What Is Sexual Performance Anxiety?

BY Carley Millhone

Sexual performance anxiety is a form of performance anxiety that causes intense fear or worry before or during sex. Many people feel nervous before having sex. However, if you feel so anxious about sexual expectations or body image that you can’t perform sexually, you may have sexual performance anxiety.1

Sexual performance anxiety can affect anyone, but it is more common in people in males. Eventually, sex-related anxiety can make it impossible to have sex with your partner and may eventually strain your relationship. Sexual performance anxiety can also lead to other sexual disorders, like erectile dysfunction.1

Fortunately, there are a few ways to address and get past sexual performance anxiety.

Like other forms of performance anxiety, sexual performance anxiety can affect you mentally and physically. People with sexual performance anxiety are so overwhelmed by sex-related worries, negative thoughts, or fears that they have trouble engaging in sexual activity. These negative thoughts or fears may happen before or during sex.1

As a result, you may be unable to maintain an erection, climax, or ejaculate. You can completely lose your desire to have sex. You may also experience physical symptoms of anxiety, like increased heart rate, upset stomach, and shaking.2

Sexual performance anxiety symptoms commonly found in males include:2

Symptoms of sexual performance anxiety in females may include:2

People can have different fears, experiences, and worries that can affect sexual performance. Potential causes of sexual performance anxiety include:13

  • Feeling worried about your partner’s sexual expectations or satisfaction
  • Feeling concerned about how masculine or feminine you come across during sex
  • Lacking self-esteem or having a negative body image
  • Being physically or emotionally unattracted to your partner
  • Feeling anxious about past negative sexual experiences
  • Feeling fear or anxiety related to sexual trauma

How exactly do stressful and anxious thoughts affect sexual performance? When you become stressed or anxious, your body kicks off its stress response by producing more of the stress hormone cortisol. When cortisol levels rise, levels of the sex hormone testosterone drop—decreasing your sex drive, or libido. In males, low testosterone is also linked to erectile dysfunction.4

People with substance use disorders, anxiety, and depression may also experience sexual dysfunction and disinterest that can lead to sexual performance anxiety. Medications used to treat anxiety and depression can also negatively affect libido and sexual performance.5

Lack of sex due to sexual performance anxiety can harm romantic relationships. Studies show couples who engage in higher rates of sexual activity build greater intimacy and have a lower divorce rate.6< Being unable to have sex or enjoy sex can make partners feel less connected and intimate. As a result, your partner may feel like you are avoiding intimacy because you do not desire or care for them. People with sexual performance anxiety may also start to feel cautious of their partners, which disrupts trust and intimacy.3< Identifying your triggers and finding ways to destress can often help you learn how to manage the negative thoughts and feelings affecting your sex life. Coping strategies include:2

  • Mindfulness meditation to better understand your thoughts and desires related to sex7
  • Yoga to help manage stress and improve the mind-body relationship as it relates to sex, which can also help manage premature ejaculation8
  • Masturbating to learn more about what you enjoy and feel during sex
  • Seeing a sex therapist to identify thoughts or feelings that lead to sexual performance anxiety.

Talking with your partner can also help you cope with sexual performance anxiety. Open communication can help partners better understand your feelings and struggles related to sex. Your partner may also offer valuable insight into the false, preconceived thoughts that prevent you from performing sexually—like your body image or performance concerns.2< Accepting sex isn’t perfect or spending more time focusing on foreplay can also help improve intimacy. Other ways you can help build intimacy without sex include:9

  • Cuddling
  • Kissing
  • Hugging
  • Holding hands
  • Spending quality time together

Reach out to a healthcare provider if your anxieties around sexual performance and dysfunction are affecting your relationships and quality of life. They can refer you to a licensed sex therapist, psychologist, or psychiatrist for therapy services. You may also be able to contact these mental health professionals directly.

Some symptoms of sexual performance anxiety may also point to an underlying sexual dysfunction disorder.1 If you’re unable to perform sexually for a few months, see a healthcare provider to make sure you don’t have an underlying condition.

Sexual dysfunction symptoms that warrant a visit to your primary care provider, urologist, gynecologist, or OB-GYN include:1011

  • Premature ejaculation
  • Delayed ejaculation
  • Erectile dysfunction
  • Reduced or no interest in sex
  • Vaginal dryness
  • Pain during sex
  • Inability to orgasm

Sexual performance anxiety treatment often depends on the cause, and research on the overall success of these treatments is limited. However, treatment typically involves a combination of therapy and medication.2

Cognitive Behavioral Therapy (CBT)

Talking out your feelings with a therapist is a common approach to treating sexual performance anxiety. Cognitive behavioral therapy (CBT) is a common talk therapy used to treat performance anxiety.12

CBT helps people learn to reframe negative thoughts around sex that make it difficult or impossible to perform. This helps build awareness of triggers while learning to actively dismantle and redirect them.2

Mindfulness sex therapy can also help people with sexual performance anxiety learn to understand their bodily sensations and become aware of how they react to sex. This type of therapy often incorporates CBT practices.2

Couples Therapy

Couples therapy helps people with sexual performance anxiety communicate their feelings with their partner and explore feelings that may affect sexual performance. This therapy focuses on the couple as a whole, not just the partner with sexual performance anxiety.2

This approach can help remove shame, fear, and miscommunication between couples. Couples therapy helps create an open dialogue related to sources of emotional distress or negativity while creating active solutions to solve them.2

Medication

Erective dysfunction medications like Viagra (sildenafil) and Cialis (tadalafil) may help males with sexual performance anxiety who are unable to maintain an erection. These medications increase blood flow to the penis to help keep an erection.13

Limited research shows anxiety medications like BuSpar (buspirone) and antidepressants like Wellbutrin (bupropion) and Desyrel (trazodone) can help reduce sexual performance anxiety. Unlike some anxiety drugs that decrease sexual function, these medications can affect brain chemistry in a way that may improve sexual arousal and sex drive.7

Sexual performance anxiety affects sexual performance before or during sex. If you have this type of performance anxiety, you may be unable to have sex, become aroused, or climax. Males with sexual performance anxiety often have issues with erectile dysfunction.

If you or your partner is experiencing sexual performance anxiety, having open communication and seeing a healthcare provider, like a licensed sex therapist, can help. Cognitive behavioral therapy, couples therapy, or medication may also help.

Complete Article HERE!

PrEP: What is the HIV prevention drug and how effective is it?

— PrEP has been hailed by sexual health experts as crucial in bringing the HIV epidemic to an end, but studies show that only 20 per cent of the British public even know it exists.

BY CONOR CLARK

Taking PrEP (pre-exposure prophylaxis) is one of the most effective ways to reduce the risk of getting HIV, but knowledge about it among the British public remains scarce. In fact, just 20 per cent of people in the UK know it exists, according to research conducted by YouGov on behalf of Terrence Higgins Trust, the country’s leading sexual health charity. A staggering 77 per cent were also unaware that England can end new cases of HIV by 2030, which sexual health experts have said PrEP is key to making a reality. So, what is the drug, how effective is it at preventing HIV and where can you get it?

What is PrEP?

PrEP (sometimes known as Truvada) is a medicine that drastically reduces the risk of getting HIV from sex or injection drug use when taken effectively. It typically comes in the form of a tablet containing tenofovir disoproxil and emtricitabine, both of which are used to treat HIV. Once there’s enough of the drug inside you, it works by blocking HIV from getting into the body and replicating itself.

Long-acting injectable PrEP also exists and has been approved by the Food and Drug Administration (FDA) in the US, though is not yet available in the UK. It can also exist as a vaginal ring, though this is also not yet available in the UK.

PrEP does not protect you against any other sexually transmitted infections (STIs).

How effective is it at preventing HIV?

When taken effectively, PrEP reduces the risk of getting HIV from sex by 99 per cent. When taking it daily, PrEP needs to be taken for seven days until it becomes fully effective.

The PrEP Impact Trial, which involved more than 24,000 participants across 157 sexual health services from October 2017 to July 2020, proved the real-world effectiveness of the drug and concluded that it should be used more widely to prevent the spread of HIV. John Stewart, National Director for Specialised Commissioning at NHS England and co-Chair of the PrEP Impact Trial Oversight Board, said: “Not only did the trial directly prevent many cases of HIV, help normalise the use of PrEP, remove stigma and pave the way for a routinely commissioned clinically and cost-effective PrEP service; but it also made a very real contribution towards our goal of ending new cases of HIV by 2030.”

How often should I take it?

Most people take it orally in the form of a tablet, either regularly (one a day) or ‘event-based’ (two tablets two to 24 hours before sex, then one 24 hours after sex and a further one 48 hours after).

Those who were assigned female at birth and trans people using hormone treatment are recommended to take PrEP daily due to the lack of data available in supporting other dosing options. More information about this is available here.

Do I still need to test for HIV if I’m on PrEP?

The short answer is yes. Sam, a doctor at the Dean Street sexual health clinics in London, which are world-famous for their services to LGBTQIA+ people, said: “PrEP is the most effective way of protecting yourself from HIV. However, mistakes can happen with taking your PrEP, so we still advise testing every three to four months for HIV and all the other STIs.”

Kidney tests are done before you begin taking PrEP and continue routinely while you are on it. This is because it can sometimes affect your kidneys, though this is incredibly rare and typically only happens in those aged 50 and older or those who already have kidney problems.

Are there any side effects?

Not everyone gets side effects from PrEP and those who do usually see them go away after the first few weeks of taking it. “This is one of the number one reasons for people not wanting to take PrEP, but actually only about one in 10 people get side effects from PrEP and these tend to be quite mild and not very severe,” Sam told GAY TIMES.

According to the NHS, the most common side effects some people experience are:

  • Headache
  • Nausea and/or vomiting
  • Diarrhoea
  • Feeling dizzy and/or weak
  • Trouble sleeping
  • Bloating and/or indigestion

Clinicians recommend that anyone experiencing side effects seek medical advice if they persist.

Complete Article HERE!

What’s Your Kink?

— The nuanced world of BDSM

By Lucy Copp

Carol always knew something was “off” for her during sex.

“At one point I even thought I might have been asexual because I just wasn’t getting what other people would talk about all the time,” she told Larry Mantle on AirTalk, LAist 89.3’s daily news program.

It took Carol a long time to figure out that nothing was wrong with her, she just had a missing kink.

That kink? Spanking.

At 74 years old and 52 years into her marriage, Carol discovered she loves to be spanked.

“It just took a long time to figure this out because my access to computers and things were limited, and I just didn’t know,” she said. “I didn’t have the time to explore me!”

Her husband doesn’t necessarily have the same kink, but that hasn’t stopped him from leaning into his partner’s pleasure.

“He noticed every time we do this, how much happier I am. If I’m cranky or we’re fighting it will change the mood like an instant pill. We have never laughed and joyed and played so much in 52 years than we have this past year,” Carol said.

Kink may not be what you think

Legs in fishnet stocking and tied with knots
The art of Shibari

Kink and BDSM (Bondage-Discipline, Dominance-Submission, Sado-Masochism) conjure up certain images in popular culture. Take the Blockbuster hit 50 Shades of Gray, which delved into fantasies of violent sex in which Christian Grey, a handsome business man, wants his love interest to be submissive. While this is a common kink played out in private spaces, BDSM practitioners were quick to weigh in on all that was missing from the film’s depictions — communication, context, and most importantly, consent.

“We have two dominant paradigms around kink,” said Nora Last, owner of Double Mask Studio, a queer owned and operated Shibari studio located in downtown L.A. Shibari is a type of bondage practice (more on that further down).

A couple paradigms include “a slender guy in a suit and a girl in a dress kneeling in front of him,” or, Last continued, “a conventionally attractive woman in spiked heels and latex.”

“They’re lovely, but we’re really limiting ourselves and not giving ourselves enough credit if we stop imagining there,” said Last.

Finding your kink

A woman hangs from ropes
Nora Last at her studio Devil Mask Studios in DTLA

Kinks come in all styles and flavors. You’ve got your more common asphyxiation kink, also known as “breath play,” to your spitting kink, where two consenting adults enjoy spitting in each others mouths. Suffice to say, kinks run the gamut.

“What if we want to [explore kink] in a cozy onesie? Or outside of the white, hetero roles?” Last said. “If you’ve never seen yourself represented, you might not know how to explore them.”

Like Carol, who discovered her kink for spanking at age 74, many people may have dormant kinks they haven’t yet realized.

“We have never laughed and joyed and played so much in 52 years than we have this past year.”— Carol in Palm Desert

This is something Jean Franzblau experienced. She’s an intimacy coordinator in the entertainment industry who wrote and stars in the one-woman play My Mother Doesn’t Know I’m Kinky.

a woman's headshot
Jean Franzblau

“I was shocked to find out I was a kinky woman,” Franzblau said.

After the end of a relationship, Franzblau said her sexuality “shut down.”

A woman in all black rehearsing for a play
Jean Franzblau performs her play “My Mother Doesn’t Know I’m Kinky”

“When I got out of it, I became dedicated, committed, to exploring for myself and finding my own sexual sovereignty,” she said.

With newly granted self-permission, Franzblau discovered that both sides of the dominance-submission coin were intriguing to her. Her exploration began with submission. When she found a partner interested in dominance, they had the necessary conversations about consent and negotiation.

“I thought I was going to have maybe a titillating experience, maybe I would learn something new,” she said. “Instead, I would consider it a spiritual experience. I wept. There was something in me that needed to surrender.”

For many folks, finding your kink is just the first step. The next step? Finding a safe space and people with whom to express it.

“What if we want to explore kink in a cozy onesie? Or outside of the white, hetero roles? If you’ve never seen yourself represented, you might not know how to explore them.” — Nora Last

Freeing your kink

Today, there are ample spaces that provide safe and playful settings for adults to explore their sexuality. One of those spaces is Nora Last’s studio in Downtown L.A. where the focus is on Shibari, the Japanese art of erotic bondage.

“We define it most broadly as rope bondage,” Last said, “Whether that is for sensation, whether that is for sexual gratification, and that references specific aesthetics and styles coming from Japanese rope bondage.”

Woman in Shibari on the beach
Nora Last on the beach practicing the erotic bondage art of Shibari

Shibari is one of the many styles of kink or eroticism that people can play with — play being the operative word.

“At its core, kink is about creating a container for intimacy. It can be sexual, emotional,” they said. “Creating a container for a focused, specific experience. It’s part of our core human desire.”

A San Francisco-based kink educator named Midori, whom Last admires, writes “BDSM is childhood joyous play, with adult sexual privilege, and cool toys.”

Last adds, “So much of it comes down to…why not? There’s a harsh dichotomy between kinky and vanilla, queer and hetero. It’s not as harsh of a line as we think it is.”

Therein lies the nuance. To be kinky or not to be kinky was never the question.

Woman swings in a park with a coffee in hand
Nora Last tied up in Shibari in a public park

Talking with partners

When it comes to kink, Franzblau’s hope for everyone in a partnership is that they can candidly talk about the places they connect and the places they don’t.

“Are we here to control each other or to encourage each other’s greatness or well-being?” Franzblau said.

She acknowledges that it can be totally heartbreaking when partners don’t see eye to eye. But, she adds, “What’s wonderful about this moment in time is that there are a lot of resources for navigating these extremely tricky conversations.”

For kink and BDSM communities that have been historically stigmatized, Franzblau and Last are two people among many trying to change that. Arguably, their most powerful and subversive statements? Their kinks.

NEW TO KINK? CHECK OUT THESE RESOURCES!

  • Sex Positive LA
    Sex-Positive Los Angeles is a non-profit organization that creates educational and social experiences around positive sexuality, identity, lifestyle, consent, and body-positivity for adults. We provide a chance to explore, learn, and grow in a safe, welcoming, and consensual environment through consensual touch events, workshops and discussion groups.
  • 910 WeHo
    A Queer and Alt Lifestyle, Friendly Community Space for All. BDSM Los Angeles kink dungeon.
  • Fet Life
    A popular Social Network for the BDSM, Fetish & Kinky Community.
  • Cuddle Sanctuary
    Social events to learn about and practice consent
  • My Mother Doesn’t Know I’m Kinky
    A one-woman show exploring the early childhood hints that she was wired differently and her bumpy, awkwardly arousing journey towards self-acceptance.
  • Open Deeply: A Guide to Building Conscious, Compassionate Open Relationships
    Therapist Kate Loree—who has practiced non-monogamy since 2003, and who specializes in treating clients who also practice non-monogamy—pulls no punches as she uses vignettes based on her own life, as well as her clients’ experiences, to illustrate the highs, lows, and in-betweens of life as a consensual non-monogamist.
  • Plura App
    Plura is the go-to app for queer, sex+, growth-oriented, and alternative people to find their people.
  • ShibariStudy
    An online resource, rope-focused (as the name implies) but their consent classes are both very good and very broadly applicable.
  • Why Are People Into That?!
    A podcast hosted by sex-ed icon Tina Horn, a podcast dedicated to answering its titular question. Now also a book!
  • Safiya Darling
    a sexuality & consent educator based here in LA, Safiya speaks so effectively to the interplay of queerness, race, and kink
  • Devil Mask Studio
    particularly rope jams, they’re a low stress, semi-structured way to experience the space and connect with other interested folks
  • The Sexual Bucket List Workshop
    A virtual workshop to help you understand your sexual self

Complete Article HERE!

What Is Lovesickness?

— And How Do You Actually Cure It

The prescription calls for watching “The Notebook.” On repeat.

BY

Picture this: It’s 3 a.m., and instead of blissfully snoozing beneath your sleep mask (…or adding a bunch of viral TikTok finds to your cart), you’re deep in the trenches of your feelings, wrestling with the kind of heartache no amount of beauty sleep or online shopping can heal. Welcome to the not-so-exclusive club of the lovesick, bb, where the main activities include over-analyzing text messages, obsessing about ~the one that got away~, and wondering if your soulmate is really out there. Bleak, right? That’s because, hi, lovesickness is a real thing, and unfortunately for all of us, it hurts like hell.

“Lovesickness describes the intense emotional and physical experiences associated with romantic love,” says Sarah Hill, PhD, a research psychologist and consultant for Cougar Life, specializing in women’s health and sexual psychology. “The symptoms resemble those of a physical illness because of the profound links between the mind and body.” You can’t eat, you can’t sleep, you feel depressed, and the thought of doing anything other than crying in bed and watching Love is Blind seems impossible. Sound familiar?

Even though the term isn’t a recognized medical diagnosis, Hill stresses that it’s a very real, very painful mental ailment. To put it bluntly, being lovesick makes it feel like your heart got hit by a semi-truck. Whether you’re trying to get over a breakup, grappling with unrequited love, or coming to terms with a going-nowhere situationship, lovesickness isn’t just for the dramatically inclined—it’s a legit rollercoaster of physical and emotional symptoms that can leave even the strongest among us reeling.

The silver lining? While lovesickness is your body and mind grappling with loss, remember, you’re not spiraling alone—you’ve got us! And with the help of relationship pros, we’re breaking down every damn thing you need to know about lovesickness, from what it is to how to heal. Stick with us, y’all, because happier days are on the horizon, no matter how lovesick you feel rn.

What Actually *Is* Lovesickness?

As the name suggests, lovesickness is the feeling of being “sick” due to the loss or lack of romantic love. Again, it’s not an official medical or clinical condition, but holistic relationship coach Alexandra Roxo stresses just how uncomfortable the experience can be.< “It’s the point where emotional pain turns to physical pain after going through a breakup, heartbreak, or a separation,” she says. While heartbreak—an existential experience—makes you feel sad, Roxo says the difference is that lovesickness is usually described as the physiological response to that heartbreak. Feeling lovesick means you might find it hard to eat, sleep, work, or even have fun. Food might lose its taste, music might sound flat, and you might even experience real symptoms of clinical depression and anxiety. So, no! You’re not being dramatic! Your body *literally* feels sick from lost love, dammit!

The term is sometimes mistaken for limerence—an obsessive form of love—but lovesickness primarily stems from the absence of love, triggering a feeling similar to that experienced from addictive substances. “Being lovesick can feel akin to the withdrawal symptoms from opioid drugs,” Hill explains, “As both scenarios involve a lack of stimulus that usually activates the brain’s reward centers, leading to a dopamine withdrawal.”

While this all sounds, frankly, miserable, it’s important to note that feeling lovesick is actually totally normal. “Both lovesickness and heartbreak can be intense and distressing emotional experiences, but they are also natural responses to the complexities of relationships,” Hill says. Knowing how to heal is key, and curing your lovesickness is possible. Promise.

What Are the Signs and Symptoms of Lovesickness?

Feeling lovesick isn’t just about wallowing in your feelings post-breakup (but, like, that’s totally valid too). According to Hill and Roxo, the symptoms of lovesickness can—and likely will—vary from person to person, ranging from mood swings to sleeplessness to yearning for your former partner. Sometimes, you might feel fine, and other times, you feel like you’re on autopilot or have a hard time functioning in daily life.

So, if you find yourself wanting to call out of work because your heart literally hurts, there’s a chance you’re feeling lovesick. While the signs of lovesickness aren’t always obvious, here’s what the pros say to look out for:

  • Difficulty sleeping: Your love interest’s absence can disrupt your sleep cycle, making it hard to fall or stay asleep.
  • Restlessness and anxiety: A constant state of unease, especially after the breakup or when exposed to triggers? Check.
  • Inability to concentrate: Your thoughts might be consumed by your partner or your breakup, distracting you from any and all tasks at hand.
  • Increased tearfulness: You might find yourself crying over songs, random memories, or simply out of nowhere. Inconvenient, sure, but normal.
  • Pain or tension in the chest: This can be a physical manifestation of your emotional pain (but if it persists, feels uncomfortable, or intensifies, reach out to your doctor ASAP).
  • Mood and appetite changes: Swings in mood and changes in appetite are A Real Response, often leading to eating too little or too much.
  • Obsessive thoughts and idealization: You may find yourself putting the relationship on a pedestal or obsessing over what went wrong.

Understanding these symptoms is the first step toward healing, and can empower you to take steps toward recovery and eventually find balance and happiness again. Because, yes! You will be happy again!

How Do You Heal from Lovesickness?

Dealing with lovesickness can feel like you’re wading through emotional quicksand, but there *are* effective ways to pull yourself out and move forward. Let’s break down some expert-backed strategies to heal from lovesickness and find your footing again.

Be Kind to Yourself.

First and foremost, be gentle with yourself. Lovesickness can take a toll not just emotionally, but physically too. Roxo suggests giving yourself plenty of extra TLC. Eat soothing foods, take bubble baths, get a massage, or cuddle with your pet for some quality physical touch. Don’t be afraid to feel your feelings—so cue up that sad playlist or watch some breakup movies—but Roxo says to schedule something uplifting afterward (like coffee with a pal) to help balance your emotions.

Set Boundaries…and Stick To Them.

As hard as it might be to delete a number or block an account, Hill emphasizes the importance of the whole out-of-sight, out-of-mind thing. Delete the pics, toss the mementos, and try to keep contact to an absolute minimum. Setting healthy boundaries for yourself—whatever that looks like to you—during this time is key, and once you’ve decided that you’re not going to talk to your ex and that you’re going to avoid stalking their socials, stick to it!

Sweat It Out.

I realize working out whilst sad sounds like agony, but physical activity can actually be a crucial component of healing. “Exercise, especially cardio, can significantly improve your brain chemistry, helping to alleviate the fog of lovesickness,” Roxo says. She recommends incorporating upbeat music into your workouts to elevate your mood further.

Have Fun. Seriously.

Since lovesickness is often a dopamine withdrawal, rediscovering joy and pleasure outside of your romantic relationships is crucial to overcoming the ailment. Whether it’s picking up a new hobby, going on a trip, or reading everything trending on BookTok, find fun new activities to look forward to. And if the idea of a rebound relationship sounds alluring (which is okay!), Hill suggests taking things slow and dating people different from your former partner. “Opening yourself up to new experiences can encourage healing,” says Hill.

Ask For Help.

Remember, it’s more than okay to ask for help during this challenging time. Whether it’s a friend or a professional, having someone to act as a sounding board and uplift you when you feel low is paramount. In fact, Roxo encourages reaching out to a therapist or coach who can support you through this transition. “This period of pain could very well be a pivotal moment leading to a breakthrough in your love life,” she says. What’s important is taking proactive steps towards recovery, allowing yourself to grieve, and gradually opening your heart to the possibility of love again.

How Long Does Lovesickness Last?

The truth is, there’s no universal clock for recovering from lovesickness. Some of us might shake it off in a few weeks, while others might be in the trenches for far longer. As Roxo puts it, “The acute symptoms usually start to chill out after a week or two, but really, lovesickness fades in time, depending on how you deal with it.”

While you might wish for a magic potion to speed up the process (don’t we all?), everyone mends at their own pace. It’s a journey, but trust the process. Your heart didn’t come with a fast-forward button, but it’s equipped with resilience and the capacity to heal. You got this.

Complete Article HERE!

Misinformation Is on the Rise.

— Here’s What You Need to Know About Birth Control.

Three Black reproductive experts discuss how to access birth control, navigate the misinformation online, and understand what’s unfolding politically.

By Margo Snipe

It’s been a tricky landscape since Roe v. Wade was overturned almost two years ago, as reproductive health care has become increasingly complicated to navigate — and misinformation is on the rise.

Not only are the attacks on abortion care merging with limits on the availability of infertility treatment, but the same court that reversed the constitutional protection for abortion will hear arguments this week on restricting access to mifepristone, one of two medications commonly used to induce an abortion. And on the state level, new bills are aiming to cut back contraception options.

In Oklahoma, one bill in the state legislature has sparked questions about whether it might ban emergency contraception — like the day-after Plan B pill — and intrauterine devices, or IUDs. Part of it targets contraception that prevents the implantation of a fertilized egg. At the same time, some birth control options are expanding. This month, Opill, the first over-the-counter birth control pill, began sales. And, under a new policy, New York pharmacists can dispense certain hormonal contraceptives without a prescription.

Capital B asked three Black reproductive health care experts some of the big questions about how to access birth control, navigate the misinformation online, and understand what’s unfolding politically. Here’s what you need to know.

What is the difference between abortion care and birth control?

Amid the uptick in misinformation, experts want patients to understand there is a distinct difference between abortion care and birth control. Birth control, like the pill and IUDs, is not abortion inducing, doctors say.

While both are considered a part of reproductive health care, birth control, also called contraception, is intended to prevent pregnancy before it occurs and is often discussed and prescribed by gynecologists, which are doctors who specialize in women’s reproductive health systems. 

“Birth control is acting to fundamentally prevent pregnancy,” said Dr. Alexandra Wells, an OB-GYN in Washington state. It works by stopping sperm from meeting the egg, she said.

Abortion care is separate. It terminates an already existing pregnancy, either out of patient choice up to a certain time period or medical necessity. It takes place after folks know they are pregnant and is typically managed by obstetricians, or doctors that focus on the pregnancy of patients. Many practitioners have their training in both gynecology and obstetrics.

Over the past year, how has the landscape over available birth control changed?

With so many different bills being introduced in states across the country, aiming to both limit and expand access to reproductive health care, the amount of misinformation spreading across social media platforms is surging.

While birth control and abortion care are different, the landscape in terms of access to both is shifting nationwide.

Soon after the 2022 Dobbs decision reversing federal abortion protections, when states began moving to restrict abortion, many physicians were concerned about the implications on birth control, said Dr. Yolanda Lawson, a Texas-based OB-GYN. It was not the first time. Several years prior, in the Burwell v. Hobby Lobby case, the U.S. Supreme Court decided that corporations run by religious families cannot be required to pay for insurance coverage for contraception care.

More recently, changes in abortion care have also trickled into changes in birth control access and infertility treatment for families. When reproductive health care clinics offering abortions close, other  services are impacted, said Wells, who’s also a fellow with Physicians for Reproductive Health. The good news is technology is making online access to birth control options more accessible. Many options can be mailed and are often covered by insurance, she said.

Opill is now available, adding to the many other options, including condoms, spermicide, the ring, IUDs, implants, patches and cycle tracking.

How do I know what’s happening with access to birth control in my state?

There is no comprehensive, central location for all of this information, said Jennifer Driver, senior director of reproductive rights at SiX, an organization that works with elected officials after they win office. The federal Title X family planning websites have a lot of information and resources for patients, said Driver. The best way to find out what is happening with legislation is directly through the state legislator. On each website, you can see what bills are being introduced and which representatives may have brought it forth.

Local news coverage from trusted outlets may also break down what bills are impacting your reproductive health care. Experts caution against relying on social media for health information, given the sheer amount of misinformation and myths.

Do IUDs induce abortions?

No. The devices work by thickening the mucus along the uterine wall, making it difficult for sperm to migrate and meet with the egg, preventing fertilization.

“It’s a simple mechanism, but it really works,” said Lawson, who’s also the president of the National Medical Association. It prevents conception. They are 99.9% effective at preventing pregnancy.

What birth control is now available?

Condoms, spermicide, contraceptive sponges, apps to track your menstrual cycle, emergency contraception like Plan B, and most recently Opill, are all birth control options that do not require a prescription from a doctor.

Some hormonal contraceptives require either a prescription or insertion by a medical provider. Those include the ring, IUDs, implants, contraceptive injections, and birth control pills. Sterilization is also an option regardless of the gender of the patient.

“It’s really amazing that women have so many contraception options,” said Lawson. There is some slight variation in how well each works, she said. “There are options that our grandmothers and even mothers did not have. I hope women are empowered by that.”

It’s also important to make sure you feel comfortable with your provider, said Wells. You should feel free to ask questions about how each contraceptive option works and might impact your body.

A lot of birth control options are covered by insurance, and many clinics and health centers may offer free condoms. Some birth control pill companies offer discounts on their websites.

If you’re uninsured, many freestanding health clinics offer sliding scale payment options based on your household income and ability to pay, which could bring the price down.

How do I know what my best birth control option is?

It’s important to understand your medical history, said Wells. In person or online, your provider may ask about your history with high blood pressure, blood clots, and conditions like lupus. Those conditions may preclude the use of certain forms of contraception.

People should also consider their lifestyle and goals, she said. For example, the IUD requires a one-time insertion every handful of years depending on the types, whereas the pill requires patients to take them at the same time each day. Each option offers a different level of independence. The pill can be stopped at any time. The IUD and implant require an appointment with a provider to remove.

Complete Article HERE!

Lack of sex education in GOP states puts students at risk

An assortment of contraceptives such as Plan B and condoms provided by Planned Parenthood Generation Action at the Sex and Relationships photoshoot. Sex-ed is an important part of K-12 education, and the risk of losing the curriculum in schools can lead to an increase in unwanted teen pregnancies and STIs.

By Sunjae Lee

Although it may be a cliche, there is some truth to the trope ‘it takes a village to raise a child’ — whether it be through teachers, pediatricians, athletic coaches or politicians who create laws directly affecting youth. But in some states across the U.S., the adults in charge of youth policies are not doing their part in ensuring quality education for all.

According to an Associated Press article, GOP-led states are at risk of losing sex education curricula in their schools. This idea was amplified after the emergence of the “parents’ rights” movement, whose main concern is dismantling inclusive LGBTQ+ sex education. Republican leaders and parents are trying to ensure that it is the parents’ choice to allow their children to take part in any sex education.

So what can we expect in the absence of sex education at K-12 institutions if these policies are implemented?

Lack of sex education for all youth may lead to an increase in unwanted teen pregnancies and sexually transmitted infections (STIs). Since GOP state leaders tend to oppose abortion rights, minimizing unwanted pregnancy is crucial in these states to protect teens from potential physical, emotional and financial harms. In fact, teen birth rates are much higher in states that ban abortion and have minimal sex education curricula.

Moreover, the number of contracted sexually transmitted disease (STD) cases has risen again since the COVID-19 pandemic — reaching more than 2.5 million cases of syphilis, gonorrhea and chlamydia according to the CDC’s 2022 statistics.

GOP-led states are especially at higher risk; out of the top 10 states with the highest rate of STDs, eight are Republican-controlled states.

Many of the Republican voters who oppose mandatory sex education argue that it is the parents’ responsibility to determine what constitutes appropriate sex education for their children. But this begs the question: is sex education really taught at home?

According to OnePoll, one in five parents are not willing to have conversations about sexual matters with their kids at all. Even the parents who discuss sex education with their kids tend to avoid more complex topics, such as birth control and consent.

While sex education in schools is taught by qualified instructors, parents may not have the same level of professional expertise. Not only do they tend to avoid harder topics, but their own lack of education can lead to misinformation. For instance, older generations who are more socially conservative may be more likely to still believe in myths regarding sexual assault, such as victim-blaming for dressing or acting in a “sexually provoking way,” or believing that victims could have prevented it if they wanted to. A study from the International Society for the Study of Individual Differences’ journal proves that individuals with sexually conservative views are more likely to accept these myths.

Furthermore, teenagers are more likely to seek sexual information from peers and teachers than parents. We must keep these resources open, allowing for spaces where minors feel comfortable participating in honest outreach discussions.

The controversy surrounding sex education in public schools has been a longstanding issue, but it significantly escalated recently in GOP-led states due to opposition from parents and politicians who are reluctant to incorporate LGBTQ+ topics. The “Don’t Say Gay Bill” in Florida exemplifies the strong aversion for such discussions in politically conservative states. Given that the inclusion of LGBTQ+ sexual health in the curricula is the biggest concern among Republican-controlled states, should schools offer LGBTQ+ exclusive sex education to satisfy everyone?

The main reason why LGBTQ-inclusive sex education is important is that gender and sexually-marginalized youth are at a higher risk for sexual health issues such as STIs, sexual activity under the influence and dating violence.

LGBTQ+ youth are also far less likely to have open sex discussions with their parents. Even if they do, unless their parents are part of the community themselves, it is often difficult for kids to receive useful and accurate information specifically concerning their sexual health. It is important that schools protect LGBTQ+ youth by providing adequate education to prevent against poor health outcomes and lack of support within their homes.

Sex education is a shared responsibility between schools and parents. While schools need to provide children with quality health education, they also need a welcoming environment at home to seek answers. Instead, youth are struggling to find proper information in a world where open discussions about sex and sexual diversity are considered taboo. In each of our villages, adults and educators are responsible for ensuring safe environments and comprehensive education for all youth, including the LGBTQ+ community.

Since not everyone is privileged enough to receive quality sex education at home, K-12 schools provide necessary education for everyone regardless of socioeconomic status, family background and sexual orientation. When giving equal educational opportunities is the main function of primary and secondary schools, how is it acceptable to exclude one of the most important subjects?

Sex education is directly related to a person’s physical, emotional and social well-being. The World Health Organization defines sexual health as “a state of physical, emotional, mental and social well-being in relation to sexuality.” Teaching adolescents about sexual health ensures a better quality of life overall.

According to a study from the Journal of Adolescent Health conducted with adolescent women, better sexual health is associated with better social integration, higher self-esteem, less substance use and lower self-reported depression. Another study from the Frontiers in Reproductive Health Journal suggests that among male adolescents, mental and reproductive health are intertwined; poor sexual health leads to poor mental health and vice versa.

Hence, comprehensive sex education can prevent many health issues and encourage healthy habits in various aspects of life. Minimizing sex education curricula means young people who are not fortunate enough to have sexually accepting and knowledgeable parents will have to learn on their own while risking their sexual health.

Conservatives’ irrational fear of healthy relationships being formed between members of same sex and non-binary gender identities, along with their false beliefs of comprehensive sex education encouraging reckless sex, are putting children at risk — including their own. What may hurt their kids is delaying essential education, as well as restricting exposure to healthy homosexual love or confident transgender people. The exclusion of proper sex education may leave people with irreversible consequences, such as unwanted pregnancy, HIV or sexual trauma.

Children should be set up for success, not put in a position where they have to rely on misinformation or the internet to be taught healthy sexual habits.

Complete Article HERE!

When Makeup Sex Isn’t a Good Idea

By Myisha Battle

A client who is new to dating, sex, and relationships recently asked me “Is makeup sex healthy?” The person, in their late 20’s, has been dating someone seriously for the first time. Things were progressing slowly sexually with his girlfriend, so their question about makeup sex struck me as a great one to ask before ever having the experience firsthand.

We discussed the pros and cons of having an argument that ended with sex, and I explained what I’ve seen as a sex coach. On one hand, it can feel really good to reconnect with a partner after a challenging discussion or verbal disagreement. Sex can be the ultimate display that the fight is over, allowing both partners to move on without any lingering ill will towards each other. On the other hand, makeup sex could be masking deeper issues in the relationship if it’s an ongoing strategy used to resolve conflict in the relationship.

Makeup sex feels like somewhat of a cultural phenomenon. We know it happens, and maybe it’s even happened in our own relationships. But, is it a good thing or something that should be avoided at all costs?

A quick scroll on TikTok reveals a wide range of opinions on the subject. Some people strongly advise against it as it could reinforce bad behavior from your partner. Many posts lean more towards the commonly held belief that makeup sex is a great way to bond after an argument. Other posts suggest that there is something qualitatively different about makeup sex, that includes a heightened state of emotions that you just can’t get to without a fight beforehand. And it’s true that people who see makeup sex as more intense feel a carryover effect from their fight in the sexual experience that follows. This is called “excitation transfer,” which is when you are physiologically aroused by one thing and it transfers over to other areas of your life.

But there’s more to makeup sex than this. A 2020 study of 107 newlywed couples shed some light on what the benefits of makeup sex really are and how sexual quality is impacted by conflict. The study showed that when sex occurred after a flight, it had a greater impact on how people felt about the relationship by reducing the negative effects of conflict. This seems to coincide with the view that makeup sex is a way to feel closer to their partner. What’s surprising is that the study also showed that participants reported that the quality of sex after a fight was actually worse than the sex that occurred without a fight. So even though the sex itself wasn’t perceived as great, there were longer term emotional benefits for the relationship. This helps debunk the assumption that makeup sex is somehow just better than other sex. It also shows the real benefits of sexual connection after healthy conflict.

Where makeup sex gets tricky, though, is when it is used as the sole means for conflict resolution. Given that sex is one of the many ways we bond, it can be seen as an easier way to shift from negative emotions that are stirred up in a flight. But those negative emotions may still be there even after you have sex if you don’t take the time to process them yourself and with your partner. I’ve worked with couples where this dynamic is present and it can become very toxic over time. Feelings pile up that only get relieved through sex, which isn’t necessarily all that satisfying or pleasurable for one or both parties. There can be an aversion to sex for this reason and then feelings have nowhere else to go. This can cause ongoing tension at the least or periodic blow up fights at worst. As a result, people usually have to work with a couple’s therapist to develop healthy conflict resolution skills and be better communicators in general.

There is also a risk of having the perception that the relationship is on solid ground when it isn’t. I’ve heard from people that they have sex regularly, but feel stuck when it comes to day-to-day, non-sexual intimacy with their partner. When sex is the de-facto way to express emotions—joy, sadness, anger, or grief—there can be a lack of emotional closeness in the relationship. Makeup sex could be one way to avoid connecting with each other more deeply, resulting in what looks on the surface like a healthy relationship but is actually one without true intimacy.

Intimacy isn’t just the sex you have with your partner. It’s the ability to recognize the need for healthy conflict and repair. If you are in a healthy relationship where conflicts come up and are worked through, makeup sex can make you feel closer to each other. It’s a way to deepen the intimate connection that’s already there because you made it through something hard together. But it can’t— and shouldn’t—be the only way we connect with our partners. It’s just the cherry on top.

Complete Article HERE!

I’m not surprised women prioritise sleep over orgasms

— A survey has found that more than 85 per cent of women would choose a good night’s sleep over having an orgasm. I understand why

By

My friends and I have a game that we like to call “Eight Hours’ Sleep Or…” It’s not a particularly imaginative name and certainly won’t keep the creators of Pictionary or Scrabble up at night, but it’s as good a way as any to while away the spare two and a half minutes we tend to catch between work and parenting.

The idea of the game is to find something you would rather have than eight hours’ sleep a night. It goes something like this:

“Eight hours’ sleep or being best friends with Taylor Swift?”

“Eight hours’ sleep.”

“Eight hours’ sleep or being pursued by Brad Pitt?”

“Eight hours’ sleep.”

“Eight hours’ sleep or an end to mansplaining?’

“Eight hours’ sleep.”

“Eight hours’ sleep or being able to eat all the cheese without any negative impact on your health?”

“Eight hours’ sleep.”

“Eight hours’ sleep or an unlimited supply of confidence and money?”

“Eight hours’ sleep.”

And so on and so forth until you realise that nothing on God’s Earth will ever trump the idea of eight uninterrupted hours of sleep, of waking up feeling rested, recovered and raring to go into the day ahead.

It has been a relief, then, to discover that my group of friends and I are not alone. A major survey of bedroom habits by Good Housekeeping magazine has found that more than 85 per cent of women would choose a good night’s sleep over having an orgasm. Only 52 per cent of men feel the same way, perhaps because of the “gender sleep gap” –  yes, there is such a thing! – with 61 per cent of women saying their sleep quality varied, compared with 53 per cent of men.

Anyway, I think what we can all take from this is that sleep is very, very hard to come by these days. Stress, hormones, the lure of sitting up late at night scrolling through a little screen that sits in the palm of your hand and contains all of the horrors of the world… and then there’s the fact that sleeplessness has become a sort of status symbol, a way of telling people to back the hell off and go easy on you without actually having to tell people to back the hell off and go easy on you.

Saying “I’m tired” over and over and again is the most wonderfully passive-aggressive way of signifying you are busy and pressurised and do not have time for the trifling trivialities everyone seems to be bringing to your doorstep. We say we want eight hours’ sleep, but do we really? If we had eight hours’ sleep a night, then what would our excuse be?

Personally, I’m done with being sleepless in south London. It’s so boring talking about how tired I am all the time, such a waste of energy in itself. And in the past year, I have realised how counter-productive my obsession with sleeplessness is. The more I worry about sleep, the less I actually sleep.

I realised this last spring, when I spent a couple of hundred quid on an Oura ring, which is a sleep tracker that wellbeing experts swear by. Every night, I went to bed in it, and got annoyed by the flashing red and green lights that seemed to emanate from it in the dark. Every morning, I woke up and looked with horror upon the graphs that told me how exhausted I was, and what this might mean for my long-term health (nothing good). Eventually I realised that the presence of the tracker was in itself having a detrimental effect on my sleep. It was fuelling my insomnia, so I took it off, and decided to take radical steps to actually prioritise sleep, as opposed to just talking about the lack of it in my life.

Now, I devote the evening to sleep. I have sacrificed what remained of a social life for it. I don’t go out. I refuse all dinner invitations, choosing instead to eat early with my 10-year-old. I am in bed before her, my phone switched off and on charge, a good book in my hands as I get comfortable in my 200-thread-count Egyptian cotton linen. My friends know that if they text me after 8pm, they are unlikely to get an answer until the next morning. I spend at least 90 minutes reading, and have usually drifted off by 11pm.

I have rules: no more than one coffee a day, and never later than 11am; if I wake in the middle of the night, reading for 15 minutes is a much more effective tool than simply closing my eyes and trying to get back to sleep; my own duvet is essential, as I like to turn it round again and again to find the cool side; and if my husband starts snoring he is immediately out and into the spare room. 

This may seem draconian, but I don’t care. Because nothing – and I mean nothing – is more important than a decent night’s sleep.

Indeed, now I am in my 40s and in menopause, I can see that it is the most important thing of all when it comes to emotional well-being. You can go on anti-depressants, you can sign up for therapy, you can do as much exercise as you want: but if you are not prioritising rest, the chances are you will not start to feel better. It doesn’t have to be eight hours. But in my experience, anything below six and you are going to struggle. You are going to be cranky, short-tempered and extra sensitive. Any resilience you have will be gone by mid-morning. There will likely be tears. This is nothing to be ashamed of: it’s just simple, human biology.

Of course, I suspect many women would sleep much easier if they knew they lived in a world where they were entitled to both eight hours’ kip a night and an orgasm. But that’s another column entirely, and until that moment comes (pardon the pun), you’ll find me of an evening tucked up in bed in my nightie, sipping on a nice mug of Ovaltine.

Complete Article HERE!

Open Marriage Is Not A Fad

— In defense of non-monogamy.

By Jenny Block

Monogamy Is Good, And It’s Here To Stay. I was leery about this 2008 piece the minute I saw the title. But as soon as I read it and saw the word “fad” used to describe the kind of relationship that I have been deliriously happy in for years (and the kind hundreds of other people I have met have been in for decades) I knew I was dealing with a classic case of fear and misunderstanding — a dangerous mix. I thought I might simply reply in the comments section, but I quickly realized that I had way too much ground to cover. So, below I have gone section by section in response to Ms. Cline’s piece.

“Why aren’t you in an open relationship yet? Carla Bruni Sarkozy, wife of French President Nicolas Sarkozy, famously “prefers polygamy and polyandry.” Reveal magazine quoted Will Smith as saying that he and his wife Jada Pinkett-Smith allow each other extra-marital dalliances. Oprah did a segment on open marriages. Both YourTango contributor Jenny Block and Village Voice columnist Tristan Taormino have books out on open relationships. All of this talk of free love is enough to make chicks who prefer old-fashioned monogamy feel a bit, well, old-fashioned. But if history can teach us anything, the open relationship bandwagon will come and go, which is a good thing because most women still benefit from and prefer monogamy.”

Cline’s opening question immediately gave me pause. This is the tone of someone who feels either uncomfortable or threatened. Surely no one is asking Cline, or anyone else, why they’re not in an open relationship, which me wonder if perhaps Cline is questioning herself. I have never suggested, and would never suggest, that anyone in a monogamous relationship is old-fashioned, and I have repeatedly assured my readers that I have no problem with honest, intentional monogamy. I have been told that to those on the outside, people in the open relationship community can come across as a smug group who think they’re more highly evolved than the monogamous. I am saddened to hear that, but it’s all the more reason that reading and writing on this topic is so important.

The truth is, it’s the lying that is a racket. And, if history can teach us anything, which surely it can, it’s that open relationships aren’t going anywhere. They’ve been around since the dawn of time. If it seems like they come and go, that’s only because the press coverage wavers, not the relationships themselves. The fact that Tristan and I both had books come out on the subject this past June certainly brought it into the public eye, hence the appearance of a suddenly new popularity.

I am not sure what Cline is referring to when she says “most women” as “most” of the women I have spoken to and researched neither prefer nor feel particularly benefited by monogamy. Quite the opposite is true. Many women feel caged in a relationship where their body is “owned” by their partner. Monogamy doesn’t necessarily result in that dynamic but it certainly does at times. That’s where open relationships can be very rewarding for women: controlling one is no longer the cornerstone of the relationship. Instead, love trust and intimacy are.

“Why? Women still generally do more work in relationships than men do and openness requires even more diligence than a regular relationship;”

That certainly is the stereotype. Whether or not it is the reality is unclear, but the fact that it is misogynistic is unarguable. I have trouble seeing how openness requires more diligence than a “regular” relationship. First, it begs the question of what “regular” is. Cheating is so common that, in some ways, I’d consider it more normal than true monogamy. Keeping one’s partner from straying — even though their biology is driving them to seek multiple partners — requires all the assiduousness one can muster. I no longer have to be conscientious in that way, but I am as tireless when it comes to making sure the people I’m involved with know how much I love them — and you don’t get a pass on that just because you’re in a monogamous relationship.  Being with another person requires attention. Providing that attention should be a part of the joy of that relationship, not part of the burden.

“Women are taught to care more about relationships and risk more for them than men, so non-monogamy raises the stakes more for us.”

I’m unclear here about what it is that women “risk more” than men. The stakes aren’t any higher in open relationships than they are in closed ones; they’re the same. We risk our hearts—whenever we love someone. What’s the point if we don’t take that risk? And if the risk is being alone, well, I think the divorce rate proves that “committing” to a monogamous relationship does not guarantee you anything.

“And, despite today’s female open relationship proponents, it’s men who typically initiate and prefer non-monogamy.”

This is simply untrue, although I would be interested to review any historically and scientifically significant proof that shows otherwise.

“The recent rash of high-profile cheaters (Elliot Spitzer, John Edwards, David Patterson, Larry Craig) has shown monogamy in an ugly light. People yearn for… variety, and now that we live longer than ever, it’s unrealistic to imagine a couple staying together for fifty years without a single affair. And in fact, statistics show twenty percent of men and thirteen percent of women cheat on their spouse.”

Exactly. So why not be honest with your partner about your needs instead of subscribing to a societal convention that is very young and that has proven to be highly unworkable? Cline is right when she says that these cases reveal monogamy in an unflattering light. So why not take advantage of that view and use it as an opportunity to take stock of the reality, as opposed to the fantasy, of what monogamy is and when it does and doesn’t work?

“But open relationships are not the solution, says Ayala Pines, psychologist and author of Romantic Jealousy, because jealousy and envy are just as hardwired as infidelity. Only a third of monogamous marriages survive cheating because of jealousy and a lingering sense of betrayal, says Pines. And the success rate for open relationships is not any better for similar reasons. “In my experience with open relationships,” she says, “the couple goes back to monogamy or else to illicit affairs. Or, it ends in divorce.”

Jealousy and envy have not been scientifically proven to be hard-wired. It is more likely that they are learned, based upon the study of non-Western cultures who live decidedly non-monogamous lifestyles. And as for the statistic of one-third, well, show me an argument and I’ll give you a statistic. As to Pines’ experience with open relationships, people who go to see a psychologist are likely going because they have a problem. Pines doesn’t see the people who are in happy open relationships. My question for Pines would be, what percentage of the closed couples that she treats end up happily back together?

“Another reason why open relationships don’t work in practice for a lot of women is because they’re simply too time-consuming. The block is upfront about the work involved in juggling a husband and a girlfriend.”

Again, I can’t see not pursuing a fulfilling relationship because it requires some of your time. All relationships take time. Everything worth doing takes time. How about hobbies? People are willing to put in the work to train for a marathon. How about careers? People are willing to spend four whole years to get a degree. That’s like saying, “I’d love to follow my dreams, but it’s just too much trouble.”

“An excerpt of her book on Huffington Post, Life In An Open Marriage: The Four (Not-So-Easy) Steps prompted one HuffPo commenter to say, “I’m exhausted just reading about all the ‘work’ and never-ending ‘communication’ about feelings, situations, jealousy, worry, etc. It all sounds like much more effort than it’s worth (IMO).” Likewise, Taormino’s Opening Up: A Guide to Creating and Sustaining Open Relationships is an intimidating 300 pages, in which the kind of person who is successful at non-monogamy is described as someone committed to knowing themselves “on a deep level,” a process she says might include “psychotherapy and counseling, reading, writing, journaling, blogging, attending workshops and peer support groups, meditation, and various spiritual practices.” While the idea of openness may be appealing to some women, it’s hard to imagine many of us finding the time to juggle a second relationship. Especially those of us with careers and children.”

I have a career and children. All of the people I know in open relationships have careers and/or children. And shouldn’t we all want to know ourselves on a deeper level? Good strong relationships require that. Otherwise, what’s the point? What do you get out of a relationship if you only have a surface understanding of yourself and your partner? Relationships between any number of people — good ones anyway — require attention and care. Not wanting to deal with “all that trouble” is a sad commentary about the value one places on enjoying truly satisfying, happy, healthy relationships.

“Open relationships are being billed as the wave of the future, but they’ve gone in and out of style every few decades, never becoming more than a fringe movement.”

Fringe is a tough word. At one time hippies were fringe but nowadays, not so much. The same goes for punks and guys who invented personal computers in their garages. Being part of a vanguard group doesn’t make what you’re doing wrong. Open relationships are far from being at their beginning stages, just as they are far from being unrecognized by the larger population. In the last six months alone, either myself, the topic, my book, or some combination thereof have been in or on The New York Times, the UK Observer, the Tyra Banks Show, Fox television, the London Observer, Huffingtonpost, the San Francisco Chronicle. I can’t imagine how something with that sort of media coverage is fringe. Isn’t that how the saying goes, once the media has it, whatever “it” is is no longer “cool”? I have never been more excited to no longer be cool.

“According to Susan Squire, author of I Don’t: A Contrarian History of Marriage, “there have been experiments of mate-swapping in the 19th century and again in the 70s and a few Utopian societies, but it never seems to stick. It doesn’t work or only works for a short period. Then, history cycles, marriage cycles, and everything repeats itself.”

As I mentioned earlier, I would argue that the cycle is the popularity of talking about open marriage rather than the popularity of actually having them. Otherwise, where did all of these people in open marriages go? I know a wealth of couples who have been in open marriages for more than thirty years. They might not have been talking about it because of prejudices like those presented in Cline’s essay, but they were still living their happy, open lives.

“The last time open marriages (often known as polyandry, free love, friends with benefits, et al)”

Forgive me for breaking in mid-sentence, but “polyandry, free love, friends with benefits, et al” are not the same things. At all. Polyandry refers to when a man has multiple wives. Free love wasn’t (isn’t) necessarily about intimacy within committed relationships. The same goes for friends with benefits. Open marriage refers to, well, open marriage: two people are married and have the freedom to pursue additional physical and/or emotional relationships (the latter of which would then imply a polyamorous relationship).

“were in vogue during the revolution of the late sixties and seventies. In 1972, the landmark book Open Marriage documented Nena and George O’Neill’s attempts to redefine marriage and open up their relationship to other partners.”

The book Open Marriage offers only one chapter about intimacy and the authors only peripherally mention spouses pursuing other partners. O’Neill’s definition of open marriage was more about opening oneself up to the world and not focusing on being a couple and nothing more. Interestingly, that is still the best marriage advice around. Have your friends, your hobby, your career. Be a partner to your spouse. But don’t become defined by his or her existence and your relationship with him or her.

“It was a runaway bestseller and, like today, promoted the impression that open marriages were the way of the future. By 1977, Nena O’Neill had published The Marriage Premise, which argued that fidelity was not such a bad thing after all. Squire herself got caught up in what she calls “the five minutes of open relationships” in the seventies. In her first marriage, she says, “We did this thing where we had to tell each other but we could [be with] whoever we wanted. Did it work? No. I remember him calling me to tell me he was drinking with some woman, and saying ‘I’m going to go sleep with some woman, do you mind?’ Of course, I minded. When faced with that, I wasn’t into it. And the reverse was true as well.”

A personal antidote is interesting. But it certainly doesn’t prove anything except that an open relationship with that partner wasn’t for Squire. Pines brings up another X factor of open relationships. Despite all the progress of feminism, she says “women are still socialized to care more about relationships and desire commitment more than men.” Just consider the multi-billion dollar wedding industry and the success of happily-ever-after rom-coms and shows like Sex and the City. Women want weddings, not necessarily marriages. It does make one ponder the old question of whether life imitates art or art imitates life.

“We are also more likely to devote our lives to children, family, and spouse.”

Only because society drills into our heads that we’re supposed to. What would women be like if no one told them incessantly how they were supposed to be? There’s no way to know. No way to know.

“In short, the stakes are higher if there’s to be an emotional fallout from an open relationship.”

Why? We have our own money and our careers. We shouldn’t be defining ourselves by our spouses. The problem is not with open relationships, but with continuing to tell women that they need a man, that they have to be mothers to be fulfilled, that there is one right way to do things, and that everything else is just a “fad.” If we keep telling this tale, it will most certainly continue to prevail. But what if we drop the whole ownership thing, the whole who cares if science says we’re not monogamous, let’s demand it anyway because one group of people (read: the church) says we should and live like thinking human beings who choose lifestyles because they work for us and our partners and the community at large. Keep in mind that marriage has a 50% failure rate and infidelity is rampant. If we went by those statistics, one might conclude that it’s heterosexual monogamous marriage that’s a fad. 

“In Woody Allen’s ménage a trois flick Vicky Cristina Barcelona, Javier Bardem’s character is flagrantly trying to bed three women. The women agree, but Vicky falls in love with him and is tormented. Christina agrees to merely be the extra “salt” in the relationship between Bardem and jealous ex-wife Maria Elena. Bardem is unflappable. Everyone in the theater laughs knowingly—for Bardem, it’s about [intimacy]. But the women always seem to have a little too much invested, a little too much to lose.”

This is a movie written by a man. Not real life. A movie. Truth be told, I wasn’t at all convinced at the end of the film that Christina wouldn’t pursue open relationships in the future. This one simply was no longer working for her. It makes me sad to think that viewers would perceive as novel a woman making a choice based on her own needs.

“And this isn’t just the stuff of a Woody Allen fantasy. Men are typically the ones who initiate open relationships. According to a poll on Oprah.com, seven percent of women and fourteen percent of men say they are in an open relationship. The gender gap is due partially to the habits of gay men, who are more likely than women or straight men to be in non-monogamous arrangements. But, it’s also that “men tend to prefer open relationships more than women do,” says Pines, who has decades of clinical and research experience on the subject, “because their preference for casual [intimacy] far exceeds women’s.”

That is, if women are telling the truth on those surveys, which researchers have said time and again they are not because of the stigma of admitting to being in or wanting an open relationship. Open relationship boards, events, and organizations are filled with women. I can’t see why that would be difficult to accept. It doesn’t affect those women — or men for that matter — who want to remain in closed relationships. Just as the legality of gay marriage doesn’t affect the state of heterosexual marriage. There is no need to invalidate another person’s life to validate your own.

“It’s intriguing that Block and Taormino, two of today’s loudest advocates for open relationships, are women.”

Why isn’t our existence — and popularity — proof enough that there are women in the lead? I don’t follow the logic. First, the argument is that there are very few women who want open relationships so they must be a fad or fringe. But then she says two women are leading the charge. What should one conclude from that?

“Historically, it’s been men who’ve advocated for polyandry and men who’ve benefited. “In the ancient world, men were never expected to be faithful,” says Squire. Women were severely punished for extra-marital affairs primarily because it threatened patrilineal culture, where the paternity of a child would be in question if the woman strayed. In the last three or four centuries, the Lutheran marriage model of fidelity has become the standard, which has given women a more equal stake in romantic partnerships.”

But what about all of the matriarchal societies? Surely it isn’t only Western cultures that count in this discussion?

“Sure, some women can tinker with this arrangement and come out on top, but for many of us there’s a sense that this is part of the battle of the sexes we’re not winning.”

Exactly. Open relationships work for some people, monogamy works for others. This isn’t a competition. Not for me anyway. They both can — and do — work. The decision is about individuality consciousness and desire. How do you want this world to work? If there’s only one way to have a relationship, how long before we’re back to only one “right” religion or one way for the genders to behave or one way to look?

“So if you’re feeling like a fuddy-duddy for not wanting two lovers, remember this open relationship thing is a fad, and, as history has shown us, this too shall pass. While it may seem like non-monogamy is feminism’s natural next step, the fact is that women largely prefer one partner, and we enjoy putting time and emotion into our primary relationship. There’s not enough reason for us to change our ideas about what makes a satisfying love life, just to get on board with a time-consuming relationship model.”

Everyone is allowed their own opinion. This is Cline’s and that’s fine. But it is imperative that it not be taken as fact, because fact it is not. The truth is that the model of a romantic, monogamous, “you complete me” marriage is little more than a hundred years old. And how old is civilization? Maybe heterosexual, monogamous marriage will end up being the fad in the long run. We don’t and can’t know. But, regardless, the only thing I advocate for is honesty and respect. Be honest with your partner. Respect the ways others choose to live even if that way might be different from yours. And if you’re feeling like a “fuddy-duddy,” perhaps it’s time to reevaluate your own life, not the lives of others. As my dad always says, “No one ever cares about what we’re doing nearly as much as we think we do.”

Complete Article HERE!

The Ethical Slut turns 80

— A talk with poly fairy grandmother Dossie Easton

‘The Ethical Slut’ co-author Dossie Easton.

She co-wrote the book on living and loving openly. Here, she speaks to us about her decades of experience.

By Caitlin Donohue

Twenty-something me would have been verklempt: I was set to interview Dossie Easton, one of the co-authors of The Ethical Slut. The venerable sex and relationship therapist, educator, and self-proclaimed “SM diva” had just celebrated her 80th birthday (she celebrated by going to see Taylor Mac at Cal Performances, I would learn) and was due for some gassing up when it came to her lasting influence on sex education. 48hills was only too happy to oblige—we adore a slutty Bay Area legend.

Easton and her longtime co-author and lover Janet W. Hardy’s iconic book, originally published in 1997 and now on its third edition, broke onto the collective consciousness as the definitional text for those interested in living a life beyond monogamy. The duo went on to pen a passel of tomes for tarts: The New Bottoming Book (and its top-friendly sister volume), When Someone You Love is Kinky, and Radical Ecstasy: S/M Journeys to Transcendence among them.

But if you’re of a certain age and queer/polyamorous proclivity, The Ethical Slut was the book that has doubtlessly spent time on your bedside table, probably purchased on the recommendation of a crush whose language you were desperate to learn. Its impacts on our lexicon are undeniable, not the least of which being the reclamation of that titular term for those who bed without shame. Do you know what a “primary partner” is or what “compersion” feels like? Did you ever attend a SlutWalk? Conversely, was the media’s obsession with Jada Pinkett Smith’s entanglement truly baffling for you? Have you been driven to distraction by an irresponsible lover who willfully misuses the language of ethical non-monogamy? You likely have TES to thank.

Certainly, the book’s success changed Easton’s own dating life forever. “For some people it creates distance, because they get embarrassed,” says the curly-headed sex sage, Zooming in from her longtime home in Marin County. “I can understand that, because I get embarrassed around famous people myself.” But far more often: “People like me in advance, which is nice.” Indeed, who wouldn’t like a published author well-versed in lesbian fisting party protocol?

Of course, seismic cultural change has impacted our take on the pair’s seminal work. Easton was open in her discussion of how time has shaped views on The Ethical Slut, and the book itself.

“We started using less gendered language by the time we got to the second edition,” the educator, who continues to teach online seminars on navigating, tells me. “It was a consciousness thing that moved further and further for us.” Cursory sections on online dating and being BIPOC and poly were also added in later editions—two areas which Easton admits hypothetical further editions could further explore. But staying on top of emancipatory language around sex and gender does entail a steep learning curve. More recent editions of the book did still seem to rule out sexual coercion among gay men and center cis folk. Easton mentions that she saw gendered terms as necessary for describing situations in the book like those involving “somebody right after a baby was born”.  

There is no denying, however, that we have here a Bay Area sex education institution. Easton tells me she dropped out of “mainstream culture” when she was 18, discovering that psychedelics brought her closer to the spirituality she found lacking when she was growing up with a Roman Catholic family in small-town Massachusetts.

“By the time the ’60s rolled around, I was doing volunteer work.” Easton recalls. “I volunteered during the Summer of Love at the Haight Ashbury Medical Clinic, things like that, doing psychedelic crisis intervention. I didn’t have a license to practice then, but I volunteered at places like the battered woman’s shelter in the ’70s, and at San Francisco Sex Information, which is a wonderful switchboard that still exists. You can call up and have a trained volunteer answer your questions about sex, isn’t that nice? It’s celebrating its 50th anniversary sometime soon.”

The Ethical Slut’ co-authors Dossie Easton and Janet W. Hardy

Shortly after having her daughter, she left the last monogamous relationship she’d ever have, famously making a vow to forever live the poly life. Easton raised her kid (now 55) largely in communal living situations, crediting bathhouse-loving gay male housemates—who were at times deprived of contact with kids, in an era when the LGBTQs could little hope to be approved as adoptive parents—for teaching her that the s-word, at least, could be applied to all genders. To this day, she is a huge believer in the power of extended chosen families, particularly for people whose sexual orientation or practices places them outside the nuclear family industrial complex.

As advanced as her San Francisco community was, even by the late ‘80s when Easton attended graduate school to become a certified therapist, academia still had no idea what to do with non-monogamists. When they found about that it was a lived interest of hers, teachers would interrogate Easton about whether it was really possible for individuals to be happy outside of one-on-one relationships. “Then I found out that the professor who questioned me was well-known for coming onto other people’s wives. I was like, you’ve got to be kidding me,” she smirks.

Happily, times have changed somewhat and, the octogenarian reports, there are certain joys of being a slut elder. Easton hasn’t had a primary partner since 2010—she says she’s been single for roughly half of her adult life—but when she fell and hurt her elbow last year, recovery was distinctly and joyfully poly, with a community of past and present lovers and friends signing up to care for their fallen friend. “There was somebody at my house 24/7 for the first three weeks,” Easton says.

Another heartwarming ethical-slut-at-80-story: Though Easton split with a younger, former primary partner years ago due to the partner wanting to have kids, the two stayed in touch, with Easton eventually participating in the person’s touching “regeneration ceremony” and subsequently gaining two darling “fairy grandsons.” “I want people to understand that even when a breakup is really dreadful, you’re not required to somehow shut off that corner of your life and throw it in the trash. You can build something else,” she reflects.

1997 first edition cover of ‘The Ethical Slut’

If there’s one thing all of us who read The Ethical Slut recall, it’s the book relentlessly optimistic tone. It made you feel like this new world, in which we all merrily explore our sexual and gender identities, work on our jealousy and enjoy a plethora of partners should we get the hankering, is here, if you want it. But sadly, I write these lines in 2024. One of the United States’ woefully few major political parties has the imperilment of trans kids and racially-biased erasure of reproductive rights high atop its list of legislative priorities. Does Easton still hold with Martin Luther King Jr. that “the arc of the moral universe is long, but it bends toward justice”?

“I do,” she declares. “I was a teenager in the ’50s, for heaven’s sakes! […] It’s really scary, it really is, but they’re not going to be able to put the rabbit back in the hat. The information is out.”

If that sounds pat, know that she’s committed to ongoing efforts; Easton says she has “three manuscripts nagging at me”, one of them a vignette-laden journal that prompts readers to analyze their own needs and desires when it comes to sex and relationships. It reminds me of a story she told of an early revelation she had as a teen; that society did not have the right words for such a fundamental, fun part of human existence. In part, her career has been a mission to change just that.

“How do you talk about sex in a way that’s delightful?” asks the promiscuous fairy grandmother. “Wouldn’t that be dear?”

Complete Article HERE!

New study reveals 10% of Americans have history of bisexual behavior

— There are three times more people reporting partners of more than one gender than in the 1990s.

By

A recent study revealed a substantial increase in the number of Americans who either identify as bisexual or have a history of bisexual behavior. 9.6% of respondents reported having both male and female partners, over three times more than what was reported in the 1990s.

The study, published by researchers Martin A. Monto and Sophia Neuweiler in The Journal of Sex Research, utilizes the General Social Survey dataset, a nationally representative sample of over 32,000 participants. The survey aims to carefully represent each demographic of the United States, and follows up with participants across each successive decade in order to assess how responses may change over time. An additional 2,300 participants were added in the 2021 wave.

The study used a variety of tools to try and measure sexual orientation and prior sexual behavior. This includes a question that asks respondents to reply with their sexual orientation – either gay/lesbian/homosexual, bisexual, or heterosexual/straight.

For sexual behavior, the study asked participants to recall whether their past sexual partners were of the same or a different sex, with additional questions asking about whether their partners were male or female. These responses were narrowed down by the researchers to those who had multiple sexual partners in the past year.

Using a method called regression analysis, the researchers determined what the relationships were between their measures of sexual orientation and behavior with gender, assessing how these relationships changed over time. They found that not only were participants more likely to identify as bisexual than in previous years, but that there were more participants identifying as bisexual than gay or lesbian.

However, they found the reverse trend for sexual partners, with more respondents being exclusively of the same sex than those who had both male and female sexual partners. The authors also note that women were more likely than men to report being bisexual or having a history of bisexual behavior, with men being more likely to report exclusive same-sex behavior.

In addition, this study also found that young people were more likely to identify as bisexual, with 10% of those below 29 and 12% of those in their 30s identifying as such.

This study reflects the changing landscape of Americans identifying as LGBTQ+. Previous studies have suggested similar trends, with more Americans identifying as LGBTQ+. In those prior studies, bisexuality was also the most frequent orientation behind heterosexuality.

The authors detail how this demographic shift showcases a “loosening of the social norms and institutional enforcement that have privileged heterosexuality over other sexual orientations,” with modern demographics being more accepting of LGBTQ+ individuals than in the past few decades.

They suggest that a reason there may be a discrepancy between identification and behavior in their results is due to how behavior may capture those simply exploring their sexuality before coming to a new identity.

In addition, they also point out how “sexual orientation can be fluid, with some people changing their sexual behavior and/or their sexual orientation identities over time.”

Finally, they detail that “even persons who have more recently had partners of both sexes may not consider themselves bisexual, and the term may not fit their understandings of themselves and their sexual behavior.”

The authors conclude by calling for more research that “can better recognize that the terms with which we identify ourselves are social and that there is some degree of choice about how to identify our sexual orientation, particularly among individuals with histories of both male and female partners”

Complete Article HERE!

What Is “Natural” for Human Sexual Relationships?

— A biological and anthropological researcher explains how humans’ diverse ways of mating might have evolved.


Members of a pro-polyamory group march in Toronto’s 2018 LGBTQ Pride Parade.

By Rui Diogo

Marrying more than one person constitutes a crime across most of the Americas and Europe. But in countries including Mali, Gambia, and Nigeria, more than a quarter of the population lives in polygamous households.

Survey the sex lives of Homo sapiens, and you’ll find couples, throuples, harems, and other arrangements of lovers. Fidelity, adultery, and ethically non-monogamous unions. How could one species have evolved myriad ways to mate? Concerning sex, what is natural for us humans?

A green book cover features two images at the top: a painting of a person and a photo of two adults and two children gathered in a forest. Beneath the images, large white text reads, “Meaning of Life, Human Nature, and Delusions.” Smaller blue text reads, “Rui Diogo” and “How Tales About Love, Sex, Races, Gods, and Progress Affect Our Lives and Earth’s Splendor.”

As an evolutionary biologist and anthropologist, I am often asked that question. The answer is complex. It also goes to the heart of the nature versus nurture debate, a topic that I have been discussing for several years, including in my latest book, Meaning of Life, Human Nature, and Delusions.

As discussed in that book, the scientific and historical evidence suggests that our earliest human ancestors, after we split from the chimpanzee lineage some 7 million years ago, were mainly polygamous. Individuals had various sexual partners at the same time. Fast forward to today, and humans exhibit diverse mating arrangements due to a greater influence of culture and tradeoffs between sexual desire, comfort, and jealousy.

how humans mate

Numerous lines of evidence contribute to my understanding of human mating habits.

As a biologist, I turn to the sex lives of nonhuman primates: Most species appear polygamous, including our closest relatives, chimpanzees. For these apes, both males and females have several hetero- and homosexual partners.

Fossils indicate the earliest hominins—the evolutionary branch leading to humans after its split from chimps—resembled upright walking apes. Considering these first human ancestors looked and acted like apes in many ways, it’s likely they mated polygamously.

But putting on my anthropologist’s hat and observing humans today, I notice a considerable variety of mating systems. Different cultures enforce or reinforce very different sexual practices. For instance, in some regions of Tibet, a woman can live with several husbands (polyandry). In countries such as Pakistan, men typically live with more than one wife (polygyny).

Across dozens of Indigenous Amazonian societies, pregnant women and those trying to conceive have sex with different men based on the idea of “shared or partible paternity.” According to people who hold this belief, semen from multiple fathers contribute to a developing fetus. A woman might have sex with the community’s fastest runner and best hunter to pass on these desirable traits to her child.

So how did mating habits evolve from our polygamous primate past to our variable human present?

Cultural differences can overtake biological foundations, as numerous historical cases evidence. For example, ancient texts indicate that men imposed monogamy upon women—but not necessarily on themselves—when agriculture emerged in several regions around the globe. As historian Stephanie Coontz has argued, farming lifestyles created notions of private property, which extended in some places to greater subjugation of women. In the early farming societies of ancient Egypt and Mesopotamia, wedding rings, worn by the wife, symbolized that she was owned by her husband. Patriarchs from the Bible’s Old Testament such as Jacob and David had multiple wives.

TRADEOFFS AND CULTURE

This brings us to the nature versus nurture debate, which is crucial for understanding love, sex, and marriage. A person’s natural biological drives may differ from behaviors they’ve absorbed through nurture, or their upbringing in a particular culture. (The nature/nurture debate itself proves to be problematic because, for social animals like humans, biology and culture intertwine.)

But, as I see it, monogamous marriage is mostly a cultural imposition, associated with three conflicting drives: sexual desire, comfort, and jealousy.

Sexual desire, grown from our polygamous primate roots, makes people want many partners or at least sexual novelty. I suggest that is why some married partners try to introduce novelty by wearing sexy underwear or otherwise changing routines. Providing a somewhat quantitative measure, studies have shown that changing sexual partners in swing clubs or while watching pornography often reduces a penis’ recovery (“refractory”) period between orgasm and the next erection.

However, two other emotions also play key roles in shaping our mating habits. One is jealousy, which derives from territoriality, a trait observed in most primates. Monogamy can diminish jealousy but may leave one sexually desiring more.

In some cases, those with power have enjoyed reduced jealousy and many sexual partners. For example, certain rulers have maintained harems with dozens of wives, but those women were expected to only sleep with their shared husband. Similarly, sexist religious narratives have been used to justify men keeping several wives but not the opposite.

The third critical emotion is comfort or familiarity. If, say, you develop cancer at age 70, you probably would want someone by your side who loves you—a monogamous mate. That desire for familiarity may not be met in cases of polygamy, in which one person has several sexual partners without love necessarily being involved.

A person wearing an ornate red headpiece and cape stands beside a balding person in a plaid suit jacket and gray pants. Other people wearing decorative beaded head and waist bands hold umbrellas and dance behind them.

Recently, it seems polyamory has gained steam in countries such as the U.S. and Canada. This arrangement recognizes that people may have a desire for many partners but concedes to some religious and philosophical narratives: for instance, Plato’s argument that sex without love is a sin or less noble. With polyamory, the idea is, “yes I do have sex with many, but I love them all.” And those partners also love others.

I see polyamory as an evolutionary rare and historically recent form of mating. Those who partake probably satisfy their desires for multiple mates and comfort/familiarity. But they may still suffer jealousy when their beloveds openly love others.

When it comes to love and mating, there are no perfect solutions. Each type of relationship balances sexual desire, comfort, and jealousy in different measures, subject to cultural influences. Some trends indicate that monogamous marriage is falling out of fashion for younger people in places such as the U.S. But there’s no reason to think that loveless polygamy, or love-flush polyamory, will overtake other arrangements.

Likely, humans in diverse societies will continue to love and mate in many different ways.

Complete Article HERE!

Female Orgasmic Disorder Could Become a Qualifying Condition for Medical Cannabis in Four States

— Science confirms what many of us discovered on our own.

By Sophie Saint Thomas

Four states—Ohio, Illinois, New Mexico, and Connecticut—are now looking into adding female orgasmic disorder (FOD) to the list of qualifying conditions for medical cannabis. There’s mounting research that suggests that cannabis can help women have more orgasms. For those with FOD, defined by the Merck Manuel as a “lack of or delay in sexual climax (orgasm) or orgasm that is infrequent or much less intense even though sexual stimulation is sufficient and the woman is sexually aroused mentally and emotionally,” medical marijuana could not only make having an orgasm easier, but more satisfying. 

Diagnosis criteria and scientific research aside, stoners have been boasting about the sexual properties of cannabis, probably since the herb was first smoked. Now, we know that cannabis, as a vasodilator, can increase blood flow to the genitals. Because it can also aid in anxiety, using some weed before sex can help people relax into the moment, which can be especially beneficial to those whose sexual dysfunction stems from trauma. After all, we know that cannabis has a well-documented ability to treat PTSD. It even enhances the senses, often making touching and even checking out your partner more fun. And as cannabis can also aid in creativity, it can help you consider and explore more variations in your sex life. 

“Women with FOD have more mental health issues, are on more pharmaceutical medication,” Suzanne Mulvehill, clinical sexologist, and founder and executive director of the nonprofit Female Orgasm Research Institute told Marijuana Moment. “They have more anxiety, depression, PTSD, more sexual abuse histories. It’s not just about pleasure, it’s about a human right,” adding that: “It’s a medical condition that deserves medical treatment.”

Ohio is currently evaluating a proposed amendment to add the condition. Earlier this month, the State Medical Board declared that both FOD and autism spectrum disorder are advancing to the stages of expert assessment and public feedback, following online petition submissions. Public comments will be accepted until Thursday.

In Illinois, regulatory officials are scheduled for a meeting next month to discuss the inclusion of FOD as an eligible condition. New Mexico plans to address the matter in May, as per the nonprofit Female Orgasm Research Institute. The organization also noted that Connecticut is exploring the possibility of adding FOD to its list of qualifying conditions, although a specific date for a meeting has not yet been determined.

Suzanne Mulvehill plays a leading role in the initiatives advancing the therapeutic advantages of cannabis for individuals with FOD. She says that this condition impacts as many as 41% of women globally. She filed a petition last year aiming to include this disorder among Ohio’s list of conditions eligible for medical marijuana.

Present studies suggest that approximately one-third of women who consume cannabis utilize it to enhance sexual experiences—a statistic Mulvehill notes has remained relatively consistent over the years.

She’s aware of the understanding surrounding cannabis’s ability to enhance sex. “It’s not new information,” Mulvehill said in her interview with Marijuana Moment. 

The novelty lies in the readiness of government bodies to address the matter. According to Mulvehill, Ohio appears to be the first state to evaluate FOD as a condition warranting medical marijuana. Moreover, she noted that Ohio’s meeting earlier in the month marked the inaugural instance, to her knowledge, of a public government entity discussing female orgasmic disorders.

A 2020 article published in Sexual Medicine discovered that frequent cannabis use among women correlates with improved sexual experiences. Additionally, various online polls have highlighted a positive correlation between cannabis consumption and sexual satisfaction. There’s even research indicating that the enactment of marijuana legislation correlates with a rise in sexual activity.

And research published last year in the Journal of Cannabis Research revealed that over 70% of adults surveyed reported an increase in sexual desire and enhanced orgasms when using cannabis before intercourse, and 62.5% noted improved pleasure during masturbation with cannabis use. Given previous data showing that women who have sex with men often experience orgasms less frequently than their male counterparts, the researchers suggested that cannabis might help bridge this orgasm equality gap.

For some people, having an orgasm is a challenge in a way that counts as a disorder that deserves treatment, and access to medical marijuana is paramount. For others, this new legal push is just a reminder that weed can make sex better and a reminder that you don’t need a diagnosis to have hot, stoned sex.

Complete Article HERE!

Here’s How Sex and Intimacy Help You Live Longer

— Says Molly Maloof, M.D.

By

For many, sex is fun and pleasurable—but it’s also pretty important to human existence. Sex plays a significant role in individual well-being, and perhaps even longevity.

Unfortunately, some public health organizations and entities continue to advertise not-so-positive outcomes after having sex, such as sexually transmitted infections, unintended pregnancy, sexual dysfunction, and more. This outdated narrative and outlook on sex (note: sex therapy hasn’t been reinvented since the 1960s, per the American Psychological Association) can be damaging as it overlooks the fact that sexual pleasure is a distinct element of well-being.

Sexual pleasure can play a key role in nurturing healthy relationships and, ultimately, extending your lifespan. In fact, having a good sex life has been shown to improve physical and mental well-being, both of which help you have a vibrant life overall.

Here are just five ways maintaining, or improving, your sex life can have profound effects on your overall health.

5 Benefits of Sex and Intimacy

Although sex and intimacy are often used interchangeably, they’re actually two different things.

Here’s the deal: Intimacy involves openness and acceptance between partners (this can be emotional, such as communicating about what you don’t like, or physical, like post-sex cuddling). On the other hand, sex is solely the physical activity—and of course, it’s possible to have sex without intimacy and vice versa.

1. It Maintains Quality of Life

Research shows that sexual health can improve your quality of life (no big surprise there!) — even if you’re older in age. As a result, it can increase your lifespan, too.

In fact, 62.2 percent of men and 42.8 percent of women reported that sexual health was highly important to quality of life in a 2016 study of 3,515 adults in the Journal of Sexual Medicine. And, people in excellent health had higher satisfaction with their sex lives than those who had fair or poor health. Based on these results, the study authors note that sexual health screenings should be a routine part of physician visits—so if your doc doesn’t bring it up, make sure you do.

Meanwhile, those ages 65 and older who said their sexual relationship was “sufficient” reported better quality of life and lower incidence of sexual dysfunction than those who described their relationship as “moderate” or “poor,” according to a 2023 study. This was also true for those who considered themselves attractive and had sex frequently with their partner or spouse.

What do these studies suggest? When your sex life is better, your overall outlook on life may improve too.

2. It Contributes to Satisfying Relationships & Mental Health

Sexual activity may also contribute to longevity by making your relationships more stable and satisfying—and by boosting your mental health.

Sexual satisfaction is a main factor in predicting relationship satisfaction in both men and women, according to a small-scale study, found in a 2023 issue of the International Journal of Environmental Research and Public Health. For women, interpersonal closeness was also important (measured by statements like “I always consider my partner when making important decisions” or “I miss my partner when we are apart”).

In addition, one 2019 study revealed that frequent, longer lasting bouts of sex was associated with higher sexual satisfaction, which in turn, lead to stronger relationships. This was true for all relationship types, including same-sex, mixed-sex, and gender-diverse relationships.

Beyond its physical implications, sexual activity and intimacy can also contribute to mental health, something that’s increasingly understood to influence longevity.

Researchers examined the impact of sexual activity (or lack thereof) in a study published in a 2021 issue of the Journal of Sexual Medicine. They found that people who didn’t have sex during the COVID-19-related lockdown had a 27 percent higher risk of developing anxiety and a 34 percent higher chance of depression compared to those who did.

3. It May Reduce the Risk of Cancer & Heart Disease

A great sex life can also keep your prostate—and other parts of your body—healthy.

Scientists monitored the frequency of orgasms in nearly 32,000 men over an 18-year period in a 2016 study published in European Urology. Their findings suggested that a higher frequency of orgasms was associated with a reduced risk of developing prostate cancer later in life.

More specifically, men (both in their 20s and 40s) who reported 21 or more orgasms per month had about 20 percent lower risk of developing prostate cancer compared to those who ejaculated four to seven times per month.

What’s more? Engaging in a vibrant sexual life also seems to benefit heart health, even in those with heart disease, per a study from a 2022 issue of the European Journal of Preventive Cardiology.

Heart attack patients who reported having sex at least once per week had a slightly lower risk of dying from heart disease (though more research is needed to determine if that lowered risk is statistically significant) and a more notable 44 percent lower risk of dying from non-heart disease causes—compared to those who had sex less. This is even after researchers adjusted for additional factors, including age, gender, partner status, and smoking.

4. It Can Boost Your Immune System

Research suggests sex can support your immune system, as it offers a shield against illnesses and bolsters your resilience to viruses.

In a study, found in a 2021 issue of Fertility and Sterility, researchers assigned 16,000 participants to one of two groups: those who reported having sex more than three times per month and those who reported having sex less than three times per month. They found that 76.6 percent of those in the first group did not get infected with COVID-19 over the course of four months—and even those who did get infected tended to have milder cases than those in the second group, where nearly half of the group got infected.

These findings suggest that as your sexual activity increases, your immune system may be better equipped to combat pathogens. But of course, sexual activity alone can’t prevent infectious disease, so be sure to take all appropriate measures to avoid infections like COVID-19—particularly if you’re at high risk for serious disease.

5. It May Independently Extend Your Lifespan

While factors like quality of life, a strong immune system, and lowered risk of cancer may all contribute to your longevity, research shows that sex alone may be able to extend your lifespan.

For instance, the findings from a study—found in a 2022 issue of the Journal of Applied Gerontology—showed that sexual well-being was positively associated with longevity in those who perceived sexuality as important to them.

Although research suggests your desire to have sex may begin to decline as you get older, plenty of men and women continue to have sex semi-regularly as they enter those later decades of life. Among those aged 80 and older, 19 percent of men and 32 percent of women reported having sex frequently (which is described as twice a month or more), according to a study from a 2015 edition of Archives of Sexual Behavior.

Complete Article HERE!

Top 10 drugs that may contribute to sexual dysfunction

By Naveed Saleh, MD, MS

Key Takeaways

  • A variety of prescription medications, along with the conditions they treat, may contribute to sexual dysfunction.
  • Some of these drugs are known to interfere with sexual health, such as antidepressants and beta blockers; lesser known culprits include thiazide diuretics or opioids.
  • Clinicians can help by being aware of medications that may affect sexual function, having open discussions with patients, and adjusting medications where needed.

Sexual dysfunction can be an adverse effect of various prescription medications, as well as the conditions that they treat. Some of these treatments, such as antidepressants and certain antihypertensives, likely come as no surprise to the clinician. Others, however, are not as well-known.

Here are 10 types of prescription medicines that contribute to sexual dysfunction.

Antiandrogens

Antiandrogens are used to treat a gamut of androgen-dependent diseases, including benign prostatic hyperplasia, prostate cancer, paraphilias, hypersexuality, and priapism, as well as precocious puberty in boys.

The androgen-blocking effect of these drugs—including cimetidine, cyproterone, digoxin, and spironolactone—decreases sexual desire in both sexes, as well as impacting arousal and orgasm.

Immunosuppressants

Prednisone and other steroids commonly used to treat chronic inflammatory conditions decrease testosterone levels, thus compromising sexual desire in males and leading to erectile dysfunction (ED). 

Sirolimus and everolimus, which are steroid-sparing agents used in the setting of kidney transplant, can mitigate gonadal function and also lead to ED.

HIV meds

The focus of dolutegravir (DTG)-based antiretroviral therapy has been on efficacy, as measured by viral load. Nevertheless, these drugs appear to affect sexual health, which can erode quality of life, according to authors writing in BMC Infectious Diseases.[1]

“Sexual dysfunction following transition to DTG-based regimens is common in both sexes of [people living with HIV], who indicated that they had no prior experience of difficulties in sexual health,” the study authors wrote. “Our findings demonstrate that sexual ADRs negatively impact self-esteem, overall quality of life and impair gender relations. DTG-related sexual health problems merit increased attention from HIV clinicians.”

Cancer treatments

Both cancer and cancer treatment can impair sexual relationships. And cancer treatment itself can further contribute to sexual dysfunction.

For example, long-acting gonadotropin-releasing agonists used to treat prostate and breast cancer can lead to hypogonadism, resulting in lower sexual desire, orgasmic dysfunction, erectile dysfunction in men; and vaginal atrophy/dyspareunia in women.[2]

Hormonal agents given during the course of endocrine therapy in cancer care lead to a sudden and substantial decrease of estrogens via their effects at different regulatory levels. Selective ER modulators (SERMs) are used to treat ER-positive breast cancers and bind ERs α and β. These receptors are crucial in the functioning of reproductive, cardiovascular, bone, muscular, and central nervous systems. Tamoxifen is the most common SERM used.

In females, reduced estrogen levels due to endocrine therapy can lead to vaginal dryness and discomfort, pain when urinating, dyspareunia, and spotting during intercourse.

Antipsychotics

Per the research, males taking antipsychotic medications report ED, less interest in sex, and lower satisfaction with orgasm, with delayed, inhibited, or retrograde ejaculation. Females taking antipsychotics report lower sexual desire, difficulty achieving orgasm, anorgasmia, and impaired orgasm quality. 

“The majority of antipsychotics cause sexual dysfunction by dopamine receptor blockade,” according to the authors of a review article published in the Australian Prescriber.[3] “This causes hyperprolactinaemia with subsequent suppression of the hypothalamic–pituitary–gonadal axis and hypogonadism in both sexes. This decreases sexual desire and impairs arousal and orgasm. It also causes secondary amenorrhoea and loss of ovarian function in women and low testosterone in men,” they continued.

Antipsychotics may also affect other neurotransmitter pathways, including histamine blockade, noradrenergic blockade, and anticholinergic effects.

Anti-epileptic drugs

Many men with epilepsy complain of sexual dysfunction, which is likely multifactorial and due to the pathogenesis of the disease and anti-epileptic drugs, per the results of observational and clinical studies.[4]

Specifically, anti-epileptic drugs such as carbamazepine, phenytoin, and sodium valproate could dysregulate the hypothalamic–pituitary–adrenal axis, thus resulting in sexual dysfunction. Carbamazepine and other liver-inducing anti-epileptic drugs could also heighten blood levels of sex hormone-binding globulin, thus plummeting testosterone bioactivity.

Both sodium valproate and carbamazepine have been linked to disruption in sex-hormone levels, sexual dysfunction, and changes in semen measures.

Antihistamines

Allergic disease is commonly treated with antihistamines and steroids, with both drugs potentially interfering with sexual function by decreasing testosterone levels. In particular, H2 histamine receptor antagonists can disrupt luteinizing hormone/the human chorionic gonadotropin signaling pathway, thus interfering with the relaxation of smooth muscles at the level of the corpus cavernosum.[5]

ß-blockers

ß-blockers contribute to ED likely because they suppress sympathetic outflow.

“Non-cardioselective ß-antagonists like propranolol have a higher incidence of ED than cardioselective ß-antagonists which avoid ß2 inhibition resulting in vasoconstriction of the corpora cavernosa,” per investigators writing in Sexual Medicine.[6] “Nebivolol has the greatest selectivity for ß1 receptors as well as endothelial nitric oxide vasodilatory effects, and has been shown to have a positive effect on erections.”

The authors cite a double-blind randomized comparison in which metoprolol decreased erectile scores after 8 weeks, whereas nebivolol improved them.

As well, he selective β-blocker nebivolol inhibits β1-adrenergic receptors, which may protect against ED vs non-selective β-blockers.[7]

Opioids

The µ opioid receptor agonist oxycodone not only inhibits ascending pain pathways, but also disrupts the hypothalamic-pituitary-gonadal axis by binding to µ receptors in the hypothalamus, thereby resulting in negative feedback and resulting in ED, as noted by the Sexual Medicine authors.

Consequently, less  gonadotropin-releasing hormone is produced, which results in lower levels of  gonadotropins and secondary hypogonadism. 

Loop diuretics

Results of a high-powered study demonstrated that men taking thiazides were twice as likely to experience ED compared with those taking propranolol or placebo. It’s unclear whether furosemide also causes ED. It’s also unclear why thiazides cause ED. Nevertheless, the Sexual Medicine authors stress that prescribers should remain cognizant of the potential for thiazide to interfere with sexual function.

What this means for you

It’s important for clinicians to realize the potential for a wide variety of drugs to contribute to problems in the bedroom. If a patient experiences trouble having sex, they may discontinue use of the drug altogether. Consequently, physicians must tailor treatment plans with patients and their partners in mind.

The key to assessing sexuality is to foster an open discussion with the patient concerning sexual function and providing effective strategies to address these concerns.

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