The nitty-gritty of middle-age sex

‘It’s good to experiment’

By Alana Kirk

[I]f you are drinking your morning coffee while reading this, then perhaps this article should come with a warning. There are going to be phrases that we tend not to discuss much in public such as vaginal dryness, loss of libido and erectile dysfunction. However, they are a natural part of life, and if we want to continue to be active sexual people well into middle age and beyond, then we have to acknowledge and then address them, because turning the trials and tribulations of middle-age sex into the joy of sex is not difficult.

Sex is important to all of us, regardless of age. Not only is it excellent for getting the blood pumping and putting a youthful spring in your step, it has a number of other benefits too, such as reducing stress, strengthening your immune system, boosting self-esteem, and relieving depression.

The famous manual, The Joy of Sex, still has some salient advice for middle- aged and older people even though it was written nearly 50 years ago. It’s author Alex Comfort wrote: “The things that stop you enjoying sex in an old age are the same things that stop you from riding a bicycle – bad health, thinking it’s silly and no bicycle”.

Well, we can pump up a flat tyre, add some lubricating oil, and still be having sexual enjoyment with no partner. As recent research has shown, and despite an ageist societal view on the topic, our sexuality doesn’t die with middle and growing age. Our sexual needs and levels evolve and change over the years, and the particular issues that might arise from menopause, for example, do not mean we should give up on it. We just need to learn to adapt.

Emily Power Smith may be Ireland’s only clinical sexologist, and talks to large numbers of middle-aged women in her clinics and at talks around the country. “I’ve spoken and written more on this topic than any other related to sex, and the main driver for women coming to me with an issue is poor education. Generally women are very misinformed about what they should be expecting and are very quick to blame themselves.”

If we look at sexual activity as a life-long issue, there can be plenty of interruptions to the normal flow, including illness, childbirth and child rearing, loss of confidence, menopause, and hormonal fluctuations. Low libido, erectile dysfunction, and vaginal dryness are all just normal challenges that can affect our sexual lives, but importantly, ones that can be easily addressed.

“We do specific menopause consultations and counselling for women who start experiencing changes and want to know that they are a normal part of the ageing process,” says Dr Shirley McQuade, medical director of the Dublin Well Woman Centre. “Many women come in with a specific symptom thinking it’s all over, but in fact nearly all issues can be addressed. You just need to realise that your, and your partner’s body changes.”

So what are the main issues and what can be done about them?

Peri-menopausal symptoms

Menopause can effect every aspect of your being, and symptoms including hot flushes, not sleeping, and poor concentration levels, can affect how you feel about yourself.

“Hormonal changes can mean your libido and sex drive go, as well and the emotional havoc they can play,” explains Dr McQuaid. Mood swings, empty nest syndrome, trying teenagers, or work/life balance can weigh in to make us feel less than energetic about sex.

“It is really important to take the time for yourself when you are peri-menopausal, to take stock and adjust to the changes that are happening. I see lots of women who have reached senior career level or have lots of people depend on them and it can be difficult because they feel overwhelmed and aren’t giving enough time to themselves to deal with how they feel.”

The advice is to take pressure off yourself, and try and cull some of the responsibilities. Exercise, eat and sleep well and acknowledge that you can seek help if you need it. “I’ve seen women go to cardiologists because they think they have heart problems when they wake up sweating in the night, or go to rheumatologists with joint pain, when in fact they are just the symptoms of hormonal change.”

Hormone Replacement Therapy

HRT is a common treatment for women who are suffering from continued and difficult symptoms, and it only takes two or three weeks to find out if it will work for you. According to the National Institute for Health and Care Excellence (NicE) in their 2015 recommendations, the benefits of HRT, available in tablet form, gels, and patches far outweigh any risks.

According to Dr McQuaid, it is a positive option to take. “About 15 years ago there were scares about risks relating to heart disease and cancer, but the studies were seriously flawed. For women who take it through their 50s, the benefits are significant.”

HRT is available for as long as your symptoms last, with the average duration being eight years. Despite scaremongering to the contrary, there are no withdrawal symptoms or problems when you stop taking the drug, as long as you leave it long enough for your natural menopause to conclude. HRT masks the symptoms, so if you stop before they have fully receded, they will return.

Not all women experience menopausal symptoms, and for women who do, they do eventually pass.

Vaginal dryness

It is completely normal for most women in menopause to experience dryness. The drop in your body’s oestrogen levels means the vaginal membranes become thinner and drier which can makes for uncomfortable dryness. As a result, thrush and Urinary Tract Infections (UTI) are also more common. Lubrication is widely available and will transform your sexual experience if dryness is a problem. Dr McQuaid also recommends treating the underlying issue rather than just the symptom. A prescription product, licensed in Ireland as Vagifem, provides low levels of oestrogen to the local area, and if taken over the longer term can alleviate all symptoms of dryness. Regular sexual activity or stimulation from masturbation also promotes vaginal health and blood flow.

Erectile dysfunction

For men who may identify their every maleness with work and sexual ability, a lowering of libido or erectile dysfunction can be catastrophic. However, accepting that this will happen occasionally, and seeing it a normal part of the ageing process and hormonal changes may encourage them to seek help. The advice is to go to your GP to get checked out to make sure erectile dysfunction is not related to vascular changes and bold pressure / diabetes, and then again there is a simple medication solution.

Painful intercourse

Again this can be a common change in sexual experience, usually due to vaginal dryness. However, other reasons could be a prolapse of the uterus or front wall of vagina which can cause discomfort, so the first port of call for any pain is to get examined by your GP or at the Well Women clinics. All issues can be addressed with medication or procedures.

Heavy periods

A common complaint for women entering peri-menopause is very heavy periods, which are caused by the womb being uncomfortable and bulky. Some women from the age of 40 develop fibroids which make the womb heavier and along with hormonal fluctuations, combine to make structural and hormonal changes that affect the flow of periods. Some women have low iron levels, because heavy periods are the main reason for low iron which makes you tired, so it’s important to keep a medical check on your body while going through the menopause.

Traditionally this was often treated by a hysterectomy, whereas today women can access the pill or coil. All countries where the coil has been introduced have seen a significant reduction in hysterectomy operations.

Change of mind

Addressing specific symptoms is only one way of evolving our sexual lives. Changing the way we have sex is another. “I meet women who have only ever used one position, and now that that proves painful they are at a loss,” explains Dr McQuaid. “It’s useful to experiment and change. It’s more interesting too!”

What we need to remember is that sex is not just about intercourse. There is a variety of sensual, loving, exciting activities that can bring joy and satisfaction. For women experiencing menopause especially, they might need and want more touching and foreplay than before, but after years of marriage, it can be more difficult to change. Asking for what you need is important. Tantric sex – slightly ridiculed in the press after Sting and Trudie Styler admitted to it – is encouraged by many counsellors as it focuses on the sensual intimacy rather than an orgasmic goal.

Whatever the issue with sex may be, Dr McQuaid advises you start with a medical to check to make sure everything is okay. Once that is done, it’s just about dealing with specific issues. “I’ve had a 78-year-old woman come to me recently having a little bit of trouble because her partner has been given Viagra. So she went on Vagifem and has no more problems,” says McQuaid. “I have lots of women come to us for help and they’re happy and healthy and they certainly don’t stop having a sex life. Nor should they.”

Psychologically however, it is also important to rise above the social conditioning that we lose our sexiness as we get older. “There is just no scientific evidence to back this up,” explains Power Smith. “Irish women are very quick to blame themselves and feel guilty for not being better, not feeling enough or good enough. In part we are brought up to feel this way with magazines and media, and then when middle age hits, physical things happen to compound that.” She has three golden rules for women in their middle age with regards to keeping their sex lives healthy and functioning: masturbation, lubrication and communication.

So while the number of potential causes of sexual changes and challenges during menopause and middle ageing can seem overwhelming, there are just as many strategies and treatments for overcoming them.

You can go back to drinking your coffee now.

Complete Article HERE!

Sex education needs to pay more attention to masturbation

By

Having a wank is bloody brilliant.

It’s the only form of sex that’s 100% safe from risks of STDs. It’s a vital part of learning what you like. It’s a way to enjoy sexual pleasure without the need for a partner or a random hookup buddy.

It’s safe, great, and healthy, basically.

So why is masturbation so rarely mentioned as part of sex education?

If your experience of sex education was anything like mine, masturbation wasn’t mentioned once.

The focus was likely on the reproductive side of things, teaching you about how eggs are fertilised and babies are made.

But your sex education classes also likely had lessons around STIs. You remember – the classes in which they told you to always, always use a condom and showed you a bunch of scary pictures of genital warts.

t’s strange that in these lessons, we were only presented with two options: use contraception or don’t have sex.

Why wasn’t masturbation offered as an alternative – a way to try out sex without any risks?

A lot of it boils down to the complete exclusion of sexual pleasure from sex ed.

The majority of our sex ed lessons like to pretend that sex is had purely for the purposes of reproduction, skimming over things like the female orgasm (because unlike male orgasm, it’s not essential for conception), the existence of the clitoris, and sexuality.

Ignoring pleasure and, as a result, masturbation (a sexual thing for only the purpose of pleasure) can be damaging.

It encourages the idea that sex isn’t about enjoyment, and that painful, unpleasant sex is perfectly okay. Because feeling sexual isn’t mentioned, there’s no suggestion of only having sex when you’re really into it.

Ignoring masturbation, and our desire to masturbate, allows all kinds of unhealthy stereotypes to be upheld.

Girls are allowed to think that wanting sex is weird, or gross, or makes them a slut. By refusing to mention masturbation, we uphold the idea that it’s something to be silent about, to be ashamed of.

Refusing to talk about it means there’s no opportunity for teachers to break down myths, like masturbating making you blind (it doesn’t), or masturbating being morally wrong (it isn’t).

A lack of masturbation mentions also means there’s no opportunity for educators to make sure people are masturbating safely – with the right tools, with clean hands, and with consideration for your delicate bits.

By the time they reach sex education classes, many young people are already masturbating.

But they likely aren’t talking about it, feel ashamed of doing it, or aren’t sure how to do it.

Those who are already having solo sex sessions could do with reassurance that what they’re doing isn’t shameful or unhealthy.

Those who aren’t need to be taught that masturbation is a near-essential part of having a satisfying, healthy sexual relationship – one in which you’re aware of what you like and can guide your partner to get you off.

Being unaware of what pleasure feels like, and your ability to give yourself pleasure, is dangerous. It allows young people to put up with painful, uncomfortable sex that they believe is to be expected, or to believe their pleasure isn’t necessary.

Young people need to be taught about masturbation because it’s the starting point of learning about sexuality and pleasure.

They need to be taught about masturbation so that they know it’s nothing to be ashamed of, nothing to make fun of, and that it doesn’t define them as ‘weird’ or ‘gross’.

They need to learn about masturbation so that they’re able to start exploring sex without needing to involve someone else – someone who may not have their best interests at heart.

If you want your kids to have safe sex, teach them about masturbation. If that feels awkward, that’s a shame, but it’s reasonable. That’s why we need schools to be mentioning masturbation at the same time as sex.

Complete Article HERE!

Why millennial sex sucks

By Naomi Schaefer Riley

[C]ould sex for millennials get any worse? Late last month, researchers at Columbia uncovered a trend called “stealthing,” in which a man discreetly removes his condom during intercourse because he believes it’s a man’s right to “spread one’s seed.” According to the study women are calling rape crisis hotlines with stories of this practice and there are, of course, Internet chat rooms devoted to it.

We can now add stealthing to the growing list of trends that make sex seem anything but enjoyable for young adults today, and which seem to explain why millennials are having less sex than any generation in 60 years, according to a study published last year. Some believe young, ambitious adults are letting their careers get in the way of their sexual pursuits. But if you think about the sexual experiences available to most millennials, it’s a surprise more of them aren’t taking lifetime vows of celibacy.

Take the ubiquity of online porn. According to a Barna Group study from last year, 57 percent of young adults (ages 18 to 24) report “seeking out” porn regularly, compared to only 41 percent of Gen-X adults. For many young men, porn seems to be supplanting relationships as a way to, well, get their jollies.

In their 2011 book, “Premarital Sex in America,” Mark Regnerus and Jeremy Uecker interview a young man who explains, “I think I like my own ‘personal time’ as much as I like having intercourse.” Regnerus and Uecker write that “if porn-and-masturbation satisfies some of the male demand for intercourse — and it clearly does — it reduces the value of real intercourse.” With the supply of sexual outlets rising, the “cost of real sex can only go down, taking men’s interest in making steep relationship commitments with it.”

But the effects of porn go even further than that. In a study in the Journal of Family Theory and Review, Kyler Rasmussen of the University of Calgary reviewed 600 pornography studies from the 1960s through 2014, and found that viewing porn “can reduce satisfaction with partners and relationships through contrast effects [i.e., where male viewers find their partners less attractive compared to the women they see in porn]; reduce commitment by increasing the appeal of relationship alternatives; and increase acceptance of infidelity.”

And if men aren’t enjoying sex because the women don’t look like porn stars, imagine how little women enjoy having to compete with porn stars. The number of women undergoing labiaplasty jumped 39 percent in the US from 2015 to 2016.

Meanwhile, there are plenty of ways to get sex outside of relationships now, thanks to technology. Apps like Tinder allow men and women to hook up with multiple partners within hours of each other if they like. And the technology allows people to keep such liaisons secret from their partners in ways that they never could have before.

It seems like paradise for some, but this much casual sex with strangers seems to be having discernible health consequences. The Centers for Disease Control reported a 19 percent increase in reported cases of syphilis, a 12.8 percent increase in gonorrhea cases and a 5.9 percent increase in chlamydia cases from 2014 to 2015. In New York alone reports of syphilis grew by 29 percent from 2015 to 2016, mostly among young adults.

Even college campuses, which were supposed to be fun places for young people to party before they had to get real jobs and wake up at a reasonable hour, are failing to bring much sexual satisfaction. One of the women in Lisa Wade’s book, “American Hookup: The New Culture of Sex on Campus,” describes the atmosphere at college parties as “a bestial rubbing of genitals reminiscent of mating zebras.” After the initial excitement of finding out that sex was readily available, even the men Wade interviews seem kind of annoyed by the whole atmosphere.

Wade, a professor at Occidental College, finds that sexual encounters with women mean there is no possibility that a friendship can continue. After any hookup, there is a kind of contest to see who can care about it less. And in order for any sexual encounter to happen in the first place, everyone has to be rip-roaring drunk.

And let’s not forget all the other problems that come when young people purposefully lose control of their senses and then hop into bed. Did anyone consent? Will someone be mad in the morning? Didn’t the dean tell us to ask before unbuttoning someone’s shirt? Couples married for decades can experience more fun and spontaneity than these kids who practically need a contract before getting undressed. When it comes to sex, at least, it seems youth is no longer wasted on the young.

Complete Article HERE!

No, This Survey Does Not Show That How Much Porn Men Watch Is Linked To Sexual Dysfunction

By Josh Davis

[A] new survey reports that men who watch large amounts of porn are more likely to have sexual dysfunction, while no such correlation is true for women. Needless to say, there are some issues with this study, and some more with the media covering it.

The research is the result of a survey revealed at the 112th Annual Scientific Meeting of the American Urological Association. Surveying men aged between 20 and 40, they found that while over a quarter say they view porn less than weekly, more than 21 percent report they consume it 3-5 times per week, and just over 4 percent more than 11 times.

In those men who report that they prefer masturbating to pornography rather than sexual intercourse (3.4 percent), the researchers say they found a link between sexual dysfunction and the amount they used pornography. This is not to say that there is a correlation between the consumption of porn and sexual dysfunction among all men, as some media have implied, just that on average male sexual dysfunction is linked to a greater preference for porn than physical intercourse.

When it comes to how solid the results are, well it leaves a lot to be desired. The study itself only surveyed 312 men and 48 women, meaning the sample size, and thus the conclusions that can be drawn from it, are limited to say the least.

The study is also based on a survey given to people as they passed through a urology clinic. People, in general, are really bad when it comes to self-reporting, and even more so when it is related sex and sexual behavior. Their self-reporting, coupled with the small sample size, suggests the conclusions drawn from this survey are very restricted.

The researchers claim that they have found a statistical correlation between how much porn a man consumes and whether he is also sexually dysfunctional. Aside from the issues above, there is no way to show that the former leads to the latter. It could, for example, be that those men who are sexually dysfunctional are more likely to turn to pornography to get their rocks offs and find some satisfaction.

Or it may be that those men who watch lots of porn are more confident with their sexuality and thus more likely to report any health issues they have relating to it. Either way, to use the results of this tiny survey to make larger claims about the population as a whole seems, shall we say, misplaced.

Complete Article HERE!

Revealed, fifth of women unhappy with sex lives

One woman in five is unhappy with her sex life, a major survey carried out for the Daily Mail reveals.

Only 17 percent of women say they are very satisfied.

By SOPHIE BORLAND

[A]nd only 17 percent of women say they are very satisfied.

One in ten has sex only once a year at most, while two thirds make love once a month or less. Just 10 percent said they had sex at least once a week.

The survey of 2 002 women aged 30 to 80 was commissioned by the Daily Mail in association with LloydsPharmacy.

A quarter of all women said they sometimes avoided sex because they were too tired, while 13 percent did so because they were too anxious, 11 percent due to a lack of intimacy with their partner and 11 percent because sex was painful. Six percent said their partner had issues such as erectile dysfunction.

About 27 percent – mostly those who were single, divorced or widowed – said they never had sex.

The survey found that the 30 to 44 age group are the least happy with their sex lives, despite having sex the most often.

A quarter of this group said they were dissatisfied, including 11 percent who were very dissatisfied. Half those aged 65 to 80 declined to say how often they had sex, believing it a private matter.

Experts said many couples find sex a chore because they are too busy or exhausted to make it enjoyable. Peter Saddington, a Nottingham-based sex therapist for Relate, which provides counselling services, said: “The common problem is lack of time.

“People say they haven’t got the time, haven’t got the energy, they’re feeling pressured, it’s hard to switch off from work.

“Actually being in a relaxed enough state to have sex just doesn’t happen. You go through a period of time of squeezing sex in, then it becomes dissatisfying so you end up not doing it at all.

“It can become a chore, it can become boring if it’s repetitive, uninteresting and there’s no involvement or enjoyment.”

Krystal Woodbridge, a psychosexual counsellor based in St Albans, Hertfordshire, said: “It’s a very common issue and arguably it is becoming more common.”

Women do not enjoy sex if they do not feel a strong, emotional bond with their partner, she added. “If she’s angry, upset or resentful to her partner for any reason, she is going to have a low sexual desire.”

Professor Mary Ann Lumsden, senior vice president of the Royal College of Obstetricians and Gynaecologists, said women who experience pain during sex may suffer from a medical condition.

“If women are concerned about changes in their sexual feelings, they should speak to a healthcare professional,” she said.

“Many women may feel too embarrassed to discuss intimate issues and suffer in silence, but it is important to remember that healthcare professionals are used to talking to women about this and are happy to offer treatments that could help women enjoy sex again.”

Natika H Halil, chief executive of the Family Planning Association said: “Sexual wellbeing is an important aspect of many people’s lives, but unfortunately many different factors can get in the way. Good communication can go a long way to help address anything that might be impacting your sexual wellbeing.

‘By sharing your sexual likes and dislikes, ideas about what you’d like to try, or speaking up about things you don’t want, it’s much easier to find pleasure with each other. It also means you don’t have to act as a mind reader and play a guessing game of what works.”

Complete Article HERE!

The New Gay Sexual Revolution

PrEP, TasP, and fearless sex remind us we can’t advance social justice without including sex in the equation.

By Jacob Anderson-Minshall

[T]he sexual revolution of the 1960s and ’70s came to an abrupt and brutal end for many gay and bi men the moment AIDS was traced to sexual contact. In the early days of the epidemic, sex between men was equated with AIDS, not just in the mainstream media, but also in prevention efforts by other gay men. Since AIDS in those days was seen as a death sentence, for men who had sex with men, every sexual interaction carried the risk of death. Indeed, tens of thousands died of AIDS-related conditions.

“I was alive when homosexuality was [still] considered to be a psychological illness,” David Russell, pop star Sia’s manager, recently told Plus magazine. “The two generations ahead of mine, and a good portion of my generation, were completely decimated by AIDS. They’re gone.”

While some men with HIV outlasted all predictions and became long-term survivors, the widespread adoption of condoms is credited with dramatically reducing HIV transmissions among gay and bi men in subsequent years. Yet reliance on nothing but that layer of silicone — a barrier some complain prevents true intimacy and pleasure — couldn’t erase the gnawing dread gay men felt that every sexual encounter could be the one where HIV caught up to them.

There have been, of course, moments when nearly every gay or bi man has allowed their passions to override their fears and enjoyed the skin-on-skin contact that opposite-sex couples often take for granted. Thinking back on those unbridled and unprotected moments of passion filled many of these men with terror, regret, and guilt.

“Shame and gay sex have a very long history,” acknowledges Alex Garner, senior health and innovation strategist with the gay dating app Hornet. “And it takes much self-reflection — and often therapy — to feel proud and unashamed of our sex when everything around us tells us that it’s dirty, immoral, or illegitimate.”

Since the late 1990s and the advent of lifesaving antiretroviral drugs, some of the angst around sex between men faded — and with that came changes in behavior. Condom use, once reliably high among gay and bisexual men, has dropped off in the past two decades. According to a recent study published in the journal AIDS, over 40 percent of HIV-negative and 45 percent of HIV-positive gay and bi men admitted to having condomless sex in 2014. Researchers found the decrease in condom use wasn’t explained by serosorting (choosing only partners believed to have the same HIV status) or antiretroviral drug use. And despite what alarmists say, condom use had been declining long before the introduction of PrEP.

Garner, who has been HIV-positive for over two decades, says he’s almost relieved he acquired the virus at 23, because “My entire adult life I have never had to worry about getting HIV.”

The Rise of PrEP

Now there’s hope the younger generation may also experience worry-free sex lives — without the side effects of living with HIV.

The use of the antiretroviral drug Truvada as pre-exposure prophylaxis, or PrEP (it’s the only medication approved for HIV prevention), has been shown to reduce the chance of HIV transmission to near zero. Since the medication was first approved as PrEP in 2012, only two verified cases of transmission have been documented among those who adhere to the daily schedule (a third, according to HIV expert Howard Grossman, could not be confirmed). New, longer-lasting PrEP injectables should reach market in the next few years. Studies suggest that on-demand PrEP (such as taking it before and after sexual activity) may also be effective.

“This is a revolution!” Gary Cohan, MD, who prescribes PrEP, told us in 2016. “This should be above the fold in The New York Times and on the cover of Time magazine. A pill to prevent HIV?”

Undetectable Equals Untransmittable

Those who are already HIV-positive also have a sure-fire option for preventing the transmission of HIV that doesn’t rely on condoms. It’s called treatment as prevention, or TasP. Those who are poz, take antiretroviral medication, and get their viral load down to an undetectable level, can’t transmit HIV to sexual partners. Last year, The New England Journal of Medicine published the final results of HPTN 052, a study that proved antiretroviral medication alone is enough to prevent HIV transmission among serodiscordant couples. In a Facebook Live interview for AIDS.gov, Dr. Carl Dieffenbach, director of the Division of AIDS at the National Institute of Allergy and Infectious Diseases, noted, “The chance of transmitting [HIV] if you are virally durably suppressed is zero.

Since Dieffenbach’s statement, a number of HIV organizations and medical groups have joined the “Undetectable Equals Untransmittable” bandwagon, including GMHC, APLA Health, and the Latino Commission on AIDS.

The Centers for Disease Control and Prevention recommends the use of condoms in addition to PrEP or TasP, primarily because neither biomedical approach prevents other sexually transmitted infections like gonorrhea or syphilis. Still, PrEP and TasP make it safer to have condomless sex — and that could jump-start the new sexual revolution. “When the threat of HIV is removed from sex there is a profound sense of liberation,” Garner says. “Sex can just be about sex.”

One hurdle is PrEP stigma, furthered by the myth of “Truvada whores,” and AIDS Healthcare Foundation’s Michael Weinstein’s deliberate efforts to portray the HIV prevention pill as “a party drug.”

“Fear and shame have been ingrained in gay sex for decades,” Garner admits. “And it will take time and a great deal of work to extricate those elements.” But he remains optimistic that “together negative and poz men can shift the culture away from fear and toward liberation.”

He argues that what’s at stake is far more than just a better orgasm.

“Our sexuality is at the core of our humanity,” Garner says. “Our sexuality is as integral to us as our appetite. We can’t advance social justice without including sex. As queer people and as people of color, our bodies have been criminalized, our sexuality has been pathologized, and structures continue to dehumanize us. It’s a radical act of resistance when, as gay men, we choose to find pleasure and intimacy in our sex. Our sex has been, and will continue to be, intensely political. It can change our culture and our politics if we embrace it and run to it instead of away from it.”

Complete Article HERE!

Oncologists need to discuss sexual issues with patients, says doctor

Dr. Anne Katz was in Windsor on May 11, 2017, to address Windsor Regional Hospital staff about cancer, intimacy and sexuality.

By Chris Thompson

A Winnipeg doctor who specializes in treating sexual issues with cancer patients is hoping to spread the word about doctors being up front with their patients.

Dr. Anne Katz held an online forum for Windsor Regional Hospital workers about cancer, intimacy and sexuality.

Katz is the author of several books dealing with the issue.

“Really the message is that sexually it is really important for people, for all of us, and I really want to encourage oncology care providers to raise the topic of it with their patients, because when we don’t talk about it, the patients thinks it’s a taboo,” said Katz.

“And 80 per cent of cancer survivors experience sexual difficulty after cancer treatment.”

Katz said doctors should be more willing to bring up sex issues with their cancer patients.

“So it really is something where we have to expose people to having that conversation,” said Katz.

“All cancers, all people, men, women, gay, straight, people recognize things aren’t going right during treatment, but all more commonly sexual problems aren’t recognized until after treatment.”

Katz said many people undergoing cancer treatment don’t realize there is an issue until later.

“Usually people during treatment are really not feeling that well, so it’s kind of on the back burner but it really is a sentinel of survivorship,” Katz said.

“People come to see me and we know certainly that most men who experience prostate cancer are going to experience erectile difficulties, most women with breast cancer often experience body issues, early menopause, or exaggerated menopausal symptoms, people with colorectal cancer have problems.”

Katz said everyone who is experiencing cancer needs to address the issue.

“It really is all cancers,” Katz said. “We’re all sexual beings, literally, from cradle to grave, whether you act on it or not.

“Even if you’re not partnered. It’s so much a part of quality of life for cancer survivors. So it goes away, there are some couples that lose that connectedness, there are some couples that use sex to make up after fights. They are fighting a lot because there is no way to resolve the fights.

“Unless oncology workers can address it and talk about it, patients are very reluctant to bring up the topic.”

Complete Article HERE!

A ‘Hand’ Book for Male Masturbation

The new masturbation manifesto and advice manual Better Than the Hand has a bank of spank tips that are hard to beat.

By

[E]very one knows that May is Masturbation Month, but they may not be observing this as an occasion to improve their masturbatory skill set. That’s why it’s a stroke of genius that a new book written by author Magnus Sullivan, Better Than The Hand: How Masturbation is the Key to Better Sex and Healthier Living, was just published, tossing off a toolbox of masturbation techniques and providing meaty tips to extend these practices into partner sex (if you will).

“Even after 22 years of International Masturbation Month, we still find that so many people hold a bias against masturbation,” Good Vibrations staff sexologist Dr. Carol Queen tells SF Weekly. “How can that be a good thing, to disrespect the one sexual pleasure-focused act that everyone can access whenever they want?”

Queen’s lessons on masturbation served as the inspiration for Better Than the Hand, a volume of pocket pinball tips for men or anyone with a penis. It describes a series of hand-y steps and exercises to maintain erections for longer than 15 minutes, employing various sex toys for unique penile arousal scenarios, and using masturbation tricks to regain that erection after having already blown your load once.

“Male masturbation is a very taboo thing for us to talk about, much more so than female masturbation,” Sullivan says.

Although it’s listed now, Better Than the Hand was not always available on Amazon. The online retailer’s censors shut down access to the book once they discovered it was about male masturbation, and other websites have been similarly unreceptive.

“I can’t advertise the book on Facebook,” Sullivan tells SF Weekly. “They rejected every single ad.”

He’s been able to get out of Amazon purgatory, but not without a fight.

“They sent me a note saying, ‘Your book is currently being reviewed for explicit content,’” he recalls. “There’s no explicit content in the book. We’re talking about masturbation!”

But ‘explicit content’ may be in the eye of the beholder. After all, this is a book that contains sentences like, “If you haven’t experienced the deep, muscle-penetrating hum of a Magic Wand on your perineum, anus, and cock, then you’re living in the sexual dark ages.”

Yes, this guy is advocating that men should apply the clitoral sex toy known as the Hitachi Magic Wand not only to their own junk, but to their intimate booty regions as well.

“I got one of the most powerful orgasms I’ve ever had from the Hitachi Wand,” Sullivan tells SF Weekly. “When you use it as a man, I think it’s the closest thing you can experience that’s akin to a female orgasm, because it just kind of happens to you. It isn’t this cock-centric stroking experience, it’s just like all of a sudden there’s this welling up of sensuality, sexuality, and orgasmic sensations that result in an orgasm.”

“For me, that was an eye-opener that there’s a much bigger world out there regarding my own body,” he adds.

Needless to say, there are some pretty freaky masturbation techniques described in this book. It’s called Better Than the Hand because your hand is what you’re already using for jackin’ the beanstalk, but this book sets out to expand your rubbing-out repertoire to include a number of unconventional sex toys that many heterosexual guys would be embarrassed to admit owning.

Better Than the Hand lists and evaluates a whole range of penis sleeves, Fleshlights, cock rings, penis pumps, Tenga eggs, prostate massagers, and more. There is even a section on those humanoid sex dolls, which the sex doll-owning community prefers we refer to as “full-size masturbators.”

“Masturbation isn’t seen by 99 percent of men as a way to experiment,” Sullivan says, passionately defending these sex toys for men. “Toys can be used to manage premature orgasms, to stay hard after orgasms, and to have multiple orgasms.”

Men’s sexual problems, as Sullivan sees it, can be attributed to male masturbation being a task traditionally handled quickly, quietly, and with great shame. Men have a tendency to go straight for their own primary erogenous zone and ejaculate as quickly as possible.

That’s bad technique, and why the Journal of Sexual Medicine estimates men last, on average, 5.4 minutes during vaginal intercourse. Sullivan sets out to establish male masturbation as a “process-oriented rather than a goal-oriented activity,” with specifics strategies to enhance the four separate identifiable stages of Excitement, Plateau, Orgasm, and Resolution.

In doing so, men can enhance not only their quality of sex but also their personal health. The book argues that masturbation has specific male health benefits, like reducing the risk of prostate cancer, boosting the immune system, and improving the quality of your sleep.

But most importantly, coming to grips with your masturbating habits — and being able to talk about them — can make men better lovers, and less chauvinistic as people.

“As men explore their own bodies, they’re also becoming much more skillful, knowledgeable, sensitive lovers,” Sullivan says. “When you have sexual identity and sexual behavior being constrained or restricted, it leads to a problem of toxic male sexuality.”

This toxic male sexuality has been seen in the headlines around Brock Turner, the Stanford student who assaulted an unconscious woman, or with our pussy-grabbing president. Having produced both straight and gay adult films for more than 20 years, Sullivan sees toxic male sexuality as a primarily straight male phenomenon.

“Most gay men have come to terms with what it is to be sexual,” he tells SF Weekly. “Most straight men aren’t dealing with questions like that, so they never develop the vocabulary, the empathy, or the emotional intelligence to have these subtle interactions.”

A lack of empathy or emotional intelligence can be seen in the pornography that straight men watch, and why this porn profoundly bothers their female partners.

“The biggest fantasy of most straight men is fucking some 18-year-old girl in the ass,” says Sullivan, who also manages an online porn streaming platform. “By far, the largest-watched category of porn is anal sex with young models.”

It might be fair to say this represents arrested emotional development among porn-watching straight men. But it also represents a psychological toll for their female partners, creating body-image issues and a sense of betrayal over how the porn-consuming straight guy prefers these adult-film starlets.

Men forget that feeling desired is a primary erotic trigger for many women, and that to desire someone else may feel like a violation of the couple’s intimacy. This sense of violation can also play out when masturbation or porn interferes with a guy’s ability to get erections.

“The desire thing is probably linked to the way some women freak out when their male partners can’t get erections on demand,” Queen says. “It feels like the cock is the barometer of desirability. It’s fucked up, but there it is.”

Better Than the Hand addresses many of the sticky topics that surround male masturbation, and it has some dynamite chapters on communicating masturbatory habits and the use of toys for couples, plus a detailed script for an outrageously hot mutual-masturbation scenario.

But the book’s main thrust is to give men a curiosity on how to make their dick work better, and how masturbating is key to this process. As so capably said by our long-lost muse Whitney Houston, “Learning to love yourself, it is the greatest love of all.”

Complete Article HERE!

Casual Sex: Everyone Is Doing It

Part research project, part society devoted to titillation, the Casual Sex Project reminds us that hookups aren’t just for college students.

By

[Z]hana Vrangalova had hit a problem. On a blustery day in early spring, sitting in a small coffee shop near the campus of New York University, where she is an adjunct professor of psychology, she was unable to load onto her laptop the Web site that we had met to discuss. This was not a technical malfunction on her end; rather, the site had been blocked. Vrangalova, who is thirty-four, with a dynamic face framed by thick-rimmed glasses, has spent the past decade researching human sexuality, and, in particular, the kinds of sexual encounters that occur outside the norms of committed relationships. The Web site she started in 2014, casualsexproject.com, began as a small endeavor fuelled by personal referrals, but has since grown to approximately five thousand visitors a day, most of whom arrive at the site through organic Internet searches or referrals through articles and social media. To date, there have been some twenty-two hundred submissions, about evenly split between genders, each detailing the kinds of habits that, when spelled out, can occasionally alert Internet security filters. The Web site was designed to open up the discussion of one-night stands and other less-than-traditional sexual behaviors. What makes us engage in casual sex? Do we enjoy it? Does it benefit us in any way—or, perhaps, might it harm us? And who, exactly, is “us,” anyway?

Up to eighty per cent of college students report engaging in sexual acts outside committed relationships—a figure that is usually cast as the result of increasingly lax social mores, a proliferation of alcohol-fuelled parties, and a potentially violent frat culture. Critics see the high rates of casual sex as an “epidemic” of sorts that is taking over society as a whole. Hookup culture, we hear, is demeaning women and wreaking havoc on our ability to establish stable, fulfilling relationships.

These alarms have sounded before. Writing in 1957, the author Nora Johnson raised an eyebrow at promiscuity on college campuses, noting that “sleeping around is a risky business, emotionally, physically, and morally.” Since then, the critiques of casual sexual behavior have only proliferated, even as society has ostensibly become more socially liberal. Last year, the anthropologist Peter Wood went so far as to call the rise of casual sex “an assault on human nature,” arguing in an article in the conservative Weekly Standard that even the most meaningless-seeming sex comes with a problematic power imbalance.

Others have embraced the commonness of casual sex as a sign of social progress. In a widely read Atlantic article from 2012, “Boys on the Side,” Hanna Rosin urged women to avoid serious suitors so that they could focus on their own needs and careers. And yet, despite her apparent belief in the value of casual sex as a tool of exploration and feminist thinking, Rosin, too, seemed to conclude that casual sex cannot be a meaningful end goal. “Ultimately, the desire for a deeper human connection always wins out, for both men and women,” she wrote.

The Casual Sex Project was born of Vrangalova’s frustration with this and other prevalent narratives about casual sex. “One thing that was bothering me is the lack of diversity in discussions of casual sex,” Vrangalova told me in the café. “It’s always portrayed as something college students do. And it’s almost always seen in a negative light, as something that harms women.”

It was not the first time Vrangalova had wanted to broaden a limited conversation. As an undergraduate, in Macedonia, where she studied the psychology of sexuality, she was drawn to challenge cultural taboos, writing a senior thesis on the development of lesbian and gay sexual attitudes. In the late aughts, Vrangalova started her research on casual sex in Cornell’s developmental-psychology program. One study followed a group of six hundred and sixty-six freshmen over the course of a year, to see how engaging in various casual sexual activities affected markers of mental health: namely, depression, anxiety, life satisfaction, and self-esteem. Another looked at more than eight hundred undergraduates to see whether individuals who engaged in casual sex felt more victimized by others, or were more socially isolated. (The results: yes to the first, no to the second.) The studies were intriguing enough that Vrangalova was offered an appointment at N.Y.U., where she remains, to further explore some of the issues surrounding the effects of nontraditional sexual behaviors on the individuals who engage in them.

Over time, Vrangalova came to realize that there was a gap in her knowledge, and, indeed, in the field as a whole. Casual sex has been much explored in psychological literature, but most of the data captured by her research team—and most of the other experimental research she had encountered—had been taken from college students. (This is a common problem in psychological research: students are a convenient population for researchers.) There has been the occasional nationally representative survey, but rigorous data on other subsets of the population is sparse. Even the largest national study of sexual attitudes in the United States, which surveyed a nationally representative sample of close to six thousand men and women between the ages of fourteen and ninety-four, neglected to ask respondents how many of the encounters they engaged in could be deemed “casual.”

From its beginnings, sex research has been limited by a social stigma. The field’s pioneer, Alfred Kinsey, spent decades interviewing people about their sexual behaviors. His books sold, but he was widely criticized for not having an objective perspective: like Freud before him, he believed that repressed sexuality was at the root of much of social behavior, and he often came to judgments that supported that view—even when his conclusions were based on less-than-representative surveys. He, too, used convenient sample groups, such as prisoners, as well as volunteers, who were necessarily comfortable talking about their sexual practices.

In the fifties, William Masters and Virginia Johnson went further, inquiring openly into sexual habits and even observing people in the midst of sexual acts. Their data, too, was questioned: Could the sort of person who volunteers to have sex in a lab tell us anything about the average American? More troubling still, Masters and Johnson sought to “cure” homosexuality, revealing a bias that could easily have colored their findings.

Indeed, one of the things you quickly notice when looking for data on casual sex is that, for numbers on anyone who is not a college student, you must, for the most part, look at studies conducted outside academia. When OkCupid surveyed its user base, it found that between 10.3 and 15.5 per cent of users were looking for casual sex rather than a committed relationship. In the 2014 British Sex Survey, conducted by the Guardian, approximately half of all respondents reported that they had engaged in a one-night stand (fifty-five per cent of men, and forty-three per cent of women), with homosexuals (sixty-six per cent) more likely to do so than heterosexuals (forty-eight per cent). A fifth of people said they’d slept with someone whose name they didn’t know.

With the Casual Sex Project, Vrangalova is trying to build a user base of stories that she hopes will, one day, provide the raw data for academic study. For now, she is listening: letting people come to the site, answer questions, leave replies. Ritch Savin-Williams, who taught Vrangalova at Cornell, told me that he was especially impressed by Vrangalova’s willingness “to challenge traditional concepts and research designs with objective approaches that allow individuals to give honest, thoughtful responses.”

The result is what is perhaps the largest-ever repository of information about casual-sex habits in the world—not that it has many competitors. The people who share stories range from teens to retirees (Vrangalova’s oldest participants are in their seventies), and include city dwellers and suburbanites, graduate-level-educated professionals (about a quarter of the sample) and people who never finished high school (another quarter). The majority of participants aren’t particularly religious, although a little under a third do identify as at least “somewhat” religious. Most are white, though there are also blacks, Latinos, and other racial and ethnic groups. Initially, contributions were about sixty-per-cent female, but now they’re seventy-per-cent male. (This is in line with norms; men are “supposed” to brag more about sexual exploits than women.) Anyone can submit a story, along with personal details that reflect his or her demographics, emotions, personality traits, social attitudes, and behavioral patterns, such as alcohol intake. The setup for data collection is standardized, with drop-down menus and rating scales.

Still, the site is far from clinical. The home page is a colorful mosaic of squares, color-coded according to the category of sexual experience (blue: “one-night stand”; purple: “group sex”; gray: the mysterious-sounding “first of many”; and so on). Pull quotes are highlighted for each category (“Ladies if you haven’t had a hot, young Latino stud you should go get one!”). Many responses seem to boast, provoke, or exaggerate for rhetorical purposes. Reading it, I felt less a part of a research project than a member of a society devoted to titillation.

Vrangalova is the first to admit that the Casual Sex Project is not what you would call an objective, scientific approach to data collection. There is no random assignment, no controls, no experimental conditions; the data is not representative of the general population. The participants are self-selecting, which inevitably colors the results: if you’re taking the time to write, you are more likely to write about positive experiences. You are also more likely to have the sort of personality that comes with wanting to share details of your flings with the public. There is another problem with the Casual Sex Project that is endemic in much social-science research: absent external behavioral validation, how do we know that respondents are reporting the truth, rather than what they want us to hear or think we want them to say?

And yet, for all these flaws, the Casual Sex Project provides a fascinating window into the sexual habits of a particular swath of the population. It may not be enough to draw new conclusions, but it can lend nuance to assumptions, expanding, for instance, ideas about who engages in casual sex or how it makes them feel. As I browsed through the entries after my meeting with Vrangalova, I came upon the words of a man who learned something new about his own sexuality during a casual encounter in his seventies: “before this I always said no one can get me of on a bj alone, I was taught better,” he writes. As a reflection of the age and demographic groups represented, the Casual Sex Project undermines the popular narrative that casual sex is the product of changing mores among the young alone. If that were the case, we would expect there to be a reluctance to engage in casual sex among the older generations, which grew up in the pre-“hookup culture” era. Such reluctance is not evident.

The reminder that people of all ages engage in casual sex might lead us to imagine three possible narratives. First, that perhaps what we see as the rise of a culture of hooking up isn’t actually new. When norms related to dating and free love shifted, in the sixties, they never fully shifted back. Seventy-year-olds are engaging in casual encounters because that attitude is part of their culture, too.

There’s another, nearly opposite explanation: casual sex isn’t the norm now, and wasn’t before. There are simply always individuals, in any generation, who seek sexual satisfaction in nontraditional confines.

And then there’s the third option, the one that is most consistent with the narrative that our culture of casual sex begins with college hookups: that people are casually hooking up for different reasons. Some young people have casual sex because they feel they can’t afford not to, or because they are surrounded by a culture that says they should want to. (Vrangalova’s preliminary analysis of the data on her site suggests that alcohol is much more likely to be involved in the casual-sex experiences of the young than the old.)  And the old—well, the old no longer care what society thinks. For some, this sense of ease might come in their thirties; for others, their forties or fifties; for others, never, or not entirely.

This last theory relates to another of Vrangalova’s findings—one that, she confesses, came as a surprise when she first encountered it. Not all of the casual-sex experiences recorded on the site were positive, even among what is surely a heavily biased sample. Women and younger participants are especially likely to report feelings of shame. (“I was on top of him at one point and he can’t have forced me to so I must have consented . . . I’m not sure,” an eighteen-year-old writes, reporting that the hookup was unsatisfying, and describing feeling “stressed, anxious, guilt and disgust” the day after.) There is an entire thread tagged “no orgasm,” which includes other occasionally disturbing and emotional tales. “My view has gotten a lot more balanced over time,” Vrangalova said. “I come from a very sex-positive perspective, surrounded by people who really benefitted from sexual exploration and experiences, for the most part. By studying it, I’ve learned to see both sides of the coin.

Part of the negativity, to be sure, does originate in legitimate causes: casual sex increases the risk of pregnancy, disease, and, more often than in a committed relationship, physical coercion. But many negative casual-sex experiences come instead from a sense of social convention. “We’ve seen that both genders felt they were discriminated against because of sex,” Vrangalova told me. Men often feel judged by other men if they don’t have casual sex, and social expectations can detract from the experiences they do have, while women feel judged for engaging in casual experiences, rendering those they pursue less pleasurable.

Perhaps this should come as no surprise: the very fact that Vrangalova and others are seeking explanations for casual-sex behaviors suggests that our society views it as worthy of note—something aberrant, rather than ordinary. No one writes about why people feel the need to drink water or go to the bathroom, why eating dinner with friends is “a thing” or study groups are “on the rise.”

It is that sense of shame, ultimately, that Vrangalova hopes her project may help to address. As one respondent to a survey Vrangalova sent to users put it, “This has helped me feel okay about myself for wanting casual sex, and not feel ashamed or that what I do is wrong.” The psychologist James Pennebaker has found over several decades of work that writing about emotional experiences can act as an effective form of therapy, in a way that talking about those experiences may not. (I’m less convinced that there are benefits for those who use the site as a way to boast about their own experiences.) “Often there’s no outlet for that unless you’re starting your own blog,” Vrangalova points out. “I wanted to offer a space for people to share.”

That may well end up the Casual Sex Project’s real contribution: not to tell us something we didn’t already know, or at least suspect, but to make such nonjudgmental, intimate conversations possible. The dirty little secret of casual sex today is not that we’re having it but that we’re not sharing our experiences of it in the best way.

Complete Article HERE!

What To Do If You Get A Panic Attack During Sex

By Sophie Saint Thomas

[A] few years ago, while an ex-partner was going down on me, I realized I was having trouble breathing. Then a sense of dread filled my head, and I felt like I was being stabbed in the chest. So I quickly asked him to stop — not because he was doing anything wrong, but because I was having a panic attack during sex.

One of the (few) good things about panic attacks is that they usually only last for about 15 minutes, says Gail Saltz, MD, psychiatrist and author of The Power of Different: The Link Between Disorder And Genius. When I had my attack, I sat on the edge of the bed and did a series of breathing exercises. Gradually, I did begin to feel better.

But one of the most perplexing aspects of panic attacks is that they’re intensely fearful physical reactions that occur in the absence of any real danger or identifiable cause, as the Mayo Clinic explains. In my case, I was in a safe space with someone I trusted when my ex was going down on me. However, I had very real and terrifying feelings of detachment, the aforementioned shortness of breath, and chest pains.

Of course, I’m speaking about panic attacks during consensual sex. Fear that happens during an assault or dangerous sexual experience is completely different than having a panic attack during healthy sexual intimacy. (Reach out to RAINN if that’s the case.)

Although there are many causes for panic attacks, post-traumatic stress disorder (PTSD) is often to blame, says Barbara Greenberg, PhD, clinical psychologist and relationship expert. That was true for me: I’m a survivor of multiple sexual assaults and have been diagnosed with PTSD by a psychiatrist. As a result, sometimes during sex, I’ll have a flashback of an incident and experience a panic attack. Although the attacks subsided thanks to therapy and medication, it’s an ongoing process.

That said, panic attacks during sex can also happen to people who haven’t been sexually assaulted or diagnosed with PTSD. Dr. Greenberg says that generalized anxiety disorder and panic disorder can also trigger panic attacks during intimacy, but anyone can have one during their life — with or without a diagnosed disorder. Sometimes these things just happen.

However, if your panic attacks are, like mine, recurring and have an identifiable root cause, it’s an especially healthy idea to see a psychiatrist, Dr. Saltz says. “If you are having multiple panic attacks or PTSD flashbacks you should 100% get treatment,” Dr. Saltz says. Treatment will begin with an evaluation of the cause of the panic attacks with a mental health professional. Then, that person will suggest therapy, medication, or both.

But is there anything you can do when you’re in the midst of a panic attack during sex? The first thing to do, if you can, is explain to your partner what’s happening — and step back from sex to take care of yourself. You can always try having sex again later when you’re feeling better. Deep breathing exercises, mindfulness practice, and reassuring self-talk can all be helpful in calming a panic attack, says Michael Aaron, PhD, a sex therapist and author of Modern Sexuality: The Truth about Sex and Relationships. Changing your physical position or getting up to walk around can also help comfort you.

At that point, Dr. Aaron says it’s okay to take any anti-anxiety medication you’ve been prescribed, such as benzodiazepines (e.g. Xanax, Ativan, and Klonopin). Because you can become dependent on such medications over time, they’re meant to be used on an as-needed basis, Dr. Aaron says. But, depending on your individual needs, you may be taking them for a week or have a prescription at-the-ready for the rest of your life. While you’re taking these medications, though, you’re also (ideally) learning other self-soothing techniques in therapy that will come in handy when you stop taking the meds as frequently.

On top of managing what’s happening in your own mind and body, explaining it to your partner presents another challenge. In particular, when I had a panic attack, my partner had a hard time understanding that he did nothing wrong. But Dr. Saltz says that, in the moment, it’s enough to “tell your partner [your panic attack] will pass, take slow and deep breaths, and relax your muscles.” After the crisis has passed, you can get into a more detailed description of what you experienced — and how it wasn’t your partner’s fault.

If you’ve been a witness to someone else’s panic attack, know that they have likely experienced panic attacks before meeting you and probably will have them after you’ve parted ways, says Amanda Luterman, MA, OPQ, a psychotherapist who specializes in sexuality. “What you can do is be a soothing and stabilizing partner for that person, keep the focus on them, and reassure them that it’s going to pass,” she explains.

So, remember that panic attacks do go away. But if you continue to have them during sex as part of a larger mental health issue or due to unresolved trauma, you should seek treatment. Trust me, it can be a life- (and sex life-) saving experience.

Complete Article HERE!

We need to show real photos of genitals as part of sex education

By

Labiaplasty is on the rise. Boys and men continue to worry that their penis is too small. Every other week there seems to be a new treatment promising to make your penis longer and harder or your vagina tighter, smoother, and more sparkly.

These treatments prey on our insecurities – our deep, dark worry that there’s something wrong with our genitals. That they’re not ‘normal’.

It’s no wonder we think that, though, when we don’t get to see a range of all the different ways vaginas and penises can look.

If you’re interested in same-sex relationships or, well, sex, you’ll likely get to see a few more genitals that look a bit like yours.

But this only happens once you start getting to the point of stripping down – a point you’re unlikely to reach if you’re so filled with doubt and self-hatred for the appearance of your genitals that you can’t even imagine letting someone else see them.

And for those who exclusively get busy with people of the opposite sex, it’s easy to never see a real-life alternative of your own sex-specific genitals out in the world.

Instead, you see smoothed, Barbie-perfect versions of vaginas and whopping great penises that stay erect for hours in porn.

You see blurred out images online or dainty flowers, or bananas and crude doodles to illustrate their place.

When you never see genitals that look even a tiny bit like yours, you’re going to worry that you’re abnormal, that something’s wrong, that you need to change yourself.

That’s why we need to get in there early, and show students actual photos of actual vaginas and penises.

Not doodles.

Not just vague diagrams of the reproductive system.

Actual photos or – if that greatly offends you for reasons I don’t understand – a wide range of illustrations that shows all the parts of the genitals and all the different ways they can look.

Students should see where the clitoris is, because if they don’t they’ll struggle to give women pleasure or experience it themselves.

Students should understand what a circumcised penis looks like versus an uncircumcised one.

Students should see longer labia, different skin tones, penises that are short and fat, penises that are long and lean. A range of healthy genitals to expand the definition of ‘normal’ in young people’s minds.

‘Relationships and Sex Education is an opportunity to challenge the idea that any one type of body is ‘normal’,’ Lisa Hallgarten, coordinator of the Sex Education Forum, told metro.co.uk.

‘Learning about and celebrating body diversity may start with simply thinking about the different heights; body shapes; hair, eye and skin colour of people we can see around us; and learning about the difference between female and male body parts.

‘When it comes to genitals young people may think their own are unusual or unhealthy because they haven’t seen any images of different bodies, or because many sexual images they have accessed online depict a particular type of body (e.g. men with very large penises and women with hairless, surgically-altered vulvas).

‘Whether we use photographs, anatomical drawings or art works (such as Jamie McCartney’s Great Wall of Vagina) it is essential that any images we show properly represent the great diversity that exists in the shapes and sizes of people’s genitals.’

Hear hear.

Seeing these images before we start having sex or having the power to make changes to our bodies through surgery or other means is incredibly important.

How we view our bodies informs how we view ourselves. It affects our sexual relationships, our decisions, our mental state.

Knowing that our genitals are okay, that there’s nothing wrong, gross, or weird about them just because they don’t match the images we see in porn, will inform healthier sexual decisions, make us more confident, and prevent people from considering drastic measures to ‘fix’ themselves.

As someone who was so self-concious about my vagina that I blamed it for breakups and went to the doctor to beg them to change the appearance of my vulva, I know how powerful learning that your genitals are normal can be.

It’s not just about seeing genitals similar to your own, mind you.

Seeing real, intimate pictures of bits of all genders will make sex significantly less intimidating.

If you’re shown accurate images of all different genitals, you won’t be confused and horrified when you start having sex and are greeted by a penis or vagina that looks entirely unlike the ones you’ve seen in porn.

Adding real images to sex ed will make people more understanding of the range of normal for the opposite sex, too. So boys won’t take the piss out of women’s labia or the size of their vagina*, and girls won’t say cruel things about the size of someone’s penis.**

*No, you can not tell how much sex someone’s had by how tight or loose a vagina feels. No, you should not make up songs about women’s ‘flaps hanging low’.

**No, it’s not cool to tell people your ex has a small dick just because he p*ssed you off.

It’ll make our sex lives better, too. There’ll be a greater understanding of how penises and vaginas work, and lots more pleasure happening when everyone understands where the clitoris is, which bits of the penis are more sensitive, and what to expect when they start going down.

Oh, and knowing the range of normal will make it easier to know when something’s gone a bit wrong.

If we know all the different ways a healthy vagina or penis can look, we’ll be more able to quickly notice a change in appearance or a dodgy symptom – and because we’re not holding on to the heavy worry of ‘what if my entire downstairs area is completely abnormal and the doctor will recoil in horror’, we’ll feel more able to ask for help.

And, of course, openly presenting students with pictures of genitals is all part of chipping away at our general silence and squeamishness around our bits.

Penises and vaginas are not inherently gross, or dirty, or wrong. We should be able to talk about them, ask questions about them, and not feel disgusted or scared when it comes to being presented with their natural states (*cough* periods are not gross, neither is body hair, and ‘vagina’ is not a dirty word *cough*).

Complete Article HERE!

Drinking Alcohol Makes Straight Men More Sexually Fluid

‘Beer Goggles’ Boost Physical Attraction To Same Sex

By

Many of us are all too familiar with the “beer goggles” effect: friends and strangers alike become more attractive after a drink or two. Undoubtedly, drinking alcohol lowers our inhibitions and makes us more open to experimentation with the same sex. In a new study, published in The Journal of Social Psychology, straight men were found to be more physically attracted to other men after a few drinks.

“Most notably, alcohol intake was related to increased sexual willingness of men with a same-sex partner, suggesting a potential shift in normative casual sexual behavior among heterosexual men,” wrote the authors in the study.

Researchers recruited a total of 83 straight men and women who were bar hopping in the Midwest at night. The participants were asked to complete a survey about how many drinks they’d had that night. In addition, they had to watch a 40-second video of either a physically attractive man or woman drinking at a bar and chatting with the bartender. Then, the participants rated their sexual interest in the person in the video, from buying them a drink to going home together to have sex.

Unsurprisingly, men showed high interest when the attractive woman was on the screen; women naturally were more attracted to the man. Moreover, men were more likely to make sexual comments about the woman after the video. Overall, they expressed more sexual interest in the women, regardless of how much they had. This coincides with previous research that concedes men tend to be more lax about casual sex with strangers.

However, the researchers noted an interesting observation: the more alcohol men drank, the more interested they became in the man in the video. Men who had nothing to drink showed no interest. Those who consumed over 10 alcoholic drinks were more likely to entertain the idea of gay sex just as much as having sex with a woman.

“Sexual willingness was only influenced by alcohol intake and perceived attractiveness of a same-sex prospective partner,” the authors wrote.

In women, the more alcohol they drank, the more interested they were in other women, and the opposite sex.

This suggests sexuality for men and women does not fall under straight and gay, but instead is fluid. A 2016 study found women have been evolutionarily designed to have same-sex encounters. The researchers proposed women’s sexuality has evolved to be more fluid than men’s as a mechanism to reduce conflict and tension among co-wives in polygynous marriages.

In men, studies have found a large number of straight men watch gay porn and even have gay sexual fantasies. Researchers believe homosexuality has evolved in humans because it helps us bond with one another. In other words, sexual behavior is not a means to an end of reproduction, but it can also be used to help form and maintain social bonds.

It’s no surprise drinking alcohol leads to sexual behavior, and even makes us sexually fluid, and less inhibited. Alcohol’s influence on specific brain circuits has led us to feel euphoric and less anxious. It makes us more empathetic and leads us to see other people — even the same sex — as more attractive.

Alcohol may allow us to freely express our sexual side, without judgment or reservations.

Complete Article HERE!

Jane Fonda’s frank sex toy talk opens the door for a generation


 
By Heidi Stevens

[S]eventy-nine-year-old Jane Fonda is doing for vibrators what 44-year-old Jane Fonda did for aerobics videos: mainstreaming them.

And not a moment too soon.

The new season of her critically acclaimed Netflix series, “Grace and Frankie,” co-starring Lily Tomlin, sees the two women launch a business selling sex toys for women. If you happen to drive down Vine Street in Hollywood, you might see a giant billboard of Fonda and Tomlin holding ribbed, purple objects under the words “Good vibes” — in case there was any confusion about what they’re holding.

And if you watch “The Ellen DeGeneres Show,” you may have happened upon Fonda unveiling a vibrator on daytime TV. (Take that, “The View”!)

“Use it or lose it, right?” Fonda says to DeGeneres, who seems uncharacteristically bewildered.

“Was this something you knew about before the character?” DeGeneres asks. “Before you researched it, was this something you knew about, I mean, were familiar with? Used?”

Fonda offers an emphatic “yes,” before explaining that she owns one vibrator that doubles as a necklace. “It looks like a beautiful piece of silver jewelry.”

Until it doesn’t.

“I applaud her,” said Lauren Streicher, medical director of Northwestern Memorial Hospital’s Center for Sexual Medicine and Menopause. “I’ve been trying to talk about this on daytime TV for years, and no one will have any part of it.”

Fifty-two percent of American women use a vibrator, Streicher said, according to a 2009 study published in the Journal of Sexual Medicine. And women over 60, in particular, need to know about their benefits.

“Sometimes nerve endings aren’t as sensitive as they used to be, so what did it for you before isn’t going to necessarily do it anymore,” said Streicher, who wrote “Sex Rx: Hormones, Health, and Your Best Sex Ever” (Dey St.). “In addition, you have a lot of medical conditions — diabetes, cardiovascular disease, multiple sclerosis — that can cause a desensitization of nerve endings, so there is a need for increased stimulation.”

Which may explain why the Carol Wright Gifts catalog — known mostly for its compression support knee-high socks, bunion bandages and denture liners — features a two-page spread of “personal massagers” with such names as Couple’s Raging Bull and The Amazing Butterfly Kiss.

There should be no shame in the vibrator game.

“It’s really just an acknowledgment that women are entitled to pleasure,” Streicher said. “It’s OK for men to have sex and pleasure and to desire that until the day they die, but when you look at women in their 70s talking about sexuality, that’s been something mainstream media has absolutely no interest in.”

Maybe Fonda will help change that.

“I hope so,” Streicher told me. “When I teach medical students, I tell them: Don’t ever say to a woman, ‘Do you have a vibrator?’ That is the wrong question. What you say is, ‘When you use your vibrator …'”

She continued: “When I ask a patient, as part of her history, ‘Are you able to have an orgasm?’ and she says no, I say, ‘How about when you use your vibrator?'”

It lessens the stigma and leads to a more honest discussion, Streicher said.

“We know, at best, maybe 25 percent of women are able to have an orgasm through intercourse alone,” she said. “If men weren’t able to have orgasms and there was a device that made it happen, there would be nothing taboo about it.”

And if Fonda has her way, there won’t be for much longer.

Complete Article HERE!

It’s time to end the taboo of sex and intimacy in care homes

By

[I]magine living in an aged care home. Now imagine your needs for touch and intimacy being overlooked. More than 500,000 individuals aged 65+ (double the population of Cardiff) live in care homes in Britain. Many could be missing out on needs and rights concerning intimacy and sexual activity because they appear to be “designed out” of policy and practice. The situation can be doubly complicated for lesbian, gay, bisexual or trans individuals who can feel obliged to go “back into the closet” and hide their identity when they enter care.

Little is known about intimacy and sexuality in this sub-sector of care. Residents are often assumed to be prudish and “past it”. Yet neglecting such needs can affect self-esteem and mental health.

A study by a research team for Older People’s Understandings of Sexuality (OPUS), based in Northwest England, involved residents, non-resident female spouses of residents with a dementia and 16 care staff. The study found individuals’ accounts more diverse and complicated than stereotypes of older people as asexual. Some study participants denied their sexuality. Others expressed nostalgia for something they considered as belonging in the past. Yet others still expressed an openness to sex and intimacy given the right conditions.

Insights

The most common story among study participants reflected the idea that older residents have moved past a life that features or is deserving of sex and intimacy. One male resident, aged 79, declared: “Nobody talks about it”. However, an 80-year-old female resident considered that some women residents might wish to continue sexual activity with the right person.

For spouses, cuddling and affection figured as basic human needs and could eclipse needs for sex. One spouse spoke about the importance of touch and holding hands to remind her partner that he was still loved and valued. Such gestures were vital in sustaining a relationship with a partner who had changed because of a dementia.

Care staff underlined the need for training to help them to assist residents meet their sexual and intimacy needs. Staff highlighted grey areas of consent within long-term relationships where one or both partners showed declining capacity. They also spoke about how expressions of sexuality posed ethical and legal dilemmas. For example, individuals affected by a dementia can project feelings towards another or receive such attention inappropriately. The challenge was to balance safeguarding welfare with individual needs and desires.

Some problems were literally built into care home environments and delivery of care. Most care homes consist of single rooms and provide few opportunities for people to sit together. A “no locked door” policy in one home caused one spouse to describe the situation as, “like living in a goldfish bowl”.

But not all accounts were problematic. Care staff wished to support the expression of sex, sexuality and intimacy needs but felt constrained by the need to safeguard. One manager described how their home managed this issue by placing curtains behind the frosted glass window in one room. This enabled a couple to enjoy each other’s company with privacy. Such simple changes suggest a more measured approach to safeguarding (not driven by anxiety over residents’ sexuality), which could ensure the privacy needed for intimacy.

Conclusions

Our study revealed a lack of awareness by staff of the need to meet sexuality and intimacy needs. Service providers need guidance on such needs and should provide it to staff. The information is out there and they can get the advice they need from the Care Quality Commission, Independent Longevity Centre, Local Government Association and the Royal College of Nursing.

Policies and practices should recognise resident diversity and avoid treating everyone the same. This approach risks reinforcing inequality and doesn’t meet the range of needs of very different residents. The views of black, working-class and LGBT individuals are commonly absent from research on ageing sexuality and service provision. One care worker spoke of how her home’s sexuality policy (a rare occurrence anyway) was effectively a “heterosexuality policy”. It may be harder for an older, working-class, black, female or trans-identified individual to express their sexuality needs compared to an older white, middle-class, heterosexual male.

Care homes need to provide awareness-raising events for staff and service users on this topic. These events should address stereotyping and ways of achieving a balance between enabling choices, desires, rights and safeguarding. There is also a need for nationally recognised training resources on these issues.

Older people should not be denied basic human rights. This policy vacuum could be so easily addressed over time and with appropriate training. What we need now is a bigger conversation about sex and intimacy in later life and what we can do to help bring about some simple changes in the care home system.

Complete Article HERE!

Is There A Vulva Version Of Morning Wood?

By Cory Stieg

[W]hen your alarm clock rings, there’s a good chance that the only thing on your mind (besides your snooze button) is sex. People can feel very horny in the morning; John Legend even wrote a whole song about it. For people with penises, morning erections are an inevitable part of their sleep cycle, and even though a lot of people wake up with boners, it’s not always a sign that someone is aroused. But if someone with a vagina gets horny as hell in the morning, can they just blame it on biology? Maybe.

Turns out, people with vaginas also respond to their sleep cycle, and they can have increased clitoral and vaginal engorgement during the REM stage of sleep, says Aleece Fosnight, MSPAS, PA-C, a urology physician assistant and a sexual health counselor. “The clitoris has erectile tissue just like the penis, but instead of being out in the open for everyone to see, the clitoral engorgement happens internally and most women aren’t aware of the process,” Fosnight says.

Here’s how it works: During REM sleep, your body pumps oxygen-rich blood to your genital tissues to keep your genitals healthy, Fosnight says. This is also what happens when a person with a vagina gets aroused by something sexual: The erectile tissue in the clitoris becomes engorged and red because of the changes in circulation and heart rate, says Shannon Chavez, PsyD, a certified clinical sexologist. “The labia also has erectile tissue, and can become larger and more red in color as the arousal triggers a release of blood flow through the entire genital area,” she says. A person’s vagina could also get wetter or more lubricated during these bouts of arousal.

But, like penises, the changes your genitals experience at night don’t always occur because you’re exposed to something that arouses you — they just sort of happen. (Though if you woke up during one of these periods when your body thinks it’s aroused, you could subsequently feel more aroused and want to have sex, Fosnight says.)

That being said, some people do feel extra aroused in the morning, regardless of what their genitals are doing, because that’s when people’s testosterone levels peak, Dr. Chavez says. “This hormone is responsible for triggering feelings of sexual desire,” she says. You also might feel hornier in the morning because you’re more refreshed, relaxed, and comfortable than you are at night, according to Dr. Chavez. “This is the perfect formula for sexual arousal to take place,” she says, since sex at night can feel like work for some people, because you’re stressed and have used all your energy during the daytime. “There is lower tension in the morning when you are about to start the day ahead,” Dr. Chavez says.

So there you go: Women can have it all, even “morning wood.” There are tons of reasons why a person feels aroused when they do, but the time of day might have something to do with it after all. The next time you wake up with an urge to have sex, do it — morning sex is awesome, and your body knows it

Complete Article HERE!