Category: Health Benefits

Posted on

A New Way to Prevent S.T.I.s

— A Pill After Sex

By Apoorva Mandavilli

In a bid to stem the resurgence of sexually transmitted infections, the Centers for Disease Control and Prevention plans to recommend doxycycline, a widely used antibiotic, for use after an unprotected sexual encounter.

The antibiotic would be taken only by gay and bisexual men and transgender women who have had an S.T.I. within the previous year or who may be at risk for one. The scientific evidence is too limited to recommend the strategy, called doxy-PEP, to all people who might be exposed to infection-causing bacteria during sex.

The agency released draft guidelines on Monday and plans to finalize them after a 45-day public comment period.

A close-up view of a bottle of the antibiotic doxycycline, held by a hand in a pharmacy.
“We need game-changing innovations to turn the S.T.I. epidemic around, and this is a major step in the right direction,” an official with the Centers for Disease Control and Prevention said.

Why It Matters: Rates of S.T.I.s are skyrocketing.

In 2021, there were 1.6 million cases of chlamydia, more than 700,000 cases of gonorrhea and nearly 177,000 cases of syphilis in the United States, together tallying up to $1.1 billion in direct medical costs. (Rates of babies born with syphilis also soared that year, with nearly 3,000 affected.)

All three S.T.I.s are caused by bacteria and are easily treated with antibiotics. But the closure of sexual health clinics across the country and a drop in public awareness has contributed to a sharp rise in infections.

Gonorrhea cases have increased 118 percent since a historical low in 2009, according to the C.D.C. Syphilis was nearly eliminated in the United States about 20 years ago, but cases have risen 74 percent since 2017.

On any given day in 2018, about one in five Americans had an S.T.I., the C.D.C. has estimated.

“We need game-changing innovations to turn the S.T.I. epidemic around, and this is a major step in the right direction,” Dr. Jonathan Mermin, director of the agency’s National Center for H.I.V., Viral Hepatitis, S.T.D. and TB Prevention, said in an emailed statement.

The C.D.C.’s guidelines are based on studies that show that a single dose of doxycycline taken within 72 hours of unprotected sex dramatically cuts the risk of the infections.

Evidence from emerging research was compelling enough that clinics in some cities, such as San Francisco, have been offering doxy-PEP to those at high risk of infection for months. Generally, patients are given a supply of pills and told to take one within three days of an encounter during which they might have become infected.

But rates of S.T.I.s are highest among Black people and Native Americans, who are often those with the least access to health care. “No prevention tool — no matter how powerful — will change the S.T.I. epidemic if it doesn’t reach the people who need it most,” Dr. Mermin said.

Doxycycline has been in use for decades, and there are few indications that bacteria have become resistant to it. Syphilis and chlamydia do not often develop resistance, but gonorrhea is another question: Those bacteria have become resistant to multiple classes of antibiotics.

Still, the picture may change depending on how many people take doxy-PEP and how often, some experts cautioned.

“At the population level, that does worry me,” said Antón Castellanos Usigli, a sexual health expert who is an adjunct lecturer at the Columbia Mailman School of Health.

In places like his native Mexico, Dr. Castellanos Usigli said, indiscriminate use of antibiotics has fueled the rise of drug-resistant bacteria, which can alter a person’s gut microbiome.

What Happens Next: The C.D.C. will finalize new guidelines.

Evidence so far supports doxy-PEP’s use only in men who have sex with men and in transgender women. In those groups, the antibiotic cut rates of syphilis and chlamydia by about 90 percent and gonorrhea by about 55 percent.

Men who have sex with men account for nearly half of reported syphilis cases, according to the C.D.C. If studies show the approach to be effective in heterosexual cisgender men and cisgender women, the guidelines may be expanded.

The agency said doctors should prescribe doxy-PEP as part of a comprehensive sexual health program that includes counseling, screening and treatment for the infections and for H.I.V.

“Doxy-PEP will be a good option for some patients,” Dr. Castellanos Usigli said. “But we will have to do a lot of education with medical providers and patients so that we target the best candidates and prevent misuse and overuse.”

Complete Article ↪HERE↩!

Posted on

Testosterone and Low Libido in Women

— Testosterone plays a major role in a woman’s sex drive. But if that sex drive fizzles, replacing the hormone with a supplement isn’t as simple as it sounds.

One of the issues with testosterone supplements is that they have side effects, such as acne and hair growth.

By Ashley Welch

Testosterone may be known as a male sex hormone, but women need it, too. Testosterone is part of what drives female desire, fantasy, and thoughts about sex. It also plays a role in ovarian function, bone strength, and the overall well-being of women, says Kelli Burroughs, MD, an obstetrician-gynecologist at Memorial Hermann in Houston. Yet while your testosterone level plays a key role in your sex drive, taking it in supplement form to treat low libido remains controversial.

Here’s what doctors know about testosterone’s role in low libido in women and how the hormone might be used as a treatment.

Testosterone Helps Fuel Our Sex Drive

Women’s testosterone levels gradually go down as they age, and lower amounts of the hormone can also reduce muscle mass, affect skeletal health, impact mood, cause fatigue, and decrease sensitivity in the vagina and clitoris, which affects libido, Dr. Burroughs says.

A drop in testosterone levels is believed to be the reason sex drive goes down after menopause, according to the North American Menopause Society.

Research Remains Unclear

Although it’s common for men to take testosterone to treat low libido, the U.S. Food and Drug Administration (FDA) hasn’t approved testosterone replacement therapy for women. Some doctors do prescribe it for women as an off-label use, notes Jenna M. Turocy, MD, an ob-gyn at NewYork-Presbyterian Columbia University Irving Medical Center in New York City. “These products include testosterone skin patches, gels, creams or ointments, pills, implants, and injections, often designed and government-approved for men,” Dr. Turocy says.

Testosterone doses provided by these formulations generally are much too high for females, so women are given a fraction (usually one-tenth) of the dose that men are prescribed, notes Barbara Schroeder, MD, an assistant professor and ob-gyn with UTHealth Houston.

“There is no dose that we can say is absolutely safe for women,” she explains. “There are no large randomized trials that have looked at this.” That’s why Dr. Schroeder says to check baseline testosterone levels and re-check them every three to six months to make sure they’re not too high. “The goal is to aim for testosterone levels that are in the normal premenopausal range,” she adds.

Still, testosterone supplementation for women with low sex drive is rarely recommended in the United States, especially for premenopausal females, given the limited data on safety and efficacy, Turocy explains.

One of the main issues is that testosterone has side effects. Acne and hair growth at the application site are the most common, Schroeder says. Changes in your voice, weight gain, hair loss, oily skin, mood changes, and an enlarged clitoris, may also occur, Turocy adds.

But the biggest concern involves testosterone’s long-term safety in women, as no robust scientific studies have looked at potential lasting effects.

In a review of 36 randomized controlled trials published in the Lancet Diabetes & Endocrinology in October 2019, researchers determined that testosterone therapy is effective at increasing sexual function in post-menopausal women. They noted that when taken orally, testosterone was linked to significant increases in LDL, or “bad” cholesterol, and reductions in total cholesterol, HDL, or “good” cholesterol, and triglycerides. These effects were not seen with testosterone patches or creams. More importantly, the researchers concluded that “data are insufficient to draw conclusions about the effects of testosterone on musculoskeletal, cognitive, and mental health and long-term safety and use in premenopausal women.”

What Else May Help With Low Libido

If you have low libido, testosterone may help, but it’s important to weigh the benefits with the risks. Know that there are other options that may be beneficial.

“If concerned about low sex drive, women should consult a knowledgeable healthcare provider who can evaluate their individual medical history, symptoms, and hormone levels,” Turocy says. “It’s essential to take a comprehensive look at their sexual health, considering not only hormonal factors but also psychological, emotional, and relational aspects.”

Other potential causes of low sex drive, such as stress, relationship problems, medication side effects, or underlying medical conditions, like nerve issues or endometriosis, should be explored and addressed before considering hormone supplementation, she says.

Finally, don’t ignore the power of healthy lifestyle modifications. “Implementing healthy lifestyle changes such as diet and exercise can also boost energy levels and self-image perception resulting in increased libido,” Burroughs says. According to a study published in July 2021 in the Journal of Sexual Medicine, regular exercise one to six hours per week was associated with benefits in desire, arousal, lubrication and sex-related distress in women experiencing sexual dysfunction.

Complete Article ↪HERE↩!

Posted on

List of Sex Hormones in Females and Males

By Serenity Mirabito RN, OCN 

Sex hormones are chemicals responsible for reproduction and sexual desire. Common female sex hormones include estrogen and progesterone, while testosterone is abundant in most males.

Sex hormones are produced by the ovaries, testes, endocrine system, and adrenal glands. Menstruation, age, and certain medical conditions can cause fluctuations in sex hormones. Females and males can balance sex hormones through hormone deprivation or replacement therapy.

This article will review sex hormone production, function, and ways to achieve hormonal balance.

Sex vs. Gender

This article uses the terms “male” and “female” as labels referring to a person’s chromosomal, anatomical, or biological makeup without regard to which gender or genders they identify with.

Where Are Sex Hormones Produced?

Females and males have different sex hormones. However, they do share some of the same ones but each with different functions.

Females

The main hormones that contribute to sexual health and desire in females are estrogen, progesterone, and testosterone. Although the ovaries are responsible for most female sex hormones, other tissues can also produce them. These include:1

  • Estrogen (estradiol, estrone, estriol): Although made primarily by the ovaries, estrogen is also produced by the adrenal glands and adipose (fat) tissue.
  • Progesterone: Besides the ovaries, progesterone is produced by the adrenal cortex, corpus luteum, and placenta.
  • Testosterone: Although more abundant in males, testosterone is also essential in females. Testosterone is made in small amounts by the ovaries and adrenal glands.

Males

Androgens are the main sex hormones produced by males. Androgens are responsible for male characteristics and reproduction. Several types of androgens are made in the male body, which include:1

  • Testosterone: Produced in the Leydig cells of the testes and small amounts in the adrenal gland.
  • Dihydrotestosterone (DHT): In adults, about 10% of testosterone is metabolized into DHT by the enzyme 5-alpha reductase. A rise in DHT levels initiates puberty in younger males.
  • Estrogen: This hormone plays a vital role in males. In addition to being produced by the testes, the enzyme aromatase converts testosterone into estrogen.2

Function of Each Sex Hormone

Sex hormones are not only responsible for sexuality and fertility but also are crucial for the growth and development of muscles and organs.1 Additionally, sex hormones help prevent medical conditions such as cardiovascular disease and bone deterioration.

Growth and Development

Estrogen is responsible for the sexual and reproductive development of females. Breast development, pubic and armpit hair, and the start of menstruation are all influenced by estrogen.1

Progesterone contributes to a healthy uterine lining for the implantation and growth of a fertilized egg.3 Progesterone is also essential for maintaining pregnancy and reducing bleeding and miscarriage.

Testosterone and DHT initiate puberty in young males.1 These hormones are responsible for penile and testicular growth, growth in height, and facial hair growth.

Arousal

Estrogen and testosterone are the main hormones affecting arousal and sexual desire. In females, the menstrual cycle causes fluctuations in sex hormones, resulting in feeling more aroused just before ovulation, when estrogen levels are at their highest.4

High levels of progesterone, however, can cause a decrease in sexual desire. Although testosterone may increase libido in some females, estrogen is the primary sex hormone linked to female sexual desire.4

In males, testosterone levels correlate to male libido. Age, obesity, and hypogonadism decrease testosterone, thereby reducing sexual arousal.

Organ Health

Estrogen and testosterone are important in preserving muscle strength as you age. In the first year of menopause, for example, about 80% of a female’s estrogen is lost, resulting in significant muscle loss and frailty.

Decreased estrogen levels can lead to osteoporosis (decrease in bone mass and density) and increased risk of cardiovascular events. Testosterone improves cachexia (complicated metabolic syndrome characterized by muscle mass loss) in cancer and other inflammatory-based conditions.5

Immune System

One study showcased how sex hormones influence immune system cells. Androgens (testosterone and DHT) and progesterone boost an immunosuppressive response (improving autoimmune disorders), while estrogen strengthens humoral immunity (the body’s ability to fight infection). However, more research is needed.6

Mood and Brain Function

Research continues to prove that sex hormones affect the entire brain. Depression, memory loss, brain plasticity, and mood disorders result from decreasing estrogen levels. Cognitive impairment during menopause has been shown to improve with estrogen treatment and may protect against stroke damage, Alzheimer’s disease and Parkinson’s disease.7

How Sex Hormones Fluctuate

Hormone fluctuation is normal in both sexes. Premenopausal females will experience hormonal changes throughout the menstrual cycle. Estrogen and progesterone levels are low just before the start of menstruation but are higher around ovulation. As females age, sex hormone levels drop, leading to menopause.8

In males, testosterone levels are highest in the morning and decrease throughout the day. Testosterone decreases at 1% to 3% yearly between 35 and 40.5

Sex Hormone Disorders

Sex hormone disorders can affect physical and mental quality of life. In some instances, they can even be deadly. Types of sex hormone disorders include:

  • Premenstrual dysphoric disorder (PMDD): Due to falling levels of estrogen and progesterone 10 to 14 days before menstruation, severe depression and anxiety can be experienced by some females. PMDD affects approximately 5% of premenopausal females.9
  • Menopause: Females 45 to 55 will begin to notice the inevitable symptoms of decreasing estrogen and progesterone levels. Brain fog, reduced muscle mass, and hot flashes are common symptoms of menopause.10
  • Erectile dysfunction (ED): As testosterone levels fade with age, having and maintaining an erection can be difficult. ED usually occurs in men over age 50.11
  • Hyperestrogenism (high estrogen levels): Too much estrogen can cause certain types of cancer, polycystic ovary syndrome (PCOS), and infertility.
  • Hyperandrogenism (high androgen levels): Too much testosterone can cause PCOS, hirsutism, acne, male-pattern baldness, menstrual irregularities, infertility, and virilization.

Can You Balance Sex Hormones?

Understanding the cause of sex hormone imbalances is essential to creating a treatment plan. If the sex hormone imbalance is due to a medical condition, then treating that condition should be considered. If the hormonal imbalance is due to aging or there is no treatment for the cause, then the following options could help improve sex hormone imbalances.

  • Lifestyle: Eating a well-balanced diet, exercising, maintaining a healthy weight, eliminating alcohol use, and getting enough sleep can impact hormone levels in a positive way.12
  • Herbs and supplements: Some herbs and supplements claim to restore hormonal balance. Nigella sativa could increase estrogen levels, improving the symptoms of menopause.13
  • Hormone therapy (HT): Replacing estrogen, progesterone, and testosterone with synthetic (human-made) forms can help increase low levels of sex hormones. HT can be given as oral medication, patches, creams, vaginal suppositories, subdermal pellets, or injections. Birth control is a form of hormone therapy. HRT is also a vital part of gender-affirming care.14
  • Hormone deprivation therapy: Some medications block hormones, reducing the effects of having too much of a particular hormone. Aromatase inhibitors, for example, prevent estrogen production, and gonadotropin-releasing hormone analogs and antagonists are used to block estrogen, progesterone, and testosterone. Gonadotropin-releasing hormone analogs are used to pause puberty in youths undergoing gender-affirming care.14

If you’re experiencing symptoms of sex hormone imbalances, talk to a healthcare provider about having a sex hormone blood test done to help identify potential imbalances.

Summary

Estrogen, progesterone, testosterone, and dihydrotestosterone (DHT) are sex hormones in males and females. Sex hormones are important in reproduction, fertility, sexual desire, and overall health. Sex hormones fluctuate with the menstrual cycle and with age.

There are several ways you can balance sex hormones, including lifestyle changes and medications. Talk to a healthcare provider if you believe you’re experiencing symptoms of a sex hormone imbalance.

Complete Article ↪HERE↩!

Posted on

Can Kink Help You Let Go of Shame and Anxiety in the Bedroom?

— Folding in kink and BDSM play can help soothe anxious feelings and release shame.

By Jackie Lam

Key Points

  • Kink and BDSM may help alleviate anxiety, release shame and boost creativity.
  • Go slow. Learn the ropes of kink before you dive in.
  • It doesn’t have to look like “Fifty Shades of Grey.” There are other options, including safer ones that may be easier for beginners.

Common depictions of kink and BDSM, or bondage, discipline and sado-masochism, include latex, whips and flogging devices. These popularized notions of kink and BDSM culture are mainstream thanks to cultural phenomena such as “Fifty Shades of Grey.”

But kink has a much broader range of options—and it doesn’t have to involve a ball gag. Many women struggling with feelings of shame and anxiety experience challenges letting go in the bedroom. Here’s how kink could help.

How can kink help reduce anxiety?

In Norway, roughly 38 percent of people have experimented with a kinky activity during sex, suggested a 2021 study. Kink is more common than we may think, and it could have some unexpected potential health benefits.

Grounding techniques, meditation and spending time in nature can help you gain control of anxiety. There’s one avenue, though, that not everyone knows can help reduce anxiety—and it starts in the bedroom.

BDSM sex may help, as kink can potentially generate flow and transient hypofrontality, or the need for the brain to think, suggested a 2022 study.

What are the different types of sexual shame?

Sexual shame is a particular form of shame characterized by feelings of humiliation or disgust around one’s own identity and sexuality, according to a 2017 study.

Feelings of shame are made up of three main parts:

  1. Relationship sexual shame. This has to do with interpersonal relationships and feelings involving others.
  2. Internalized shame. Feelings of humiliation, disgust or abnormality are sometimes expressed as bodily shame.
  3. Sexual inferiority. Feeling as if you’re not meeting your sexual expectations, often due to societal norms and cultural expectations, can result in shame.

What are the origins of sexual shame?

Where do shameful feelings about sex come from? The answer is complex and varies between people, but there are common sources.

Sexual shame can stem from several places and may be due to the following factors, said Maria “Two-Straps” Hintog, an EDSE sex educator based in Los Angeles:

  • Culture
  • Gender norms
  • Gender roles
  • Gender expectations
  • Social settings
  • Religion and the church

“A lot of the shame comes from our upbringing and our past experiences because, especially as kids, we’re absorbing gender norms and the cultural norms and what you’re not supposed to do,” Hintog said.

Those childhood experiences shape our future selves. These feelings can lead to anxiety for some people.

“So we’re told not to do something, but we don’t know why. We just absorb that information. And then, as we grew older, we’re like, ‘Why is this bad? Nobody told me why it’s bad. They just told me it is,'” Hintog said.

What is the difference in sexual shame between men and women?

Men scored far higher than women on suppressing their sexual desire, suggested a 2023 study. However, there wasn’t much difference between the two genders when it came to sexual desire or sexual shame.

There wasn’t a dramatic difference in cognitive reappraisal, which has to do with changing how a person thinks about a particular situation in the bedroom. Many of us grow up in homes that discourage talking about sex, power and consent, said Mistress Amanda Wildefyre, a professional dominatrix based in Minneapolis.

“Some of us have been taught that it’s wrong to want experiences that don’t match up with our gender or that only certain types of people can enjoy sex,” Wildefrye said.

How can kink help women express desires and set boundaries?

“Engaging in kink/BDSM is a multi-edged sword—in a good way,” Wildefyre said. “These alternative practices ask us to learn to communicate our desires, negotiate expectations and express enthusiastic consent with our partners. BDSM play also encourages us to recognize and reflect on our physical and emotional reactions during and after intimacy.” By following a safe and consensual framework, kink and BDSM can offer the built-in reward of satisfaction and affirmation of our unique desires, which may lead to a reduction of shame and anxiety over time, Wildefyre said.

“When you’re doing those things in that controlled environment, sometimes that’s enough to remind the person that it’s okay,” Hintog said. “‘I’m safe. I don’t have any further repercussions from this.'”

How can kink help you feel safe with the right partner?

A controlled environment, boundaries and aftercare can play into creating a safe space. These feelings of safety can help release bouts of anxiety and shame. “Kink/BDSM play offers a template for clear communication about likes and dislikes, compatibility and expectations,” Wildfyre said. “Safewords give us an explicit language to indicate when we need a pause or would like the action to stop.” Healing can occur during aftercare—the emotional, mental, spiritual and physical caretaking aspects after a sexual experience.

“When you’re with a partner you trust, that aftercare builds connection and intimacy,” Two-Straps said. “And it tells your brain, ‘We did this scary thing in a controlled environment, and now we’re safe.'”

How can kink help you relax and transform shame?

At its best, kink/BDSM offers a narrative-changing context for pleasure and approval for the parts of ourselves we have been made to feel ashamed of, Wildfyre said.

As a teenager, Wildfyre was teased relentlessly for being “too tall.” When she started playing with female dominance, her height became an asset. An athletic, cis-gendered masculine-expressing male, for example, might feel more comfortable indulging in being submissive, something for which they may have previously been ashamed.

BDSM activities indicated reductions in psychological stress and an increase in a mental state linked to heightened creativity, indicated a 2016 study.

Where can you go to learn more about kink and BDSM?

If you’re keen on exploring kink, Hintog suggested relying on reputable sources. Immerse yourself in BDSM 101. Find local meetup groups or sign up for workshops to build community with like-minded people.

See if there are reputable dungeons, or safe areas for BDSM, near you. When exploring kink with a partner, it’s important to negotiate boundaries and consent, explained Hintog. Kinky scenes can involve physical, psychological and emotional risk. “Education, making friends and building community are a great way to start,” Hintog said. “That way, you’re learning as much as you can.”

Let your kinky side emerge at a pace you’re comfortable with.

“If in a relationship, you can introduce a few new things at a time and explore together, which is very bonding and playful when done with a loving partner,” said Charlynn Ruan, Ph.D., a California-based clinical psychologist and founder of Thrive Psychology Group. “If single, there are workshops and events where you can go and observe before getting involved.”

The bottom line

If you’re new to kink and the BDSM world, have realistic expectations, Wildfyre said. Kink and BDSM play may have a unique array of potential benefits, from alleviating shame and anxiety to boosting creativity, but don’t rush the learning process.

“Even though you may have had kinky fantasies all your life, it will take some time and a bit of compromise to bring your explorations to the real world,” Wildfyre said.

Complete Article ↪HERE↩!

Posted on

Can Sex Protect Memory in Old Age?

— Physical pleasure, emotional satisfaction, and team problem-solving may help boost brain health as we age, according to a new study.

Sex involves communication and problem-solving — both of which are good for keeping the mind engaged.

By Sarah Prager

A new study has found that sex in older age can have benefits for cognitive function, but for different age groups, quality or quantity matters more.

The study, published in The Journal for Sex Research in July 2023, is among the first nationally representative, population-based studies to examine how the sexual lives of older Americans are related to their later cognitive function.

According to study coauthor Shannon Shen, PhD, while there has been plenty of research on cognitive decline in older adults, there was very little that considers how the sexual aspect of social relationships may be beneficial for cognitive functioning.

“We find that for older-old adults, or those that are 75 to 90 years old, having very frequent sex, at once a week or more, is related to better cognitive function five years later compared to those who had no sex,” Dr. Shen says.

“But for the younger-old adults, those ages 62 to 74 in the study, sexual frequency was not influential. Instead, having better sexual quality — both more physical pleasure and emotional satisfaction — was related to their better cognitive function five years later.”

Benefits of Frequent Sex in Later Life Differ for Men and Women

To determine the connection between sex and brain health, the study analyzed cognitive assessments and survey responses from 1,683 adults. The study did not track whether any participants were transgender, while 1.6 percent of the respondents were gay, lesbian, or bisexual.

Sex was defined as any “mutually voluntary activity with another person that involves sexual contact, whether or not intercourse or orgasm occurs.” The study only analyzed partnered sex, not masturbation.

The study found that men who had sex once a week or more had lower odds of experiencing cognitive impairment five years later than men who had no sex in the last year. Sexual frequency was not related to cognitive status among women, though.

What Are the Health Benefits of Having Sex?

Linda Waite, PhD, a professor of sociology at the University of Chicago who has also studied the impact of sex on cognitive health in older age, says that sex has several physical benefits as we age, including stretching, increasing blood flow, and the releasing of hormones and endorphins from orgasm. But social elements are also key.

“When you’re involved in a joint project, then you have to use the social part of your brain,” Dr. Waite says. “You have to say, ‘Oops, I’m sorry, I didn’t mean to nudge you,’ or ‘That doesn’t feel so great for me, can we move around,’ or ‘My hands are cold,’ or ‘Let’s get under the covers,’ or ‘Do that again.’”

Patterned social interactions with a long-standing close partner can also help with brain health, Waite says.

“If somebody’s having a little trouble with the next step, the other person can step in, and give a little help. So because there’s two of you, and even if you’re having trouble, you’re probably not having exactly the same kind of trouble,” Waite says. “You know, ‘Oh, remember, now we do that?’”

Should You Be Having More Sex?

Shen says that while the study does find that frequency of sex and quality of sex may help improve cognitive functioning in older age, she wouldn’t say it’s necessarily beneficial for everyone to have more sex.

“Our results are really highlighting different stages of later life being important in the benefits one sees from their sexual relationship,” Shen says. “For those younger-old adults, the quality they have with their sexual partner is important for their later cognitive functioning, not just having more sex. Even adults that have low libido can still enjoy high sexual quality, and the broad definition of sex in the study could mean that it’s not just intercourse that needs to occur for us to see these cognitive benefits.”

Complete Article ↪HERE↩!

Posted on

How to keep your sex life thriving after prostate cancer

— Poor sexual function is the most common consequence of prostate cancer treatment, but support through the NHS is patchy and many men suffer in silence.

By Laura Milne

When BBC presenter Gabby Logan and her husband Kenny, the former Scotland rugby union winger, experienced difficulties with their sex life after he had his prostate removed last year, rather than keep it under wraps, they decided to make a podcast about it.

The couple, who have been married for 22 years, discussed their issues in an interview about Kenny’s prostate cancer diagnosis and subsequent erectile dysfunction on Gabby’s podcast The Mid Point.

Kenny, 51, who won 70 international caps representing Scotland, said his wife, 50, had expected the passion in their relationship to be reignited “immediately” after his operation and when he was unable to perform, it knocked his confidence badly.

He said: “When we first tried to have sex after the operation, Gabby said, ‘Oh, it’s not working, that’s it, it’s not working’. You didn’t even give me a chance. What actually happened from that was my confidence went rock bottom.

Gabby and Kenny’s experience is far from unusual. In the UK, prostate cancer is the most commonly diagnosed cancer in men and more than 395,000 were living with it, or had been successfully treated for it, in 2018.

According to the Life After Prostate Cancer Diagnosis (LAPCD) study of 35,000 men in the UK, funded by men’s health charity Movember, poor sexual function is the most common consequence of prostate cancer treatment (79 percent with prostate cancer compared with 48per cent of men in the general population).

Unfortunately, the problem remains one that is either not addressed routinely or at all in prostate cancer care.

The LAPCD study found that 56 per cent of men were not offered any help with sexual dysfunction following their treatment.

Problems with sex can lead to stress, anxiety, anger and even shame.

Some men don’t like to talk about vulnerable feelings because they think they should be “strong and silent”. Others avoid talking because they’re overwhelmed or trying not to burden their partner.

But learning how to face these challenges and work through them can strengthen your sexual wellbeing, explains Dr Karen Robb, Implementation Director for Cancer at Movember. “Sexual wellbeing – the balance between the physical, social and emotional aspects of sex – has not always been a common topic of conversation, but fortunately that is changing,” she says.

“Talking about sex after prostate cancer can be uncomfortable but open communication between you and your partner, if you have one, is a key part of sexual recovery following treatment. Acknowledge what has changed for you so that you can do something about it, with the right support.”

Almost every kind of prostate cancer treatment, including surgery, can cause sexual dysfunction, the most common of which is erectile dysfunction or ED, following a prostatectomy (surgical removal of the prostate).

This means that although you may feel aroused or in the mood for sex, chances are you’ll have difficulty getting an erection.

Why does ED happen after prostate cancer surgery?

“Surgery to remove the prostate affects the nerves and blood supply around the penis,” explains Karen. “The penis needs a healthy blood flow to get an erection. Without this, it won’t become as hard as it did before surgery.”

During surgery, the entire prostate is removed. The nerves that help create erections run down the left and right sides of the prostate gland. The surgeon can usually take out the prostate without causing permanent harm to the nerves on either side.

But if your cancer is too close to the nerves, they may need to be cut out.

How long does ED last after surgery?

It might take some time to improve, and the level of function you get back depends on a number of things including your age, lifestyle, any medications you take and whether you had nerve-sparing surgery.

As Karen explains: “Some things you can work on, such as exercise and keeping a healthy weight.

“Some are a bit more out of your control. However, all are things you can talk about with your doctor and see what recommendations they have that can help.”

What can you do about ED after prostate cancer?

Sex and intimacy after prostate cancer can look different for everyone, but there are options to keep your sex life thriving. Exploring new ways to have sexual pleasure and intimacy is essential after treatment and can even be a way of improving your erections.

There are different types of ­medication and sexual aids that you can try, all with pros and cons.

Everyone is unique so you may need to try out a few options a number of times and perhaps in combination to settle on the best solution for you. Discuss this with your healthcare provider.

To support men and their partners following prostate cancer treatment, Movember has launched an evidence-based online guide
called Sex and Intimacy After Prostate Cancer.

Informed by sexual health experts, it covers ED, dealing with physical changes after surgery, connecting with a partner, restoring intimacy, and coping with stress and anxiety. It also provides practical strategies, such as exercises, information about medication and devices, and how to have conversations with your doctor or care team.

“It’s vital to talk and not to just ignore it”

Chris Pedlar, 56, took early retirement from the Environment Agency in 2022 after 33 years, and lives with his partner in Devon. Nine years ago, Chris became the third generation in his family to bediagnosed with prostate cancer.

“My grandfather died from prostate cancer and my father was treated for it when he was 60. He went on to live for another 25 years, cancer free. He made sure that I started having PSA tests at 45 and I was picked up as having medium-risk cancer at 48.

“I opted for surgery rather than radiotherapy as I knew I would have the option of additional radiotherapy later on.

“Due to my father’s experience, I knew beforehand what to expect. Although I recovered quickly from the surgery itself, I had some of the usual side effects, including erectile dysfunction and some minor urinary problems, which I’ll have for life. I tried all the usual interventions such as injections, which made me feel terrible, and pumps which, while they serve a purpose, are a huge commitment. It didn’t put me off seeking advice though.

“Sex is an important part of a relationship and just because you’ve had a cancer diagnosis, it doesn’t mean that part of your life is over.

“Cancer can put a massive strain on a relationship – it affects both partners and you need to be able to talk about it honestly with each other. My partner and I have found that humour is the best way to deal with the problems we had, and I was determined from day one, this was not going to get me down.

“Because of the stage my cancer was at when it was discovered, I wasn’t able to have nerve-sparing surgery. That meant drugs like sildenafil (Viagra) shouldn’t have worked for me because of the nerve damage caused by the surgery. Everyone’s situation is different, but I never gave up hope, and after three years I asked my doctor if I could give sildenafil a try to see if it would help in any way, and I was pleasantly surprised to find it worked for me.

“From the beginning, I decided to be very open about my cancer. I recognise that not everyone deals with the experience in the same way. A lot of men bury their heads in the sand and won’t ask for help, even though it is having a negative impact on their lives.

“I was comfortable with talking to my doctor about ED because I wanted to find a solution – but a lot of men are reluctant to even mention it and so they just suffer in silence, which can have a negative effect on their mental health and their relationships.

“We need to work harder to break down those barriers that prevent men from talking about problems seeking help and seeing their GP when they need to.”

Complete Article ↪HERE↩!

Posted on

Anal Douching

— How to Prepare and Do It Safely

If you’ve ever considered exploring anal play, it’s natural to have concerns about the potential mess involved. While this mess is nothing to be ashamed of, many people seek a cleaner experience and turn to anal douching. Let’s explore precisely what anal douching is and how to do it safely so that you can focus on pleasure rather than the mess.

By Rhiannon John, MSexol

  • Anal douching involves flushing the rectum with a liquid solution using tools like shower enemas, bulb enemas, fleet enemas, or enema bags.
  • People douche to reduce fecal matter in the rectum for a cleaner experience during anal sex, regardless of sexual orientation.
  • Some research suggests that anal douching may damage the protective cells in the rectum, potentially increasing the risk of STI and HIV transmission.
  • Alternatives to douching include maintaining a high-fiber diet, using wipes for cleanup, using a sex blanket or dark-colored sheets for sheet protection, and prioritizing personal comfort and enjoyment during anal play.

Anal douching explained

Anal douching refers to the practice of cleaning or flushing out the rectum by introducing a liquid solution into the anus. It involves using a specialized device or tool, such as a shower enema, bulb enema, fleet enema, or enema bag, to flush water or a mild saline solution into the rectal area.

The process typically involves filling the device with the desired cleansing solution, gently inserting the nozzle into the anus, and releasing the liquid into the rectum. After a brief period, the expelled liquid and any residual waste are eliminated by emptying the bowels.

Why do people douche?

Many individuals choose to douche to minimize fecal matter in their rectum, providing a cleaner experience during receptive anal sex and reducing concerns about the potential mess. Although it is frequently practiced within the gay community, anal douching can be utilized by anyone interested in engaging in anal play.

Is it anal douching safe?

Some research has found that using anal douches can lead to damage to the outer layer of cells that line the inner surface of the rectum. These cells serve as a protective barrier and are crucial for the overall health and proper functioning of rectal tissues. When this protective barrier is compromised or damaged, it can potentially increase the risk of sexually transmitted infections (STIs) and HIV.

If you do want to use a douche, it is crucial to prioritize safety by using the appropriate equipment. It is recommended to purchase douches from reliable sources like a pharmacy or a sex store and carefully follow the instructions on the packaging.

Making your own douche at home is not advisable, as it could cause injury. Furthermore, always ensure that your hands or gloves are freshly cleaned before using a douche, and allow sufficient time between douches. It is important to note that if you have anal fissures or hemorrhoids, douches are not recommended. It is always best to consult a medical professional if you have doubts or concerns about using a douche.

Products needed to douche

To anal douche yourself at home, you will need to select a type of douche, as well as either water or a saline solution, to enter into the rectum. Both saline solution and water can be used for anal douching, and the choice between the two ultimately depends on personal preference and individual needs. However, there are a few different types of douches available.

  • Shower enema. A shower enema is a douching method that utilizes a special attachment that can be connected to a shower head. This attachment allows the water to flow directly into the rectum. It typically provides a continuous and controlled stream of water, making it convenient for those who prefer a thorough cleaning. Shower enemas are often adjustable, allowing the user to regulate the water pressure and temperature.
  • Bulb enema. A bulb enema, also known as a bulb syringe or anal bulb, consists of a rubber or silicone bulb attached to a nozzle. This type of douche is manually operated by squeezing the bulb to expel the liquid into the rectum. Bulb enemas are generally small and compact, making them easy to use and convenient for travel.
  • Fleet enema. Fleet enema is a commercially available pre-packaged douche product that comes in a disposable bottle. It contains a saline solution or a combination of water and laxative agents. Fleet enemas are commonly used for bowel cleansing and constipation relief but can also be used for anal douching. They typically feature a lubricated nozzle attached to the bottle, allowing easy insertion and controlled liquid delivery.
  • Enema bag. An enema bag is a larger-capacity douching device that consists of a bag or reservoir made of rubber or silicone and long tubing with a nozzle. The bag is filled with the desired cleansing solution, and a clamp on the tubing controls the flow of liquid. Enema bags provide the flexibility to adjust the flow rate and volume of the liquid according to personal preference.

How to douche

If you’re looking to safely douche, follow the steps outlined below.

Prepare yourself

Firstly make sure that your hands are clean and that you have read the instructions of your douche kit. Fill the reservoir with lukewarm water or a saline solution. Don’t use harsh chemicals or soaps in the solution, as they irritate the rectal lining. It’s best to use a solution specifically formulated for anal douching, which can be purchased from a pharmacy or sex store. Next, apply a water-based lubricant to the tip of the nozzle to make insertion more comfortable.

Position yourself

Find a comfortable position that allows easy access to the rectal area. Many people find it helpful to douche in the shower to help with the mess, using a squatting motion to help with insertion.

Insert the nozzle and squeeze in the solution

Gently and slowly insert the nozzle into the rectum. Take your time and listen to your body’s signals to avoid any discomfort. Depending on the type of douche kit you’re using, squeeze the bulb or follow the specific instructions provided with the kit to release the cleansing solution into the rectum. Avoid using excessive pressure to prevent any potential damage to the rectal lining.

Remove the nozzle and the solution

Once the solution is inside, remove the nozzle and allow yourself some time to hold the liquid inside. Then, gently evacuate the contents into the toilet or shower. You may need to repeat this process several times until the expelled fluid is clear.

Clean and store the equipment

After you’re done, if your douche isn’t disposable, thoroughly clean the nozzle and reservoir with warm water and mild soap. Ensure the douche is completely dry before storing it in a clean and hygienic place.

How often can you douche?

While there is no specific scientific consensus on how frequently you should douche, it is generally recommended by healthcare professionals to limit douching to 2–3 times per week.

Is douching different for women and men?

Since men and women have the same rectal anatomy, anal douching is generally the same for all individuals with functioning rectums. However, the methods and tools used for anal douching can vary depending on personal preference and individual needs.

It’s worth mentioning that when people commonly refer to “douching” in the context of people with vaginas, they usually refer to vaginal douching, which is a different practice altogether unrelated to anal douching.

Do I need to douche?

The decision to douche is a personal decision. While anal douching is one way to reduce the presence of fecal matter in the rectum, alternative methods are available. These include maintaining a high-fiber diet, which can involve incorporating sources of fiber such as psyllium husk and avoiding foods that may cause stomach discomfort.

If you aren’t into douching, there are other ways that you can help to manage the mess so that you can focus on pleasure instead.

  • Have wipes on hand. Having wipes readily available during anal play can assist with cleanup.
  • Use a sex blanket. Using a sex blanket can provide added protection and convenience. Placing a blanket beneath you or in the immediate vicinity can help catch any fluids or messes during anal play. This can help minimize the impact on your bedding and make cleanup more manageable.
  • Use dark sheets. Some individuals find it helpful to use dark-colored sheets and a sex towel during anal play. By using dark-colored sheets, any potential stains or marks from lubricants or other fluids are less likely to be noticeable or cause concern.

Ultimately, whether or not to douche is a personal preference based on your comfort level and preferences. The main idea is to create an environment where you can fully enjoy the experience without unnecessary concerns about cleanliness.

Complete Article ↪HERE↩!

Posted on

A new morning-after pill to stop STDs could also make the problem worse

The CDC is considering recommending the antibiotic doxycycline to be used after sex to prevent syphilis, gonorrhea and chlamydia.

By

Public health officials are deploying a powerful new weapon in the war against rising sexually transmitted infections: a common antibiotic that works as a morning-after pill.

It is the latest advancement as the sexual health field shifts to preventive medicine — not just condoms, abstinence and tests — as the best hope for quashing the pathogens that can spread during sex.

For the past decade, people have been able to have unprotected sex with a low risk of contracting HIV thanks to daily pills known as PrEP, or pre-exposure prophylaxis. But they were still susceptible to bacterial bugs, including the recent spike in syphilis, gonorrhea and chlamydia — until now.

Recent studies show the antibiotic doxycycline taken after sexual encounters works as a post-exposure prophylaxis to prevent those infections. But experts are also worried about unintended consequences. The Centers for Disease Control and Prevention plans to release guidelines later this summer for deploying the treatment, known as DoxyPEP, in hopes of addressing fears among medical professionals that preventive use would fuel antibiotic resistance — and the rise of drug-resistant superbugs.

“It’s the first major intervention we’ve had for STIs since the vaccine for human papillomavirus,” nearly two decades ago, said Jonathan Mermin, who leads STI prevention for the CDC. “But it is a new intervention, and because of that, there are potential benefits and potential risks.”

Doctors, public health officials and sexual health clinics have embraced preventive pills as a realistic way to curb STIs because they preserve pleasure while protecting partners. Some doctors have started prescribing it to a narrow segment of the gay community considered at elevated risk for STIs.

“Just like PrEP was a game changer, this empowers individuals to make choices about their sexual health,” said Jorge Roman, senior director of clinical services at the San Francisco AIDS Foundation, one of the first to widely distribute DoxyPEP. “It doesn’t always have to be about condoms.”

Doxycycline is already used as a front line antibiotic treatment for chlamydia and occasionally for syphilis and gonorrhea. But its use for prevention has drawn concerns that it would no longer be effective in patients who use it regularly and that it may facilitate the evolution of antibiotic resistant strains of the pathogens.

The drug’s proponents say these concerns are overblown because the criteria for eligibility are often narrow: Transgender women and men who have sex with men — and only if they have condomless sex and contracted an STI in the preceding year.

Those were the demographics recruited for a study of 500 patients in San Francisco and Seattle that found DoxyPEP effective. The study found a roughly 65 percent reduction in syphilis, gonorrhea and chlamydia cases in those who used the antibiotic between 2019 and 2022, mirroring similar results from European studies.

Another study of DoxyPEP use by cisgender women in Kenya between 2020 and 2022 did not find the treatment effective, a result that surprised and stumped researchers. Anatomical differences could play a role, but health officials say other studies suggest doxycycline becomes concentrated enough in vaginal fluid to confer protection against STIs.

Experts say it’s too early to conclude that DoxyPEP won’t work for women and more research is needed. Another possible explanation is women enrolled in the Kenyan study may not have consistently used doxycycline after sex. Researchers note early studies that found PrEP ineffective in protecting African women from HIV were eventually explained by poor adherence to the drug regimen rather than biological differences.

Researchers studying DoxyPEP are scrutinizing whether it could also render antibiotic treatments less effective. The U.S. study found a slight increase in antibacterial resistance, which the study’s authors said merits long-term attention. But they also said the finding should be tempered by the fact doctors would also be administering fewer antibiotics if people avoid catching and spreading STIs.

David Hyun, director of the Antibiotic Resistance Project at The Pew Charitable Trusts, said he was concerned by patients in the study using DoxyPEP as frequently as 20 times a month. More data is needed to understand the long-term effects — for individuals as well as broader communities, he said.

“If you keep exposing a patient to antibiotics like doxycycline, you are raising the risk of that patient being colonized or infected with a resistant strain sometime in the future,” Hyun said.

Some LGBTQ+ health providers suspect doctors may be using antibiotic resistance concerns to mask discomfort with condomless gay sex. They note that syphilis has yet to become resistant to penicillin since the antibiotic became the front-line treatment for the STI in the 1940s. And they point out doxycycline is widely used for other reasons, including long-term acne treatment and malaria prevention.

“We have used doxycycline for multiple other things,” Shira Heisler, medical director of the Detroit Public Health STD Clinic, said during a May conference of the National Coalition of STD Directors. “And I think specifically now being like, ‘We are not going to do it because of antimicrobial resistance’ when it’s specifically related to STIs is a good time to call out, ‘This is what stigma is. This is what bias is.’”

Proponents of DoxyPEP said it offers a long-needed solution to a spike in STIs. The CDC recorded more than 2.5 million cases of syphilis, gonorrhea and chlamydia in 2021, up from 1.8 million in 2011.

In 2021, 36 percent of syphilis and gonorrhea cases were in men who have sex with men, according to the CDC. The CDC says these disparities cannot be explained by differences in sexual behavior alone. When people have a smaller pool of potential sexual partners with higher rates of STIs, they are more likely to have sex with someone with an infection. Cases in cisgender women and heterosexual men have also been rising.

Experts say everyone would benefit from DoxyPEP being limited to those most at risk because that would break chains of transmission early and reduce the likelihood of infections spreading more broadly.

Some physicians say allowing people to have worry-free sex is a worthy goal on its own.

“My goal as a physician is to make sure my patients are able to have whatever type of sex they want and however much sex they want as safely as possible,” said Boghuma Kabisen Titanji, an infectious diseases specialist in Atlanta. “And if DoxyPEP would allow them to do it, then I have no problem offering it.”

Nick, a 35-year-old resident of Lafayette, Ind., said he recently started taking DoxyPEP for peace of mind, knowing he would be less likely to get an infection as he has frequent condomless sex.

HIV was no longer a concern because he has been taking PrEP for a decade, said Nick, who spoke on the condition that his last name not be used to candidly discuss his sex life. But he has endured uncomfortable bouts of syphilis and chlamydia.

“If you are taking HIV PrEP, why not take another extra kind of safeguard too?” he said. “It’s like a security blanket.”

As the country considers how widely to distribute DoxyPEP, public health officials and activists are worried it will be the latest medical advancement to roll out in an inequitable way, following similar racial gaps seen with PrEP and mpox vaccinations. Federal officials say PrEP users are disproportionately White even though most new HIV cases are in Black and Latino people. The CDC estimates that most mpox cases have been in Black and Latino men, but only a third of vaccine doses have gone to them.

LGBTQ+ health providers are already reporting disparities, with White patients more likely to ask about DoxyPEP and Black and Latino patients less likely to be familiar with it.

During a discussion about DoxyPEP at the STD conference, one state health official noted that those who can afford to travel to Puerto Vallarta, a popular vacation destination among some gay Americans, can buy doxycycline to stockpile for themselves and their friends because the antibiotic is available over the counter in Mexico. But experts say concerns about antibiotic resistance would make it difficult for over-the-counter sales to occur in the United States.

Mermin, the CDC official, said equity is a top concern as the agency crafts its guidance for the use of DoxyPEP. It would be essential to ensure the medication is available in clinics serving people at the highest risk for STIs, he said, and to raise awareness outside of medical settings, such as on dating apps.

In London, Joey Knock said he started buying DoxyPEP outside of official channels, a common practice among some gay Europeans, last winter after regular bouts of gonorrhea.

But he limits his use to higher-risk nights, such as when he has unprotected sex in dark rooms with strangers.

“I’m someone who was averaging an STI a month,” said Knock, 33. “I’ve done the risk analysis for me, but it also benefits other people if me taking DoxyPEP means I don’t get chlamydia, then I don’t pass chlamydia around.”

In San Francisco, the first major jurisdiction where public health officials recommended DoxyPEP, providers noticed patients taking a similar approach: Using it after higher-risk sexual encounters rather than every encounter.

“We need to do more analysis to see if that could be making DoxyPEP less effective or if perhaps people are making really good decisions about when to use it,” said Stephanie Cohen, who leads STI prevention for the San Francisco Department of Public Health.

The San Francisco AIDS Foundation, which says it has connected more than 1,800 people to DoxyPEP, does not limit the antibiotic to people who have recently contracted a sexually transmitted infection, but counsels patients on the unknown risks of antibiotic resistance.

Anu Hazra, co-medical director of the Howard Brown Health, an LGBTQ+ health provider in Chicago, said antimicrobial resistance is “probably the largest public health threat we have” but doxycycline for a small group of people pales in comparison to the rampant use of antibiotics in the meat industry and other sectors.

He and other experts say vaccines to prevent STIs could be another game changer that does not carry the same baggage as antibiotics. A recent study showing that a vaccine for meningitis can also reduce the likelihood of contracting gonorrhea offers promise on that front. But DoxyPEP offers an immediate solution to an ongoing problem and could be pared back if antibiotic resistance emerges, Hazra said.

“We are seeing rising rates of STIs across the board for nearly a decade now. What we are doing now is not working,” Hazra said. “We need to try something new.”

Complete Article ↪HERE↩!

Posted on

How First US Over-the-Counter Birth Control Pill Could Revolutionize Reproductive Health

— “After a year during which there has been very little good news about people’s reproductive health, this is the first solid win in a long time,” says BU gynecologist

The FDA’s approval of Opill for over-the-counter use makes it the first hormonal contraceptive available without a prescription in the United States.

By Molly Callahan

The FDA’s approval of the first over-the-counter birth control pill in the United States could be a revolutionary change in birth control and reproductive health, says Katharine O’Connell White, an associate professor of obstetrics and gynecology at the Boston University Chobanian & Avedisian School of Medicine.

White, who is also vice chair of academics and associate director of the complex family planning fellowship at Boston Medical Center, says she felt “jubilation and glee” at hearing news of the Food and Drug Administration’s approval of Opill, a hormonal birth control pill, on Thursday.

“After a year during which there has been very little good news about people’s reproductive health, this is the first solid win in a long time,” she says. “And it finally puts the United States on par with most other countries in the world, where people have always had access to pills without a prescription.”

The news was received with support from almost every major reproductive health organization in the country, including the American Medical Association, the American College of Obstetricians and Gynecologists, the North American Society of Pediatric and Adolescent Gynecology, and the American Academy of Family Physicians.

The FDA’s approval comes amid myriad legal battles over reproductive rights—and almost exactly a year after the Supreme Court overturned Roe v. Wade, rescinding the right to abortion nationally.

Perrigo Company, which manufactures the pill, says it will likely be available in stores and from online retailers in the United States in early 2024.

BU Today spoke with White about the safety and effectiveness of Opill, as well as questions that still remain about its rollout and accessibility.

Q&A

with Katharine O’Connell White

BU Today: Based on what you’ve seen or read about Opill, how effective is it compared to other, prescription or nonprescription, birth control options?

White: The pill that got approved for over-the-counter use is a progestin-only pill. There are two types of birth control pills: the vast majority of pills—the ones you think about when you hear “The pill”—have estrogen and progesterone in them. But a few varieties are progestin only, for people who can’t or don’t want to take estrogen. So, this pill looks to be like other progestin pills. And all pills have roughly the same effectiveness rate—that they’re about 97 percent effective when taken perfectly, and about 93 percent effective when taken like a typical human being.

So, it’s a very effective method of contraception. And it’s now the most effective birth control that you can buy at the drugstore without a prescription. When you compare it to condoms and spermicides, or Plan B and other emergency contraception, all of those are effective, but they’re not as effective as a daily birth control pill.

BU Today: It sounds like in terms of effectiveness, it’s not necessarily better to get a prescription birth control pill vs this over-the-counter version. Is that correct?

White: So much of it is about access, which sounds like an advocacy talking point. But access has a real impact on people’s lives.

From the medical perspective, there’s no difference between a pill you take by prescription or a pill that you would then get over the counter. But the best birth control method for any given person is the one they’re most likely to take. And to take consistently. And now, we have a method that is not behind the walls of a doctor’s office. You don’t have to go in for a visit or a pap smear or even just get through on a telephone line in order to access this birth control. You can just walk into a place and get it and take it. That, for a lot of people, is going to be the key to feeling in control of their birth control.

BU Today: Do you see this as a step toward equalizing access to birth control or reproductive healthcare?

White: Hopefully—although I’m hesitant.

What’s really great about this is that it’s finally a highly effective method—a hormonal method—of birth control for which you don’t need medical insurance and you don’t need access to a doctor. This is great news for people who work weekdays and can’t get to a doctor’s office because they can’t take the time off of work. It’s great news for people who don’t have health insurance, or who are underinsured, meaning their insurance doesn’t cover a lot, or any, contraceptive methods. If you are new to this country and don’t have health insurance or if you are in a new job and in a new state and don’t yet have access to your insurance, this is going to help.

I’ll also add that this is birth control that you do not need to persuade [a healthcare provider] that you should take or want to take. It is a completely independent decision that you get to make, and that’s important.

The reason I’m hopeful that this will equalize access, but not certain, is because we don’t know how much it’s going to cost. And so it’s only an equity issue if everyone can actually access it. The company says that it’s committed to widespread access for the pill and that it’s going to have some kind of voucher or savings program for people who don’t have insurance coverage. Along with advocacy groups, it is going to push for coverage by insurance companies so that even though it’s over-the-counter, you can still use your insurance card, like you can in many places for emergency contraception, or until recently, COVID tests. But we need to see what the sticker price is.

BU Today: Besides the price, are there other things that you, or your colleagues in the medical community, are waiting to learn?

White: The implementation of something is always important. For example, when emergency contraception first went over-the-counter, it was actually, in a lot of cases, behind-the-counter. You had to ask a pharmacist for it, which meant that not only did you have to have a conversation, and possibly justify why you wanted something, there was a chance they would say no.

I want to see this product on the shelf, next to Plan B, next to KY jelly. I want it to be as easy as just taking it off the shelf, putting it in your cart, and checking out.

I also wonder: is it going to be behind in a clamshell? Are you going to have to get an employee to unlock it for you? Are you still going to have to deal with people’s judgment? Will mom-and-pop pharmacies refuse to stock it? Will Amazon stock it? Will national pharmacy chains make it available online? Because in that case, I can get it with my ibuprofen when I do an Amazon run. All of this remains to be seen. But I’m hopeful.

BU Today: Are there certain populations who might find an over-the-counter hormonal birth control option especially helpful?

White: Adolescents—you might not want to ask your pediatrician, who’s been seeing you since you were a baby, about the fact that maybe you need birth control. Adolescents are also people who maybe haven’t yet figured out how to get to the doctor on their own. Maybe they don’t have a car or don’t have access or even know how to navigate the system to try to get their own gynecologist. Now, they can just take matters into their own hands and get it.

I also think anyone who is on someone else’s insurance, where an explanation of benefits goes home whenever you have a visit with a provider or get a prescription filled. An over-the-counter option leaves less of a record. So if you are in a situation where you are not wanting your parents to know or not wanting your partner to know, this provides another layer of protection.

For people who have medical problems, whose doctors just tell them not to have sex so you don’t get pregnant—which is actually a thing—and don’t know who to turn to for advice, they can now do their own reading, decide this might be right for them, and then access it on their own. People who just changed jobs and whose new insurance hasn’t kicked in, or who have not yet found a new doctor. People who’ve just moved to a new state.

There are also all these situations during which there can be gaps in birth-control use. Let’s say you are a prescription-pill user or a patch or a ring user, but you find yourself in this position where you’re between insurance providers, between doctors, between homes, you then can just go get a pack [of birth control pills] to bridge that gap.

Or people who travel and forget their pack. You’re crazily packing for the airport, and you realize you’ve forgotten your pills. No worries, you can just go get a pack and take those pills for a week and then resume your birth control back at home.

This means that birth control doesn’t have to be this precious, Hope Diamond–like resource. Now, your birth control pills can be available to you whenever you need them, wherever you are. That is revolutionary. No one should have to fight for birth control. And now you have an option where you can just go get it.

BU Today: What about from a safety viewpoint? Is it safe to take these over-the-counter pills?

White: I think there’s a natural hesitancy to embrace something as safe, especially when, for so long, people have been telling you that it’s not. There’s this idea that, ‘Well, we’ve had birth control pills for 50 years, why hasn’t it been available over the counter until now? Is it actually safe?’

It’s so important for people to know that we have reams of good evidence about how safe the pill is. There are very few people who cannot use this pill, and it is very well labeled for who shouldn’t use it.

There’s a very small group of people who can’t, and everybody else can use it safely. People who have breast cancer or certain kinds of liver disease or certain kinds of benign liver tumors, and some people with lupus, should not use this. But people who have the kinds of conditions on this list are people who are already plugged into a healthcare system where they can get access. The vast majority of healthy people who don’t need to see doctors can all take this.

BU Today: What should people who might use this as their first hormonal birth control know?

White: One of the common side effects of a progesterone-only pill is irregular bleeding. This might be occasional spotting, it might be bleeding more days than not, though not usually as heavy as a period. If people are not prepared for that, it can be very surprising. I’ve had more than one patient who stopped their birth control pills when they were spotting, because they thought that meant either it was making their body sick or that it wasn’t working. My message is that you may have weird bleeding for three months, possibly even a little longer. And that is normal. Weird is normal when it comes to bleeding on this pill. So don’t be alarmed.

Complete Article ↪HERE↩!

Posted on

Here’s How Sex Toys Can Improve Your Sexual Wellness Beyond Providing Pleasure

By Aliyah Moore

Sex toys haven’t always been connected to a multi-billion dollar market; for a long time, consumers widely purchased back massagers with an off-label use as a vibrator or simply didn’t interact with the products at all. But thanks to changing perceptions and awareness about pleasure’s role in sexual health, which is integral to wellness, sex-toy usage is on the rise and stigma is steadily making its way out. According to market research, as of 2022, nearly 1.5 million Americans disclosed that they use them every week, up from 86 million in 2017. And considering the benefits of sex toys, we’re better off for it.

One silver lining of the pandemic is that it laid the foundation for an increased use in sex toys. While folks stayed at home, they got sexually curious and creative, whether during masturbation sessions or in the scope of partnered relationships. Industry dollars support this notion, with reports noting the sale of sex-related products having doubled or even tripled in certain countries during periods of lockdown and isolation.

As a sex therapist, I love seeing this shift. The documented rise in usage of sex toys is encouraging us to be more open with sexual discourse and general, which has a positive impact on our sexual health and wellness. Why? Well, it may start with pleasure—but that’s far from where it ends.

Pleasure is just one the benefits of using sex toys

Whether you’re a vulva-owner, penis-owner, or intersex, pleasure is the cornerstone of a healthy sex life. It’s easy to see how toys help us out here: We use them to experience the euphoric sensations we can’t quite achieve (or achieve as quickly) on our own.

If you’re thinking, Of course sex toys make you feel good, fair point. But what’s less obvious is how vital pleasure is to our overall health and well-being. It’s a common tendency to sideline the value of sex, view it as a bonus or a treat, or something to put at the bottom of our priority list when life gets busy. However, consider that research has connected sexual satisfaction to lowered levels of anxiety and depression. In that vein, it stands to reason that pleasure alone is just the tip of the iceberg of benefits of sex—and sex toys are adept at facilitating sex that is rich with pleasure.

No, sex isn’t required to dispel mental-health ailments nor should it function as an isolated strategy for restoring optimum mental health. Rather, sexual satisfaction is one important factor that stands to support overall mental health, and—crucially—can be achieved without a partner. Sexual stimulation through masturbation may help bring on similar benefits of boosting your mood, self-esteem, sleep quality, and helping to relieve stress. And because sex toys stand to make all forms of sex more enjoyable, they have a major role to play here.

Good sex is good for your body, and sex toys can help

Although pleasure is a tenet of sexual health, and sex toys are marketed primarily on their ability to derive pleasure, it’s by no means the only value they provide. Sex toys—while capable of helping users better understand their desires and better communicate with partners—can actually provide physical benefits.

Sex toys—while capable of helping users better understand their desires and better communicate with partners—can actually provide physical benefits.

To illustrate this point, consider, the vibrator. Research suggests vibration may help treat erectile dysfunction (ED) and anorgasmia, an issue common in women who experience delayed, infrequent, or absent orgasms—or significantly less-intense orgasms—after sexual arousal. Vibration has been linked to improvements in sexual function and desire, whether you have a penis or a vulva. Pelvic-floor dysfunction—the inability to correctly relax and coordinate your pelvic floor muscles, which often causes sexual problems, not to mention issues with constipation or urinary leakage—may also be helped through vibration.

Another sex-toy category—vacuum-like devices that use a hand- or battery-powered pump to create suction around your penis, clitoris, vulva, or nipples—has shown to treat and sometimes resolve such issues as ED and genital arousal disorder.

Masturbating with other toys (or just in general), may help relieve period cramps and reduce the risk of prostate cancer. Some experts advise masturbation to help with chronic concerns like joint pain or headaches—another point in favor of the ancillary benefits that come from the intense pleasure sex toys can make you feel.

As we continue talking more openly about sex, sex toys become a larger part of the conversation. Nurturing our sexuality illuminates that pleasure is attainable—and provides for health benefits, to boot. Sex toys prioritize pleasure, of course, but pleasure itself is about taking care of your sexuality—which includes your mind and your body. When toys help you experience pleasure, they help you cultivate a happier and healthier version of yourself.

Complete Article ↪HERE↩!

Posted on

This is what it’s really like to have sex in your seventies

— As research shows that more people are sexing their way through their seventies than ever before, WH unpicks why the thought of the older generation getting their kicks makes people so uncomfortable

By Paisley Gilmour

As Richard* reaches for the massage oil, Belle assumes her position facedown on the bed. Spreading the warm liquid across her shoulders, his hands slowly creep down her body – taking extra care over her aching lower back.

Unable to resist any longer, she gently turns onto her front, spreads her legs and allows him to pleasure her until an orgasm ripples through her body.

‘When Richard has taken Viagra, I know he’ll be able to go for hours. So, once I come back down to earth, I reach for the lube and climb on top. My hips may not move as smoothly as they used to, but that doesn’t stop us climaxing.’

This is the sixth time 70-year-old Belle* and Richard, 85, who she met on a dating site 18 months ago, have had sex this week. And they’re far from alone: research has been telling us – for years, actually – that seniors are sexing their way through their seventies – and beyond.

A leading 2015 study funded by Age UK and carried out by researchers at The University of Manchester found that 54% of men and 31% of women over the age of 70 were still “sexually active”. A third were having sex at least twice a month. One 2018 survey by the University of Michigan also found that 40% of people between 65 and 80 reported being sexually active, with more than half of those who have a partner saying they still get down to it, while a further Swedish study in 2021 revealed that 10% of those over 90 were even having sex.

A Swedish study revealed that 10% of those over 90 were still having sex.

Clearly, the data shows that older people aren’t just having sex, but also (whisper it) enjoying it – but then, why shouldn’t they? Beyond the fact we’re living longer and lots of older adults have better access to sex-life saving healthcare and medication, many seniors looking for love or sex after divorce or the death of a spouse, have (contrary to the technophobe stereotype) also embraced the internet.

One 2021 US survey found more than a third of respondents over 55 had dated within the last five years, with 13% using dating apps or websites, and 7% turning to social media to meet someone. Psychosexual therapist Lohani Noor says the sex positivity and sexual wellness movement over the past decade has played an empowering part, and has noticed an increase in older people coming to therapy to explore their sexuality.

‘Many are finding the courage, after a lifetime of being repressed, to bring to life their buried authentic sexual selves,’ she says. ‘The joy of sexual liberation that our society affords is available to all and older people are grasping it with both hands before time literally runs out.’

Many younger people hold strong, often negative, reactions to the thought of senior sex

Yet even with this positive shift amongst older generations, many younger ones have long held strong, often negative, reactions to the thought of older people having sex. ‘Can we please draw the line at friction fires caused by unkempt, geriatric pubes rubbing together vigorously on polyester couches?’ said one viral Vice article titled “Old People Having Sex Is Gross” back in 2012.

Ten years later, the idea still leads to recoiling as shown in May this year when ABC announced a seniors-focused spinoff of the hit series The Bachelor, called The Golden Bachelor, where ‘one hopeless romantic is given a second chance at love in the search for a partner with whom to share the sunset years of life’. Fans of the OG show were quick to share their mocking reactions on Instagram, with comments ranging from ‘No. No. No.’ to, ‘Does this mean old folks? You guys…be for real’.

So why is it that eight years after Age UK’s landmark study, which lead researcher Dr. David Lee hoped would ‘counter stereotypes and misconceptions about late-life sexuality’ are people still weirded out by the thought of older people having good sex?

Exploring the senior sex taboo

Noor argues there’s an outright refusal that older folks are sexual beings, despite the research proving otherwise. ‘We’re discussing it more, but many feel uncomfortable about senior sex because we de-sexualise adults as they age,’ she says. ‘Referring to them in a sexual way becomes strangely repulsive.’

Joan Price, author of the Naked at Our Age: Talking Out Loud About Senior Sex agrees it’s down to The Ick Factor. ‘Like, ‘Eww, old people having sex? That’s disgusting. No, don’t tell me la la la,’’ she says. After losing her husband at 57, Price is now 79 and enjoying her sex life. She believes the taboo is rooted in society’s wider fear of getting older and our mortality.

‘People have been taught growing up, and through the media, that they will only be sexually desirable if they use certain products, dress a certain way, and act a certain way [at a certain age]. That’s harmful.’

67% of over 65s feel sex and intimacy for their age group is rarely or never represented in media

Indeed, a study by Relate found that 67% of over 65s feel sex and intimacy for their age group is rarely or never represented in media. ‘When I went looking for books [about senior sex] it was doom and gloom,’ says Price, adding it felt like the world was saying ‘‘just give it up and crochet or play with grandchildren”. But sexual pleasure has no expiration date!’

Alyson*, 68, who’s been married for 36 years and has sex with her husband, Omar*, 67, twice a week, empathises with younger peoples’ anxieties about getting older. ‘There are many preconceptions: the doddery grandma is patronised and laughed at; her opinions are old fashioned – I think it’s all linked to a loss of respect for older people, like they’re not important, not visible or a nuisance,’ she says. ‘But I absolutely understand [the reaction] as young people don’t want to think about themselves as getting there too.’

“Young people imagine deteriorated bodies and think the whole thing would ‘look’ horrible”

Entrenched beauty standards have also bolstered the perception. ‘Young people imagine deteriorated bodies and think the whole thing would ‘look’ horrible,’ adds Belle. ‘Like two fat lumps of wrinkled flesh in the bed together. I think people think [sex] is meant to be a thing for young women and men. I don’t think my sons want to encounter being told anything about my sex life – and I don’t discuss it with them – but young people should know it can still be a huge amount of fun.’ And, importantly, with health benefits, too.

The joy of senior sex

Two years after his research was published, Lee teamed up with Professor Josie Tetley from Manchester Metropolitan University and after analysing findings from the English Longitudinal Study of Ageing, they discovered a clear link between positive sexual health and intimacy later in life, and better subjective well-being. A separate study published in the Journal Sexual Medicine in 2019 echoed these findings: participants with an average age of 65, who had reported any kind of sexual activity within the last 12 months, were found to have better wellbeing and a higher enjoyment of life.

‘When we experience pleasure and orgasm, the body releases endorphins that can strengthen our immune system, bring pain relief to chronic conditions, and improve our cognitive functioning,’ explains Noor. ‘These are particularly important in our senior years.’

“The health benefits generated from orgasm release are particularly important in our older years”

Miranda Christophers, a psychosexual therapist for online menopause platform Issviva, agrees that, for older people, ‘the benefits of sex may feel more important’ as our bodies age and we experience changes such as increased blood pressure. ‘Studies suggest blood pressure is lowered by physical contact, and being physically close with a romantic partner reduces C-reactive protein (CRP) which relates to inflammation,’ she says.

That said, the rise of senior sex has also brought a rise in STIs such as chlamydia, gonorrhoea and syphilis, with rates among the over 60s and 70s almost doubling in the last decade. Bianca Dunne, a nurse and co-founder of sexual health app iPlaySafe says the amount of people filing for divorce in their 50s and the rise of dating apps targeting the over 50s are contributing factors. ‘The exclusion of the over 50s [in government sexual health campaigns] has also resulted in a lack of education among this age group,’ she says.

Belle, who has always taken an STI test before and after a new partner, has dated a number of older men and seen this lack of senior sex education first-hand. ‘Our generation are meeting people on dating websites regularly and having unprotected sex,’ she says. ‘There’s no fear of pregnancy. Ask a 70-year-old man to put on a condom, I think they’d laugh at you. Our generation doesn’t think about protecting their sexual health.’

Creaks between the sheets

While senior sex can come with healthy benefits – minus the STIs – there’s no denying it’s different. But this isn’t necessarily a bad thing. A survey by sexual wellness brand LELO UK found nearly a third of people over 50 were having the best sex of their lives, 42% were more adventurous, and 16% even said their sex drive has increased.

‘It’s enjoyable in a different way – it doesn’t have the Olympic feats that it used to have; it’s a more quiet and gentle sex,’ says Belle, adding that being put on ‘some wonderful HRT’ during menopause was a game-changer ‘in terms of lubrication and being seriously up for it.’

Research found that nearly a third of people over 50 were having the best sex of their lives

Today, certain positions – missionary and woman-on-top – work better with her unstable knees, back and shoulder pain, which some days can leave her struggling to get out of bed, but the couple vowed to face any age-related problems head on.

Anything that’s failed, we laughed about and tried again. Richard has had trouble with erections since having prostate surgery but we discussed it and he went to see his GP who prescribed Viagra. It worked like magic and boosted his confidence.’

Alyson and Omar have also overcome sexual struggles including, after years of not having sex, Alyson’s one-off fling with a younger man. ‘It came at a time when I felt completely undesirable and it was brief but enough to rekindle feelings about my own desire,’ she says, adding that while she didn’t tell Omar, it led to them rebooting their sexual relationship.

Alyson’s one-off fling with a younger man rebooted her sexual relationship with her husband

Recently, however, Omar has struggled to maintain an erection and refuses to go to his GP. ‘It’s becoming more difficult [to have sex]. I miss the penetration.’ He’s also revealed some new desires, which Alyson isn’t as keen on. ‘He’s asked me to try pegging him. He has a strap-on, which I think he hoped I would use on him, but I won’t – that’s one of my boundaries.’

Since his erectile dysfunction, Omar has also begun collecting gadgets that might help, including butt plugs and cock rings, but they’re ‘an interruption,’ says Alyson, ‘and that can be problematic as I can fall asleep in the 10 minutes it takes to get them out.’

Despite these issues, Alyson loves having an active sex life again. ‘I enjoy orgasms and masturbating together,’ she says, recalling her favourite recent steamy moment. ‘We were on the beach, in a very isolated place, and had a lot of sex on the rocks with Omar managing to maintain his erection. That was good. I quite like outdoor sex!’

Reframing senior sex

And that’s the thing: as humans, we’re designed for sexual pleasure and, as Noor says, denying our sexual nature can hurt us in profound ways. But she also believes a larger cultural reframing towards senior sex will happen, albeit slowly, with people living and loving longer than ever. ‘As society evolves and we learn that we are sexual sensual beings who thrive off physical closeness, we will allow ourselves more permissions to seek closeness, whatever that looks like,’ she says.

Price is already on a mission to encourage this. ‘Sexual pleasure is lifelong. Is it the same as younger age sex? No. It is very different and continues to change and challenge us. But just because we’re challenged doesn’t mean we’re defeated. As long as we educate ourselves and are open minded, sexuality is ageless.’

“As long as we educate ourselves and are open minded, sexuality is ageless”

Lesley Carter, a registered nurse and clinical lead at Age UK agrees that a mindset shift is needed for attitudes to catch up with our increasing life span. ‘It’s about understanding that ageing brings life transitions that can create opportunities for older adults to redefine what sexuality and intimacy mean to them,’ she says.

As Belle, Alyson and research proves, a great sex life in your senior years doesn’t merely exist — it can thrive. ‘Younger people need to know there can be a continuation of a fulfilling sex life,’ says Belle. ‘It’s about your state of mind. It’s like a plant, if you don’t water it, it’ll die. If you keep the spark between you, you can overcome the difficulties that come with age.’ Yes, these horny seniors have a whole lot of experience and a whole lot of untapped wisdom. Let’s stop ignoring them, and start learning from them.

*Names have been changed

Pleasure in your senior years

Advice for now – or the future – according to our experts

1. Do your communication work

‘Share your concerns, challenges and feelings,’ says Carter. ‘This might be explaining: ‘My knees hurt when we use that position, and I lose concentration’ or ‘I’m anxious about having sex because I’m self-conscious about what you think about my ageing body’. Discussing these difficulties could lead to solutions, like agreeing to try new things, or doing things differently.

2. Don’t ignore the pain

‘If you’re experiencing a new pain connected to having sex, it’s sensible [at any age] to discuss that with a healthcare professional,’ Carter says. ‘As we age, our bones, muscles and tendons get stiff and sore, so you can expect some discomfort – that’s normal. But any unfamiliar pain that worries you needs to be monitored and discussed with an expert.’

3. Do reach for the (silicone-based) lube

Vaginal dryness is common with the menopause due to a drop in oestrogen but if untreated, it can lead to irritation and painful sex in your senior years, too. ‘Using a silicone-based lube, like Durex’s silicone based lube or Boots’ own-brand silicone lube,’ advises Dunne. ‘Silicone lubes have a smooth, silky texture, so there’s no need to constantly re-apply, plus they are hypoallergenic which makes them compatible with condoms and sex toys.’

4. Don’t throw away the condoms

‘Even if you’ve experienced menopause, this doesn’t make you immune from STIs,’ says Dunne. So, yes, use a condom. ‘Make sure it doesn’t contain an ingredient that is a known irritant to you or your partner such as latex or fragrance, as this will exacerbate vaginal pain,’ adds Dunne, who recommends Durex’s Naturals Condoms and Smile Makers’ Come Connected Condomswhich are vegan.

5. Do lean on the support

‘It’s helpful if we can identify our own sexual difficulties, and do some research — there is so much information available,’ says Carter. ‘But sexual health centres can offer advice too, like discussing if a medication to treat a sexual problem may impact any other medications you’re taking.’ Age UK, National Council on Ageing, The Pelvic Hub’s Guide to Senior Sex are helpful resources, or check out Joan Price’s blog.

Complete Article ↪HERE↩!

Posted on

How a bad night’s sleep affects your sex life

— Another reason to go to bed

By Penelope Clifton

Turns out a poor night’s sleep can not only be detrimental to your mood and energy levels but also to your libido.

We might need to rethink the term ‘beauty sleep’ because missing out on the recommended eight hours is hard on more than just your looks.

According to the 2023 ResMed Global Sleep Survey, one in five Australians says their sex life is lacking, the highest of any participating country.

Sex has so many benefits; it can lower your blood pressure, boost your immune system, and even act as pain relief. It’s also great for self-esteem and can help promote a better night’s sleep. The problem is, not many of us are that keen when we’re sleep deprived.

The survey found millennials are most affected, with one in four from that age bracket vocalising a link between their sleep quality and decreased sex drive.

Just 8.7 per cent of Australians said they woke up feeling happy or energetic in the AM, so that’s not many of us adults getting hot and heavy under the covers.

“Embracing our sexuality and focusing on intimacy, especially in these cold months, is a beacon of warmth and connection,” sexologist Chantelle Otten says.

“It’s an overlooked fact that our sleep quality and libido are intricately linked. A poor night’s sleep doesn’t just leave you feeling drained and foggy; it can also dampen your desire.”

Embracing our sexuality and intimacy can lead to sex, which in turn can result in a good night’s sleep. The following day you’re more likely to be well-rested, leading to an increase in libido – and the cycle can continue.

This is undoubtedly a tough ask for new parents, those dealing with mental health issues or those of us who are simply overworked, however, it doesn’t have to involve the full month. A cuddle can also do the trick.

According to Christine Rafe, a sex and relationship therapist and director at the Good Vibes Clinic, it’s important for people to be aware of the correlation between sex and sleep.

“Partner intimacy whether sexual or non-sexual is a form of co-regulation, and even hugging and soft slow touch with a partner can activate a relaxed or regulated state which is essential for falling and staying asleep.”

She suggests creating space for physical connection with your partner in the lead-up to bedtime and then trying to carry it through to the bedroom to really reap the benefits of co-regulation.

“The hormones released during sexual pleasure and orgasm combat stress and help to regulate our nervous system, meaning orgasms can support falling asleep as well as the quality of our sleep,” she says, supporting Otten’s advice.

An added bonus is it will bring you and your partner closer as a couple.

“Decreased libido or discrepancies in libido can be distressing for both people within the partnership and can have relational, emotional and psychological impacts,” Rafe says.

One thing Australians do well is supporting their partner, says ResMed sleep physiologist Tim Stephensen. He claims we’re pretty encouraging of our partners to seek help regarding poor sleep and vice versa.

“One of the primary reasons Australians seek support for their sleep is due to their partner’s encouragement once their sleep becomes impacted, such as through loud snoring,” he explains.

“The relationships people take into the bedroom are highly influential on sleep health. A good night’s sleep is vital for a person’s sexual, physical and mental health.”

Complete Article ↪HERE↩!

Posted on

‘The sex ed class you wish you’d had’

— The influencer doctors teaching Americans the basics

With schools failing American students, OB-GYNs use TikTok to tackle questions and dispel myths

By

Some of TikTok’s biggest stars aren’t teen influencers or adorable pets – they are OB-GYNs posting sex education videos.

Need to know if you can continue to take antidepressants while pregnant? Dr Keith L Riggs, a Houston-based OB-GYN, has got you covered. Want to see how an IUD is inserted into the uterus? Check out a demo on the Dallas physician assistant Shay Blue’s page. Have questions on what sex position is most likely to get you pregnant? Dr Ali Rodriguez – aka the Latina Doc – made a video for that. (Spoiler: it’s whatever position you like the most – no method has emerged as a scientifically proven best choice.)

All kinds of doctors have joined TikTok. There are plastic surgeons and dermatologists who gleefully post videos hypothesizing what work an actor has had done. Dentists film videos – equal parts terrifying and mesmerizing – showing what plaque looks like as it’s scraped from teeth. If you really want to see footage from a colonoscopy, hit up the urology corner of #healthtok.

But those who practice #OBGYN – a hashtag that has over 5bn views on the app – enjoy a particular kind of virality. And some of the most popular have parlayed their online fame into other ventures.

Dr Jennifer Lincoln, who has 2.8 million followers and claims to offer “the health class you wish you had in high school”, published a book on reproductive health in 2021 and hosts a podcast where she answers listeners’ questions about all things sex. (Recent episodes include A Summer Period Survival Guide and Myth-Busting the Morning-After Pill.)

Dr Jennifer Lincoln has 2.8 million followers and hosts a podcast.

“There’s just a lot of people out there who do not know how to access things,” Lincoln, who lives in Portland, said. “Commenters have asked about anything from birth control to a pregnancy test. These are basic things we would have hoped to have been covered in sex ed, but that’s not the case in the majority of states.”

Americans have been receiving inadequate sex education for decades – but in the last year, things have become even worse. The supreme court’s reversal of Roe v Wade has led to a flood of abortion misinformation online, and Florida’s “don’t say gay” law means that teachers can no longer lead classroom discussions on gender identity or sexuality. As LGBTQ+ students continue to be marginalized across the country, they lack information that can help them understand their bodies and cultivate a sense of autonomy.

A few years ago, people with concerns about their reproductive health might hit up anonymous Reddit boards for help – now, they can take their pick of TikTok experts to follow.

Dr Danielle Jones, who goes by @mamadoctorjones on TikTok, said she had joined the platform because that’s where the kids are. “It’s a good venue to do some sex education and dispel myths about things that impact people who are younger,” she said. “We know that if we can get into their heads early and dispel misinformation before they encounter it, it can keep them from falling down the rabbit hole.”

And there are a lot of myths to dispel. Though Planned Parenthood reports that the vast majority of parents support having sex education taught in middle and high school, the US is pretty terrible at teaching it. Only 30 states and the district of Columbia require sex education classes in schools, and those that do may stress harmful abstinence-only narratives or spread medically inaccurate information.

Since the fall of Roe, Lincoln’s teen viewers have reached out to her after applying to college in states where abortion rights have been gutted, such as Texas, Florida, or Oklahoma. “They’re really scared, and they’re not sure if they’ll be able to access contraception,” she said. “Parents will also message me saying, ‘My daughter is going to college, she has her heart set on the University of Texas, but I’m scared for her. What should I do?’”

Lincoln’s answer: “Let’s talk about birth control and get Plan B and abortion pills ahead of time, just in case. You may not think this is a conversation you have to have with your daughter, but in 2023, you do.

Only 30 states and DC require sex education in schools.

Jones, who practiced obstetrics in Texas before her family moved to New Zealand in 2021, said many of her followers reach out to her with questions they do not want to ask their primary care physicians.

“In states like Texas, people are concerned about who they can safely ask about contraception,” she said. “If you don’t know how your healthcare provider feels about abortion, you don’t know if you can trust them.”

Tiffany Connolly, a 26-year-old from Grand Rapids, Michigan, has learned helpful information from OB-GYNs on TikTok. “It’s a useful source when it can be difficult to pinpoint certain things within my body,” she said. “I can’t always just call up a doctor or make an appointment right away.”

Connolly, who does not want children, plans to get a tubal ligation after her IUD expires next year. Young people who seek sterilizations often have to visit multiple doctors before finding one who will agree to provide it, but Connolly found a spreadsheet posted by Dr Franziska Haydanek, a Rochester, New York, gynecologist with more than 300,000 followers, that lists the names of doctors across the country who are known to safely and responsibly perform the procedure on unmarried and childless patients.

Haydanek posted the spreadsheet last summer, right as the reversal of Roe v Wade pushed more women to consider the procedure as a means of permanent birth control. Since then, the video has been viewed over 50,000 times.

Krysten Stein, a PhD candidate in media studies, has written about TikTok gynecologists for a communications journal. “I wanted to know why these videos were getting so much traction,” she said. “When people seek these kinds of resources online, it’s often because they don’t have access to health insurance or doctors.

Dr Danielle Jones wants to keep young people from ‘falling down the rabbit hole’.

Stein has polycystic ovary syndrome, which can cause irregular periods and pelvic pain, but often goes undiagnosed by doctors who downplay its symptoms as normal period side effects.

Years ago, Stein found refuge in online forums like Reddit, where she finally engaged with people who took her pain seriously. She suspects that people on TikTok form a similar kind of community on the app. “It’s a platform where you can see other people who might be experiencing the same thing as you are,” she said.

Samantha Broxton lives in southern California and frequents OB-GYN TikTok, where, the 35-year-old mom said, she had learned things she wished her own doctors had told her years ago. It’s been a resource for her, but she also wonders what type of care TikTok OB-GYNs provide their patients offline.

“If they’re talking about inequalities in medicine on TikTok, I want to know if they’re vocal about it too in the workplace,” she said. “Are they working to improve the system, or is it just easy to talk about doing that online?”

The American College of Gynecology and Obstetrics does not give doctors specific rules on how to use TikTok, but some hospitals and institutions have social media policies. For the most part, Stein said, doctors are on their own when it comes to deciding what information is appropriate to include in a TikTok.

They don’t always get it right. Last year, four obstetrics nurses were fired from an Atlanta hospital for making a video mocking expectant mothers. Emory hospital, which employed the nurses, later released a statement saying the video was “disrespectful and unprofessional”.

Should OB-GYN influencers take money from brands? When Stein interviewed some for her paper, there was no general consensus. Certain TikTok OB-GYNs said they would only accept deals with brands that felt aligned with their values – they were not just taking cash from anyone. Others were less judicious.

“Some of them said, ‘I want to be a content creator full time,’” Stein said. “There were a lot of moral questions that came up around that. There are no rules, and right now it’s based upon the specific person’s moral compass.”

And how do you know someone is actually a doctor, and not just playing one on TikTok? Lincoln noted that some creators are misleading in their credentials, calling themselves “hormone experts” in their bio. “That’s a term some people use after reading a book or taking a weekend ‘course’ – so, meaningless,” she said.

There are also chiropractors, anesthesiologists, and generalists who are not reproductive health experts dispensing advice on the subject. “It’s really confusing to people, because they see MD in the handle and think they’re experts, though they’re not experts in the field,” Lincoln said. “This harms the OB-GYN TikTok space because these grifting experts often throw our field under the bus.”

Actual gynecologists worth a 30-second watch, Lincoln says, are ones who cite their sources or at least let their viewers know when something is their opinion rather than a studied fact. “As a rule, when I’m explaining something medical, I always give references,” she said. “We need to be transparent about what we know and what we don’t.”

Jones believes the most urgent part of her job right now is spreading accurate information about abortion rights. She grew up in rural Texas and described herself as pro-life until going to medical school changed her mind. Now, she hopes to help others come to the same conclusion.

“I’ve had people reach out and say that I’ve helped them see abortion rights from a different perspective,” Jones said. “It’s one of the most meaningful things I can hear: ‘Two weeks ago I would have called you a murderer, but now I support the right to choose.’”

Still, she knows the limitations of TikTok activism. “What I do online is valuable, and it’s a great supplement, but it’s not going to fully replace sex education,” she said. “Young people need that, and we know the outcomes are not going to be good when they don’t receive it in schools.”

Complete Article ↪HERE↩!

Posted on

Defining Sexuality Later In Life

— Sexuality is a fundamental part of who we are, and examining our desires and needs is fundamental at every age

By G Stone

When and where did you learn about sexuality, and how have your beliefs about sexuality changed since then? I love asking this question. Why? Because growing up, sex and sexuality weren’t openly discussed in many households, including mine.

“Our sexuality sits at the core of who we are as human beings and influences our self-esteem, confidence, belief systems, how we show up in the world and so much more.”

Sexuality is a complex and multi-layered component of our human identity that surpasses physical intimacy and sexual acts.

Questions like this offer insight into our history, culture, upbringing, beliefs, life experiences and present awareness. They challenge us to reflect on our sexual beginnings and examine how things have evolved.

For most of my life, sex and sexuality were the same. Today, I know that sexuality is far more expansive than who we sleep with. Our sexuality sits at the core of who we are as human beings and influences our self-esteem, confidence, belief systems, how we show up in the world and so much more.

Sexuality is a complex and multi-layered component of our human identity that surpasses physical intimacy and sexual acts. It’s a personal journey, sometimes a nuanced experience and often something we don’t understand until much later in life.

As we get older, we seek more profound levels of closeness and connection.

Sexuality Beyond Sex

In understanding your sexuality beyond the idea of physical intimacy and sexual acts, let’s think about the six following aspects:

1. Sexual Self: Who are you as a sexual being at this stage of your life?

This includes your biology, anatomy, ability to engage in specific sexual behaviors, identity, desires, preferences, interests and kinks, etc. All of these things add shape and dimension to your sexuality.

2. Emotional Intimacy: Which sexual identity(s) or gender(s)?

As we get older, we seek more profound levels of closeness and connection. Our sexuality offers information about who we choose to be vulnerable to with regard to sharing our thoughts, emotions, compassion and support.

3. Mental: Who are you, and how do you see and feel about yourself?

Your sexuality, personality, values, beliefs, confidence and self-esteem are pieces of your most authentic self. They influence your mental health, overall well-being, relationship with yourself and ability to engage and interact with others.

4. Romantic Attraction: Who’s the partner for you?

Your sexuality offers information about who or what types of humans with whom you experience intense feelings, longing for affection, emotional connection, willingness to commit and desire for a future together.

5. Social and Cultural Norms: What will people think?

We may not want to admit it, but most of us struggle with navigating what other people think – even in a small way. The opinions of friends, loved ones, neighbors, media and the world around us play a significant role in our behaviors, decision-making and, ultimately, our ability to live authentically.

6. Aesthetic Attraction: What’s your type?

Aesthetic attraction is different from sexual attraction. Aesthetic attraction is being attracted to or drawn in by someone’s physical appearance. 

It includes physical features and appreciation of their beauty, style, figure and facial features. Unlike sexual attraction, these characteristics may or may not incite sexual desire.

These six components are part of our sexuality. They are unique to each individual and may change at any point during one’s life. Our sexuality and who we are sexually play a significant role in how we feel about ourselves. It also informs how we feel about our relationships and, ultimately, our ability to achieve happiness.

It’s a good practice to review these areas at different stages of our lives to cultivate a deeper sense of self-awareness and evaluate alignment within ourselves and with others.

Understanding and Exploration

Who am I sexually, and what does that mean? Our ability to understand, accept and embrace ourselves impacts our capacity to live happier, healthier and more fulfilling lives.

Sexuality is a fundamental part of who we are, and examining our desires, boundaries, interests, and needs becomes more important as we progress through life. For many, age can be a catalyst for comfort in being one’s most authentic self.

It can create the time and space to work on things like:

For many, age can be a catalyst for comfort in being one’s most authentic self.

  • Personal growth and making better decisions
  • Engaging in activities that are more aligned with our interests
  • Focusing on things that bring us joy and fulfillment
  • Prioritizing our health
  • Retirement or career changes
  • Spending time with family and friends

All these things help us acquire a deeper understanding and a greater sense of self and self-awareness. We can find acceptance in embracing our most authentic selves and, in turn, expand our capacity for happiness and having a pleasurable life.

Age also brings physical, mental, emotional and sexual changes, and many of these changes aren’t within our control. With this in mind, it’s essential to approach these changes with compassion and grace instead of shame, blame or judgment.

It may be helpful to have an open mind and explore new experiences as our minds, bodies and desires may call for different things later in life. Exploration can be both solo and shared experiences not limited to sex. 

It can be an exciting process to assess our sexual preferences, determine who we want to explore with, engage in various forms of intimacy (physical, emotional, intellectual, spiritual and experiential), practice open and honest communication about needs, identify challenges, desires and pleasure, and experiment with different mental and physical stimulation forms. 

In addition, we can use exploration as an opportunity to discover what feels right for us and hone in on the unique and personal aspects of our sexual self at our current stage of life and beyond.

Cultivating a healthy and fulfilling relationship with our sexual self is a lifelong process essential to our overall well-being. It’s best to approach this process with an open and curious mind and seek support from professionals, health care providers, therapists and other support systems if and when needed.

Complete Article ↪HERE↩!

Posted on

‘Between pleasure and health’

— How sex-tech firms are reinventing the vibrator

British firm MysteryVibe’s original vibrator was designed to alleviate pain in the vagina.

A new wave of sex toys is designed to combine orgasmic joy with relief from dryness, tension and pain

By

At first glance, it could be mistaken for a chunky bracelet or hi-tech fitness tracker. But the vibrations delivered by this device will not alert you to a new message or that you have hit your daily step goal. Neither are they strictly intended for your wrist.

Welcome to the future of vibrators, designed not only for sexual pleasure, but to tackle medical problems such as vaginal dryness, or a painful and inflamed prostate gland in men.

“The current standard of care if you go to a therapist, gynaecologist or urologist, is they will insert one or two fingers to reach the painful areas and massage them to alleviate the pain,” said Soumyadip Rakshit, CEO and co-founder of sex-tech company MysteryVibe.

“We bring together the best of biomedical engineering to recreate what currently works, so people can access these therapies easily, discreetly and cost effectively.”

MysteryVibe is not the only company that is striving to alter our relationship with sex toys. A “smart vibrator” developed by the US-based startup Lioness contains sensors that measure women’s pelvic floor movements, allowing them to track how their arousal and orgasms may be changing over time or in response to stress or alcohol. An “erection ring” developed by US company FirmTech claims to enhance men’s performance while tracking the duration and turgidity of their erections and the number of nocturnal episodes they experience – an indicator of cardiovascular health.

Dr Rakshit in the lab. MysteryVibe is funding research to back up their scientific claims.

“There are a number of different products that are now sort of skirting the line between pleasure and health,” said Dr Rachel Rubin, a urologist and sexual medicine specialist based in Washington DC. “These companies today are focusing on [pelvic] anatomy and physiology, and using what we know to try to enhance pleasure, joy, intimacy and fun.”

MysteryVibe’s laboratory – the only facility conducting vibrator research and development within the UK – is incongruously housed in a former dairy in a rural business park near Guildford, Surrey. The first clue that this is no standard office unit is an issue of Playboy tucked behind a magazine about technology startups. Then I spot a tray of wand-shaped mechanical devices, in various states of undress, their bright components resembling children’s Duplo blocks.

These are stripped-back Crescendo vibrators, MysteryVibe’s original product, which was designed to target and release tender areas inside the vagina and alleviate pelvic pain, for example in women whose pelvic floor muscles have been damaged as a result of childbirth.

“The simple answer to pelvic pain is physiotherapy. But most mums either are unaware of this, or don’t have the time and/or money to pay for it,” Soumyadip said.

Registered as medical devices, and marketed at scientific conferences, such products are a far cry from the oversized dildos traditionally stocked by sex shops. MysteryVibe is even funding research to back up their scientific claims. Preliminary results from a small trial involving 11 women with genito-pelvic pain or penetration disorder – where the muscles around the vagina contract whenever an attempt is made to penetrate – suggested that using the Crescendo device three times a week for 12 weeks resulted in significant improvement.

Larger randomised trials are needed. But other scientific evidence supports the use of vibrators in various female health conditions too. According to a recent review by Dr Alexandra Dubinskaya, a urologist at Cedars Sinai Medical Center in Los Angeles, and colleagues, they can improve pelvic floor muscle function, facilitate the treatment of vulvar pain and enhance women’s sexual experiences.

“We know that vibration causes vasodilation, meaning the vessels that bring blood to the organs get wider and can bring more blood. It also promotes neuromodulation, meaning it can retrain the nerves – especially those nerves responsible for pain perception,” Dubinskaya said.

Such products are also finding favour with pelvic health physiotherapists such as Katlyn Nasseri at Rush University Medical Center in Chicago, US. She said that people experience pelvic pain due to overactive muscles, stress, anxiety, conditions such as endometriosis and polycystic ovary syndrome, and childbirth injuries.

Trauma or inflammation can cause the pelvic floor muscles to become overly toned, resulting in pain. Nasseri likens using a vibrator to using a massage gun to relieve stiff muscles elsewhere in the body: “Vibration is great for muscles; it helps them to relax really well. The same principle applies to the muscles of the pelvis.”

MysteryVibe’s latest products, scheduled for release later this year, are a vulval vibrator for women experiencing vaginal dryness and/or low libido, and a prostate vibrator designed to be inserted into the anus to relieve pain in men with inflamed prostate glands.

The MysteryVibe lab is the only place conducting vibrator research and development in the UK.

“The three common things that happen to men are that the prostate becomes larger as they become older, or it gets a cancer, and the third is prostatitis – inflammation, pain or infection in the prostate gland. Of these, perhaps the most difficult to treat is prostatitis,” said Prokar Dasgupta, a professor of urology and MysteryVibe’s medical director.

“One of the treatments is regularly massaging the prostate. This allows the congealed secretions inside the prostate that are the cause of the problem to come out. Rather than a urologist doing this manually, it can be done by the patient themselves using this device.”

Men also have pelvic floor muscles and can hold tension in them, just like women, said Rubin: “This can cause symptoms such as urinary frequency or urgency, pain with ejaculation, erectile dysfunction or premature or delayed orgasm.

“In addition, the prostate is very rich with nerves and pleasure spots that can really aid in orgasm and arousal.”

MysteryVibe’s vulval vibrator is designed to sit outside the body, can be moulded to a woman’s physiological dimensions, and can even be worn during intercourse. Whether it actually counters menopause-related dryness or reduced libido is as yet unproven, but menopause expert Dr Shahzadi Harper of The Harper Clinic in London suspects it might.

“We often say use it or lose it, but when you’re feeling tired, when your hormones change, when you’ve got so many other things going on, sex can slip down the sort of priority list. This is a nice gentle way to get confidence back in your body, reignite those nerve endings and boost blood flow to the clitoris and pelvic area, which stimulates the cells that help with lubrication.”

Dr Paula Briggs, chair elect of the British Menopause Society and a consultant in sexual and reproductive health at Liverpool Women’s NHS Foundation Trust, said that a vulval vibrator could stimulate collagen-producing cells in the vaginal wall to become active again, reversing some of the thinning that occurs following menopause. Although regular sex can achieve a similar thing, “the difference with a vibrator is that the woman is in control”.

She now advises patients to experiment with a small, tapered vibrator because penetration can be difficult, and often very painful, for such women. Briggs cautioned that vibrator use alone was unlikely to combat vaginal dryness in women whose arousal issues stem from psychological causes, including physical or emotional trauma or stress.

Kate Walsh, physiotherapy lead at Liverpool Women’s Hospital, agreed. Combined with other techniques such as mindfulness and breathing exercises, a vibrator can help women to “reprogram” the way their bodies process sensation, helping to make sex pleasurable again.

“Women will come in with all sorts of gadgets and gizmos that they’ve spent money on, but if they don’t understand the context of why they’re doing this, it is unlikely to work,” she said.

“I’m not saying that someone who is struggling with pain or arousal needs to jump straight into psychosexual counselling, but they’ve got to understand that what’s feeding it isn’t always just a physical thing – the physical and psychological interact.”

Complete Article ↪HERE↩!