Category: Health Benefits

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Why You Should Still Be Having Solo Sex While You’re In A Relationship

By Gigi Engle

Masturbation is good for you.

Studies have shown masturbation (and the subsequent orgasms that follow) can help relieve symptoms of depression, improve sleep quality, and even make you more likely to engage in partnered sex (and find that sex more satisfying).

Contrary to the sex shame-y cultural beliefs we have around sexuality, masturbating when you’re in a relationship doesn’t mean you don’t enjoy sex with your partner. In fact, studies have shown that people think about their partner most often when engaging in masturbation.

That’s right. Engaging in solo play is healthy (and normal!) even when you’re in a partnered relationship. And new data confirms this theory: According to a new study from the Journal of Sexual Medicine, solo sex is very good for you, no matter your relationship status.

Pretty much everyone is masturbating.

Since there is little research into masturbation, especially when it comes to women, the study sought to provide a basis for more research into female solo-sexual behaviors to be done in the future. It provides a baseline other researchers can build upon. Researchers surveyed 425 women, 61% of whom were in committed relationships, about their masturbatory and sexual habits.

What the results show is that almost everyone masturbates: 95% of participants had masturbated at some point during their lives. Further still, the 26% of study participants reported masturbating on a regular basis, at least once per week, while 27% reported masturbating two to three times per week.

A whopping 91% of women said they masturbated while in relationships. About 9% of participants reported they actually prefer masturbation to partnered sex, and 21% even preferred it to receiving oral.

Masturbation: We’re all doing it.

The top reasons women masturbate are pretty illuminating.

“The reasons cited for engaging in masturbation were manifold, ranging from sexual desire to relaxation and stress reduction,” write the study’s authors. The main reasons women masturbate were pretty widespread. While the top reason to masturbate was fulfilling sexual desire (76% listed this as masturbation motivation), 23% cited stress relief, and a notable 44% used it for relaxation.

The jury is in: The reasons for masturbating are nearly limitless.

Of the 5.5% of women who reported never masturbating in relationships, they cited, “I hardly ever feel sexual desire” and “Sex is a partner-only thing” as their reasons.

In other words, it’s women who have low desire and those who don’t understand the benefits of masturbation (and the pleasure it brings) who don’t do it. Now, if you want to engage only in partner play because it’s your preferred way of receiving pleasure, that’s totally OK. It only becomes a problem when you’re refraining from masturbation because of underlying shame you have around enjoying your sexuality for yourself.

Masturbation is not replacing sexual partners.

According to the study’s authors, “For many women, masturbation does not represent ‘a partner substitute’ to seek sexual pleasure but rather is a stress coping and relaxation strategy.” Solo play is its own self-care activity, not a replacement for partnered experiences.

Masturbation and orgasm release a wave of feel-good chemicals such as dopamine and oxytocin. Oxytocin has been shown to help with sleep, calm the nervous system, and relieve pain. Sometimes you don’t want to go through the bells and whistles of partnered sex and would rather have some time to yourself with a nice, self-induced orgasm.

This is perfectly normal and healthy. Orgasms are nature’s Xanax.

Complete Article ↪HERE↩!

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If your sexual orientation is accepted by society you will be happier and more satisfied with your life

Lesbian women are mostly happier with their lives than straight women.

By

In recent years LGBT+ rights have improved dramatically. Same-sex marriage is now legally performed and recognised in 28 countries. Equality laws protect LGBT+ people at work and increased media coverage is improving knowledge and awareness of sexual orientations. More to be done, however, to ensure equality for all, and researchers have been looking into how different factors like these contribute to the happiness and life satisfaction of people with minority sexual identities.

Studies have shown that, on average, homosexuals and bisexuals report lower levels of life satisfaction than heterosexuals. This has been linked to homosexuals and bisexuals experiencing heteronormativity (the assumption that heterosexual orientation and binary gender identity are “normal”, which has led to the world being built to cater to the needs and desires of heterosexual life), which leads to stigmatisation. For our new study we looked deeper into the links between sexuality and life satisfaction, and found that people with an “other” sexual identity – such as pansexual, demisexual, or asexual – also experience lower levels of life satisfaction than heterosexuals.

Well-being differences

Using 150,000 responses collected over five years as part of the Understanding Society survey, we analysed whether the happiest heterosexuals are happier than the happiest sexual minorities, and if the least happy sexual minorities are less happy than the least happy heterosexuals. When looking at the data, we controlled for a number of things – such as age, employment, personality, and location – to make sure our results focused solely on sexual identity.

While other studies have looked at the “average” effect of sexual identity on happiness (where it has been shown that sexual minorities report lower levels of life satisfaction), my colleagues and I considered the whole well-being distribution. That is, we looked at the differences between heterosexuals and sexual minorities at the lowest, average, and highest levels of self-reported life satisfaction.

Our results are clear that sexual identity is correlated with life satisfaction, but it is a nuanced picture. We found that homosexual males are less happy with their lives than heterosexual males, except for at the very top of the well-being distribution (where they are happiest). We also saw that homosexual females are happier with their lives than heterosexual females. Although interestingly that is except for at the lowest levels of well-being.

Facing ostracisation on the basis of your sexual identity has a large negative impact on how satisfied you are with your life.

Bisexuals – irrespective of gender – report the lowest levels of life satisfaction, and the loss to well-being associated with being bisexual (rather than heterosexual) is at least comparable to the effect of being unemployed or having ill-health. In fact, out of all the sexual identities analysed we found that bisexuals are the least satisfied with their lives.

“Other” sexual identities are associated with lower levels of life satisfaction in the bottom half of the distribution, but higher life satisfaction in the top half. This means that the least happy people with an other sexual identity are less happy than their heterosexual counterparts. But the happiest people with an other sex identity are actually happier than their heterosexual counterparts.

While our findings highlight the importance of gender (or more precisely its interaction with sexual identity), this is only relevant for homosexuals. As noted above, the results for homosexual males and homosexual females are drastically different This makes sense considering that other research has highlighted that societal attitudes towards lesbians are more preferential than to gay males. So it is likely that the higher life satisfaction reported by lesbians (compared to heterosexual women) is associated with these more positive societal attitudes.

Identity and acceptance

Looking to our findings for other sexual identities, we believe that growing awareness (for example due to increased representation on television) is likely to have reduced the need for some people to “explain” their identity to others. This will have made reaffirming the validity of their sexuality to themselves easier too. If we couple this with increasing self-awareness of an identity that gives meaning to attractions (or lack thereof), the positive well-being identified for this group is understandable.

While it could be argued that the same should be true of bisexuals, there is a significant difference between bisexuality and “other” identities. Bisexuality is an identity that has existed significantly longer and was part of the original LGBT movement. And yet the greater minority stress experienced by bisexuals is likely a reflection of how they experience stigmatisation from both heterosexual and homosexual communities through bi-erasure and lack of acceptance of bisexuality.

Overall our research shows that people with a minority sexual identity are on average less satisfied with their lives, but across the distribution of well-being a more positive picture emerges. If we look at other research into the different societal attitudes and growing acceptance towards certain sexual identities, it is clear that being accepted is important. Facing ostracisation on the basis of your sexual identity has a large negative impact on how satisfied you are with your life.

Complete Article ↪HERE↩!

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Sexual satisfaction among older people about more than just health

Communication and being in a happy relationship, along with health, are important for sexual satisfaction among older people, according to new research published in PLOS ONE.

Sexual expression is increasingly recognised as important throughout the life course, in maintaining relationships, promoting self-esteem and contributing to health and well-being. Although are being urged to be more proactive in helping achieve a satisfying sex life, there is a distinct lack of evidence to help guide practitioners.

Led by the London School of Hygiene & Tropical Medicine (LSHTM), the University of Glasgow and UCL, the study is one of the first to look at how health, lifestyle and relationship factors can affect sexual activity and satisfaction in later life, and examine how people respond and deal with the consequences.

The researchers carried out a mixed methods study combining from the third National Survey of Sexual Attitudes and Lifestyles (Natsal-3) and in-depth interviews with older men and women. Out of nearly 3,500 people aged between 55-74, the survey found that one in four men and one in six women reported having a health problem that affected their sex life. Among this group, women were less likely than men to be sexually active in the previous six months (54 percent vs 62 percent) but just as likely to be satisfied with their sex life (42 percent vs 42 percent).

Follow up interviews with a sample of participants revealed that older people found it difficult to separate the effects of declining health from those of increasing age. Ill health impacted sexual activity in many ways but most crucially it influenced whether individuals had a partner with whom to have sex. Some older people were more accepting of not having a sex life than others.

For those in a relationship, was strongly associated with both the quality of communication with their partner and contentment with their relationship. The impact of health issues was not always negative; some men and women found themselves having to experiment with new ways of being sexually active and their sex lives improved as a result.

Natsal-3 is the largest scientific study of sexual health and lifestyles in Britain. Conducted by LSHTM, UCL and NatCen Social Research, the studies have been carried out every 10 years since 1990, and have involved interviews with more than 45,000 people to date.

Bob Erens, lead author and Associate Professor at LSHTM, said: “Looking at the impact of health on sexual activity and satisfaction as we age is important, however few studies have examined the between the two.

“Health can affect an individual’s sex life in various ways, from having or finding a partner, to physical and psychological limitations on sexual expression.

“We identified that not many people who reported experiencing problems or lack of satisfaction sought help. Although this could be an individual choice or because of a perceived lack of support, it is vital that individuals feel able to make enquiries with health care professionals. In particular, discussing problems can often lead to identification of underlying medical conditions.”

Although some individuals the research team spoke to were not affected by not being sexually active, it seemed to be important that health professionals make sensitive enquiries for patients who might want to access help, which can lead to significant improvements in their wellbeing and quality of life.

Kirstin Mitchell, co-author and Senior Research Fellow in Social Relationships and Health Improvement at the University of Glasgow, said: “We’re seeing numerous, interconnected factors influencing sexual activity in older people. Not being in good health can influence mood, mobility and whether a person has a partner, which in turn impact on . Medication taken for health conditions often compounds the problem.

“The study findings suggest that pharmacological approaches, like Viagra, do not always help to resolve sexual difficulties, which need to be seen in the wider context of ‘s lives.”

The authors acknowledge the limitations of the study, including that Natsal had an upper age limit of 74 years, and so the study is unable to describe the sexual health and wellbeing of people at older ages.

Natsal-3 is the largest and most comprehensive study of sexual attitudes and lifestyles in the world, and is a major source of data informing sexual and reproductive health policy in Britain.

Complete Article ↪HERE↩!

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Better Sex Starts in your Gut

By Dr. Edison de Mello

“There’s a Connection Between Your Gut Health and Your Sex Life”

What are the most common causes of low libido?

Libido and sexual arousal is, for the most part, grounded on intimacy involving the interaction of several components, including physical trust, belief system emotional well-being, previous experiences, self-esteem, physical attraction, lifestyle and current relationship.

In addition, a wide range of illnesses, such as thyroid disease, arthritis, diabetes, neurological disorders, hormonal changes and physical changes, such as High blood pressure, cardiovascular disease, menopause in women, andropause in men and pain during intercourse can cause low sex drive and/or inability to reach an orgasm. Medications, prescribed or over the counter, can also kill one’s libido.

What’s one cause that’s really surprising?  Great Sex too starts in Your gut!

“All disease begins in the gut.”  Hippocrates

Although most us do not necessarily think of our intestines or bad gut bacteria when we think of possible causes of low libido, an imbalance of Gut bacteria (microbiome) is more often than not, a significant cause of decreased sexual arousal. This is in addition to the more commonly known GI related causes, such as bloating, gas, acid reflux, bad breath, diarrhea, etc. In fact, because the gut contains billions of bacteria, the gastrointestinal tract, also known as the gut system, plays a major physical factor that has many unexpected effects on our ability to respond and perform sexually. The truth is that “gut bacteria is to our digestion and metabolism what a beehive is to honey”: Good working hive = great honey; well balanced gut bacteria = optimized gastrointestinal function and better sex! Gut bacteria are also responsible for producing hormones, enzymes, and neurotransmitters such as serotonin, which are essential for sexual health.

And then there is lifestyle…. although a glass of wine can get both men and women in the “mood” for sex, too much alcohol can actually have the opposite effect and not only kill your libido, but make you sleep, which can be devastating to intimacy.

10 Reasons Why you may not have a healthy gut?

  1. Bad diet (sugar and processed food based diet)
  2. Digestive Health: Unbalanced gut bacteria and lack of good probiotics
  3. Overuse antibiotics and other medications
  4. Sedentary life style
  5. Disease, including autoimmune.
  6. Mental Health and Mood.
  7. Low/ unbalanced Hormone.
  8. Vaginal Health/prostate issues
  9. Weight proportionate to height issues
  10. Decreased physical, mental and emotional energy

5 initial Steps to Take to Have Better Sex

  1. Balance your gut health,
  2. Eat a healthy diet and moderate your alcohol intake
  3. Exercise more often
  4. Do you inventory of your relationship: Are you really happy or just pretending that you are?
  5. Work on your self-esteem and body image, if applicable.

5 Ways how your partner can help you get there:

  1. Love you unconditionally
  2. Help you feel that intimacy is more than just having sex
  3. Encourage you to make the changes outlined here –  free of judgment, and instead assuring you that yes, you can.
  4. Be the change that he/she expects of you
  5. Not make sex so serious… have fun with it.

Other 10 possible causes of low libido:

  1. Mental health problems, such as anxiety or depression
  2. Stress, such as financial stress or work stress
  3. Poor body image
  4. Low self-esteem
  5. History of physical or sexual abuse
  6. Previous negative sexual experiences
  7. Lack of connection with the partner
  8. Unresolved conflicts or fights
  9. Poor communication of sexual needs and preferences
  10. Infidelity or breach of trust

Complete Article ↪HERE↩!

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Encourage teens to discuss relationships, experts say

BY Carolyn Crist</a

Healthcare providers and parents should begin talking to adolescents in middle school about healthy romantic and sexual relationships and mutual respect for others, a doctors’ group urges.

Obstetrician-gynecologists, in particular, should screen their patients routinely for intimate partner violence and sexual coercion and be prepared to discuss it, the Committee on Adolescent Health Care of the American College of Obstetricians and Gynecologists advises.

“Our aim is to give the healthcare provider a guide on how to approach adolescents and educate them on the importance of relationships that promote their overall wellbeing,” said Dr. Oluyemisi Adeyemi-Fowode of Texas Children’s Hospital and Baylor College of Medicine in Houston, Texas, who co-authored the committee’s opinion statement and resource for doctors published in Obstetrics & Gynecology.

“We want to recognize the full spectrum of relationships and that not all adolescents are involved in sexual relationships,” she said in an email. “This acknowledges the sexual and non-sexual aspects of relationships.”

Adeyemi-Fowode and her coauthor Dr. Karen Gerancher of Wake Forest School of Medicine in Winston-Salem, North Carolina, suggest creating a nonjudgmental environment for teens to talk and recommend educating staff about unique concerns that adolescents may have as compared to adult patients. Parents and caregivers should be provided with resources, too, they write.

“As individuals, our days include constant interaction with other people,” Adeyemi-Fowode told Reuters Health. “Learning how to effectively communicate is essential to these exchanges, and it is a skill that we begin to develop very early in life.”

In middle school, when self-discovery develops, parents, mentors and healthcare providers can help adolescents build on these communication skills. As they spend more time on social networking sites and other electronic media, teens could use guidance on how to recognize relationships that positively encourage them and relationships that hurt them emotionally or physically.

Primarily, healthcare providers and parents should discuss key aspects of a healthy relationship, including respect, communication and the value of people’s bodies and personal health. Equality, honesty, physical safety, independence and humor are also good qualities in a positive relationship.

As doctors interact with teens, they should also be aware of how social norms, religion and family influence could play a role in their relationships.

Although the primary focus of counseling should help teens define a healthy relationship, it’s important to discuss unhealthy characteristics, too, the authors write. This includes control, disrespect, intimidation, dishonesty, dependence, hostility and abuse. They cite a 2017 Centers for Disease Control and Prevention study of young women in high school that found about 11 percent had been forced to engage in sexual activities they didn’t want, including kissing, touching and sexual intercourse. About 9 percent said they were physically hurt by someone they were dating.

For obstetrician-gynecologists, the initial reproductive health visit recommended for girls at ages 13-15 could be a good time to begin talking about romantic and sexual health concerns, the authors write. They also offer doctors a list of questions that may be helpful for these conversations, including “How do you feel about relationships in general or about your own sexuality?” and “What qualities are important to someone you would date or go out with?”

Health providers can provide confidentiality for teens but also talk with parents about their kids’ relationships. The committee opinion suggests that doctors encourage parents to model good relationships, discuss sex and sexual risk, and monitor media to reduce exposure to highly sexualized content.

“Without intentionally talking to them about respectful, equitable relationships, we’re leaving them to fend for themselves,” said Dr. Elizabeth Miller, chief of adolescent and young adult medicine at Children’s Hospital of Pittsburgh of UPMC, who wasn’t involved in the opinion statement.

Miller recommends FuturesWithoutViolence.org, a website that offers resources on dating violence, workplace harassment, domestic violence and childhood trauma. She and colleagues distribute the organization’s “Hanging Out or Hooking Up?” safety card (bit.ly/2PQfxEM), which offers tips to recognize and address adolescent relationship abuse, to patients and parents, Miller said.

“More than 20 years of research shows the impact of abusive relationships on young people’s health,” Miller said in a phone interview. “Unintended pregnancies, sexually-transmitted infections, HIV, depression, anxiety, suicide, disordered eating and substance abuse can stem from this.”

Complete Article ↪HERE↩!

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Gay or bi men who disclose sexual history may get better healthcare

By Anne Harding

Young men who have sex with men (MSM) who disclose their sexual orientation or behavior to a health care provider are more likely to receive appropriate healthcare, new data suggest.

Dr. Elissa Meites of the Centers for Disease Control and Prevention (CDC) and her colleagues studied 817 MSM, ages 18 to 26, who had seen a healthcare provider in the past year.

Men who had disclosed were more than twice as likely as those who had not to have received the full panel of recommended screenings and vaccines, the researchers found.

The CDC and the Advisory Committee on Immunization Practices recommend that MSM be screened for HIV, syphilis, gonorrhea and chlamydia at least once a year, and immunized against hepatitis A and B and human papillomavirus (HPV), Meites and her colleagues note the journal Sexually Transmitted Diseases.

Overall, 67 percent of the study participants had received all four recommended STI screenings, but that was true for only 51 percent of the MSM who had never disclosed.

Nine percent overall had received all vaccinations, compared to six percent of those who hadn’t disclosed.

The pattern was similar when researchers looked to see how many participants received all seven recommended services. The rate was just seven percent for the overall study population, but it was even lower – at less than four percent – for the MSM who hadn’t disclosed.

About two-thirds of study participants (64.2 percent) said they had disclosed their sexual behavior or orientation to a healthcare provider, while roughly nine in 10 (91.7 percent) said they would do so if it was important to their health.

“This shows us that the patients are doing all the right things. They are going to the doctor regularly and they are willing to speak about their sexual behaviors,” Meites told Reuters Health in a telephone interview. “It looks like health care providers may be missing some opportunities to provide the best health care to these young men.”

Doctors can encourage disclosure among MSM by asking about sexual history, and “fostering a clinical environment where people can be comfortable revealing their sexual behavior,” Meites said. And doctors should be aware of the panel of health care services that are recommended for MSM, she added.

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Pelvic floor physio: Treating pain during sex and other common women’s health issues

Anniken Chadwick is a physiotherapist who focuses on the muscles and ligaments in the pelvic region.

By Maryse Zeidler

Pain during intercourse. Incontinence. A prolapsed uterus.

Pelvic floor physiotherapist Anniken Chadwick helps her clients with problems rarely discussed at the dinner table, but that are common nonetheless.

“Mostly my job is oriented around women’s health, and we just don’t do that well with women’s health in our medical system,” Chadwick said, sitting on a chair in her small, quiet office on West Broadway in Vancouver.

Chadwick, 33, specializes in healing and strengthening the muscles, ligaments and connective tissues in the pelvic area. Her job can be quite intimate, with her often working internally in those areas.

Her most typical clients are pre- and post-natal women, although she also works with men for similar issues like sexual disfunction, incontinence and pelvic pain.

Anniken Chadwick sometimes uses a model to show her patients the muscles, fascia and ligaments around the pelvis.

Physiotherapy centred on the pelvic floor is a mainstay in countries like France, where women routinely see practitioners like Chadwick after they’ve given birth.

Here in Canada, physiotherapy is often recommended after surgery or trauma on other parts of the body. But Chadwick says the taboo of pelvic issues makes her field of work less normalized — and that’s something she’s hoping to change.

Chadwick says up to one in four women will experience pain during intercourse in their lifetime.

Her female clients sometimes come to her after years of pain and discomfort. Their doctors just tell them to relax and have a glass of wine, she said.

“I would love for pelvic floor physio to be a routine part of obstetrics care,” she said. “I would also love for particularly sexual pain and dysfunction to be understood as a physical thing and not just a mental thing.”

Chadwick grew up in Nottingham, England, where she trained to become a physiotherapist.

She briefly practised in the public health system there, then she moved to Canada. A few years into her private practice in Vancouver, she began to notice a pattern — young and middle-aged women who said they were “never the same” after having children. 

“I just wanted to learn more about why that was,” Chadwick said.

The more she started learning about pelvic floor issues, the more she realized how much more she — and the people around her — needed to know. 

“And so I started down that track, and now it’s all I do,” she said. 

“As soon as I started helping women regain continence or be able to have sex with their partner again without pain … it was just hard to get passionate about an ankle sprain after that.”

Holistic approach

Chadwick’s training for pelvic floor problems included specialty post-graduate courses and independent learning. 

She likes to take a holistic approach to her work. In her specialty area, injuries often have an emotional or psychological component to them. For women who experience pain after sexual assault, for example, she ensures they’re also seeking help from a counsellor or psychologist.

Because of the intimate nature of her treatment, Chadwick is mindful about creating a calm, quiet environment for her clients to feel comfortable in. 

But the one aspect of her job that Chadwick really wants people to know about is that pelvic floor issues are relevant to everybody. And although those problems can be scary, getting treatment for them doesn’t have to be. 

“I get so much satisfaction when people get better. It really gives me a lot of energy,” she said.

Complete Article ↪HERE↩!

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Sex and gender both shape your health, in different ways

By

When you think about gender, what comes to mind? Is it anatomy or the way someone dresses or acts? Do you think of gender as binary — male or female? Do you think it predicts sexual orientation?

Gender is often equated with sex — by researchers as well as those they research, especially in the health arena. Recently I searched a database for health-related research articles with “gender” in the title. Of the 10 articles that came up first in the list, every single one used “gender” as a synonym for sex.

Although gender can be related to sex, it is a very different concept. Gender is generally understood to be socially constructed, and can differ depending on society and culture. Sex, on the other hand, is defined by chromosomes and anatomy — labelled male or female. It also includes intersex people whose bodies are not typically male or female, often with characteristics of both sexes.

Researchers often assume that all biologically female people will be more similar to each other than to those who are biologically male, and group them together in their studies. They do not consider the various sex- and gender-linked social roles and constraints that can also affect their health. This results in policies and treatment plans that are homogenous.

‘Masculine?’ ‘Cisgender?’ ‘Gender fluid?’

The term “gender” was originally developed to describe people who did not identify with their biological sex. John Money, a pioneering gender researcher, explained: “Gender identity is your own sense or conviction of maleness or femaleness; and gender role is the cultural stereotype of what is masculine and feminine.”

There are now many terms used to describe gender — some of the earliest ones in use are “feminine,” “masculine” and “androgynous” (a combination of masculine and feminine characteristics).

Research shows that gender, as well as sex, can influence vulnerability to disease.

More recent gender definitions include: “Bigender” (expressing two distinct gender identities), “gender fluid” (moving between gendered behaviour that is feminine and masculine depending on the situation) and “agender” or “undifferentiated” (someone who does not identify with a particular gender or is genderless).

If a person’s gender is consistent with their sex (e.g. a biologically female person is feminine) they are referred to as “cisgender.”

Gender does not tell us about sexual orientation. For example, a feminine (her gender) woman (her sex) may define herself as straight or anywhere in the LGBTQIA (lesbian, gay, bisexual, transgender, queer or questioning, intersex and asexual or allied) spectrum. The same goes for a feminine man.

Femininity can affect your heart

When gender has actually been measured in health-related research, the labels “masculine,” “feminine” and “androgynous” have traditionally been used.

Research shows that health outcomes are not homogeneous for the sexes, meaning all biological females do not have the same vulnerabilities to illnesses and diseases and nor do all biological males.

Gender is one of the things that can influence these differences. For example, when the gender of participants is considered, “higher femininity scores among men, for example, are associated with lower incidence of coronary artery disease…(and) female well-being may suffer when women adopt workplace behaviours traditionally seen as masculine.”

In another study, quality of life was better for androgynous men and women with Parkinson’s disease. In cardiovascular research, more masculine people have a greater risk of cardiovascular disease than those who are more feminine. And research with cancer patients found that both patients and their caregivers who were feminine or androgynous were at lower risk of depression-related symptoms as compared to those who were masculine and undifferentiated.

However, as mentioned earlier, many health researchers do not measure gender, despite the existence of tools and strategies for doing so. They may try to guess gender based on sex and/or what someone looks like. But it is rare that they ask people.

A tool for researchers

The self-report gender measure (SR-Gender) I developed, and first used in a study of aging, is one simple tool that was developed specifically for health research.

The SR-Gender asks a simple question: “Most of the time would you say you are…?” and offers the following answer choices: “Very feminine,” “mostly feminine,” “a mix of masculine and feminine,” “neither masculine or feminine,” “mostly masculine,” “very masculine” or “other.”

The option to answer “other” is important and reflects the constant evolution of gender. As “other” genders are shared, the self-report gender measure can be adapted to reflect these different categorizations.

It’s also important to note that the SR-Gender is not meant for in-depth gender research, but for health and/or medical studies, where it can be used in addition to, or instead of, sex.

Using gender when describing sex just muddies the waters. Including the actual gender of research participants, as well as their sex, in health-related studies will enrich our understanding of illness.

By asking people to tell us their sex and gender, health researchers may be able to understand why people experience illness and disease differently.

Complete Article ↪HERE↩!

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6 Things Every Transgender Person Should Know About Going to the Doctor

You deserve sensitive, comprehensive care.

By Nathan Levitt, FNP-BC

[T]ransgender patients often experience tremendous barriers to health care, including discrimination and an unfortunate lack of providers who are knowledgeable about and sensitive to this population. As a result, many transgender and nonbinary people avoid seeking care for preventive and life-threatening conditions out of fear.

According to a report from the National Transgender Discrimination Survey of more than 6,450 transgender and gender nonconforming people, nearly one in five (19 percent) reported being refused care because they were transgender or gender nonconforming. Survey participants also reported very high levels of postponing medical care when sick or injured due to discrimination and disrespect (28 percent). Half of the sample reported having to teach their medical providers about transgender care.

As a transgender person myself, I know how difficult it can be to access sensitive care.

That’s why it’s essential for trans and gender nonconforming people to be empowered with the knowledge and information that will help them find the best providers they possibly can, who are knowledgeable and sensitive, and will advocate for their gender nonconforming patients.

It can be hard to know where to start, so I’d recommend looking into the following resources online to help you find trans-friendly medical care near you:

And here are a few questions you might want to consider when looking for a doctor or health care provider who is accessible, inclusive, and who can responsibly and knowledgably care for you:

  • Do they have signs or brochures representing the transgender community?
  • Have the care providers been trained on issues specific to transgender health?
  • Does the organization have a nondiscrimination policy that covers sexual orientation and gender identity?
  • Do they have experience caring for transgender patients? Specifically, are they able to provide medical advice on how to manage hormones, after-surgery care, and health screenings in the trans population?
  • Are they able to provide the necessary accommodations you need to feel comfortable (For instance: a gender-neutral bathroom, a safe and comfortable waiting room environment, willingness to use your requested name and pronoun, etc.)?
  • Has their staff (including the office staff) received training on transgender sensitivity?

Even after you’ve found a medical provider, the reality is that transgender patients often still have to teach them about transgender care.

It’s your responsibility to communicate your medical history and needs so that you can get the best, most appropriate care. That can be intimidating and overwhelming, so I’ve outlined a few of the most important things you should go over with your doctor or medical provider.

1. Make sure your provider has a baseline medical history for you.

Once you find a transgender-sensitive health provider, think of this person as your medical ally—someone who can help you with any changes your body is experiencing. In that vein, you’ll want to tell them about your family and personal health history so they can better manage your health care screenings, such as cardiovascular, bone health, diabetes, and cancer screenings.

Cancer screening for transgender people can require a modified approach to current mainstream guidelines. If your provider isn’t sure what that looks like, you can point them towards UCSF Center of Excellence for Transgender Health.

Unfortunately, I know from professional experience that transgender people are often less likely to have routine screenings and cancer screenings due to discomfort with health care providers’ use of gendered language, providers’ lack of knowledge about surgery and hormones, gender-segregated systems, and insensitive care.

2. Discuss your goals and expectations around medical transition, whether it’s something you have done, are in the process of doing, or are interested in pursuing.

Of course, not all transgender and gender nonbinary individuals are interested in medical transition—including surgery and/or hormones—but for those who are considering these options, it’s important to select health care providers who understand how to administer and monitor hormones and who are knowledgeable about what is needed for pre- and post-operative care.

So it’s a good idea to ask your provider about their experiences with transition-related medical care or if they can refer you to someone who is experienced in that field. You’ll want to talk with your provider about your goals of hormone therapy, any lab work needed, and any relevant information from your and your family’s medical history.

There are many different surgeries that transgender individuals may undergo to align their body with their gender identity. Share with your medical provider any gender affirming surgeries you have had or are interested in. You deserve to feel comfortable with your surgeon and feel that your health care team is working together.

As your body changes, stay informed about what additional screenings may be needed. For instance, although the data linking hormone therapy to cancer is inconclusive (when taken correctly and monitored by a medical provider), it is still important to discuss risks with your provider.

For patients who currently have hormone-dependent cancers, it is imperative that you discuss with your oncologist and your primary care provider any past history or current use of hormones.

I know that some cancer screenings such as Pap smears and prostate screenings can be incredibly uncomfortable for some transgender and gender nonbinary people. Finding sensitive providers is essential to not delay important screenings.

3. As awkward as it may be, discuss your sexual history and activity in a way that allows your medical provider to accurately assess your sexual health needs.

It’s unfortunately not uncommon for transgender men to skip pelvic exams (whether they fear discrimination, think they don’t need them, or avoid them for dysphoria-related reasons). It’s also not uncommon to forego preventive health care, such as STI screenings, out of fear of discrimination or disrespect. This can hurt the transgender population’s health.

Of course it can be awkward, but your sexual health is an important topic to discuss with your provider, so they shouldn’t make you feel too uncomfortable to talk about it. If you feel your provider is not conducting transgender-sensitive sexual histories, you should feel empowered to give them this feedback. You can even ask your provider to use the language you feel most comfortable with to describe your and your partner’s bodies. This is important because they can help you to understand how to have sex that is safe, affirming, and specific to your body and identity.

It’s also important to tell your provider the nitty gritty details about your sex life and history (like: how many sexual partners you have had, whether you’re using condoms or dental dams during sex, what kind of sex you are having, and if and when you were last tested for STIs and HIV).

Unfortunately, surveys tell us that transgender people are less likely to get tested for STIs because of the discrimination and fear they face when talking about their bodies and identity. According to the CDC, in 2015, the percent of transgender people who were newly diagnosed with HIV was more than three times the national average. Trans women are at an especially high risk for HIV; in particular, African American trans women have the highest newly diagnosed HIV rates within the transgender community.

Be proactive and ask what you should be doing to reduce your risk of STIs and HIV. One option your physician may discuss with you is pre-exposure prophylaxis (PrEP), which is a daily pill that can greatly reduce your risk of HIV infection, and may be appropriate for some patients

I know it can be uncomfortable to have these conversations with a medical provider, and it can be just as difficult to have them with your partner. To help get you started, here are some helpful resources on sexual health for trans women and trans men.

4. If you’re using substances, ask your medical provider for trans-sensitive resources and referrals for substance support services.

Substance and tobacco use can often be the result of depression and anxiety associated with discrimination by the community. In fact, the National Transgender Discrimination Survey showed that 26 percent of transgender individuals use or have used alcohol and drugs frequently, compared with 7.3 percent of the general population according to a National Institute of Health’s report. In addition, 30 percent of the transgender participants reported smoking regularly compared with 20.6 percent of U.S. adults.

There are many risks associated with substance and tobacco use, especially in combination with hormone therapy. Smoking can cause an increased risk of some cancers, blood clots, and heart disease, and it may negatively impact the outcome of hormone therapy, among other complications. Talk to your provider about resources to help decrease substance dependency.

5. If you’re experiencing anxiety, depression, or any other mental health symptoms, bring it up to your health care provider.

When it comes to getting help or making that first call, you don’t have to wait until things get “bad enough.” Unfortunately, mental health issues can be prevalent in the transgender community as a result of isolation, rejection, lack of resources, and discrimination. Share with your provider any feelings of depression or anxiety you may be having. They can help manage your care and recommend a trans-sensitive mental health professional, which can be challenging to navigate on your own.

If you are in crisis, contact Trans Lifeline at 877-565-8860.

6. Tell your physician if you’re interested in potentially having children someday.

Transgender populations have fertility concerns that are often unaddressed by providers. If you are interested in potentially starting a family someday, make sure to talk to your provider about your reproductive health and fertility options early on, especially if you’re considering medical transition or have transitioned.

Transgender men may need to discuss cessation of testosterone if they are interested in becoming pregnant. And if transgender women are interested in having children using their own sperm, they may need to use sperm banking services because of estrogen’s potential effect on sperm production.

Finding trans-sensitive ob/gyn care, birth control resources specific to the trans population, and trans-sensitive fertility support can be difficult, but there are resources that can make it easier, like the ones listed at the beginning of this article.

Finally, remember that you are deserving of a responsible, knowledgeable health care team.

While patients often initially come into a medical office nervous, when they find a healthcare team they trust, they are able to open up more—sharing more information and asking more questions.

As a healthcare provider, I’ve witnessed that those patients who become increasingly empowered to take control of their own health have lasting positive effects, including better overall wellness and greater confidence and self-esteem. Everyone deserves that level of care.

Complete Article ↪HERE↩!

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Consensual sex is key to happiness and good health, science says

 

By

[I]t’s not just that sex is fun – it’s also good for your physical and mental health.

Some of my research is focused on how men and women differ in the links between sexuality, mental and physical health, and relationship quality. In this article, I write from my findings and that of others on how sex is important to our love, mental health, relations and survival. At the end, I suggest a solution for individuals who are avoiding sex for a common reason – chronic disease.

Good sex makes us happy

Good sex is an inseparable part of our well-being and happiness. Those of us who engage in more sex report better quality of life. Sexual intercourse is linked to high satisfaction across life domains. In one of my studies on 551 married patients with heart disease, individuals who had a higher frequency of sexual intercourse reported higher marital quality, marital consensus, marital coherence, marital affection expression and overall marital satisfaction. These results are replicated in multiple studies.

In a study by another team, partners who both experienced orgasm during sex were considerably happier. These findings are shown inside and outside of the United States.

Sex keeps us alive

Although early initiation of sex such as during adolescence is a risk factor for mortality, having a sound sexual life in adulthood is linked to low mortality. In a seven-year follow-up study of men 17 years old or older, erectile dysfunction and having no sexual activity at baseline predicted increased mortality over time. Similar findings were shown in younger men. This is probably because more physically healthy individuals are sexually active.

No sex and forced sex makes us depressed

There is a two-way road between bad sex and depression. Depression is also a reason for bad sex, particularly for women. And, men who are depressed are more likely to sexually abuse their partners.

And it’s important to note, in the wake of continuing news of sexual assault and abuse, that forced sex in intimate relations make people depressed, paranoid, jealous, and ruins relationships. Couples who experience unwanted sex have a higher risk for experiencing other types of abuse, as bad habits tend to cluster.

Sex different for men and women?

Men and women differ in the degree to which their sexual act is attached to their physical, emotional, and relational well-being. Various reasons play a role among both genders, but for women, sexual function is heavily influenced by mental health and relationship quality.

By contrast, for men sexual health reflects physical health. This is also intuitive as the most common sexual disorders are due to problems with desire and erection for women and men, respectively.

Reasons for avoiding sex

As I explained in another article in The Conversation, sexual avoidance for those who have a partner or are in a relationship happens for a long list of reasons, including pain, medications, depression and chronic disease. Common diseases such as heart disease interfere with sex by causing fear and anxiety of sexual intercourse.

Aging should not be considered as a sexless age. Studies have shown that older adults acquire skills and strategies that can buffer age-related declines in their sexual life, particularly when they are in a positive relationship. This is called seniors’ sexual wisdom.

Back on track

Because people avoid sex for a variety of reasons, there is no single answer for those who want to become sexually active again. For many men, physical health problems are barriers. If they suffer from erectile dysfunction, they can seek medical help for that.

If fear of sex in the presence of chronic disease is a problem, there can be medical help for that as well. For many women, common barriers are relational dissatisfaction and mental health. For both men and women, the first step is to talk about their sexual life with their physician, counselor or therapist.

At least half of all medical visits do not cover any discussion about sexual life of patients. Embarrassment and lack of time are among the most common barrier. So make sure you make time to talk to your doctor or health care provider.

Neither the doctor nor the patient should wait for the other person to start a dialogue about their sexual concerns. The “don’t tell, don’t ask” does not take us anywhere. The solution is “do tell, do ask.”

Complete Article ↪HERE↩!

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9 reasons having sex is good for you, according to science

By Alexandra Thompson

[S]cience reveals nine ways having sex benefits your health.

According to California-based obstetrician-gynaecologist Dr Sherry Ross, few things in life are better for people’s hearts, bodies and souls than getting intimate between the sheets.

From burning calories to boosting the immune system and even fighting the signs of ageing, numerous studies reveal regular love making seriously boosts people’s wellbeing.

Sex is even a natural painkiller and could help combat insomnia, Dr Ross adds.

Below, Dr Ross outlines the nine ways, proven by science, being active between the sheets boosts people’s health and wellbeing.

Burns calories

Researchers from the University of Quebec at Montreal analysed 21 heterosexual couples with an average age of 22.

Results revealed women burn, on average, 69.1 calories when they have sex for just under 25 minutes.

This calorie-burning number climbs higher still if you are on top, in a squat position or having an orgasm.

Dr Ross told NetDoctor: ‘The act of sexual intimacy can be a great workout and counts as such for many as their daily exercise regimen.’

Boosts the immune system

A study by Indiana University found women with healthy sex lives produce higher levels of antibodies, which fight off infections.

Dr Ross said: ‘Regular sex makes for a stronger immune system, fighting off common illnesses such as colds and having less sick days from work.

‘Sex also helps lower your blood pressure and lowers your risk of heart attacks.’

Prevents incontinence

For women suffering from urinary incontinence, which is common after childbirth, incorporating Kegel exercises into your sex life can strengthen your pelvic floor and improve bladder control, according to Dr Ross.

If this isn’t enough, such exercises also heighten orgasms for both you and your partner, she adds.

Is a natural painkiller

Contracting genital muscles generate a pleasurable feeling that can reduce the discomfort of menstrual cramps, headaches and joint pain, according to Dr Ross.

She adds tracking your menstrual cycle and scheduling in an orgasm before your first period could prevent crippling discomfort.

Aids insomnia

After an orgasm, endorphins and the hormone prolactin are released, which relax the body and mind to promote sleep, Dr Ross claims.

Boosts pregnancy chances – even if you’re not ovulating!

Researchers from the Kinsey Institute and Indiana University found women who have sex when not ovulating create an environment in their wombs that make it more hospitable for growing embryos.

This is due to orgasms activating the immune system, which then seems to prepare women for even the possibility of pregnancy.

Improves mental health

According to the sex therapist Vanessa Marin, skin-to-skin contact releases oxytocin, which is also known as the ‘cuddle hormone’.

This can reduce anxiety and stress, while promoting feelings of closeness.

Prevents wrinkles

In 2013, UK-based neuropsychologist Dr David Weeks questioned more than 3,500 people about their sex lives over 10 years.

Results revealed those who have regular, healthy sex lives look up to seven years younger than people who do not get intimate two-to-three times a week.

Dr Weeks believes this is due to the release of endorphins that boost circulation and reduce stress, as well as the production of human growth hormones, which promote skin elasticity.

Makes you brainier

According to a study published in the Journals of Gerontology, sexually-active older adults perform better in verbal and visual tests.

This may be due to the release of oxytocin and ‘the happy hormone’ dopamine, which have both been linked to improved cognitive function.

Complete Article ↪HERE↩!