Sex After 60?

— You Need to Know About STD Prevention

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Coming this fall to your TV screen: “The Golden Bachelor.” That’s right, reality television fans, seniors are finally getting their shot at this (somewhat unscripted) love connection. The suspenseful rose ceremonies and extravagant date nights are likely. But will there be an overnight in the fantasy suite?

If this is, in fact, reality, then there should be. Physical intimacy important — sex even has health benefits. Yes, even for those in their twilight years. Shining a light on sex after 60 may be just what the doctor ordered. But seniors also need to know how to protect themselves from sexually transmitted diseases (STDs).

STD Rates Rise Along with Sex After 60

Sexual health may not be a topic older adults are keen on discussing — even with their care providers. “Unfortunately, this reluctance to talk about sex is putting newly single seniors at risk for sexually transmitted infections,” says Laurie Archbald-Pannone, MD, a geriatrician with UVA Health. As a geriatrician, she specializes in primary care for older adults.

One analysis showed that in adults over age 60, diagnosis rates for STDs (also known as sexually transmitted infections or STIs) increased 23% in 3 years.

That’s more than double the increase seen in the rest of the population, which saw a rise of just 11% in diagnoses of STDs. The main STDS are gonorrhea, chlamydia, and herpes simplex.

Why the STD Boom Among Boomers?

The rise is likely due to “a lack of awareness among this age group about STI prevalence and prevention,” says Archbald-Pannone.

“A common scenario is when someone older in life suddenly rejoins the dating scene after a decades-long monogamous relationship. This person may not have a history of STI education, so may not be aware of appropriate prevention or STI signs and symptoms,” she says.

With increased availability of medications for menopausal symptoms and erectile dysfunction, sex after 60 is more common. But older adults are also more susceptible to infections due to age-related changes in immune function. For women, postmenopausal vaginal dryness can increase the risk for tears in the vaginal wall, which can accelerate the spread of infection.

Let’s Talk About Sex After 60

Unfortunately, says Archbald-Pannone, many clinicians are missing an opportunity to educate this population about STD prevention, including the use of condoms and the importance of screening.

“In terms of sexual health, we as providers readily talk about STI prevention with younger patients,” she says. “Among older adults, however, studies show clinicians are not having the same conversations. Often it’s because the provider is uncomfortable bringing up the topic. At any age, it’s difficult to discuss sensitive topics. But, as providers, we can have a big impact by talking to our patients about sexual practices, sexual health and STI prevention.

“We have to make sure that, as clinicians, we’re well educated on these topics so we can be a resource for our patients,” adds Archbald-Pannone. “We also have to create a judgment-free, open environment so patients feel comfortable having those conversations.”

4 Tips for STD Prevention

For anyone entering a sexual relationship, Archbald-Pannone has the following advice:

Talk to Your Partner

Be aware of your partner’s sexual history and STD risk factors before being intimate.

Use Protection

Condoms or other barrier methods used during intercourse prevent infections.

Looking for Senior Healthcare?

UVA Health geriatricians are experts in senior care.

Get Screened & Encourage Partners to Do the Same

If you are sexually active — either with a new partner, with several partners, or if your partner has recently had sex with others — you should have an annual STD screening. There is no age cutoff for screening.

Know STD Symptoms

If you’re having sex after 60 or any age, educate yourself on the signs and symptoms of gonorrhea, chlamydia, and herpes simplex. Some of the most common include:

  • Bumps, sores, or lesions around the genitals
  • Discharge from the penis or vagina
  • Painful urination

Get Treated

If you experience any unusual symptoms after engaging in sexual intercourse, don’t delay treatment. The condition can get worse.

Be sure to discuss your diagnosis with your partner so that they can get treatment as well.

Talk to Your Doctor

Your sexual health is an important part of your overall well-being. So don’t hesitate to discuss your questions and concerns with a clinician. Make your doctor aware of changes in your sexual practices to ensure you’re making safe choices when having sex after 60 or any age.

Complete Article HERE!

Common Questions About Condoms

— Yes, there is a condom that will fit

Condoms are often part of safe sex and contraception discussions because, when used correctly, they’re effective for birth control and sexually transmitted infection (STI) prevention.

But there’s quite a bit of confusion out there about condoms. Do they truly protect against herpes? Are two condoms better than one? Are some penises really “too big” for every condom out there? Physician assistant and sexual health expert Evan Cottrill, PA-C, AAHIVS, HIVPCP, helps clear up common myths about condoms.

What are the types of condoms?

First, some basics. What are the different types of condoms? There are two main types:

  • External condoms are worn over the penis to collect ejaculation fluids.
  • Internal condoms are worn inside the body to act as a barrier and keep ejaculation fluids from entering someone’s body.

There are also dental dams, which act as a barrier during oral sex of any kind.

All types of condoms reduce the risk of transmitting STIs through bodily fluids. Condoms also prevent pregnancy by keeping semen from entering the vagina. There are many other methods of birth control to prevent pregnancy, but a condom can also protect you from STIs. This is also true if you’re having anal sex.

Below, Cottrill walks us through nine facts about condoms and debunks some popular myths along the way.

Are lambskin condoms different from latex condoms?

Condoms made from latex, polyurethane and other synthetic materials can protect you from STIs. But lamb cecum condoms, also called natural membrane or lambskin condoms, can allow viruses to pass through.

If you’re only concerned about preventing pregnancy, lambskin condoms are fine. But if you want protection from STIs, use a latex or polyurethane condom.

Are some people too big for condoms?

If someone has ever told you, Condoms don’t fit me, don’t buy it — this is a myth.

“Anatomic size varies, of course,” says Cottrill. “But there is a condom that can fit every person.”

Most penises don’t require a special condom size. But if needed, there are larger — and smaller — condom sizes available. If you can’t find the right fit at your local grocery store, try searching for them online.

Do condoms protect against herpes?

“Yes, when you use condoms consistently and correctly, they do protect against herpes,” says Cottrill.

The myth that condoms don’t protect against herpes probably came from people who weren’t using them correctly or weren’t using them enough. Herpes is a lifelong condition that spreads through close contact with someone who’s had the infection — even when they’re not having an outbreak and show no signs or symptoms of infection. Herpes can also spread through oral sex and by sharing sex toys, which means it’s important to use a dental dam or condom when participating in these activities.

“You need to use condoms for all types of sex, including oral sex, to prevent the spread of herpes,” states Cottrill.

Do condoms protect against HIV?

“Condoms most definitely reduce the risk of transmitting HIV,” says Cottrill.

However, when it comes to protecting against the spread of viral STIs, such as HIV, hepatitis C and herpes simplex virus (HSV), the condom material matters. For the best protection, avoid lambskin condoms and use latex or polyurethane instead.

Do condoms protect against HPV?

Yes, condoms protect against human papillomavirus (HPV) infection.

“Condoms are effective against any STI, whether bacterial or viral,” notes Cottrill. He again emphasizes that latex and polyurethane condoms — not lambskin — are your best protection.

Is it bad to keep a condom in your wallet?

“This is a very popular question,” says Cottrill. “I do not recommend keeping condoms in your wallet because heat lowers the quality of the material over time. Plus, the packaging can get torn or opened.”

It’s also not a good idea to keep condoms in your car, which can get very hot in the sun. It’s best to store condoms in a cool place where the package won’t get crushed, folded or punctured.

Should you use two condoms?

It might seem logical that two condoms would be better than one — twice the protection or something like that, right? But it’s actually the opposite.

“Do not use two condoms at the same time,” says Cottrill.

Friction during sex can weaken the condoms as they slide against each other, leading to breakage. You also don’t want to wear external condoms while your partner wears an internal condom for the same reasons. Using one condom at a time is most effective.

Can you use any lube with condoms?

Choosing the right lubricant depends partly on the type of condom you’re using. If you’re using latex, stick with silicone or water-based lubricants. Don’t use oil-based substances such as petroleum jelly (Vaseline®), lotion, massage oil or coconut oil, as these can weaken the latex and lead to tears.

But you can use oil-based lubricants with condoms made of polyurethane or other synthetic materials, as these won’t break down so easily.

Do condom expiration dates matter?

Yes, condoms expire, and it’s important to look at those dates.

“It’s best not to use a condom that’s past the date printed on the package or over five years old,” cautions Cottrill.

The condom material breaks down over time, so an older condom is more likely to tear during sex.

Tips for choosing and using condoms

When choosing a condom, consider:

  • Size: Regular-sized external condoms work just fine for most people. But you can find other sizes available, if necessary, typically right on the shelf at your local drugstore or online.
  • Material: Lambskin condoms work for avoiding pregnancy but aren’t great for STI protection. Latex and polyurethane condoms are best if you want to prevent the spread of STIs.
  • Allergies: Some people are allergic to latex. If that’s you or your partner, use condoms made of polyurethane or another synthetic material.

No matter what type of condom you’re choosing, use a new condom every time and follow the directions on the package to minimize the risk of slippage, leakage or breakage. If your condom does tear or break while you’re having sex, stop immediately and replace it with a new condom. If you’re concerned about possible pregnancy or STIs, make an appointment with a healthcare provider.

If you’ve tossed the box and need a refresher on how to properly use external condoms, the Centers for Disease Control and Prevention (CDC) has a handy guide for using external condoms.

Complete Article HERE!

Can You Get An STI From Anal Sex?

That itch in your butt? It may not just be a harmless rash.

By Isadora Baum

[W]hen you think of sexually transmitted infections, symptoms like vaginal itching and pelvic pain probably come to mind. But the same STIs that threaten your health down below can infect other body areas. They’re typically transmitted through oral sex or anal sex, but some can be picked up after direct skin contact.

The scary thing about getting an STI in another part of your body is that you’re less likely to recognize signs, so you don’t seek the right treatment—and the infection potentially gets worse. Here are four body areas that can play host to an STI, plus the symptoms to look for.

On your face

You already know that genital herpes can spread to your lips if you have oral sex with someone who has this STI. What you may not know is that the same type of herpes that shows up below the belt can infect other parts of your face, such as around your mouth, Amesh Adalja, MD, an infectious disease physician and senior scholar at Johns Hopkins Center for Health Security, tells Health. Herpes can also appear on your tongue or nose.

How do you know if a sore on your face is herpes? Early signs are the same as genital herpes: tingling and itching, and then as the sore develops, it blisters and scabs over. If you’re unsure, check in with a dermatologist. You can treat herpes with over-the-counter cold sore remedies; your doctor can also prescribe antiviral meds that cut the duration of an outbreak.

In your butt

Yep, we have to go there. Chlamydia, gonorrhea, and syphilis can be transmitted to the rectum if you have anal sex with an infected partner, Karen Brodman, MD, a gynecologist in New York City, tells Health. Your risk of one of these backdoor STIs increases if you develop small tears or nicks in the thin skin of the anus, through which the bacteria can get into your system.

STIs transmitted through skin contact, such as genital herpes or HPV, can develop in or outside the anus and rectum, says Dr. Brodman. Herpes may also show up as sores on the skin of the buttocks. And of course, HIV is spread via anal sex, as are blood-borne viruses such as hepatitis B and C.

Signs of an STI in your behind include rectal burning, unusual discharge, bleeding, pain, or a fissure, says Dr. Brodman. You might also notice blisters or achiness in the groin, she adds. If any of these develop, let your doctor know. And don’t be embarrassed—she’s seen it all before.

In your eyes

STIs that trigger eye infections include herpes, gonorrhea, chlamydia, and syphilis, says Dr. Adalja. The signs of many of these conditions mimic pink eye: think pain, swelling, redness, and discharge.

An eye herpes infection, however, can present differently. If the herpes virus is in your eye, it may result in an outbreak of one or more lesions on the eyelids or even the cornea, triggering pain and sensitivity that could jeopardize your vision by causing scarring. If you have any symptoms, see your ophthalmologist promptly, says Dr. Adalja.

In your throat

STI infections in the soft, moist tissues of the back of the mouth and throat are more prevalent than you might think. Chlamydia and gonorrhea (including the drug-resistant strain known as “super gonorrhea”) can set up shop here if a person contracts either of these infections during oral sex. Scarily, you may not even know it; sometimes the only symptom is a sore throat, according to the Centers for Disease Control.

HPV is another infection that invades the throat—and it’s thought to be behind the recent rise in cases of head and neck cancers, especially among men. While there are more than 100 types of HPV, the type that causes many cases of cervical cancer, HPV 16, is also responsible for most head and neck cancers. Though HPV of the throat is becoming more common, a 2017 study emphasizes that the overall lifetime odds of cancer is low. Still, if you think you might be at risk, talk to your doctor.

Complete Article HERE!

Here’s what happens when you get an STI test — and if it comes back positive

By Erin Van Der Meer

[I]f you’ve never had an STI test, you’re probably imagining it’s a horrendously awkward experience where a mean, judgmental doctor pokes around your nether regions.

But like getting a needle or going to your first workout in a while, it’s one of those things that seems much worse in your mind than it is in reality.

For starters, often you don’t even have to pull down your pants.

“If someone comes in for a routine test for sexually transmissible infections (STIs) and they don’t have any symptoms, they usually don’t need a genital examination,” Dr Vincent Cornelisse, a spokesperson for the Royal Australian College of General Practitioners, told Coach.

“The tests that are ordered will depend on that person’s risk of STIs – some people only need a urine test, some need a self-collected anal or vaginal swab, and some people need a blood test.

“We aim to make this process as hassle-free as possible, in order to encourage people to have ongoing regular testing for STIs.”

Cornelisse says the embarrassment and stigma that some of us still feel about getting an STI test is unnecessary.

“STIs have been around for as long as people have been having sex, so getting an STI is nothing to be ashamed about, it’s a normal part of being human.

“Getting an STI test is an important part of maintaining good health for anyone who is sexually active.”

If you’re yet to have an STI test or it’s been a long time, here’s what you need to know.

How often do you need an STI test?

On average it’s good to get an STI test once a year, but some people should go more often.

“Some people are more affectionate than others, so some need to test every three months – obviously, if someone has symptoms that suggest that they may have an STI, then a physical examination is an important part of their assessment.”

As a general rule, people under 30, men who have sex with men, and people who frequently have new sexual partners should go more often.

To get an STI test ask your GP, or find a sexual health clinic in your area – the Family Planning Alliance Australia website can help you locate one.

What happens at the test?

As Cornelisse mentioned, the doctor will ask you some questions to determine which tests you need, whether it’s a urine test, blood test or genital inspection.

You’ll be asked questions about your sexual orientation, the number of sexual partners you’ve had, your sexual practices (like whether you’ve had unprotected sex), whether you have any symptoms, whether you have injected drugs, and whether you have any tattoos or body piercings.

Your results will be sent away and returned in about one week.

What if you test positive?

There’s no reason to panic if your results show you have an STI – if anything, you should feel relieved, Cornelisse says.

“If you hadn’t had the test, you wouldn’t have realised you had an STI and you wouldn’t have had the opportunity to treat it.

“Most STIs are easily treatable, and the other ones can be managed very well with modern medicine. So don’t feel shame, feel proud – you’re adulting!”

You’ll need to tell your recent sexual partners. While it might be a little awkward, they’ll ultimately appreciate you showing that you care about them.

“People often stress about this, but in my experience people appreciate it if their sexual partner has bothered to tell them about an STI – it shows them that you respect them,” Cornelisse says.

“Also, if this is a sexual partner who you’re likely to have sex with again, not telling them means that you’re likely to get the same STI again.”

The risks of leaving an STI untreated

You can probably think of 400 things you’d rather do than go for an STI test, but the earlier a sexually transmitted infection is caught, the better.

A recent spate of “super-gonorrhea” – a strain of the disease resistant to normal antibiotics –can result in fertility problems, but people who contract it show no symptoms, meaning getting tested is the only way to know you have it, and treat it.

“Untreated STIs can cause many serious problems,” Cornelisse warns.

“For women, untreated chlamydia can cause pelvic scarring, resulting in infertility and chronic pelvic pain.

“Syphilis is making a comeback, and if left untreated can cause many different problems, including damage to the brain, eyes and heart.

“If HIV is left untreated it will result in damage to the immune system — resulting in life-threatening infections and cancers — which is called AIDS.”

There is a long-term treatment for AIDS, but this depends on it being caught early.

“People living with HIV now can live a healthy life and live about as long as people without HIV, but the chance of living a healthy life with HIV depends on having the HIV diagnosed early and starting treatment early.

“Which it’s why it’s so important to be tested regularly, particularly as many STIs often don’t cause symptoms, so you won’t know you have one.”

Looking at the big picture, if you have an undiagnosed and untreated STI, you could give it to your sexual partners, who pass it onto theirs, which is how you got it.

“Getting a regular STI test is not only important for your own health, it also makes you a responsible sexual partner,” Cornelisse says.

“I encourage people to discuss STI testing with their sexual partners. If your sexual partners are also getting tested regularly, it reduces your risk of getting an STI.”

Complete Article HERE!

How a Cervical Cancer Scare Made Me Take My Sexual Health More Seriously Than Ever

My doctor’s advice on how to not get HPV again threw me for a loop.

By Rachel Bowyer

[B]efore I had an abnormal Pap smear five years ago, I didn’t even really know what that meant. I’d been going to the gyno since I was a teenager, but I never once really thought about what a Pap smear was actually testing for. I just knew I’d have a “twinge” of discomfort, as my doc always says, and then it would be over. But when my doctor called me to tell me I needed to come back in for more testing, I was pretty concerned. (Here, find more on how to decipher your abnormal Pap smear results.)

She assured me that abnormal Paps are actually quite normal, especially for women in their 20s. Why? Well, the more sexual partners you have, the more likely you are to get human papillomavirus (HPV), which is what generally causes the abnormal results. I quickly found out that it was the cause of mine, too. Most of the time, HPV resolves on its own, but in some cases, it can escalate into cervical cancer. What I didn’t know at the time is that there are several steps between testing positive for HPV and actually having cervical cancer. After having a couple of colposcopies, procedures where a tiny bit of tissue is removed from your cervix for closer examination (yes, it’s as uncomfortable as it sounds), we discovered that I had what’s known as high-grade squamous intraepithelial lesions. That’s just a technical way of saying that the HPV I had was more advanced and more likely to turn into cancer than other kinds. I was scared, and I got even more scared when I found out I had to have a procedure to remove the tissue on my cervix that was affected, and that it needed to be done ASAP—before it got worse. (According to new research, cervical cancer is deadlier than previously thought.)

Within two weeks of finding out about my abnormal Pap, I had something called a loop extrosurgical excision procedure, or LEEP for short. It involves using a very thin wire with an electrical current to cut away precancerous tissue from the cervix. Normally, this can be done with local anesthesia, but after an attempt that went awry (apparently, local anesthetic isn’t as effective for everyone as it’s supposed to be, and I found that out the hard way…), I had to make a second trip to the hospital to have it done. This time, I was sedated. After six weeks, I was declared healthy and ready to go, and told I needed to have a Pap smear every three months for the next year. Then, I’d go back to having them once yearly. Let’s just say I’m not a great patient, so after all was said and done I knew I never wanted to have to go through this process again. Since there are over 100 strains of HPV, I knew it was a real possibility that I could contract it again. Only a small number of the strains cause cancer, but at that point, I really didn’t want to take any chances.

When I asked my doctor how to prevent this situation from happening again, her advice really surprised me. “Become monogamous,” she said. “That’s my only option?” I thought. I was dealing with the perils of the New York City dating scene at the time, and at that point couldn’t even imagine meeting someone I’d want to go on more than five dates with, let alone finding my mate for life. I had always been under the impression that as long as I was *safe* about sex, opting not to settle down wouldn’t be detrimental to my health. I almost always used condoms and got tested for STIs regularly.

Turns out, even if you use a condom every single time you have sex, you can still get HPV because condoms don’t offer complete protection against it. Even when used correctly, you can still have skin-to-skin contact when using a condom, which is how HPV is passed from one person to another. Pretty crazy, right? I didn’t think there was anything wrong with not wanting to be monogamous (and still don’t), so it was hard to grasp the fact that my ideological stance on sex was directly opposed to what was best for my sexual health. Was my only option truly to settle down at 23 and decide to only have sex with one person for the rest of my life? I wasn’t ready for that.

But according to my doctor, the answer was essentially, yes. To me, this seemed extreme. She repeated to me that the fewer partners you have, the lower your risk of contracting HPV. Of course, she was right. Though you can still get HPV from a long-term partner that could take years to show up, once your body clears whatever strains they have, you won’t be able to get it from them again. As long as you and your partner are only having sex with each other, you’re good to go in terms of re-infection. At the time, I was pretty taken aback by the fact that the best thing I could do to protect my sexual health was basically to not have sex until I found “the one.” What if I never found that person? Should I just be celibate forever!? For the next couple of years every time I even thought about having sex with someone, I had to ask myself, “Is this really worth it?” Talk about a mood killer. (FYI, these STIs are much harder to get rid of than they used to be.)

Truthfully, it didn’t turn out to be such a bad thing. Whenever I decided to have sex with someone in the years after that, not only did I follow safe-sex practices to the letter, but I also knew that I had strong enough feelings about the other person for it to be worth the risk I was facing. Basically, that meant I was genuinely emotionally invested in every person I slept with. While some would say that’s how it should be all the time, I don’t really subscribe to that school of thought—in principle. In practice, however, I did save myself a ton of heartache. Since I had fewer partners who I got to know better, I dealt with less post-sex ghosting. Some people might not mind that, but even when I wasn’t super-invested in someone, the ghosting part almost always sucked.

Now, five years later, I happen to be in a long-term monogamous relationship. While I can’t say that it happened directly because of my experience or my doctor’s advice, it’s certainly a relief when what your heart wants and what’s best for your health happen to match up. And not having to constantly worry about HPV the way I once did? Love.

Complete Article HERE!

Don’t Be Afraid of Your Vagina

By Nell Frizzel

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Lying across a turquoise rubber plinth, my legs in stirrups, a large blue sheet of paper draped across my pubes (for “modesty”), a doctor slowly pushes a clear plastic duck puppet up my vagina and, precisely at that moment, Total Eclipse of the Heart comes on over the radio and it’s hard not to love the genitourinary medicine, or GUM, clinic.

I mean that most sincerely: I love the GUM clinic. It is wonderful beyond orgasm that in the UK anyone can walk into a sexual health clinic—without registering with a doctor, without an appointment, without any money, without a chaperone—and get seen within a few hours at most. It brings me to the point of climax just thinking about the doctors and health professionals who dedicate their life to the nation’s ovaries, cervixes, vaginas, and wombs.

And yet, not all women are apparently so comfortable discussing their clitoral hall of fame with a doctor. According to a recent report commissioned by Ovarian Cancer Action, almost half of the women surveyed between the ages of 18 and 24 said they feared “intimate examinations,” while 44 percent are too embarrassed to talk about sexual health issues with a GP. What’s more, two thirds of those women said they would be afraid to say the word “vagina” in front of their doctor. Their doctor. That is desperately, disappointingly, dangerously sad.

In 2001, I went to see a sexual health nurse called Ms. Cuthbert who kindly, patiently and sympathetically explained to me that I wasn’t pregnant—in fact could not be pregnant—I was just doing my A-Levels. The reason I was feeling sick, light-headed, and had vaginal discharge that looked like a smear of cream cheese was because I was stressed about my simultaneous equations and whether I could remember the order of British prime ministers between 1902 to 1924. My body was simply doing its best to deal with an overload of adrenaline.

Back then, my GUM clinic was in a small health center opposite a deli that would sell Czechoslovakian beer to anyone old enough to stand unaided, and a nail bar that smelled of fast food. I have never felt more grown up than when I first walked out of that building, holding a striped paper bag of free condoms and enough packets of Microgynon to give a fish tits. My blood pressure, cervix, heartrate, and emotional landscape had all been gently and unobtrusively checked over by my new friend Ms. Cuthbert. I had been given the time and space to discuss my hopes and anxieties and was ready to launch myself, legs akimbo, into a world of love and lust—all without handing over a penny, having to tell my parents, pretending that I was married or worry that I was being judged.

My local sexual health clinic today is, if anything, even more wonderful. In a neighborhood as scratched, scored, and ripped apart by the twin fiends of poverty and gentrification as Hackney, the GUM clinic is the last great social leveler. It is one of our last few collective spaces. Sitting in reception, staring at the enormous pictures of sand dunes and tree canopies it is clear that, for once, we’re all in this together. The man in a blue plastic moulded chair wishing his mum a happy birthday on the phone, the two girls in perfect parallel torn jeans scrolling through WhatsApp, the guy with the Nike logo tattoo on his neck getting a glass of water for his girlfriend, the red-headed hipster in Birkenstocks reading about witchcraft in the waiting room, the mother and daughter with matching vacuum-sized plastic handbags talking about sofas, the fake flowers, Magic FM playing on the wall-mounted TV, the little kids running around trying to say hello to everyone while the rest of us desperately avoided eye contact—the whole gang was there. And that’s the point: you may be a working mum, you may be a teenager, you may be a social media intern at a digital startup, you may be a primary school teacher, you may be married, single, a sex worker, unemployed, wealthy, religious, terrified, or defiant but whatever your background, wherever you’ve come from and whoever you slept with last night, you’ll end up down at the GUM clinic.

Which is why it seems such a vulvic shame that so many women feel scared to discuss their own bodies with the person most dedicated to making sure that body is OK. “No doctor will judge you when you say you have had multiple sexual partners, or for anything that comes up in your sexual history,” Dr. Tracie Miles, the President of the National Forum of Gynecological Oncology Nurses tells me on the phone. “We don’t judge—we’re real human beings ourselves. If we hadn’t done it we probably wish we had and if we have done it then we will probably be celebrating that you have too.”

Doctors are not horrified by women who have sex. Doctors are not grossed out by vaginas. So to shy away from discussing discharge, pain after sex, bloating, a change in color, odor, itching, and bleeding not only renders the doctor patient conversation unhelpful, it also puts doctors at a disadvantage, hinders them from being able to do their job properly, saves nobody’s blushes and could result in putting you and your body at risk.

According to The Eve Appeal—a women’s cancer charity that is campaigning this September to fight the stigma around women’s health, one in five women associate gynecological cancer with promiscuity. That means one in five, somewhere in a damp and dusty corner of their minds, are worried that a doctor will open up her legs, look up at her cervix and think “well you deserve this, you slut.” Which is awful, because they won’t. They never, ever would. Not just because they’re doctors and therefore have spent several years training to view the human body with a mix of human sympathy and professional dispassion, but more importantly, because being promiscuous doesn’t give you cancer.

“There is no causal link between promiscuity and cancer,” says Dr. Miles. “The only sexually transmitted disease is the fear and embarrassment of talking about sex; that’s what can stop us going. If you go to your GP and get checked out, then you’re fine. And you don’t have to know all the anatomical words—if you talk about a wee hole, a bum hole, the hole where you put your Tampax, then that is absolutely fine too.”

Although there is some evidence of a causal link between certain gynecological cancers and High Risk Human Papilloma Virus (HRHPV), that particular virus is so common that, ‘it can be considered a normal consequence of sexual activity’ according to The Eve Appeal. Eighty percent of us will pick up some form of the HPV virus in our lifetime, even if we stick with a single, trustworthy, matching-socks-and-vest-takes-out-the-garbage-talks-to-your-mother-on-the-phone-can’t-find-your-clitoris partner your entire life. In short, HRHPV may lead to cancer, but having different sexual partners doesn’t. Of course, unprotected sex can lead to an orgy of other sexually transmitted infections, not to mention the occasional baby, but promiscuity and safe sex are not mutually exclusive. And medical professionals are unlikely to be shocked by either.

We are incredibly lucky in the UK that any woman can stroll into a sexual health clinic, throw her legs open like a cowboy and receive some of the best medical care the world has ever known. We can Wikipedia diagrams of our vaginas to learn the difference between our frenulum and prepuce (look it up, gals). We can receive free condoms any day of the (working week) from our doctor or friendly neighborhood GUM clinic. We can YouTube how to perform a self-examination, learn to spot the symptoms of STIs, read online accounts by women with various health conditions, and choose from a military-grade arsenal of different contraception methods, entirely free.

A third of women surveyed by The Eve Appeal said that they would feel more comfortable discussing their vaginas and wombs if the stigma around gynecological health and sex was reduced. But a large part of removing that stigma is up to us. We have to own that conversation and use it to our advantage. We need to bite the bullet and start talking about our pudenda. We have to learn to value and accept our genitals as much as any other part of our miraculous, hilarious bodies.

So come on, don’t be a cunt. Open up about your vagina.

Complete Article HERE!

HPV, WTF?

Here’s an exchange I had with a fellow named Angel. He writes:

I have a friend that has HPV. We spoke about being together but I’m nervous about this because I don’t know enough about HPV. Like how safe would I be if we were to mess around and or have sex? I wait to here back from you. Thank you for your time.

Here’s what I know, Angel…

  • HPV (human papillomavirus) is a common virus that infects the skin and mucous membranes.
  • There are about 100 types of HPV. Approximately 30 of those are spread through genital contact (typically fucking). Around 12 of these types are called “low-risk” types of HPV, which can cause genital warts.
  • In addition, there are approximately 15 “high-risk” types of HPV that can cause cervical cancer.
  • It is estimated that 80 percent of all women – and 50 percent of men and women combined – will get one or more types of “genital” HPV at some point in their lives.

As you can see, this is a very widespread virus. However, it’s relatively easy to protect yourself. Use a condom. You were gonna do that anyway, right?stis-1

And, as you probably know, there is a human papillomavirus vaccine is used to prevent infection by HPV strains 16 and 18, which causes most cancers of the cervix, as well as some cancers of the vulva, vagina and penis. Infection with HPV strain 16 also causes most anal cancers and some throat cancers.

This vaccine, given to young men and women ages 9 through 26, prevents pre-cancerous changes that may become cancer. HPV vaccination is currently recommended by the Centers for Disease Control and Prevention for all boys and girls ages 11 or 12, and for men and women ages 13 through 26 who have not already received the vaccine or have not completed booster shots.

Depending on the specific vaccine used, it may also prevent genital warts caused by other strains of HPV. This vaccine will not cure an HPV infection that is already present, and does not prevent other sexually transmitted diseases.

condom_STI_titlesThe HPV vaccine is given as a series of three injections into the muscle in the upper arm or thigh. The first shot may be given any time beginning at 9 years of age. The second dose is given 2 months after the first shot, and the third dose is given 6 months after the first shot. The protective effects of the vaccine last for approximately 5 years. Whether or not a booster is needed after five years is not yet known.

Angel writes back with:

Yes ok then sorry I just figured it’s easier to be safe and just not go there. We are really good friends and don’t want to wreck that by worrying about what I may, or may not catch. He doesn’t want me to use condoms for oral sex.

I don’t suppose you happen to know what kind of HPV this person has, do you? That makes a big difference, ya know.

Many people are unclear on the risks associated with oral sex and HPV. It can be passed during oral sex, but it is rare. To reduce the risk of infection during unprotected oral sex, limit exposure to sexual fluids and ensure that no cuts or lesions are present in your mouth or on your partner’s genitals. But, in the end, your safest bet is use a condom. If he doesn’t want you to use a condom, tell him to such his own dick.

Good luck