Male infertility is more common than you may think.

— Here are five ways to protect your sperm

By Karin Hammarberg

Infertility is often thought of as a female problem, but one in three IVF cycles in Australia involve male infertility.

We recently published a review of the literature on whether men diagnosed with male factor infertility experience greater psychological distress than fertile men or men with an infertile partner. We found irrespective of the cause of infertility, men in couples with infertility have more symptoms of depression, anxiety and general psychological distress, worse quality of some aspects of life, and lower self-esteem than fertile men.

Research also shows sperm counts are declining worldwide, and that lifestyle and environmental factors can reduce male fertility.

While most male causes of infertility aren’t preventable, it’s important to know how to keep your sperm as healthy as possible. Here are five things men can do to boost their fertility.

1. Try to be in the healthy weight range

Obesity causes hormonal changes that have negative effects on semen, including the total number of sperm, the ability of the sperm to move, the number of live sperm, and the number of sperm with a normal shape.

These reduce the chance of both spontaneous and IVF conception.

The good news is the adverse effects on fertility caused by excess weight in men are reversible. Regular exercise and a healthy diet can help reduce weight and improve sperm quality.

There’s strong evidence a healthy diet rich in fruits, vegetables, whole grains, nuts, low-fat dairy, and seafood, and low in red and processed meats, sweets, and sweetened beverages is linked to better sperm quality.

2. Avoid recreational drugs

Recreational drug use is associated with poorer reproductive health. Psychoactive drugs such as cocaine, benzodiazepines, heroin, methamphetamine, oxycodone and ecstasy negatively affect male reproductive functions, including sexual urge, testosterone production, sperm production, and sperm quality.

While research on the link between marijuana use and sperm quality is inconclusive, some evidence suggests frequent marijuana use can reduce sperm quality and is a risk factor for testicular cancer.

3. Stay clear of anabolic steroids

Some men use anabolic steroids to enhance their physical performance and appearance. Globally, it’s estimated about one in 16 men (6.4%) use anabolic steroids sometime during their life. Male weightlifters aged 20-39 years, competitive fighters, and security personnel are among the most common users of anabolic steroids.

Anabolic steroids contribute to muscle growth and fat loss, but they also affect sexual function, including by reducing the size of testicles, reducing or stopping sperm production, and causing impotence and infertility.

Studies show most men start producing sperm again within a year of stopping anabolic steroids. But a recent study of men who became infertile as a result of anabolic steroids found that for some there is long-term damage to sperm production.

In this study of men who had stopped using anabolic steroids and had a six-month course of hormone treatment to improve sperm production, more than half still produced no sperm at all or very few sperm after six months.

4. Quit smoking and vaping

We all know tobacco smoking is terrible for our general health, but there’s now evidence it’s also bad for male fertility and reproductive outcomes.

In the past decade, vaping has become increasingly popular, especially among young adults. More than 500 e-cigarette brands and 8000 flavours have been commercialised. There’s now growing evidence from animal studies that vaping can harm male reproductive health, and experts recommend avoiding vaping when trying to conceive.

5. Reduce exposure to environmental chemicals

In our everyday lives we’re exposed to many different environmental chemicals – through the products we use, the food we eat, and the air we breathe. So-called endocrine-disrupting chemicals can reduce the quality of sperm and cause problems with fertility because they can mimic or block male sex hormones.

It’s impossible to avoid these chemicals completely, because they’re all around us. But you can take some simple steps to reduce your exposure, including:

  • washing fruit and vegetables
  • eating fewer processed, canned or pre-packaged foods
  • drinking from glass or hard plastic bottles, rather than soft plastic bottles
  • heating food in a china or glass bowl covered with paper towel or a plate rather than using plastic takeaway containers or those covered with cling wrap.

To inform men about how to look after their sperm, Your Fertility, a fertility health promotion program delivered by the Victorian Assisted Reproductive Treatment Authority, teamed up with Melbourne comedian Michael Shafar to create some helpful educational videos.

Can You Have a Sex Life After Breast Cancer?

— Experts Say Yes.

With patience and treatment, you and your partner can rekindle your sexual spark.

You may find yourself facing physical changes and emotional challenges, but you can overcome them.

By Abby McCoy, RN

If you’ve recently gone through lifesaving breast cancer treatment, you may be looking forward to better days ahead. But as you try to get back to “normal life,” you might notice a change in your libido.

“Cancer treatment across the board can take a significant toll on the body, and breast cancer is no different,” says Gabriel Cartagena, PhD, a clinical psychologist at Smilow Cancer Hospital at Yale New Haven and an assistant professor at Yale School of Medicine in New Haven, Connecticut.

About 60 to 70 percent of breast cancer survivors report sexuality issues after treatment, according to a study published in 2019 in Breast Cancer, so if you’re having that experience, know that many other women are, too. We asked the experts and have some treatments and tips to help you fire up your sex life after breast cancer.

How Breast Cancer Affects Your Libido

So you can understand how to combat a low libido after breast cancer treatment and take back your sexuality, let’s look at the causes.

Premature Menopause

Several cancer therapies can lead to premature menopause, according to a study published in 2022 in the Journal of Clinical Medicine. Chemotherapy and radiation therapy, for example, can decrease hormone levels in your body and make your menstrual cycle slow down or stop altogether, says Mary Jane Minkin, MD, a codirector of the sexuality, intimacy, and menopause program for cancer survivors at Yale Cancer Center and Smilow Cancer Hospital. For women whose breast cancer is fueled by estrogen, treatment may include medication to block the production of estrogen, or surgical removal of the ovaries. These measures, too, can bring on premature menopause. With menopause symptoms like hot flashes, insomnia, and dry mouth, sex may be the last thing on your mind.

Emotional Distress

A breast cancer diagnosis comes with a lot of emotions. Women diagnosed with breast cancer can be at a higher risk for mental health issues like depression and anxiety, neither of which are conducive to a high libido, according to a study published in 2021.

Vaginal Dryness

When your estrogen takes a nosedive during and after treatment, your vagina can become very dry, says Dr. Minkin. Lack of lubrication in this area can make sex uncomfortable or even painful, according to the American Cancer Society (ACS).

Painful Sex

Painful sex can also arise from pelvic floor dysfunction, which means the muscles in and around your pelvis can be too tight or too loose. That’s according to the research published in the Journal of Clinical Medicine, which also found that women may experience chronic pelvic pain syndrome (unexplained pain in your pelvis) after breast cancer treatment.

Body Changes

If you have had surgery or other body changes during treatment, such as removal or reconstruction of one or both breasts, you may not feel like revealing the new you in a sexual encounter, and new or missing sensations can make it hard to get in the mood. “Many women who have lost breast tissue, particularly if they have lost nipples, may feel [less] sensation in their breasts, and many women find breast stimulation important for sex,” says Minkin.

How to Get Your Groove Back

This list may feel discouraging to read, but you shouldn’t lose hope. “The important thing is that we can help with most of these issues,” says Minkin.

Medications Minkin recommends nonhormonal (estrogen-free) medications to help with symptoms of early menopause. “An over-the-counter herbal product called Ristela can help improve pelvic blood flow and enhance libido,” Minkin says. One meta-analysis published in 2021 found that women who took Ristela and similar products that contain the amino acid L-arginine experienced more sexual arousal, better lubrication, more frequent orgasms, and less discomfort or pain. Many participants reported no side effects at all, but a few experienced an upset stomach, heavier menstrual bleeding, and headache.

“Women can also consult with their providers about using prescription nonhormonal medications called flibanserin (Addyi) or bremelanotide (Vyleesi),” Minkin says. Addyi may be less effective than other options, and can cause fatigue and drowsiness, according to a meta-analysis published in 2022 in Sexual Medicine. Vyleesi, on the other hand, has shown more promise, according to a study published in 2019, with uncommon mild side effects like nausea, flushing, and headaches.

If your low libido stems from feelings of depression or anxiety, medications, often in combination with psychotherapy, are an option you can discuss with your healthcare provider.

Vaginal moisturizers For vaginal dryness, Minkin often suggests over-the-counter nonhormonal vaginal moisturizers, like Replens and Revaree, which are inserted into the vagina with an applicator a few times a week. “[These] work very nicely for many women,” Minkin says.

Toys A vibrator or similar device could be a worthwhile investment. They can boost sensation and increase blood flow to your pelvis, says Minkin, both of which can amplify desire.

Therapy One or more sessions with a counselor can be helpful, says Minkin. Sexual health counselors often use cognitive behavioral techniques to discover the “why” behind your low libido, and help you unlock thought patterns that may be blocking your sexual drive, according to a study published in 2020. Therapy is also an effective treatment for depression and anxiety.

Vaginal hormones Hormone replacement therapy is often used to treat menopause symptoms. But if you’ve had breast cancer, it may increase the risk that it will come back, especially if your cancer is sensitive to hormones. With vaginal hormonal treatments, a cream, tablet, or ring containing low-dose estrogen is placed directly in your vagina to aid lubrication and strengthen the vaginal lining. Because much less estrogen gets into your bloodstream, this option is generally considered safe, according to the North American Menopause Society. Your healthcare provider can help you decide if hormone treatments are right for you.

Get Reacquainted With Your Body

Breast cancer treatment can leave you feeling like you’re living in a stranger’s body. “A stark change like a mastectomy can leave women feeling separated from themselves,” says Dr. Cartagena. But every woman can get to know and accept her new body.

Reintroduce Yourself Gradually

“The process to reknow your body takes time and begins in small steps,” says Cartagena, who suggests a first step could be to get dressed in the morning with the lights on. After a few days or weeks of this, you might try spending 10 seconds observing your body in the mirror.

“Exposing yourself to your body little by little can allow you to gradually grieve what is different and take notice of what is new that is still important to you,” explains Cartagena.

Reframe Your Sexual Desires

Sex after cancer may look different, and mourning lost sensations is very important, says Cartagena. Looking forward, he encourages breast cancer survivors to study what sex means to them by asking questions like, “What feels good now?”

“If penetrative sex still evokes pain, a patient can explore foreplay, different forms of stimulation, or other forms of intimacy to induce different, fulfilling sensations,” says Cartegena. Sex doesn’t have to mean one thing — it can be whatever you need or want it to be.

Complete Article HERE!

6 astonishing penis facts they didn’t teach you in biology

We bet they didn’t teach you you’re erection is 30% longer than you can see

By

School biology lessons can sometimes be a case of a teacher trying to impart the basic facts about sex to a group of giggly teenagers.

And while the trusty basics are a great place to start, there is so much more about penises and erections that we bet they didn’t teach you.

Our sexual health is something we should be all clued up about and our favourite Dr Danae Maragouthakis, from Yoxly, an Oxford-based sexual health start-up, is an Instagram doctor who knows all their is to know about our genitals.

We’ve already covered penis misconceptions, now it’s the time for the hard facts…

There are three types of erection

If you get an erection you may not think much about how you actually became aroused.

But, when your penis gets hard there are actually three different categories of erection it can fall into.

A bunch of bananas with one banana sticking up, suggestive of an erection
There are three different types of erections men can have

A subconscious erection is the first type. These hard ons usually occur when you’re dreaming – you won’t need physiological or physical stimulations.

Psychogenic erections are the result of sexual fantasies either fulfilled in reality or in porn, where your body responds to visual stimuli.

The third and final type of erection is the reflexogenic erection. This is an erection which happens because of direct physical stimulation to the penis.

You don’t need an erection to orgasm

We usually associate an orgasm with an erection but you don’t necessarily need to be hard to finish.

So if you can’t get it up, that doesn’t mean you can’t sometimes still have a satisfying end to getting it on.

Some people can experience an orgasm without being fully erect, while some men have reported being able to orgasm with just their prostate being massaged.

Penile stimulation isn’t always a necessity.

Up to half your erection is hidden

Your penis is actually a lot longer than it looks
Your penis is actually a lot longer than it looks

Men, your penis is actually a lot longer than it looks.

About 30% of the tissues that make up the male erection are internal, so you can’t see it from the outside.

This means a third or even up to a half of your hard on is hidden.

Penises have penile spines

Don’t panic, your penis doesn’t actually have spines! But, while humans don’t have penile spines, plenty of closely related animals do.

These spines are pointed, keratinised structures found in the genitalia of several animals, which may help to induce ovulation or enhance sensation during sexual activity.

Our distant relative – the chimpanzee – has penile spines, as well as cats, bats and cute fluffy koalas down under.

Myth: The penis is a muscle

Wrong.

Danae tells Metro.co.uk: ‘Some people believe that the penis is a muscle that can be exercised to increase size or improve sexual performance.

‘The penis is not a muscle. It looks like muscle because it gets hard when it fills with blood when it gets an erection but it’s actually made predominantly of spongey tissue and blood vessels.

‘When someone fractures their penis, they break the blood vessels that run in the penis and tear the soft tissue. It’s incredibly painful and really dangerous, that’s a medical emergency.

‘Seek medical attention immediately because if you compromise the blood flow to those tissues, they can die.’

Beetroot and oysters could give you better erections

Dr Danae also said that consuming foods that are high in Nitric Oxide can help blood flow, thus improving your erections.

Foods high in Nitric Oxide are dark chocolate, beets, garlic, watermelon and leafy green veggies.

You might finally have a reason to try oysters too! Foods that are high in zinc are important for good testosterone levels and sperm production.

This includes the divisive shellfish, as well as beef, chicken, nuts and beans.

As seems to be the rule of thumb for every part of your body, drinking plenty of water means you’ll be hydrated and promote healthy blood flow, which can only be good for your erections.

Beetroot and leafy greens could help give you better erections
Beetroot and leafy greens could help give you better erections

Smoking-related erectile dysfunction can be reversed

While there is a misconception that smoking can actually shrink your penis there is no scientific evidence to that point.

However, this doesn’t mean the effects of smoking on your body don’t take their toll on your sexual performance and satisfaction.

What you probably did learn in biology is that smoking constricts your blood flow, but they may not have touched upon the fact that means you won’t always get sufficient blood flow to your genitals.

Complete Article HERE!

A guy’s guide to sexual health

— What every man should know

Most people know the fundamental sportsmanship rule: hitting below the belt is illegal. The groin is highly sensitive, and a strike here can cause severe injury. While a man’s sexuality is off-limits for low blows, that doesn’t mean it’s off-limits for discussion with your doctor.

Too bad most men don’t see it that way.

Stats About Guys and Sexual Health

It’s not that men aren’t concerned about sexual health. In a 2023 survey, the Cleveland Clinic reported:

• 44% of men are worried about erectile dysfunction.
•39% of men are worried about loss of sex drive.
•36% of men are worried about low testosterone.

But of men surveyed, while 37% reported having experienced issues related to sexual health, only two in five sought professional help.

So, guys, let’s have a frank discussion about your most common sexual health concerns.

Talking About ED

What is it?
Erectile dysfunction is the inability to get or maintain an erection firm enough to have sex. Many men think ED only occurs in older men, but ED is not exclusive to getting older. There are men in their 40s and 50s who experience ED and men in their 70s, 80s, and 90s with great sex lives.

What are the symptoms?
Failure to reach or sustain an erection more than half of the time, at any age, may indicate a condition that needs treatment. Other symptoms may include decreased sexual desire and less rigid erections.

Who is at risk?
ED has a wide range of causes, from vascular issues and nervous system issues to hormone or psychological issues. Chronic health conditions, which about 1 in 4 guys face in the U.S., also impact erectile function. These include diabetes, heart disease and hypertension, obesity, high cholesterol, and smoking. Many medications that treat these conditions have side effects that contribute to ED. Bottom line: ED is a complex, common medical condition and not one to treat lightly or feel self-conscious about.

What is the most common myth about ED?
That taking testosterone supplements will cure ED. Low testosterone may or may not be what is affecting your erections. Taking supplements with a normal testosterone level will not result in better erections and may cause side effects if not taken appropriately.

What treatments for ED are you most excited about?
Low-intensity shock wave lithotripsy and platelet-rich plasma (PRP) therapy injections. There are also new oral therapies in clinical trials. ED is very treatable. It all comes down to which treatment is right for your lifestyle.

Talking About Low-T

What is it?
Testosterone deficiency syndrome or Low-T means that a man’s body is not making enough testosterone, the primary male sex hormone that regulates fertility, muscle mass, fat distribution, and red blood cell production.

What are the symptoms?
Reduced sex drive, reduced erectile function, loss of body hair (including facial hair), loss of lean muscle mass, feeling tired all the time, obesity, and symptoms of depression are the specific symptoms most directly linked to Low-T.

Who is at risk?
Data suggests that about 2.1% of men (2 in every 100) may have clinically Low-T, which is a low blood testosterone level of less than 300 nanograms per deciliter (ng/dL). It is more common in men over the age of 80, who have diabetes, or who are overweight. Don’t just assume you have Low-T and start popping pills. Talk to your doctor.

What is one of the most common misconceptions about Low-T?
That it’s a normal part of aging, and nothing can be done about it. If you have clinically Low-T, it is essential to treat it. Testosterone is not just for sexual health. It aids in bone, cardiac, mental, and psychological health. Anyone whose testosterone is in the low-normal range may also benefit from treatment, but a physician should manage it.

What treatment for Low-T are you most excited about?
Bio T Pellets because they quickly get testosterone into the normal and high normal range for men.

Talking About Peyronie’s Disease

What is it?
Peyronie’s disease is a condition by which a small scar forms in the lining of the penis resulting in penile curvature, loss of penile strength, indentation, or pain.

What are the symptoms?
During the first 12 months of developing Peyronie’s disease, you may experience pain with erections, curvature of the penis, penile shortening, an abnormal shape to the penis, or a lump in the penis.

Many men are worried that Peyronie’s disease will cause issues with getting and maintaining erections. While there is some association between penile plaque and restriction of blood flow in the penis, this is not always the case.

Who is at risk?
Peyronie’s disease typically forms from microscopic trauma that occurs during intercourse. The trauma leads to inflammation and then a penile scar or lump. It is most common in men over the age of 40.

What is the most common misconception about Peyronie’s
That it is a rare condition. It can feel very isolating, since many men don’t talk about it or seek care because they find it embarrassing. In reality, it’s estimated that 6-10% of adult men have Peyronie’s disease.

What treatments for Peyronie’s disease are you most excited about?
Introducing injectable collagenase into penile plaques has dramatically broadened the options for safe and effective office-based treatment of Peyronie’s. Surgery remains highly effective at correcting the curvature for more severe or bidirectional (S-shaped) curvatures.

The Physical/Mental/Sexual Health Connection

Men, your physical, mental, and sexual health are closely related. Changes in sexual health may indicate underlying medical conditions. Sexual health affects your quality of life and mental health.

A urologist can provide many management options, including observation, medication, injections, surgery, and more. Sexual health is a crucial component of overall health, so if you’re experiencing any issues, it’s time to consider seeking help from a physician.

Complete Article HERE!

4 common misconceptions about penises, according to a sex doctor

By

With a large amount of misinformation on the internet it can be hard *excuse the pun* to know what is fact and what is myth about our bodies.

And when it comes to the male anatomy, particularly the penis, there are plenty of misconceptions that are so common we take them as truth.

Well, Dr Danae Maragouthakis, from Yoxly, an Oxford-based sexual health start-up, has agreed to help Metro bust some myths around the phallus, so you are left satisfied with the answers.

There’s are the misconceptions about the penis Dr Danae hears a lot…

Myth 1: The penis is a muscle

Wrong.

Danae tells Metro.co.uk: ‘Some people believe that the penis is a muscle that can be exercised to increase size or improve sexual performance.

‘The penis is not a muscle. It looks like muscle because it gets hard when it fills with blood when it gets an erection but it’s actually made predominantly of spongey tissue and blood vessels.

There’s a lot of misinformation about the penis but we’ve got the truth

‘When someone fractures their penis, they break the blood vessels that run in the penis and tear the soft tissue. It’s incredibly painful and really dangerous, that’s a medical emergency.

‘Seek medical attention immediately because if you compromise the blood flow to those tissues, they can die.’

Myth 2: Penis length correlates with hand size

We’ve all heard it. People jokingly checking if their partner has big hands or big feet because “you know what that means”, but that’s actually a fruitless exercise.

And, we might add, one that doesn’t matter anyway.

Danae says: ‘There’s no reliable way to link somebody’s hand or foot size to their penis size — there’s no scientific evidence behind it to prove it.

‘I’m not entirely sure where the myth came from, I think it’s probably observational, where people noticed it and shared it with one another.’

Myth 3: All circumcised penises are less sensitive

Now, for those of us who do not have a penis, it’s not like we can be an authority on this topic, but we can tell you what the science says.

Danae tells Metro: ”The literature on this is mixed and every person will have a different experience.

‘There are some studies that say yes, there are men who experience reduced sensation. But there have been other studies done where men don’t report reduced sensation or functionality.

‘It’s not my place to tell someone with a penis how they do and don’t feel, but the scientific literature shows that not everybody who undergoes a circumcision experiences reduced sensation.’

Can circumcision reduce chances of acquiring SITs?

According to the Centre for Disease Control in America male circumcision can reduce a male’s chances of acquiring HIV by 50% to 60% during heterosexual contact with female partners with HIV.

‘Circumcised men compared with uncircumcised men have also been shown in clinical trials to be less likely to acquire new infections with syphilis (by 42%), genital ulcer disease (by 48%), genital herpes (by 28% to 45%), and high-risk strains of human papillomavirus associated with cancer (by 24% to 47% percent),’ it says.

However, ‘in the UK male circumcision is not medically recommended unless there’s a medical reason,’ Danae adds.

‘It’s important to note that the UK (NHS) and the US (CDC) differ on this point. In the UK, routine male circumcision is not considered a way of reducing STI risk.’

Speaking to the BBC, Dr Colm O’Mahony, a sexual health expert from the Countess of Chester Foundation Trust Hospital in Chester, said the US pushing circumcision as a solution sends the wrong message.

Keith Alcorn, from the HIV information service NAM, also warned: ‘We have to be careful not to take evidence from one part of the world (in this case Uganda) and apply it uncritically to others.

‘Male circumcision will have little impact on HIV risk for boys born in the UK, where the risk of acquiring HIV heterosexually is very low.’

Myth 4: Lengthening exercises can make your penis longer

Penis lengthening exercises, colloquially known as ‘jelqing’ refer to stretching the penis either with your hands or weighted devices.

‘Some of these things they do, where they take a flaccid penis and they grip the head and pull it in different directions, that can create micro tears and create more damage to the penis,’ says Danae.

‘People think these tears will fill up with scar tissue and make their penis bigger, but that’s just not true. Handling it so aggressively can cause injury and won’t make it bigger, there’s nothing scientific to back this up.’

Danae says this doesn’t apply to men who suffer with conditions like Peyronie’s disease, ‘where the penis gets an abnormal curvature’ who may need similar treatments, but for healthy men this shouldn’t be done.

‘This is where self-love and acceptance and trying to debunk the myths and stereotypes around what’s most important about penis’ — penis size, partner satisfaction — is important and it’s about accepting yourself,’ adds Danae.

‘Penis stretching is an unproven practice. There are certain exercises or devices that are thought to increase the length or girth of the penis. None of these are scientifically proven to result in any long term penile lengthening.’

Complete Article HERE!

Sex therapists on 20 simple, satisfying ways to revive your lost libido

— Losing your mojo is very common, but it can be overcome, whether through self-love, putting down your phone – or even a sex ban

By

Most people will experience a loss of sexual desire at some point in their life, be it due to parenthood, a health condition, hormonal changes, grief or other reasons. But how can you overcome this? Sex therapists and educators share the secrets to getting your mojo back.

1. Be aware that it is incredibly normal

“Fluctuations in desire are a natural part of the human experience, influenced by different life stages,” says Chris Sheridan, a psychotherapist and founder of The Queer Therapist in Glasgow. “We’re not robots,” says Natasha Silverman, a Relate sex and relationship therapist based in the Cotswolds. She has helped couples who haven’t had sex for decades and says this is one of the most common reasons people seek advice. “It is very normal for relationships to go through periods when couples aren’t having sex, or one person wants to and the other doesn’t.”

2. Mood is often a factor

Addressing this is the first step. “External life stresses and anxiety all put the brakes on sexual desire,” says Silverman. “If you are stressed and overwhelmed – worried about the kids or there are problems at work – it’s not going to be quite so easy to get into that headspace.” Medication such as antidepressants can also have an impact on sex drive, she adds.

3. Have a medical check-up

It is important to see a doctor about loss of libido. If people are describing anxiety, depression or other symptoms that may be connected to a health issue such as the menopause, “we do suggest that people get checked”, says Silverman. “For example, someone may have erectile difficulties that are putting them off sex. But if that is a chronic problem, it can be indicative of something like heart disease.”

4. Talk to someone outside the relationship

Find someone to confide in, says Silverman. This could be “a friend or a professional. Someone who can normalise it, help you look at why this might be happening and take the shame out of it. Think about when things changed and what might be making it more difficult.” Try to work out, “what it is that made you feel as if your mojo isn’t there any more”, says Dami “Oloni” Olonisakin, a sex positive educator and author of The Big O: An empowering guide to loving, dating and f**king.

5. Be prepared to talk to your partner

When you are ready, talk to your partner about how you are feeling. This could be in a therapy space or on your own. “Your partner will already be sensing that something has changed,” says Silverman. “And if you’re not talking about it with them, they are going to fill in the gaps, most likely with their own anxieties: ‘They don’t want to be with me any more’; ‘They don’t find me attractive’; ‘Maybe there’s someone else.’ So be upfront and honest.” Most people are too ashamed to work on stale, long-term relationships and be more creative about seeking pleasure together, says Todd Baratz, a sex therapist in New York City. It doesn’t “necessarily mean getting out the whips and chains, it just means communicating about sex, talking about what your sexual needs are”.

‘Set aside time each week to explore each other’s bodies.’

6. Single people struggle with desire, too

It is not only those in a relationship who experience a loss of libido. Silverman says she is seeing increasing numbers of single people who “want to iron out mistakes from previous relationships” and women, in particular, who have become used to “minimising their needs”. There are a lot of myths that need to be busted about the G-spot and what a healthy sex life looks like, she says. Being single is a good time to figure out what works for you “and make yourself more robust”, for your next relationship or sexual encounter.

7. Work out what desire means to you

“Society often normalises saying ‘yes’ to things we may not genuinely want to do, a behaviour that can permeate our relationship dynamics,” says Sheridan. “Expressing our true desires and practising saying ‘no’ enables us to transition into healthy communication characterised by negotiation and mutual consent.”

“What is really important,” says Miranda Christophers, a sex and relationship psychotherapist at The Therapy Yard in Beaconsfield, “is that both partners have the desire for desire. If somebody’s motivation for intimacy is because they know that their partner likes to have sex and they need to do it to keep the partner happy, that wouldn’t necessarily be a positive motivator. We try to get them to work out what they enjoy about sex, what they are getting from it.” That could be pleasure in the moment or a sense of connection afterwards.

8. In most couples, one person will want sex more than the other

“This phenomenon is not exclusive to heterosexual couples,” says Sheridan. “It presents similarly within same-sex and sexually diverse relationships”, in which there can be “an additional layer of complexity emerging due to the pervasive influence of heteronormativity”. “Desire isn’t necessarily gender specific,” says Baratz. “It is often assumed that men want sex all the time and women want to be seduced, and that’s not the case. People have a wide and diverse expression of how they desire, regardless of their gender.” That said, men tend to experience spontaneous desire, whereas women are more responsive, says Christophers, and desire may only kick in at the point of arousal.

9. A sex ban can be a good place to start

Silverman says many therapists will encourage couples to abstain from sex and masturbation while initial conversations are taking place, before introducing affection for affection’s sake that won’t lead to something else. Plus, “telling someone they can’t have sex tends to be an effective way to get them in the mood”, she says.

10. Looking back is crucial

As with any kind of therapy, considering past experiences, positive and negative, can help to process problems in the present. Sheridan explains: “Examining a client’s sexual response history across their lifespan allows us to discern whether the change is a situational occurrence or a longstanding pattern. A crucial aspect of this involves understanding the current and historical dynamics of their relationships.” Silverman adds: “We look at their first relationships, the potential obstacles that are in the way of them being able to let go sexually, any health problems, trauma or historic sexual abuse.” “Trauma has a huge impact on our sensory system,” says Baratz, “and sex is all about sensory experiences, so it’s going to potentially decrease the way we feel safe or connected to our senses. That means that we need to be with a partner we feel safe with.”

11. Rediscover non-sexual intimacy

This could be “kissing each other before you leave the house or playfully patting your partner on the bum as they walk past”, says Oloni. “Different things can help reignite that spark, so when you are back in bed you’ve done things throughout the day that remind you your partner still desires you sexually and is attracted to you.” Sensate exercises, in which couples are encouraged to “set aside time each week to explore each other’s bodies, focusing on the feeling that they have themselves when they are doing this”, are helpful too, says Christophers.

12. Scheduling

This isn’t for everyone, says Silverman, as it can make sex feel like even more of a chore. But it can be helpful for some, especially if young children are getting in the way. “Schedule a romantic date night or time to find different ways to get in touch with that side,” says Oloni. For new parents, Christophers advises: “Even if it is just for an hour, go somewhere else and create a more adult space together.” Baratz recommends “planning sex instead of relying upon spontaneity and declaring our schedules are too busy”.

13. Self-love is everything

“Emphasising self-love is integral,” says Sheridan. “As it empowers individuals to honestly articulate their needs and desires, building more authentic and fulfilling sexual and emotional intimacy in the relationship.” Take care of yourself too: shower and put on fragrance, says Baratz. “Exercise plays a big role in cultivating a relationship with your body.” He encourages “yoga, if that’s pleasurable, or massage or a spa day or a bath bomb – anything that is a sensory experience that feels good and will reinforce the connection that we can feel with our body”. “When you walk past a mirror, tell yourself how beautiful you are,” says Oloni. “How lucky anybody would be to be in your presence naked.”

14. Work on body confidence

This could be through “buying yourself new lingerie that makes you feel sexy”, says Oloni. “You need to find that confidence within yourself then present that to your partner. I used to work in Victoria’s Secret, and I remember a woman came in who had just had a child and she burst into tears because a bra looked good on her. That has stuck with me because it really does take the right type of underwear to make you feel sexy again, or to see yourself in a different way.”

15. Faking it can be counterproductive

Again, this is very common, thanks to people getting sex education from mainstream pornography, says Silverman, which often suggests women need to have penetrative sex to have an orgasm, whereas about 75% of women require clitoral stimulation to have an orgasm. But “every time someone fakes an orgasm, they are showing their partner the exact wrong way to make them climax – there is a sexual dishonesty there”, she says. “Some people do struggle to reach orgasm, which is known as anorgasmia. This can be a result of medication, trauma or trust issues that haven’t been explored. But generally speaking, people can reach orgasm on their own. We recommend that people get to know their bodies by themselves and what does it for them, before expecting a partner to know what to do.”

16. Pornography doesn’t have to be visual

“There is a difference between ethical and non-ethical pornography,” says Oloni. “And it is important to understand what has been created for the male gaze.” She points to other forms of erotica that can be accessed, such as audio pornography and literature. “There are so many different mediums you could get that sexual rush from, but I don’t think people truly explore. It’s usually the same link or bookmark of a favourite porn site or video. I think it’s important to mix it up, especially when it comes to fantasising. They say that the biggest sexual organ that we actually have is the brain. It’s so important to fantasise in different ways instead of just one.”

17. Think about ‘sexual currency’

“This is a term that a lot of sex educators are using now,” says Oloni, “which is designed to help you find that desire and spark in your relationship. It could mean cuddling more on the sofa when you’re watching a movie, or it could be remembering to kiss your partner before you leave the house.”

18. Write down things you want to try

This helps if you can’t say them out loud. Work out what they are and send over an image or link, suggests Oloni. “Write them down on bits of paper and put them in a pot,” says Christophers, so you can pull them out and potentially try something new. “Create an opportunity for playfulness,” she says. “A bit more intrigue, a bit more mystery.”

19. Variety is the spice of life

Oils, toys and other aids can be useful after body changes due to the menopause, having a baby or other health conditions, says Christophers, as is trying different positions. “Think about comfort and practical things, such as using lubricants.”

20. Put down your phone

For those who would rather go to bed with their phone than their partner, put it away. “This comes up a lot,” says Christophers. “I’m not saying don’t ever bring your phone into bed,” says Oloni. “But that could be a time where you up your sexual currency. You’re in bed with your partner. This is where you should feel your most relaxed but you can’t really unwind when you are on your phone, you’re still taking in so much information. You could use that time instead to not necessarily have sex, but just be still, hug, spoon or giggle with your partner.”

Complete Article HERE!

How Late Can Your Period Be After Taking Plan B One-Step?

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 Tips for People With Vaginas

— 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

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!

Pup Play

— Kink communities can help people build connections and improve their body image


Pup play has its roots within kink communities and gay BDSM and leather subculture.

By and

In recent years, the world of kink lifestyles and subcultures has gained increasing attention. Kink is a general term that includes various expressions of unconventional or non-traditional sexual desires. This encompasses a wide array of practices, including power dynamics, intense sensations/stimuli, role-playing and more.

One such form of role-play that is often misunderstood is known as pup play. Pups are consenting adults who roleplay by dressing and acting as young canines, or pups.

We are researchers within nutrition and health research with a focus on diverse gender and sexualities. In this project called Puppy Philms, we seek to more deeply understand how meanings ascribed to bodies are socially constructed for gay, bisexual, transgender and queer men within the pup community.

For this project, we used a method called cellphilming. The term cellphilm was coined to describe films made with cell phones. We worked with pups who created cellphilms to learn more about their community, particularly how being a pup might help people navigate body-image concerns.

We recruited 17 self-identifying gay, bisexual, transgender and queer men who are pups across Canada. They attended three workshops and each of them created a cellphilm in which they talked about being a pup and how their body image is shaped in the pup community.

What is pup play?

Two men in pup hoods and gear.
Pups are consenting adults who roleplay by dressing and acting as young canines, or pups.

Pup play has its roots within kink communities and gay BDSM and leather subculture. Alongside the sexual component, pup play is viewed by many to be a social activity.

Studies have demonstrated many reasons why people might participate in kink and BDSM activities. For example, personal development, self-expression, overcoming anxiety, relaxation, and to be more socially comfortable. Kink play may also improve interpersonal relationships.

The pup community fosters connections and gathers at various pup events. These include pup competitions where a designated “play space” allows them to cuddle each other, wag their tails and bark.

Pups often wear pup gear like collars and pup masks or hoods. Some individuals within pup communities take on the role of pup “handlers,” which means they assume a more dominant role within pup play.

Cellphilming

Cellphilming is an art-based research method and serves as a tool for advocacy that researchers seeking to disrupt traditional roles within research can use. It enables participants to exercise their creativity and take control and ownership of their narratives, facilitating the expression of ideas that can be more challenging to convey through traditional interviews.

Research becomes an artistic and reflective process. The resulting cellphilms are pieces of art that can create a sense of solidarity among communities while changing social values about gender, sexual orientation and bodies.

The Puppy Philms Project

Man wearing pup hood and leather harness.
Gay subcultures often celebrate bodies that are more diverse and challenge dominant ideas about masculinity.

Our previous work noted that many gay men navigate body-image tensions by identifying within gay subcultures that celebrate bodies that are more diverse than the dominant thin and muscular body standards. We also found that challenging and disrupting dominant ideas about masculinity can be helpful for some men dealing with body-image concerns.

Yet no studies have looked at the relationships between body image and pup communities. With Puppy Philms, we sought to gain a deeper insights into this relationship through cellphilming.

Body image and pup play

Three findings about pup play and body image emerged from our research. First, participants discussed how the pup community can reinforce body standards for men. As one participant said, “the body expectations for pup communities are not really different from the body expectations from the cis gay man culture.”

However, many participants also felt pup communities were spaces where dominant ideas about men’s body standards and masculinity were changed, lessened or lacking altogether. As another participant noted, “body image doesn’t really matter in the pup community, and that’s sort of the point. Just be a puppy.”

One man on all fours in pup hood and gear.
Kink communities can often help people with personal development, self-expression and overcoming anxieties.

The pup headspace – a state of mindfulness relaxation — has also been associated with therapeutic benefits. Participants reflected on how the process of becoming a pup helped them change their feelings about their bodies and overcome body image concerns.

One participant noted, “…while I’ve got the [pup] mask on and I’m at the events, I don’t tend to think about it. But soon as the mask comes off then I start to think about my body-image issues again.”

Our study sheds light on the positive aspects of the pup community as a social and accepting space, where identifying as a pup represents a sign of resilience and defiance against social norms.

Unleashing queer activism

Participants felt inspired to create their cellphilms and saw them as powerful tools for activism. They aimed to inform the public about pup play and break the stigma surrounding it.

This drive for activism took various forms; some participants submitted their cellphilms to film festivals, and others travelled to the United States and Europe to showcase their cellphilms and share their experiences. In collaboration with the participants, we organized community screening events (one in Montreal and an upcoming one in Toronto), furthering the reach of their narratives.

Participants saw the potential to use their cellphilms for a greater purpose than just this research. As one participant said, “just this possibility of spreading out what we were talking about really stimulates me a lot.”

Artistic activists remind us that “we can ‘queer’ mass culture by making it say things it was never designed to say, and act in ways it was never meant to act.” Perhaps the participants’ cellphilms can help make our culture more open to diverse bodies, genders and sexualities.

Complete Article HERE!

8 Sex Myths That Experts Wish Would Go Away

— Everyone else is having more sex than you. Men want sex more than women do. And more.

By Catherine Pearson

Chalk it up to the variability in sex education, in high schools and even medical schools, or to the fact that many adults find it hard to talk about sex with the person who regularly sees them naked. Whatever the reason, misinformation about sexuality and desire is common.

“There are so many myths out there,” said Laurie Mintz, an emeritus professor of psychology at the University of Florida who focuses on human sexuality. And, she added, they can “cause a lot of damage.”

So the Well section reached out to a group of sex therapists and researchers, and asked them to share a myth they wished would go away.

Here’s what they said.

Myth 1: Everyone else is having more sex than you.

“Oddly, this myth persists across the life span,” said Debby Herbenick, director of the Center for Sexual Health Promotion at the Indiana University School of Public Health and author of “Yes, Your Kid: What Parents Need to Know About Today’s Teens and Sex.”

Many teenagers think “everyone is doing it,” she said, leading them to jump into sex that they simply are not ready for. This myth can make older people in long-term relationships feel lousy, too — like they are the only ones in a so-called dry spell, when they may simply be experiencing the natural ebb and flow of desire.

“It’s pretty typical to find that about one in three people have had no partnered sex in the prior year,” Dr. Herbenick said, referencing several nationally representative surveys. She also points to research she has worked on showing that sexual activity has declined in recent years for reasons that aren’t fully understood. (Researchers have hypothesized that the decline has to do with factors like the rise in sexting and online pornography, as well as decreased drinking among young people.)

“It can help to normalize these periods of little to no partnered sex,” Dr. Herbenick said. “That said, for those looking for some longevity in their partnered sex life, it’s important to think about sex in a holistic way.” That means caring for your physical and mental health, she said, and talking through your feelings with your partner to maintain a sense of intimacy and connection.

Myth 2: Sex means penetration.

Sex therapists often lament that people get caught up in certain “sexual scripts,” or the idea that sex should unfold in a particular way — typically, a bit of foreplay that leads to intercourse.

But “we need to move beyond defining sex by a single behavior,” said Ian Kerner, a sex therapist and author of “She Comes First.” He noted that this type of narrow thinking has contributed to the longstanding pleasure gap between men and women in heterosexual encounters. For example, a study found that 75 percent of heterosexual men said they orgasmed every time they had been sexually intimate within the past month, compared with 33 percent of heterosexual women.

One survey found that 18 percent of women orgasmed from penetration alone, while 37 percent said they also needed clitoral stimulation to orgasm during intercourse. Instead of rushing toward intercourse, the focus should be on “outercourse,” Dr. Kerner said, which is an umbrella term for any sexual activity that doesn’t involve penetration.

“If you look at most mainstream movies, the image is women having these fast and fabulous orgasms from penetration, and foreplay is just the lead up to that main event,” Dr. Mintz said. “That is actually, scientifically, really damaging and false.”

In surveying thousands of women for her book “Becoming Cliterate,” Dr. Mintz found the percentage of women who said they orgasmed from penetration alone to be 4 percent or less.

Equating sex with penetration also leaves out people who have sex in other ways. For instance, Joe Kort, a sex therapist, has coined the term “sides” to describe gay men who do not have anal sex. Lexx Brown-James, a sex therapist, said that view also overlooks people with certain disabilities as well as those who simply do not enjoy penetration. Many people find greater sexual satisfaction from things like oral sex or “even just bodily contact,” she said.

Myth 3: Vaginas shouldn’t need extra lubricant.

Postmenopausal women sometimes describe the pain they experience during penetrative sex as feeling like “sandpaper” or “knives.” But while vaginal dryness affects older women at a higher rate, it can happen at any point in life, Dr. Herbenick said, which has implications for women’s sex lives.

An estimated 17 percent of women between 18 and 50 report vaginal dryness during sex, while more than 50 percent experience it after menopause. She noted that it is also more common while women are nursing or during perimenopause, and that certain medications, including some forms of birth control, can decrease lubrication.

“As I often tell my students, vaginas are not rainforests,” Dr. Herbenick said, noting that her research has found that most American women have used a lubricant at some point. “We can feel aroused or in love and still not lubricate the way we want to.”

Myth 4: It is normal for sex to hurt.

Though lubricant can help some women experience more pleasure during sex, it is important to remember that sex should not hurt. An estimated 75 percent of women experience painful sex at some point in their lives, which can have many root causes: gynecologic problems, hormonal changes, cancer treatment, trauma — the list goes on.

Shemeka Thorpe, a sexuality researcher and educator who specializes in Black women’s sexual well-being, said many women believe that pain during or after sex is a sign of good sex.

“We know a lot of the times that people who end up having some sort of sexual pain disorder later in life actually had sexual pain during their first intercourse, and continued to have sexual pain or vulva pain,” Dr. Thorpe said. “They didn’t realize it was an issue.”

Men, too, can experience pain during intercourse. Experts emphasize that it is important for anyone experiencing pain during sex to see a medical provider.

Myth 5: Men want sex more than women do.

“Desire discrepancy is the No. 1 problem I deal with in my practice, and by no means is the higher-desire partner always male,” Dr. Kerner said. “But because of this myth, men often feel a sense of shame around their lack of desire, and a pressure to always initiate.”

(Dr. Herbenick noted the related myth that women don’t masturbate, which she said holds them back from fully exploring their sexuality.)

But while there is data to suggest that men masturbate more often than women do, it is untrue that women don’t want sex, or that men always do, said Dr. Brown-James. For instance, one recent study found that women’s desire tended to fluctuate more throughout their lifetimes, but that men and women experienced very similar desire fluctuations throughout the week.

Myth 6: Desire should happen instantly.

Sex therapists and researchers generally believe that there are two types of desire: spontaneous, or the feeling of wanting sex out of the blue, and responsive, which arises in response to stimuli, like touch.

People tend to think that spontaneous desire — which is what many lovers experience early in relationships — is somehow better.

But Lori Brotto, a psychologist and the author of “Better Sex Through Mindfulness,” said a lot of the work she does is to normalize responsive desire, particularly among women and those in long-term relationships.

She helps them understand that it is possible to go into sex without spontaneous desire, as long as there is willingness and consent. Dr. Brotto likens it to going to the gym when you don’t feel like it. “Your endorphins start flowing, you feel really good and you’re grateful you went afterward,” she said.

Myth 7: Planned sex is boring.

Dr. Brotto also disagrees with the idea that “planned sex is bad sex,” because it makes it “clinical and dry and boring.”

That view is “so harmful,” she said. And it results in many people treating sex like an afterthought, doing it only late at night when they’re exhausted or distracted, Dr. Brotto said, if they make time for it at all.

When clients bristle at the practice of scheduling sex, she will ask: Are there many other activities in your life that you love or that are important to you that you never plan for or put on the calendar? The answer, she said, is usually no.

Scheduled sex can also lend itself to responsive desire, Dr. Brotto said, giving “arousal time to heat up.”

Myth 8: Your penis doesn’t stack up.

Men are under a certain amount of pressure when it comes to how their penises look or function, Dr. Kerner said. Younger men, he said, believe they shouldn’t have erectile dysfunction, while older men get the message that premature ejaculation is something they grow out of with age and experience.

The data tells a different story. Though erectile dysfunction — which is defined as a consistent inability to achieve or maintain an erection, not just occasional erection issues — does tend to increase with age, it also affects an estimated 8 percent of men in their 20s and 11 percent of those in their 30s. And 20 percent of men between the ages of 18 and 59 report experiencing premature ejaculation.

“We don’t have a little blue pill to make premature ejaculation go away, so we’re not having the same cultural conversation as we are with erectile dysfunction,” Dr. Kerner said. “We’re just left with the myths that guys with premature ejaculation are bad in bed, or sexually selfish.”

Likewise, studies show that many men — gay and straight — worry that their penises do not measure up, even though many partners say they do not prefer an especially large penis.

“Partnered sex is complex,” Dr. Kerner said. “It involves touching, tuning in, connecting, communicating.”

Complete Article HERE!

Can Men Get Periods?

— Cisgender men don’t have menstrual periods, but testosterone levels vary from day to day, which may cause some mental and physical effects.

By Kimberly Holland

Like women, men experience hormonal shifts and changes. Every day, a man’s testosterone levels rise in the morning and fall in the evening. Testosterone levels can even vary from day to day.

Some claim that these hormonal fluctuations may cause symptoms that mimic the symptoms of premenstrual syndrome (PMS), including depression, fatigue, and mood swings.

But are those monthly hormonal swings regular enough to be called a “male period”?

Yes, claims psychotherapist and author Jed Diamond, PhD. Diamond coined the term Irritable Male Syndrome (IMS) in his book of the same name, to describe these hormonal fluctuations and the symptoms they cause, based on a true biological phenomenon observed in rams.

He believes cisgender men experience hormonal cycles like women. That’s why these cycles have been described as “man-struation” or the “male period.”

A woman’s period and hormonal changes are the result of her natural reproductive cycle, sex therapist Janet Brito, PhD, LCSW, CST says. “The hormonal changes she endures are in preparation for possible conception. [Cisgender] men do not experience the cycle of producing ovocytes, nor do they have a uterus that gets thicker to prepare for a fertilized egg. And if conception does not occur, they do not have a uterine lining that will be released from the body as blood through the vagina, which is what is referred to as a period or menstruation,” Brito explains.

“In this definition, men do not have these types of periods.”

However, Brito notes that men’s testosterone levels can vary, and some factors can influence testosterone levels. As these hormones shift and fluctuate, men may experience symptoms.

The symptoms of these fluctuations, which may share some similarities with symptoms of PMS, may be as close to “male periods” as any man will get.

IMS is supposedly the result of dipping and oscillating hormones, specifically testosterone. However, there’s no medical evidence of IMS.

However, it’s true that testosterone plays an important role in a man’s physical and mental well-being, and the human body works to regulate it. But factors unrelated to IMS can cause testosterone levels to change. This is thought to lead to unusual symptoms.

Factors that can influence hormonal levels include:

  • age (a man’s testosterone levels start declining
    as early as age 30)
  • stress
  • changes in diet or weight
  • illness
  • lack of sleep
  • eating disorders

These factors can also impact a man’s psychological well-being, Brito adds.

The symptoms of so-called IMS mimic some of the symptoms women experience during PMS. However, IMS doesn’t follow any physiological pattern the way a woman’s period follows her reproductive cycle, as no hormonal basis of IMS exists. That means these symptoms may not occur regularly, and there may be no pattern to them.

Symptoms of IMS are vague and have been suggested to include:

  • fatigue
  • confusion or mental fogginess
  • depression
  • anger
  • low self-esteem
  • low libido
  • anxiety
  • hypersensitivity

If you’re experiencing these symptoms, there is likely something else going on. Some of these symptoms may be the result of testosterone deficiency. Testosterone levels do naturally fluctuate, but levels that are too low can cause problems, including:

  • lowered libido
  • behavior and mood problems
  • depression

If these symptoms persist, make an appointment to talk with your doctor. This is a diagnosable condition and can be treated.

Likewise, middle-aged men may experience symptoms as their natural levels of testosterone begin to fall. This condition, colloquially called andropause, is sometimes referred to as male menopause.

“When it comes to andropause, which does show up in the [anecdotal] research, the symptoms tend to be fatigue, low libido, and [it] tends to affect middle-aged men due to low testosterone levels,” Dr. Brito says.

Lastly, the term male period or man-struation is used colloquially to refer to blood found in urine or feces. However, Brito says, bleeding from the male genitals is often the result of parasites or an infection. No matter where the blood is located, you need to see your doctor for a diagnosis and treatment plan as soon as possible.

IMS isn’t a recognized medical diagnosis, so “treatment” aims to:

  • manage symptoms
  • adapt to the emotions and mood swings when they
    occur
  • find ways to relieve stress

Exercise, eating a healthy diet, finding ways to relieve stress, and avoiding alcohol and smoking may help stop these symptoms from happening. These lifestyle changes can also help a variety of physical and mental symptoms.

However, if you believe your symptoms may be the result of low testosterone, see your doctor.

Testosterone replacement may be an option for some men with low hormone levels, but it does come with risksTrusted Source.

If your doctor suspects another underlying cause, they can schedule tests and procedures to help rule out other problems.

If you believe your partner shows signs of severe hormonal changes or low testosterone, one of the best ways to help him is to have a conversation. You can help him seek out professional help and find ways to manage any symptoms, regardless of their underlying cause.

Bad days that cause crabby attitudes are one thing. Persistent emotional or physical symptoms are something entirely different, and they’re a possible indication that you should see your doctor.

“[Symptoms] are serious if they are bothering you. See a doctor if your symptoms bother you. See a sex therapist if you need help revitalizing your sex life or see a mental health professional if you are experiencing depression or anxiety,” Brito says.

Likewise, if you’re bleeding from your genitals, you should seek medical attention. This isn’t a form of a male period and instead may be a sign of an infection or other condition.

Complete Article HERE!

Tips on How to Increase Penis Sensitivity

— Experiencing a decrease in penis sensitivity can be a frustrating experience and something that people don’t often talk about. However, there are effective solutions available that can increase penis sensitivity and restore the pleasure experienced during sexual activities. This article will explore these solutions and provide valuable insights to help you regain a fulfilling and pleasurable sexual experience.

By

  • Penis desensitization refers to reduced sensitivity in the penis, which can cause frustration and diminished sexual satisfaction.
  • People seek to enhance penis sensitivity for increased pleasure, intimacy, and sexual performance, leading to improved sexual satisfaction, confidence, and body image.
  • Penis desensitization may result from overstimulation, specific techniques, nerve damage, circulation problems, Peyronie’s disease, medications, age, psychological factors, hormone imbalances, drugs, alcohol, or medical conditions.
  • Treatments may involve lifestyle changes, medical management, and the use of products or exercises like Kegel exercises, cock rings, and topical solutions.

People seek to enhance penis sensitivity for various reasons, including heightened pleasure, improved intimacy, and enhanced sexual performance. Increased sensitivity in the penis plays a significant role in sexual experiences, allowing for a wide range of pleasurable sensations, deeper emotional connections with partners, and improved sexual response. It contributes to higher levels of sexual satisfaction, fosters better communication between partners, boosts sexual confidence, and positively impacts body image.

Understanding penis desensitization

Penis desensitization refers to experiencing reduced sensation in the penis compared to previous levels. While some sensitivity remains, it is noticeably less than what was previously experienced, leading to frustration and diminished sexual satisfaction. It is essential to distinguish this condition from a completely numb penis, where a person is unable to feel any sensation in certain areas or the entire penis.

What causes penis desensitization?

Penis desensitization can be caused by various factors, including:

  • Overstimulation or rough handling. Penis desensitization can be caused by overstimulation or rough handling during sexual activities, including gripping the penis too firmly during masturbation. Frequent or intense sexual activity without sufficient breaks in between can lead to temporary desensitization.
  • Specific masturbation techniques. Using a specific masturbation technique consistently may cause the penis to get used to that particular stimulation, making it challenging to experience pleasure through other means.
  • Nerve damage. Nerve damage in the penis can decrease sensitivity by disrupting the transmission of signals between the penis and the brain, leading to reduced sensation and responsiveness to sexual stimulation.
  • Circulation issues. Circulation issues can contribute to penile desensitization by affecting blood flow to the penis. Reduced blood flow can impact the delivery of oxygen and nutrients to the penile nerves and tissues, leading to decreased sensitivity.
  • Sitting for long periods. Prolonged sitting or bike riding can contribute to penile desensitization, as the pressure and reduced blood flow in the pelvic region can affect nerve sensitivity in the penis.
  • Peyronie’s disease. Peyronie’s disease involves the development of fibrous scar tissue, or plaques, within the penis, leading to penile curvature. This can also decrease sensitivity due to scarring.
  • Certain medications. Certain medications, such as selective serotonin reuptake inhibitors (SSRIs) used to treat depression and medications used to treat erectile dysfunction, have been associated with a decrease in penis sensitivity.
  • Age. Many people naturally experience decreased penis sensitivity as they age due to hormonal changes, reduced blood flow and nerve functioning, and medical conditions.
  • Psychological factors. Depression, stress, and anxiety are among the psychological factors that can contribute to penile desensitization.
  • Hormone imbalances. Hormone imbalances, such as hypogonadism, where the body doesn’t produce the correct amount of hormones, can cause a decrease in penis sensitivity.
  • Drugs and alcohol. Alcohol and drugs, including nicotine, can decrease sensitivity in the penis by affecting the nervous system and blood flow, leading to reduced nerve responsiveness and impaired circulation.
  • Certain medical conditions. Medical conditions and diseases such as diabetes, multiple sclerosis, heart disease, prostate disease or infections, and sexually transmitted infections can cause the penis to become desensitized.

How can you increase penis sensitivity?

Treatments for increasing penis sensitivity can vary depending on the underlying factors causing desensitization. Here are some potential approaches to enhance penis sensitivity:

  • Overstimulation or rough handling. To prevent overstimulation and rough handling, practice moderation during sexual activity and masturbation. Consider using lubrication to reduce friction and protect the delicate penile tissues. Experiment with different techniques and pressure levels to find what works best for maintaining sensitivity.
  • Nerve damage. If nerve damage is the cause of decreased sensitivity, consult a healthcare professional to identify the underlying condition and explore treatment options. Managing conditions like diabetes or multiple sclerosis can help preserve nerve function and potentially improve sensitivity.
  • Circulation issues. To enhance penile blood flow and sensitivity, maintain a healthy lifestyle that includes regular exercise, a balanced diet, and avoiding smoking. Consult a healthcare provider to manage circulatory issues that may contribute to decreased sensitivity.
  • Sitting for long periods. If your lifestyle involves extended periods of sitting, take frequent breaks to stand and move around. Invest in a cushioned seat or use ergonomic aids to reduce pressure on the pelvic area. If you are a regular bike rider, choose a seat that is wider and has cushioning.
  • Peyronie’s disease. If diagnosed with Peyronie’s disease, seek guidance from a urologist or specialist. They may recommend treatments like medications, traction devices, or surgery to address the condition and improve sensitivity.
  • Certain medications. If you suspect medications are affecting your penile sensitivity, consult your healthcare provider. They may adjust your medication or recommend alternative treatments to minimize side effects on sexual function.
  • Age. Adopt a healthy lifestyle to counteract the effects of aging on sensitivity. Regular exercise, a balanced diet, and stress management can positively impact sexual health and function.
  • Psychological factors. Engage in stress-reducing activities like meditation, yoga, or hobbies to promote relaxation and improve overall well-being. Seek guidance from a mental health practitioner to address underlying psychological factors that may contribute to desensitization.
  • Hormone imbalances. Consult a healthcare professional for hormone testing and appropriate treatments if you suspect hormonal imbalances. Hormone replacement therapy may be recommended to address decreased sensitivity due to low testosterone levels.
  • Drugs and alcohol. Limit alcohol and drug consumption, as they can affect sexual function and sensitivity. Moderation or abstaining from these substances can lead to improved sexual experiences.
  • Certain medical conditions. Properly manage medical conditions like diabetes or cardiovascular disease with the help of healthcare professionals. Effective management can improve overall health and potentially restore penile sensitivity.

Are there products or exercises that can help?

Along with addressing any underlying causes of decreased sensitivity, several products and exercises can be beneficial.

Kegel exercises, which strengthen pelvic floor muscles, may enhance blood flow to the genital area, which could lead to increased sensitivity. Cock rings restrict blood flow out of the penis, which enhances erections and may intensify sensations. Various creams, sprays, and lubricants are available that can be applied directly on the penis, which stimulates the skin and potentially increases sensitivity.

When to seek professional help

When the decrease in sensitivity significantly impacts your sexual pleasure and daily life, or if you experience numbness in your penis or suspect an underlying condition contributing to the reduced sensitivity, seeking professional help is essential. Start by consulting a sexologist or a general practitioner who can guide you to the relevant specialist based on the underlying cause, ensuring you receive appropriate and targeted treatment for your specific needs.

How to communicate with your partner

Having open and honest communication with your partner about penile sensitivity is essential for maintaining a strong and intimate relationship. Sharing your feelings and experiences through “I” statements can help your partner understand the physical and emotional impact the decreased sensitivity may have on you. Approach the conversation with empathy and compassion, emphasizing that it is a medical condition rather than something caused by their actions.

Encourage your partner to actively participate in the discussion, seeking solutions as a team. Show appreciation for their understanding and support while addressing the issue. Being open about your needs and concerns allows your partner to be more empathetic and supportive, fostering a deeper connection and a more fulfilling sexual experience for both of you. Remember that communication is the key to overcoming challenges and building a strong and intimate bond with your partner.

Complete Article HERE!

What’s Happened to the Male Orgasm?

By

I was in the park with a friend of mine who was telling me about the sex she’d had at a festival the weekend before. “He came as well, actually,” she added at the end of the story.

“Oh, nice,” I said, and then I laughed because I couldn’t remember when it became a thing to comment on men coming. But then, maybe men finishing is less of a given than it used to be. At least, it seems to be.

“I’ve seen the greatest cocks of our generation destroyed by SSRIs,” read one tweet that was being screengrabbed by a lot of my friends. If you don’t get the joke—and, please, it’s very much a joke—SSRIs are selective serotonin reuptake inhibitors (such as Prozac, Lexapro, and Zoloft), which can help with feelings of anxiety and depression, one side effect being that they can reduce people’s libido and ability to orgasm. Of course, it’s good that men are taking measures to look after their mental health, and often when people are on SSRIs, they can work around the side effects to still climax. Maybe alcohol is to blame. After all, being drunk—which people tend to be when they’re having casual sex—doesn’t help. Nor does the emphasis we place on performance, something we’re more guilty of than we think.

My friend and I chatted for a while about all this, about men not coming as much as they used to, and why that might be. Or we did, until I pointed out that we were being hypocritical. Both of us have complained in the past about how men are really set on making you come. You can tell it’s mainly to prop up their own ego rather than for your pleasure, and it makes you feel pressured and guilty when you can’t. We’ve pointed out to men we’ve had sex with that we don’t have sex to orgasm, but for other things: pleasure, yes, but pleasure in a more general sense; the kind of smudgy oblivion where you forget yourself. And yet there we were, doing the very thing we hated: focusing solely on orgasm.

“Although someone needs to come, so there’s a natural end to sex,” my friend said. “Otherwise it will keep on going forever.”’

“I vote it should be them,” I replied.

“Yeah, sorry, they can’t spend decades centering the male orgasm as the end of sex and then say it’s no longer the end of sex.”

“It’s too late for me,” I said. “My entire sexuality is built around what men want.”

Of course, I wasn’t being serious, but it made me think. What do I want? A while ago I was sleeping with this guy, and I remember him asking the second or third time we slept together, “What do you want?”

I was on top, looking at him, and I remember wanting to hide. Trying to think of an answer to his question was like trying to describe a color I’d never seen before. I was tongue-tied. So I said, “What do you want?” bouncing the question back to him, and then he repeated it back to me a second time so that it felt as though we were playing that stupid game the Chuckle Brothers used to do where they went, “To me, to you,” again and again and again.

On my phone, there’s a screenshot of a quote from the beginning of Want Me by Tracy Clark-Flory. It’s from director Miranda July, and I saved it in my favorites folder because it resonated so much. It reads: “I’m always interested to hear how a woman conceives of herself as a sexual person, because there is really no map for this. Only a series of contradictory and shaming warnings. So whatever any of us comes up with is going to be wholly unique and perhaps a little monstrous—like a creature that has survived multiple attacks yet still walks, still desires.”

And what is left surviving at the end—for me, for the women I know? When we imagine sex, we’re rarely ever ourselves but someone else entirely, because it would be too shameful to be us. Most of us have some sort of praise kink—where you get off on someone telling you you’re good at stuff—presumably because the focus is on someone else’s pleasure. We’re so objectified that we like to become inanimate objects, or think about being watched, followed. Our sexuality slips in between gaps, slides into the spaces in between, clings on.

I don’t know how to describe what I want to another person, to guide them toward it. It’s not a fixed thing: it bends and warps with each person, it shape-shifts. What feels good with someone might feel different with another. Our moods change. Desire emerges in context with someone else. Even if shame didn’t play a part, I’m still not sure I’d be able to answer the question.

Complete Article HERE!

Why Do My Testicles Hurt When I Ejaculate?

— Sometimes ‘hurts so good’ turns into ‘it just plain hurts.’ Find out why.

By Kurtis Bright

Balls are weird.

Use whatever adjectives you want to describe them: sensitive, vulnerable, goofy, defenseless, squishable. The fact remains, these things are kind of crazy when you think about them.

Now consider that for testicles to produce healthy spermit is their main job, after all—they have to basically live outside a man’s body. This is so they maintain a temperature that’s about 2 degrees cooler than the rest of him. 

They dangle like a bizarre pair of rotund, fleshy earrings from the spermatic cords, which, if twisted, can cause a testicle to begin dying within hours. And of course, we all know what happens if someone gives them a swift kick.

The ‘hurts so good’ part of sex shouldn’t be unplanned testicular pain.

Nature’s a wonderful thing but, really, who would deliberately come up with a design like this?

Of course, you associate ejaculating with pleasure, but it may come as a surprise that for some, there can be pain involved. Let’s get straight to the question that plagues some men: Why do my testicles hurt when I ejaculate?

An infection could cause pain in your testicles when you ejaculate

Simple explanations are nice when it comes to medicine and sexual health. It’s always good when straightforward problems can be answered with straightforward solutions. Sometimes, that’s true with testicular pain during ejaculation if it turns out to be an infection. Typically, that means you get a round of antibiotics for a week or two, and you’re good to go.

“Infection can certainly be a reason for testicular pain,” said Amy Pearlman, M.D., a men’s health specialist and co-founder of Prime Institute in Fort Lauderdale, Florida. “Those can be much easier to treat: they get tested, and if it’s positive, you treat them.”

Keep in mind, though, that an infection is likely to be pretty noticeable. It might be more acute when you ejaculate, but if you have an infection involving the testicles, it’s always going to be with you.

“If someone has an infection, it’s going to hurt all the time until it’s treated,” Pearlman said. “You’re not going to have pain only when you ejaculate. The testicle is usually enlarged or they have a red, hot scrotum. An infection is going to be pretty obviously different on a physical exam.”

Scar tissue could cause pain in your testicles when you ejaculate

If you’ve ever learned about Peyronie’s disease, you know that scar tissue in the genital region can dramatically affect such sensitive and delicate structures.

A type of scar tissue unrelated to Peyronie’s can build up on the inside of the urethra and may cause a man to experience pain when he ejaculates. Imagine a hoarder’s apartment with decades’ worth of old newspapers piled up along the hallway. If a crowd of people tried to jam through there all at once at a high rate of speed, they’re going to get clogged. That’s what happens with scar tissue in the urethra.

“Oftentimes, where scar tissue develops in the urethra is in front of the ejaculatory duct, toward the tip of the penis,” Pearlman said. “So when the ejaculatory fluid is trying to go in, it’s trying to go past this scar tissue and it has trouble doing that. That can cause a high-pressure situation back toward the testicles.”

Testicle retraction could cause pain when you ejaculate

In case you missed it earlier, balls are weird.

For instance, they move up and down in response to temperature, exertion, anxiety or sexual stimulus. Sometimes, though, when a man ejaculates, the testicle may pull up so high it retracts up into the body cavity. This movement, combined with the sudden surge of semen coursing through the system at high speeds, can cause discomfort.

“Sometimes, the testicle will retract upward during different types of activity,” Pearlman said. “It could be if they’re anxious or if someone goes outside when it’s cold, it will retract. But sometimes, too, with ejaculation or sexual activity, the testicle can sometimes ride all the way up and into the groin region.”

Chronic pelvic pain syndrome

A phenomenon known as “referred pain” often comes up when discussing male sexual health issues. That’s because the entire pelvic region is filled with nerves that connect muscles, organs and sexual structures with a variety of functions and conditions that can affect them.

For instance, the pelvic floor muscles—a sling-like apparatus that runs from your pubic bone in the front underneath to the tailbone in the back—are involved in urination, defecation, sexual functioning, ejaculation and helping your core keep you upright.

It’s crisscrossed with branches of the pudendal nerve that links the spine and brain to the penis, prostate gland and testicles. When something goes awry down there, the nervous system may register it as pain but not be able to provide an entirely accurate picture of where that pain originates.

The more sensitive something is—we’re looking at you, testicles—the more likely we are to “think” that’s where the pain originates.

“You have to separate out testicular pain into acute pain and chronic pain. Prostatitis and prostate infections can cause painful ejaculations, for instance. But more often than not, what we see is chronic pelvic pain syndrome (CPPS) being the cause. It’s usually a pelvic floor muscle spasm issue,” said Neel Parekh, M.D., a men’s fertility and sexual health specialist with Cleveland Clinic.

He said it’s pretty straightforward.

“When the pelvic muscles are tight, those are the same muscles that contract during ejaculation,” Parekh added. “So when you ejaculate, you’re contracting an already tight muscle, which causes further pain and discomfort.”

Conclusions

Yes, testicles are weird, but they’re the only ones we’ve got, and most of the conditions described mentioned here aren’t going to get better on their own. It’s also worth noting that infections and CPPS can get worse if they’re ignored.

The “hurts so good” part of sex shouldn’t be unplanned testicular pain. Don’t let your weird buddies suffer unnecessarily. Plan to talk to your doctor as soon as you start to feel pain down there during sex.

Complete Article HERE!

What Your Penis Says About Your Health

— Changes in penis performance or appearance may signal heart issues, diabetes and more

Your penis serves some big roles in your body. Of course, it houses a drainage system that allows your body to get rid of urine. It’s also a key player in the reproductive process and the act of making whoopie.

But did you know your penis also offers a window to your health? It turns out the performance or appearance of your penis can provide clues about what’s happening to you physically and mentally.

So, what secrets can the appendage reveal? Let’s look at six potential learning opportunities with urologist Ryan Berglund, MD.

1. Heart health

Erectile dysfunction, or the inability to get or maintain an erection, isn’t an unusual occurrence. Your penis may just decide to not cooperate at times for a multitude of reasons, many of which are no big deal.

But if you consistently have trouble getting or keeping your penis up, it might signal heart disease and blood flow issues.

A 2018 study linked erectile dysfunction (ED) to increased risk of heart attack, cardiac arrest and stroke. Dr. Berglund notes that almost two-thirds of people who’ve also had heart attacks also experience ED.

“Erectile dysfunction, particularly if you’re younger, should be regarded as a warning sign for heart disease,” he adds.

2. Diabetes

Difficulty getting or maintaining an erection also may signal the onset of diabetes, which can damage the nerves, blood vessels and muscle function that work in tandem to get your penis up.

Research shows that someone with diabetes is three times more likely to report instances of ED. In addition, ED often occurs 10 to 15 years earlier and is more severe in those with diabetes.

3. Mental health issues

The mind plays a very large role in the function of the penis, says Dr. Berglund. Psychological issues such as depression, anxiety and stress can lower sex drive and keep your penis from performing as it should.

Relationship troubles can hinder operations below the belt, too. Ditto for alcohol, smoking and drug use.

4. Scar tissue

Having intercourse with a less-than-firm erection can damage your penis and lead to the development of Peyronie’s disease, a disorder in which scar tissue within the penis causes a curvature.

The condition can lead to a noticeable bend in your penis. A curve greater than 30 degrees is considered severe. The loss of length or girth is possible, too.

ED can cause more flaccid erections that increase your risk of Peyronie’s disease. Talking to a healthcare provider about difficulties getting a hard erection and getting treatment could reduce your chance of sustaining the injury.

5. Infection

Lumps and bumps aren’t unusual on a penis. Blood vessels, pimples and pearly penile papules (small, pearl-like bumps) are just a few of the things you might notice on your penis, shares Dr. Berglund. In most cases, they’re nothing to worry about.

But how can you tell if there’s something more serious going on?

If the bump is painful or there’s an open or weeping sore, get it checked out ASAP. It may be a sexually transmitted infection such as herpes or syphilis. Less pain but lots of itchiness could signal genital warts or molluscum contagiosum (a viral skin infection).

6. Cancer

A discoloring of your penis along with painless lumps, crusty bumps or a rash could be a sign of penile cancer. Symptoms typically appear on the penis head or foreskin and should get checked by a medical professional.

The rate of penile cancer is relatively low in the United States, at 1 in 100,000. But it’s much more common in Africa, Asia and South America.

Final thoughts

It’s important to pay attention to what’s happening downstairs. Changes in the performance or appearance of your penis may be a sign of a larger health issue.

Is the topic comfortable to talk about? Maybe not. But if something with your penis feels or looks different, tell a healthcare provider. It’s a discussion that’s important for your overall health.

Complete Article HERE!