tips to find out if it’s something you like:
- Always lubricate. Start by applying a lubricant to your fingers or sex toy. Then slowly begin stroking and rubbing the outside of your anus.
- Gentle exploration. When ready, carefully insert your finger or toy into your anus, then slowly start exploring the anus, moving your fingers or toy in a circular motion inside the anus to find a pleasurable spot.
- Experiment. You may want to explore different techniques, such as moving your fingers or toy in and out of your anus or simultaneously playing with the clitoris or vagina.
It’s important to note that when using sex toys to stimulate the anus, they should have a flared base to prevent them from getting lost in the rectum, which can result in surgical intervention.
When it comes to exploring masturbation, the key thing that you should aim for is to have a pleasurable experience. While having an orgasm can be an amazing experience, masturbation without an orgasm can also be incredibly enjoyable. So try not to pressure yourself to have an orgasm each time you masturbate, but rather stay curious about what you find pleasurable, and enjoy the experience.
Complete Article ↪HERE↩!
— Here’s how to continue enjoying intimacy
By Mauricio González
Age and the passage of time usher in many changes. But in all my years practicing medicine, one thing remains a constant: My patients want to continue having a fulfilling and pleasurable sex life, even if they’re dealing with health problems or chronic illness. One disease that can take a heavy toll on a couple’s sex life is diabetes. Fortunately, there are ways to manage it and reignite your sex drive. Don’t despair! Here’s how you can do it.
The role of glucose in your sex life
People with diabetes are more prone to sexual dysfunction than the rest of the population, according to the American Diabetes Association (ADA). Both men and women may experience little or no sex drive due to poor management of their diabetes. But only 47 percent of men and 19 percent of women with diabetes discuss this issue with their doctors, according to a study published by Diabetes Care. Controlling blood sugar levels with medication and regularly monitoring these levels is essential to maintaining a healthy sex life.
But even if blood sugar is kept under control, men and women with diabetes may feel sexual desire but have difficulty becoming physically aroused.
And a failure to control blood sugar will eventually lead to blood vessel and nerve damage, which can prevent arousal.
How does diabetes affect your sex life?
There are many reasons why people with diabetes lose their sex drive or their ability to orgasm. Obesity, high blood pressure, sleep apnea and depression are conditions that often accompany diabetes and can compromise your libido. Some of the medications used to treat these conditions can also adversely affect your sex life. Some treatments for high blood pressure, for instance, can cause erectile dysfunction.
According to a study published in the International Journal of Environmental Research and Public Health, the sexual disorders of patients with type 1 diabetes are directly linked to depression and are less severe in those who accept their diabetes. These disorders also affect men more than women, and they take a greater toll on patients with blood glucose levels above 6.5 percent.
Erectile dysfunction in men with diabetes
If a man’s blood vessels don’t function properly or he has a blocked artery, his penis will not receive enough blood flow to get an erection. Men over 50 with type 2 diabetes are 11 times more likely to experience erectile dysfunction than younger men, according to a study published in the Caspian Journal of Internal Medicine.
Men with diabetes-related erectile dysfunction are also at greater risk of developing Peyronie’s disease, where a type of scar tissue known as plaque forms under the skin of the penis. This causes a curvature that can make erections painful, difficult or impossible.
Sexual problems in women with diabetes
Nerve damage in women can cause vaginal dryness, a condition that is not unique to people with diabetes but, according to the ADA, is twice as common in this population. The neurovascular system plays a necessary role in arousal and orgasm. If the small nerves aren’t working properly due to damage from poorly controlled blood sugar, a woman can have sensation problems. The clitoris needs optimal blood flow and sensation to become engorged enough to achieve orgasm.
Women with diabetes are also at greater risk of urinary tract and vaginal infections, which can make sexual intercourse painful and unpleasurable. Middle-aged women with diabetes who take insulin are 80 percent more likely to have difficulty reaching orgasm than women without diabetes, according to a study published in Obstetrics & Gynecology.
How can you maintain a healthy sex life?
Here are some practical suggestions that anyone can follow:
1. Eat right
Eating healthy can make all the difference. Non-starchy vegetables, such as broccoli and carrots, and whole grains can help stabilize your blood sugar and give you the energy you need to have sex. These foods are also rich in fiber and nourish your gut microbiome — the bacteria and other organisms that keep your gut healthy. A snack before sex will help boost your stamina and keep your blood sugar under control.
2. Exercise
Sex, like any other form of exercise, requires energy. So how can you be prepared? Activities such as weightlifting and Zumba classes can help you build stamina and have more energy in bed. I recommend at least 150 minutes of exercise per week, which can include walking, swimming or even gardening. Exercise also makes the body more sensitive to insulin, which helps it control insulin levels more efficiently.
3. Take your medications
Strictly follow your doctor’s instructions and make sure you take your medications. If you have diabetes, controlling your blood sugar starts with taking your prescriptions. Talk with your doctor if you suspect that a medication prescribed to treat other conditions may be interfering with your sex life, so that you can work together to look for alternatives. I also recommend buying a weekly pill organizer, which has been shown to help increase compliance with medical treatment.
4. Manage stress
Learning that you have diabetes can be upsetting and can affect your mental health. Learn how to calm your mind and body in stressful moments, such as during a sexual encounter. Brush away negative thoughts. Be grateful for — and focus on — enjoyable moments. Meditation can be very helpful. Research shows that meditation may strengthen the parts of the brain that help you remain calmer in stressful situations. But my favorite tool for reducing stress and anxiety is cognitive behavioral therapy; check with your doctor to see if this is a good option for you.
5. Be consistent
Consistency is a bridge between dreams and reality. Follow these suggestions daily. Take it gradually at first. Don’t reach for gimmicky or drastic solutions; just stick to the basics and you’ll get results, especially over time. Remember that the key is consistency, not perfection.
Complete Article ↪HERE↩!
Virginity is a very touchy issue in just about every culture on the globe. Curiously enough, it’s almost always exclusively about female virginity. This sad double standard gives rise to emotional conflicts for both genders. But again, it is young women and girls who bear the brunt of it.
Let’s begin with Katelyn who’s 18 years old:
My boyfriend and I have been together for over a year. We’ve just started talking about having sex even though we both took a virginity pledge through our church. We love each other very much and plan on getting married in a couple of years. If we are practically engaged do you think having sex now would be like breaking our promise?
I’m pretty sure that the creators of all those “abstinence only” and “virginity pledge” programs out there like to think they’re keeping kids like you safe from the unforeseen consequences of sex. I’d probably have less of a problem with them if they didn’t have at their base some pretty rank scare tactics.
Scaring people away from sex is a time-honored means of controlling people.
If you have sex, you well surely get a disease!
If you have sex, you will surely get pregnant!
If you have sex, you will be breaking the commandments and you’ll go to hell!
If you have sex, you will be a slut and no one will want to marry you!
And my all-time favorite: If he gets the milk for free, why would he buy the cow?
Full-On Fucking
These sex-negative messages only frighten, intimidate and instill guilt. They certainly don’t teach people how to behave knowledgably and responsibly. And they do absolutely nothing to prepare even those who wind up honoring their pledge of abstinence for the inevitable sex life they’ll have later in life. And that to me is criminal. Young people have a natural, healthy curiosity about their bodies and the bodies of others. Stifling this natural curiosity with veiled threats and fear-mongering does very little good—and a whole lot of harm.
But before I respond to your question, I have a question for you. I hope you’re not actually thinking I might help you rationalize away your impending behavior—Oh sure honey, if you’re gonna marry the lug anyway, why not give it up now?—because I won’t go there. Have the courage to make up your own mind. If you’re old enough to be considering sex, you’re old enough to take responsibility for your actions.
If you abstain from sex out of fear or religious duress, then where’s the virtue in that? It’s just as bad as having sex because you fear losing your boyfriend. Neither option suggests to me that you are behaving knowledgeably and responsibly.
Of course, it’s always easier to decide on a course of action when one has all the information. And that’s where I can be of some assistance. I’m not gonna tell you what you oughta do, but I can offer you some timely information about human sexuality that you apparently aren’t getting from your family, church or your community.
There are many sexual alternatives to full-on fucking. And if you want to remain a virgin, at least technically speaking, you might want to explore these options.
Are you both masturbating? If not, then that’s a good place to begin. You should both be familiar with your own pleasure zones and sexual response cycle before you launch into partnered sex of any kind. I believe that the best sex is mutual sex, where the partners knowingly and without reservation gift themselves to one another. And I don’t see how that’s possible unless you are well-acquainted with the gift…your own body.
I can guarantee that your boyfriend won’t know how to pleasure you, especially if he’s still discovering the pleasures of his own body. And you’d be a very remarkable young woman if you understood the mysteries of male sexuality. So if you’re both unversed in the joys of human sexuality, why not discover them together? Mutual masturbation—as well as oral sex—will help you appreciate the particulars and uniqueness of each of your sexual response cycles. And just think how far ahead you’ll be when you guys actually decide it’s time for full-on fucking. You’ll already know how your bodies work.
Even so, the two of you should be familiar with several different means of birth control—and practicing at least two methods. This is a precaution because, in the heat of the moment, you may decide to escalate things to include vaginal penetration. And if you do, you’ll be prepared. Always have water-based lubricants on hand, even for masturbation. These lubricants work very well with latex condoms. Oil lubricants, like petroleum jelly, baby oil or cooking oil, can cause latex condoms to break. So stay away from them.
I realize that procuring all this stuff is gonna be a challenge for young folks like you. But don’t just blow them off just because they’re not readily available to you. This is a big part of being knowledgeable and responsible about your sexuality. If you’re not prepared to go the distance in terms of preparation, you’re not ready to have sex.
Young men and boys have their share of trepidation about impending partnered sex. Here’s 18-year-old Tabor.
I feel kinda silly asking a complete stranger this, but here goes. I’m a pretty normal 18 year old. I’ve had a few girlfriends over the years, nothing really serious, though. Lately I’ve been seeing a lot of this one girl; she’s 20, a junior at my school. I really like her and we’re discussing taking our friendship to the next level, but there’s a problem. I’m a virgin. My girlfriend is way more experienced than me and that makes me a little nervous too. She wants me to decide when the time is right. My question is how will I know when I’m ready for sex?
I have a question for you, Tabor, and I hope it doesn’t sound flippant. When do you know it’s time to eat, or sleep? I know many of us eat even when we’re not hungry and sometimes we don’t sleep even when we’re tired. That aside, I suggest that the same bodily signals that alert you to hunger and exhaustion will let you know when it’s time for sex. You’ll want to have sex when you feel the desire to be sexual. I’m not trying to be evasive; I’m trying to get you to listen to your body, because that’s how you’ll know. To be perfectly frank, that’s how all of us know it’s time for sex. We get a hankerin’ for some pleasure and we pursue that till we’re satisfied. Sometimes that’s solo sex and sometimes it’s partnered sex.
If I were to advise you further I’d want to know how much sex you’ve already had with your GF. Has there been any sex play at all? Probably some, right? Otherwise how would you know you like her well enough to consider taking things to the next level?
Penis/vagina intercourse, or as I like to call it, “fucking,” can bring more intimacy and more pleasure than other forms of sex, but it’s not the be-all end-all either. Fucking also carries far more responsibility, particularly for fertile young puppies like you and your honey.
Is it safe to assume that you are well-versed in the complexities of the human reproductive system? I hope so. Not everyone is, of course, even some otherwise smart people. If you’re not clear on the whole concept, there’s no time like the present to do a little boning up, so to speak. Being responsible about sex is as important as being sexual. And being informed about health risks and contraception is the beginning of taking responsibility for your sexual activity.
Remember what I said earlier—that you’ll want to have sex when your body says so? Well, if you take the time to prepare now, you’ll not need to interrupt the moment when your body tells you I’m ready! You should discuss birth control with your girlfriend in advance of any foolin’ around. You should have condoms and lube available. Don’t expect that you’ll have your wits about you when your dick is hard. Remember, you’re not the one who’ll get pregnant if ya’ll screw up. I’ll bet your sweetheart will be impressed with your forethought, too.
Remember, even if your girlfriend is on the pill or has a diaphragm; condoms are a must. One in every ten sexually active teens carries one or more STDs or as we call them nowadays, STIs (sexually transmitted infections). You can consider dropping the condoms only when you’re in an exclusive relationship.
Good luck!
─ Time To Give It Up To Get It Up?
By Nina Smith
Alcohol has long had a close relationship with sex, from wild nights out meeting someone for the first time, to romantic evenings in with a glass of wine. But there is a boundary and alcohol can cause significant problems for a person’s sex life, particularly if their relationship with alcohol itself has become problematic.
But how exactly does alcohol affect our sex life? From relationships to performance, we run down what impact it may be having on you…
Alcohol and Sexual Performance
Although alcohol is often perceived as a social lubricant, its effects on sexual performance can be contradictory. While a small amount of alcohol may help lower inhibitions and increase confidence, excessive consumption can lead to a range of sexual problems as many studies have shown. In men, alcohol can affect erectile function, delay ejaculation, and reduce sexual desire.
For women, it can lead to decreased lubrication, diminished sensitivity, and difficulty achieving orgasm. Furthermore, chronic alcohol abuse may contribute to long-term sexual dysfunction, impacting both physical and psychological aspects of intimacy.
Relationships and Communication
Alcohol misuse can strain relationships and hinder effective communication between partners. Intoxication can lead to impaired judgment, altered perceptions, and decreased sensitivity to emotional cues, resulting in miscommunication and misunderstandings.
Alcohol-induced aggression or emotional instability may escalate conflicts, eroding trust and emotional intimacy within a relationship. Addressing these issues requires open and honest dialogue, seeking professional help when necessary, and creating a supportive environment for recovery.
The Role of Addiction
Addiction to alcohol presents a grave threat to one’s sex life and overall well-being. Alcohol addiction is a chronic disease and the presence of it intensifies the negative effects alcohol can have on sexual health.
Addiction often leads to neglect of personal relationships and increased secrecy, potentially driving a wedge between partners. Furthermore, substance abuse disorders can contribute to psychological disorders such as depression, anxiety, and low self-esteem, all of which can further exacerbate sexual dysfunction.
Seeking Help and Recovery
Recognizing the impact of alcohol on one’s sex life and acknowledging that alcohol guidance and possibly seeking advice from a mental health clinic London is required in order to get it back on track, as well as your own overall health. Professional guidance and support from healthcare providers, therapists, or support groups play a vital role in addressing alcohol-related sexual issues.
Treatment options for alcohol addiction typically involve a combination of medical interventions, counseling, and behavioral therapies. These approaches aim to help individuals break free from the cycle of addiction, restore physical and mental well-being, and improve sexual health.
For those who feel they aren’t suffering from addiction but feel like the substance could be harming their sex life, it is also worth considering the following…
- Moderate alcohol consumption ─ Limiting alcohol intake can help maintain sexual function and enjoyment. Being mindful of one’s alcohol consumption and setting boundaries can prevent a negative impact on sexual performance.
- Open communication ─ Honest conversations with your partner about sexual concerns and the impact of alcohol can foster understanding and create an environment of support and empathy.
- Seek professional help ─ If alcohol-related sexual problems persist or are linked to addiction, seeking professional assistance from healthcare providers or therapists can provide valuable guidance and support for both individuals and couples.
Complete Article ↪HERE↩!
— Here’s What We Know
Being ‘hooked’ on love can cause unhealthy relationship patterns and obsessive thoughts
When you hear the term ”love addiction,” you may think of a storybook character who gulps down a pink, sparkly love potion and suddenly finds themselves instantly infatuated with someone.
In most cases, the spell or potion doesn’t last long, and these folktales leave us with a cautionary message: Love, in excess, can become harmful. Rather than be consumed, it’s better to strive for a healthy, balanced relationship where love is reciprocated.
In real life, we navigate love in different ways by going on dating apps, managing the odds of being ghosted or dodging love bombs. But can a passion for someone else actually become addictive? While there’s no definitive research on this topic, psychologists do point out that love — or the pursuit of it — can be the root of other issues like anxiety, depression and unhealthy relationship patterns.
In other words, if you feel like love can make you obsessive, you’re not alone. Real-life love can be complicated stuff — and it’s never as simple as waiting for the love potion to wear off.
Postdoctoral psychology fellow Gina Gerardo, PhD, talks us through “love addiction” and how you can strengthen your relationship with love.
What is love addiction?
There’s no precise definition for love addiction because it’s not an actual condition as much as it is an abstract concept. After all, you can’t really test love in a lab and see how someone reacts.
But as some research has explored, you can make note of how relationships affect our lives, both physically and mentally. A 2023 review described love addiction — sometimes called relationship addiction or obsessive love disorder — as an overwhelming and compulsive longing for love, attention and affection from others.
It can look like developing feelings toward specific people in an unhealthy or extreme way, or as constantly seeking out romantic partners.
While love addiction isn’t an official diagnosis in the Diagnostic And Statistical Manual of Mental Disorders (DSM), Dr. Gerardo points out that the term can help define certain relationship problems or emotional issues you could experience.
“If someone finds that love is becoming particularly distressing or disruptive to their lives, it’s worth asking more about it and potentially treating,” she explains. That means while you might never get a diagnosis for love addiction, you can treat the associated behaviors.
In fact, love addiction may not always come across with the behaviors typically associated with addiction. It can also go hand-in-hand with a mood disorder, an obsessive-compulsive disorder or even an impulse-control disorder.
Signs and symptoms of love addiction
If you’re a fan of love songs and romance novels, you may have an idea in your head of the symptoms of love addiction: Feeling empty when the person isn’t there, having to be in touch with the person constantly, having an overwhelming physical reaction when the person is in the room.
And, according to the current research, that’s not too far off.
“One distinction from other types of addictions is that there’s a love object,” clarifies Dr. Gerardo. “As opposed to a substance that people feel is addictive or find that they are dependent on, this would be an object, whether that’s a person or something else, they start to become obsessed with.”
For example, a 2023 study examined how love addiction and unhealthy attachments between adults can lead to intense negative emotions and feelings of low self-worth.
Another study from 2010 study found similarities between extreme passion and substance dependence — from feelings of euphoria when near one’s love object to a negative mood and sleep disturbances when separated.
Symptoms of love addiction can include:
- Obsessive thoughts. Feeling constantly preoccupied with thoughts of love and romance or the object of your affection. This becomes obsessive when it’s challenging to focus on other aspects of your life.
- Fear of abandonment. An intense fear of being alone or abandoned, leading to clinging behavior and a constant need for reassurance. You may also experience a sort of “withdrawal” or intrusive thoughts when the significant other isn’t around.
- Unhealthy relationship patterns. Repeating cycles of intense, short-lived relationships or staying in toxic relationships despite obvious red flags.
- Neglecting self-care. Prioritizing the needs and desires of the partner over personal well-being and neglecting your own goals, interests and needs.
- Emotional turmoil. Experiencing highs and lows depending on the state of the current relationship. “You may feel a euphoric feeling that is more than what is normally experienced in romantic relationships,” says Dr. Gerardo.
How love addiction impacts your well-being
When it comes to matters of the heart, it can be difficult to recognize when the love in your life is doing more harm than good.
While symptoms of love addiction can weave into other mental health disorders, they can also magnify existing problems. Some mental health issues associated with love addiction include:
Dr. Gerardo also warns of love addiction affecting your day-to-day life.
“If it’s harming your other relationships with friends and family or if it’s keeping you from other responsibilities like work, taking care of children, keeping up with bills or medical appointments, that’s a sign that there could be a problem,” she says.
How to get help
When dealing with love addiction, you might consider quitting cold turkey, swearing off love and moving to the woods alone. But just like other addictions, an obsessive need for love should be treated with care.
Plus, love is something that’s very important to make us feel fulfilled in our lives. Rather than trying to let it go completely, you can work to find a healthy balance.
Some coping strategies that Dr. Gerardo suggests include:
Open communication
As symptoms of love addiction will usually involve another person, communication is key when it comes to resolving any issues you may be having. You might realize that you’ve been avoiding communicating because of fear or anxiety — but having an open dialogue about your feelings can ultimately bring clarity to your relationship.
“This includes communication with the partner, with yourself and even with friends and family before entering a relationship,” explains Dr. Gerardo.
Specifically with a partner, it’s good to be honest with some of the complicated feelings you’ve been having. This can help you feel more open about what you’re feeling and can clue them into what you might be working through and why.
For example, maybe to deal with feelings of love addiction, you decide to spend more time alone. Communicating this change in your behavior with your partner so they know what your motivations are can help maintain a healthy bond. And if you’re having trouble putting your emotions into words, couples counseling can also be a good option.
Seek other perspectives
One common red flag of any relationship — romantic or otherwise — is if it puts blinders on you from the rest of the world. When this happens, it can be hard to notice any problems or toxic behaviors. Dr. Gerardo recommends popping this “love bubble” by seeking out people in your life to get their points of view.
“If your friends and family notice that these problems are persisting for a long period of time and are getting in the way of all your normal responsibilities and behaviors, then that would be a cue to pump the brakes and communicate your needs with your partner,” she says.
Therapy and counseling
Individual or group therapy can help address underlying issues and learn healthier relationship patterns.
If you feel like love addiction might be affecting your personal health or the health of your relationship, talking with a therapist can help you work through your concerns. A session with a couples counselor or some other kind of group therapy can also help get you and your partner to a healthier and more balanced place.
The bottom line
An addiction to love can definitely have an effect on your well-being. If you find yourself completely engrossed by someone and something to the point that it’s affecting how you eat, sleep or react to stressful situations, it might be time to assess your relationship with love. With focus, outside perspectives and counseling, there are ways to find peace with feelings of love and turn them into a more positive force in your life.
Complete Article ↪HERE↩!
— S.S.R.I.s, the most widely prescribed antidepressants, frequently cause sexual problems. Here’s what patients can do about it.
By Azeen Ghorayshi
Antidepressants have long been among the most widely prescribed drugs in the U.S. Their popularity only grew at the start of the coronavirus pandemic, when many people struggled with depression and anxiety. Some surveys have found a striking rise among adolescents, particularly teenage girls.
For many people, the drugs can be lifesaving or can drastically improve their quality of life.
But many of the most popular antidepressants, known as selective serotonin reuptake inhibitors, or S.S.R.I.s, come with sexual side effects. In many cases, the problems caused by the medications can be managed. Here’s what patients should know.
A wide variety of symptoms has been reported.
More than half of patients who take S.S.R.I.s report some problems having sex. They include low levels of sexual desire or arousal, erectile dysfunction, pleasureless or painful orgasms and loss of genital sensitivity.
Many people also report emotional blunting after taking S.S.R.I.s. This may make negative feelings less painful but also make positive feelings less pleasurable.
Don’t be shy about talking to a doctor.
When S.S.R.I.s went on the market in the late 1980s, patients began telling their psychiatrists that they were having sexual problems. Initially, doctors were perplexed: As far as they knew, older antidepressants had never come with these issues. But they had been wrong.
“Only in going back and looking more carefully and gathering more data did we realize that actually those serotonergic drugs, the older ones, also caused sexual dysfunction,” said Dr. Jonathan Alpert, head of the American Psychiatric Association’s research council. Doctors and patients just hadn’t been talking about it, he said.
As S.S.R.I.s boomed in popularity, and social stigmas about discussions of sex eased, researchers began documenting the problem in the scientific literature. But some patients found it easier to talk about than others did. Men were much more likely to report sexual side effects to their doctors than women were, even though women are almost twice as likely to be prescribed antidepressants.
“The charitable interpretation is that we simply have more treatments available for male patients, and so doctors are more likely to ask after things that they feel they can actually help with,” said Tierney Lorenz, a psychologist at the University of Nebraska-Lincoln who has studied antidepressant-induced sexual dysfunction in women. “The significantly less charitable interpretation is that we still live in a very sexist society that doesn’t believe that women should have sexual interest.”
Doctors may first recommend waiting it out.
For some people, the sexual side effects of S.S.R.I.s will show up almost immediately after starting the medications and then resolve on their own. So doctors may suggest waiting four to six months to see whether the patient adjusts to the drugs and the most distressing sexual effects subside.
But the odds of spontaneous resolution of sexual side effects are low, happening in an estimated 10 to 20 percent of patients who report the symptoms.
Other medications, including other antidepressants, can help.
One common way to manage sexual side effects is to try another S.S.R.I. Research suggests that certain drugs, such as Zoloft and Celexa, come with a higher likelihood of causing sexual problems. Switching drugs, however, means enduring a trial-and-error period to try to find what works.
If a patient is otherwise doing well on an S.S.R.I., a doctor may be hesitant to drastically change the drug regimen. Instead, the doctor might recommend adding an additional drug to the mix that could help counteract the sexual side effects.
For example, adding the non-S.S.R.I. antidepressant Wellbutrin, which acts on norepinephrine and dopamine in the brain, has been shown to diminish sexual symptoms in many patients, Dr. Alpert said.
For erectile dysfunction, doctors may also suggest adding phosphodiesterase type 5 inhibitors like Viagra, which acts on the vascular system, he said.
‘Drug holidays’ can help. But be careful.
Another approach that should be used cautiously and under the close supervision of a physician is temporarily stopping the S.S.R.I. or lowering the dose for 24 to 48 hours before having sex.
But for many patients, this isn’t an ideal solution. Planning ahead can be annoying. And withdrawal from S.S.R.I.s can immediately cause other unpleasant symptoms, including dizziness, nausea, insomnia and anxiety. Some doctors are concerned that frequent use of drug holidays may make patients more likely to discontinue the medications altogether, which could lead to worsening mental health problems.
In rare cases, sex problems can persist after stopping the drugs.
A small but vocal group of patients is speaking out about sexual problems that have endured even after they stopped taking S.S.R.I.s. Some have reported low libido and numb genitals persisting for many years.
Though studies are scarce, the risk appears to be low. A recent study estimated that about one in 216 men who discontinued S.S.R.I.s were subsequently prescribed medications for erectile dysfunction, a rate at least three times as high as that among the general population.
But diagnosing this condition is tricky, in part because depression itself can dull sexual responses. Among unmedicated men with depression, 40 percent report a loss of sexual arousal and desire, and 20 percent struggle to reach orgasm.
Complete Article ↪HERE↩!
I’m receiving a startling number of correspondences lately from older men and their partners, highlighting the sexual difficulties of the aging process. It’s not surprising that these people are noticing the changes in their sexual response cycle as they age, but it is astonishing that they haven’t attributed the changes to andropause.
A Little Frustrated
Dr Dick,
I’m a 54-year-old man, who three years ago managed to finally come out and live the life I so desperately longed for all my life. My question: Is there a biological clock in men like women have to deal with in menopause? During the last years of my marriage, there was no sex life—other than with myself. Now I’m living a fantastic life, with a great man whom I love very much. I know there is more to life than sex, but now that I’m finally able to express myself physically with a ma, I am unable to perform—and not for lack of trying!
I tried Viagra a few years ago. It used to work maintaining an erection, but it was just by myself, and I always had fun. But the side effects—headaches and discomfort—made me wonder, “Do I really want to take this stuff?” But now, even the meds don’t help, and as for my libido, it suffers due to my lack of ability.
I’ve been tested for testosterone levels, and they say I’m right where I should be at for my age. I’ve seen two doctors about the issue, and when they find out my partner’s sex, they don’t want to deal with it, and seem to just pass it off as an age thing. (BTW: I’m in fairly decent shape; I exercise three to four days a week at the gym.) Can you send me any advice on a path to take?
—A Little Frustrated
A little frustrated? Holy cow, darlin’, you sound a lot frustrated—and rightfully so! You finally find what’s been missing your whole life, only to discover that your plumbing is now giving out on you. Ain’t that a bitch!
And before I continue, I want to tell you and all the other alternative lifestyle people in my audience: Don’t settle for a sex-negative physician—no matter what. Find yourself a sex-positive doctor who will look beyond your choice of partner; someone who will give you the respect you deserve!
Andropause
You raise an interesting question about the aging process when you ask if men experience something similar to menopause in women. The short answer is—you betcha! In fact, it even has a name: andropause. It’s only been recently that the medical industry has started to pay attention to the impact that changing hormonal levels have on the male mind and body. Most often andropause is misdiagnosed as depression and treated with an antidepressant. WRONG!
All men experience a decrease in testosterone, the “male” hormone, as they age. This decline is gradual, often spanning 10 to 15 years. While the gradual decrease of testosterone does not display the profound effects that menopause does, the end results are similar.
And listen: When a physician says that your testosterone level falls within “an acceptable range,” he/she isn’t telling you much. Let’s just say you had an elevated level of testosterone all your life, ’til now. Let’s say that you now register on the lower end of “acceptable.” That would mean that you’ve had a significant loss in testosterone. But your doctor wouldn’t know that, because he/she has no baseline for your normal testosterone level.
There is no doubt that a man’s sexual response changes with advancing age and the decrease of testosterone. Sexual urges diminish, erections are harder to come by, they’re not as rigid, there’s less jizz shot with less oomph. And our refractory period (or interval) between erections is more elongated, too.
Andropausal men might want to consider Testosterone Replacement Therapy (TRT). Just know that most medical professionals resist testosterone therapy. Some mistakenly link Testosterone Replacement Therapy with prostate cancer, even though recent evidence shows prostatic disease is estrogen-dependent rather than testosterone-dependent. I encourage you to be fully informed about TRT before you approach your new sex-positive doctor, because the best medicine is practiced collaboratively—by you and your doctor.
Finally, getting the lead back in your pencil, so to speak, may simply be an issue of taking more time with arousal play. Don’t expect to go from zero to 60 in a matter of seconds like you once did. Also, I suggest that you use a cock ring. But most of all, fuckin’ relax, why don’tcha already? Your anxiety is short-circuiting your wood, my friend. And only you can stop that.
Here’s Gwen, who reports on her husband’s condition:
Dr Dick, My husband and I have been married for 33 years. Our relationship is hell when it comes to sex. My husband is overweight, and he’s stressed out about his elderly parents. Sex is non-existent. He never was the instigator in our relationship. And he is the kind of guy who thinks having sex on the couch as opposed to the bedroom is adventuresome. He has become so boring. I don’t believe the man feels sex should be that important at our ages. (I’m 57 and he’s 62) I, on the other hand, am more sexually aroused and creative than ever now that I am more mature and the kids are out of the house. Menopause and all the sex on the Internet helps too. 😉 Is there anything I can do to make my man return to being a healthy sexual being once again? Thank you.
No—thank you, Gwen. Your complaint is a familiar one. So familiar, in fact, that I regularly offer therapy groups for couples in long-term relationships, like you and your old man, who have, for one reason or another, hit a wall when it comes to their sex lives.
I’m sad to say there’s not much you can do to beef up your sex life if there’s no interest on the part of your husband to do so. I mean, you can lead the horse to water, but you can’t make him drink. You confide that you husband is overweight and stressed; not a happy combination when it comes to his sexual response cycle, even if we don’t factor in his age. In fact, your husband sounds like a heart attack waiting to happen. Perhaps if your challenged him about his general health—encourage weight loss and stress reduction—you might find that it might also reignite his sex drive. It’s worth a try.
And thank you for mentioning menopause. So many women find the changes that take place in midlife confusing and disorientating. It’s so good to hear from someone eager to explore and enjoy her sexuality post-menopause.
It’s clear that as we age, both women and men need more time and stimulation to get aroused. The slower, more sensuous foreplay that often results is a welcome change for most women and even some men. Increased focus on sensuality, intimacy, and communication can help a sexual relationship remain rewarding even well into our most senior years. If your husband is avoiding intercourse, there still many ways of expressing your love and staying connected:
Hugging, cuddling, kissing
Touching, stroking, massage, sensual baths
Mutual masturbation and oral sex
However, if your husband is more wedded to food and to stress than he is to you, and if he continues to refuse to join you in finding an appropriate outlet for your sexual frustration, then it’s up to you to make this happen on your own. Age 57 is way too soon to say goodbye to your sex life.
May I suggest joining a women’s group? Not a therapy group, but more of a support group or activities group. Getting out of the house, involving yourself with other self-actualized mature women, may uncover the secret solutions other women have put in place to find sexual satisfaction when they are without a partner or have a partner who’s no longer interested in them. I think you will be surprised by how creative your sisters can be. Make it happen, Gwen. Don’t sink to the lowest common denominator of living a sexless life.
Good luck!
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