How to Be a Good Top: A Guide for BDSM Enthusiasts

By Happy Sharer

Introduction

“Top” is a term used within the BDSM community to describe someone who takes on a more dominant role in a relationship or scene. Tops are often seen as the partners in control, setting the tone and direction of the experience. Being a good top involves more than just following orders; it’s about creating a safe and enjoyable environment for both partners. This article will provide tips and advice on how to be a good top for BDSM enthusiasts.

Setting Boundaries and Expectations

The first step to being a good top is to establish boundaries and expectations. This includes communicating your own needs and desires, as well as those of your partner. It’s important to make sure that both parties understand what they want out of the experience and are comfortable with the activities involved. Establishing boundaries and expectations is also a great way to ensure that everyone is on the same page, which can help prevent misunderstandings and hurt feelings.

Setting boundaries and expectations can also help create a sense of trust between partners. According to a study by the University of Michigan, “When partners agree to certain boundaries and expectations, it helps them feel safer and more secure in their relationship.” This can lead to more open communication and an overall better experience for both partners.

Being Patient

Good tops know that not everyone is experienced in BDSM, and they take the time to teach new skills and introduce new activities. Being patient and understanding can go a long way when it comes to creating a positive experience for both partners. As noted in the 2014 book “Kinky Folks: A Guide to BDSM,” “Patience is key when introducing someone to BDSM, as it can be an overwhelming and intimidating experience for some.” Taking the time to explain things clearly and answer any questions can help your partner feel more comfortable and confident in their new role.

Listening to Your Partner

Good tops also listen to their partners. It’s important to pay attention to their wants, needs, and desires, and to do your best to accommodate them. This means taking the time to discuss what each partner enjoys and making sure that everyone is comfortable and having a good time. Listening to your partner can also help create a stronger bond between the two of you, as it shows that you value their opinion and respect their wishes.

Communicating Openly

In addition to listening to your partner, it’s also important to communicate openly. This means expressing your own wants and needs, as well as discussing any concerns or worries you may have. Good tops recognize the importance of communication, as it helps to ensure that everyone is on the same page and comfortable with what’s happening. As noted by Dr. M.E. Farley in her 2009 book “The Psychology of BDSM,” “Open communication is essential for a successful BDSM relationship, as it allows both partners to express their desires and limits.”

Respecting Limits

It’s also important for good tops to respect the physical and mental limits of their partners. This means not pushing beyond what either person is comfortable with and making sure that everyone is enjoying themselves. Respect for limits is key, as it helps to create a safe and enjoyable experience for both partners. As noted in the 2016 book “The Art of Kink,” “Respect for limits is essential for a successful BDSM experience, as it ensures that everyone is comfortable and having a good time.”

Staying Safe

Good tops also understand the importance of staying safe. This means practicing safe sex, using proper safety equipment, and making sure that both partners are aware of the risks involved. While BDSM can be an exciting and pleasurable experience, it’s important to remember that it can also be dangerous if not done properly. As noted in the 2015 book “The Ultimate Guide to Kink,” “Safety must always be a priority in any BDSM activity, as it helps to reduce the risk of injury or harm.”

Having Fun

Finally, good tops know how to have fun. This means enjoying yourself and letting your partner enjoy themselves too. Having fun is an important part of any BDSM experience, as it helps to create a more relaxed and enjoyable atmosphere. As noted in the 2017 book “The BDSM Bible,” “Having fun is essential for a successful BDSM experience, as it helps to create a more enjoyable and memorable experience for both partners.”

Conclusion

Being a good top involves more than just following orders; it’s about creating a safe and enjoyable environment for both partners. This article has provided tips and advice on how to be a good top, including setting boundaries and expectations, being patient, listening to your partner, communicating openly, respecting limits, staying safe, and having fun. By following these tips, BDSM enthusiasts can create a fulfilling and enjoyable experience for both partners.

Complete Article HERE!

Exploring the Benefits of Sex on Overall Health and Human Performance

Sex helps with sleep and allows the brain to switch off

In recent years, there has been significant research into the benefits of sex and the multifaceted relationship between sex and overall health. Recent research by WHOOP reveals direct correlations between sex, sleep, and recovery – and how and why the timing of sex can make all of the difference.

Physical Health Benefits of Sex

Studies indicate that there are a variety of potential physical health benefits of sex, which include the following:

  • Cardiovascular Health — Sexual activity can have several cardiovascular benefits, including improved heart health and circulation. Sex is a type of physical activity, and has been linked to increases in heart strength, lower stress levels, and reduced blood pressure — all of which are great for cardiovascular health.
  • Immune Health — In one study, researchers found that individuals who engaged in regular sexual activity had higher levels of the antibody immunoglobulin A (or IgA) than those who did not. IgA plays a key role in immune defense and fighting off infections and illnesses, so the researchers concluded that sex could potentially boost the immune system.
  • Pain Relief — Sex has also been associated with the benefit of pain relief. Sexual activity releases endorphins, much like other forms of exercise. These endorphins can contribute to pain relief and feelings of wellbeing. Sex has been found to be helpful in managing chronic pain, as well as acute bouts of pain due to menstruation or childbirth.

Sex and Sleep Quality

Research on the relationship between sex and health has also looked at how sexual activity influences sleep quality specifically. Researchers have discovered a connection between sex and improved sleep quality, including:

  • Sleep Latency — Research indicates that sex can help make it easier to fall asleep at night. Dr. Lastella notes that, “Sleep latency is essentially how quickly you can fall asleep. Some of the data that we’ve collected through some surveys is essentially saying that when people are engaging in sex that includes an orgasm, they’re reporting that their sleep latencies are shorter than usual.”
  • Sleep Quality — Sex has also been associated with increases in perceived sleep quality, including satisfaction with sleep. In one survey, 75% of participants dealing with insomnia indicated that they experienced improved sleep quality after engaging in sexual activity before going to sleep. Other research has found that both men and women self-report improvements in sleep quality and perception of general well being alongside sexual activity.
  • Libido — Dr. Lastella also explained the relationship between sleep and libido, noting that sleep and libido tend to decline with age and that there is likely a strong relationship between a decline in libido and less sleep. “If you want to increase your libido, then get more sleep,” he stated. Lastella referred to a study in which female participants who got one more hour of sleep per night were more likely to engage in sexual activity the next day.
  • Hormones — The hormonal changes that occur with sex can contribute to better sleep. Feelings of relaxation and other pleasant emotions are stimulated by the release of oxytocin, prolactin, and endorphins, while a decline in cortisol reduces feelings of worry and stress.

Data from WHOOP members can lend further insight into the question of how and why sexual activity affects sleep quality. WHOOP data found gender-specific effects of sex on sleep duration. Men who have sex before their normal bed time (sleep onset) gain sleep by 2.58 minutes, while women who have sex before their normal bed time lose sleep by 1.2 minutes.

Both men and women who have sex after their normal bed time lose sleep. These results indicate that sex before normal bedtime can be beneficial for men as indicated by an increase in sleep duration. These benefits do not extend to women, who exhibited a loss in sleep duration. Sex after normal bed time was not found to be beneficial for either men or women and resulted in declines in sleep duration for both groups.

Hormonal Balance and Stress Reduction

Certain key benefits of sexual activity can be traced back to the hormonal changes that occur during and after sex. Dr. Michele Lastella, a researcher in sleep, sexual activity, and athletic performance, appeared on the WHOOP Podcast to discuss the health benefits of sex.

According to Dr. Lastella, “Engaging in sexual activity, particularly when we orgasm, [causes our bodies to] release different hormones, such as oxytocin. Oxytocin tends to increase, prolactin also tends to increase — it’s essentially that sexual satisfaction hormone — and also you have a reduction in cortisol, which then can cause a reduction in stress.”

Increases in the hormones oxytocin and prolactin can contribute to feelings of satisfaction, while decreases in the stress hormone cortisol help mitigate feelings of stress. Together, these hormonal changes can improve mood and aid in stress management.

Physical Fitness and Endurance

As a type of exercise, sexual activity can benefit physical fitness because certain key physical health benefits of sex, including increases in heart strength and overall cardiovascular health, can be beneficial for endurance and performance.

Both men and women who logged sex before their normal bed time (sleep onset) showed better recovery scores the next day, while men and women who logged sex after their normal bed time displayed worse recovery scores the following day.

Sex after normal bedtime was associated with a larger reduction in next-day recovery scores for men (by 4.04%) than women (by 2.84%), indicating that men were more affected by this activity than women.

Complete Article HERE!

Everything You Need to Know About the Refractory Period

By Tim Jewell

What’s the refractory period?

The refractory period occurs right after you reach your sexual climax. It refers to the time between an orgasm and when you feel ready to be sexually aroused again.

It’s also called the “resolution” stage.

Does everyone have one?

Yes! It’s not just limited to people with penises. All people experience a refractory period as the final stage in a four-part sexual response cycle called the Masters and Johnson’s Four-Phase Model.

Here’s how it works:

  • Excitement. Your heart rate goes up, your breathing gets faster, and your muscles get tense. Blood starts heading toward your genitalia.
  • Plateau. Your muscles continue to tense. If you have a penis, your testicles pull up against your body. If you have a vagina, your clitoris retracts under the clitoral hood.
  • Orgasm. Your muscles contract and release tension, and your body gets flushed and red. If you have a penis, your pelvic muscles contract to help release ejaculate.
  • Resolution. Your muscles start to relax, your blood pressure and heart rate go down, and your body becomes less responsive to sexual stimulation. This is where the refractory period begins.

Is it different for males and females?

One 2013 reviewTrusted Source suggests that the male peripheral nervous system (PNS) is much more involved in the body’s changes after orgasm.

It’s thought that compounds called prostaglandins affect the overall nerve response, resulting in a longer refractory period.

A peptide called somatostatinTrusted Source is also thought to reduce sexual arousal right after ejaculation.

This may explain why males typically have a longer refractory period.

What’s the average refractory period by sex and age?

There are no hard numbers here. It varies widely from person to person based on a variety of factors, including overall health, libido, and diet.
Average figures suggest that for females, mere seconds may pass before sexual arousal and orgasm is possible again.

For males, there’s a lot more variance. It may take a few minutes, an hour, several hours, a day, or even longer.

As you get older, 12 to 24 hours may pass before your body is able to become aroused again.

A 2005 analysis suggests that sexual function most noticeably changes — for both sexes — at age 40.

Does it vary between masturbation and partner sex?

Yes, quite a bit.

One 2006 review looked at data from three different studies of males and females engaging in masturbation or penile-vaginal intercourse (PVI) to orgasm.

The researchers found that prolactin, a key hormone in the refractory period, levels are over 400 percent higher after PVI than after masturbation.

This suggests that your refractory period may last a lot longer after having intercourse with a partner than after solo masturbation.

Is there anything I can do to shorten it?

You can. There are three key factors affecting refractory period length that you may be able to control: arousal, sexual function, and overall health.

To boost arousal

  • Feel out masturbation as part of the process. If you have a longer refractory period, masturbating before sex may interfere with your ability to get off with your partner. Listen to your body on this one — if it takes a while to become aroused again, skip the solo session and see what happens.
  • Switch up how often you have sex. If you’re already getting down every other day, try moving to once a week. And if you’re already hooking up once a week, see what happens if you wait until every other week. A different sex schedule may result in a different refractory period.
  • Try a new position. Different positions mean different sensations. For example, you may find that you’re more in control of your arousal and impending ejaculation if you’re on top of your partner or if they’re on top of you.
  • Experiment with erogenous zones. Have your partner pull, twist, or pinch your ears, neck, nipples, lips, testicles, and other sensitive, nerve-dense areas.
  • Fantasize or role-play. Think about situations that turn you on and share them with your partner. Consider acting out a “sex scene” with you and your partner as characters.

To boost sexual function

  • Practice Kegel exercises. Strengthening your pelvic muscles may give you more control over when you ejaculate.
  • Avoid drinking alcohol before sex.This can interfere with the cardiac functions necessary for arousal.
  • Talk to your doctor about erectile dysfunction (ED) medications. Medications like sildenafil (Viagra)Trusted Source can help you get back in the sack quicker by relaxing penis muscles and improving blood flow. However, individual results may vary, and in some cases ED medications can be counterproductive. It’s best to consult with a therapist or physician who specializes in sexual health.

To boost overall health

  • Stay active. Exercise at least 20 to 30 minutes a day to keep your blood pressure and cholesterol down.
  • Eat a healthy diet. Fill your diet with foods that increase blood flow, such as salmon, citrus, and nuts.

The bottom line

It’s important to remember that everyone has a different refractory period. You may even notice that your individual refractory period varies from session to session.

It all comes down to a number of unique factors. Some you can change, such as alcohol intake and overall diet. And some, such as chronic conditions and age, you can’t.

If you’re concerned about how long it takes you to reach or recover from orgasm, see a sex therapist or a physician who’s knowledgeable in human sexuality.

They can answer any questions you have and, if needed, diagnose or treat any underlying conditions.

Complete Article HERE!

The orgasm gap

— Picking up where the sexual revolution left off

By Laurie Mintz

At the core of the 1960s sexual revolution was “female sexual empowerment.” It fell short of this goal. Specifically, while the revolution made women having intercourse before marriage acceptable, it didn’t lead women to have equally pleasurable sexual experiences.

This assertion comes from my vantage point as a sex researcher and educator. I teach human sexuality to hundreds of college students a year. As a teaching and research tool, I anonymously poll students regarding their sexual experiences and compare the results to published research. Both sources provide striking evidence of an orgasm gap between women and men. This spurred me to write a book to foster pleasure equality. “Becoming Cliterate: Why Orgasm Equality Matters – And How to Get It” aims to expose, explain and close the orgasm gap.

The orgasm gap exposed

One study of college students found 91 percent of men and 39 percent of women always or usually orgasm during sexual encounters. While this study didn’t ask about the sexual context, another revealed that the gap is larger in casual sex than relationship sex. Women were found to orgasm 32 percent as often as men in first time hookups and 72 percent as often in relationships. This study didn’t specify that the sexual encounters include activities that could result in orgasm. When I specify this, 55 percent of male students and 4 percent of female students report always orgasming during hookups.

The orgasm gap isn’t limited to students. Among a nationally representative U.S. sample, 64 percent of women and 91 percent of men said they’d orgasmed at their most recent sexual encounter.

Clearly, there’s an orgasm gap. But, what are the cultural reasons for this gap?

The orgasm gap explained

Some say the gap isn’t cultural but due to the elusive nature of women’s orgasms. Yet one landmark study found that when masturbating, 95 percent of women reach orgasm easily and within minutes. Four minutes was the average time that sex researcher Alfred Kinsey found it takes women to masturbate to orgasm. Orgasm isn’t elusive when women are alone.

It’s also not elusive when women are together. One study found that orgasm rates don’t vary by sexual orientation for men but do for women. Lesbians are more likely to orgasm than heterosexual women.

What do lesbian sex and female masturbation have in common? They focus on clitoral stimulation. One study found that when women pleasure themselves, almost 99 percent stimulate their clitoris.

Yet, when with male partners, especially casual ones, women forgo the clitoral stimulation needed to orgasm. A survey conducted by a women’s magazine found that 78 percent of women’s orgasm problems in heterosexual sex are due to not enough or not the right kind of clitoral stimulation. An academic study found that receiving oral sex and touching one’s clitoris during intercourse increases orgasm rates and that these behaviors occur more often in relationship sex than casual sex.

Women not getting clitoral stimulation, especially in casual sex, is a major reason for the orgasm gap. This leads to a more nuanced question: Why aren’t women getting the stimulation they need?

A double standard and a lack of knowledge

The first reason is ignorance of the clitoris, fueled by our sex education system. Best-selling author Peggy Orenstein pointed out that sex education ignores the clitoris, teaching only about women’s internal organs. No wonder a study found that over 60 percent of college students falsely believe the clitoris is located inside the vaginal canal. Many of these students also mistakenly believe that women orgasm from intercourse alone. In actuality, only a minority can. Depending on the way the questions are worded, 15 percent to 30 percent of women say they orgasm from intercourse alone. When I ask students, “What is your most reliable route to orgasm?,” 4 percent answer penetration alone.

Yet, by failing to teach this in sex education, we leave people to rely on media images. Orenstein asserts that porn has become the new sex ed. One false image portrayed in porn, and mainstream media, is that it is normal, indeed ideal, for women to orgasm from intercourse. This false belief is a main culprit in women not getting the stimulation they need to orgasm.

But research tells us it’s not the only culprit. Knowledge of the clitoris increases women’s orgasm rate during masturbation but not during partnered sex.

So, what in our culture is preventing women from bridging the gap between self and partnered pleasure, especially in casual sex? Researchers in one study found that young adults believe that in casual sex, women’s pleasure is less important than men’s pleasure. They concluded that while it is now acceptable for women to engage in casual sex, it is not acceptable for them to seek sexual pleasure outside of a relationship. They say we have a new sexual double standard.

This takes us full circle, but begs two questions. Why is it important to close the orgasm gap? How can we do so?

The orgasm gap closed

On a surface level, closing the gap is important for equal access to pleasure itself.

On a deeper level, scholars connect pleasure equality and sexual consent. They say learning about sexual pleasure empowers one to communicate one’s desires to others, making it less likely to be coerced, or to coerce others, into unwanted sex. A number argue for sex education reform. A position paper by the Society for Adolescent Health and Medicine also advocated for reform, saying abstinence-only education “reinforces gender stereotypes about female passivity and male aggressiveness.” While the position paper didn’t suggest teaching about pleasure in sexual education, others do.

Information on pleasure, masturbation, the clitoris and orgasm is taught in commonly used sex education programs in Dutch schools. So is information on abstinence, birth control, consent, communication, sexual decision-making, and the difference between porn and real sex. The Dutch have lower pregnancy and STI rates, and three times less sexual violence than the U.S.

Connecting sexual violence and the orgasm gap, one writer declared: “Let 2018 be the year we demand more than freedom from sexual harassment and abuse. This year, it’s time we demand pleasure.”

Time magazine said the #MeToo movement was simmering for years. It seems that a related sexual revolution for pleasure equality is also emerging.

11 Podcasts About Sex

— To Help You Explore Your Sexuality & Get a Little Kinky

BY Brianne Hogan

Maybe you want to learn more about sex. Maybe you’re nervous talking about sex, so you want to listen to other people talk about sex. Maybe you’re looking for sex tips, relatable stories, or just something entertaining and spicy to listen to in your downtime. Whatever the reason, tuning into a podcast about sex is a great starting point when it comes to igniting your own personal sex life. As we know by now, podcasts are an excellent – and intimate – medium when it comes to education, so why not educate yourself on becoming more intimate with yourself and/or your partner(s) by listening to a podcast about sex?

Maybe you want to learn more about sex. Maybe you’re nervous talking about sex, so you want to listen to other people talk about sex. Maybe you’re looking for sex tips, relatable stories, or just something entertaining and spicy to listen to in your downtime. Whatever the reason, tuning into a podcast about sex is a great starting point when it comes to igniting your own personal sex life. As we know by now, podcasts are an excellent – and intimate – medium when it comes to education, so why not educate yourself on becoming more intimate with yourself and/or your partner(s) by listening to a podcast about sex?

And if you’re worried about things getting awkward, never fear. Most of these sex podcasts are like listening to some wise, knowledgable, and relatable friends, so it’ll be hard to feel anything but amused and maybe slightly aroused by their discussions. The podcasts below include all sorts of engaging conversations with sexperts, psychologists, couples, and more, about everything from foreplay and intercourse to self-pleasure, fetishes, kinks, and common bedroom struggles. No matter what tickles your fancy, you’ll be sure to walk away with some toe-curling insight and tips for your next sex session. Don’t say we didn’t warn you!

(PS: If you’re looking for podcasts about relationships or erotic podcasts designed to titillate, we’ve got you covered.)

Best Sex Podcasts | Brown Girls Do It Too
BBC/Brown Girls Do It Too

Brown Girls Do It Too

In this critically acclaimed podcast, best friends Poppy and Rubina talk about their sexual experiences as young Asian women. While speaking about sex is often considered taboo in South Asian culture especially for women, Poppy and Rubina go against type and create a safe, empowering safe to chat about everything from sex after care to exploring queerness.

Best Sex Podcasts | The Dildorks
The Dildorks

The Dildorks

Award-winning journalist Kate Sloan and sex educator Bex Caputo met at a sex blogger’s retreat, became besties, and, as a result, created their podcast, The Dildorks. The self-proclaimed “sex nerds” get geeky when it comes to sex, kinks, and relationships with such episodes as “Sealed with a Piss,” “Porn Scorn,” and “Sperminology”.

Best Sex Podcasts | Girls on Porn
Girls on Porn

Girls on Porn

This cheeky podcast is not just about two girls (Laura and Rachel) reviewing porn but an honest and fun discussion about helping you find the right adult content that you deserve to watch alone, or with your partner(s). They do all the heavy lifting for you so you can “upgrade your spank bank” and “spice up your self-care.”

Best Sex Podcasts | The Pleasure Provocateur Podcast
Photo :

The Pleasure Provocateur Podcast

Hosted by Lorrae Bradbury, the founder of Slutty Girl Problems, The Pleasure Provocateur dives deep into what it means to experience pleasure whether that’s experiencing sex magic, learning how to be sensual while single, or discussing kinks and tantra. Bradbury explores what it means to be erotic while also acknowledging the shame that comes attached with being called “provocative.”

Best Sex Podcasts | Savage Lovecast
Savage Lovecast

Savage Lovecast

Dan Savage is pretty much the OG when it comes to openly discussing all things related to sex and dating (he’s been writing about it since 1991 and has had a podcast since 2006). With over 30 years of experience, he’s not only an expert when it comes to dishing out advice on his podcast, but he’s also not going to hold back when you need the tough love that only an agony auntie can bring.

Best Sex Podcasts | Sex with Emily
Sex with Emily

Sex with Emily

“Communication is lubrication” was coined by Dr. Emily Morse, and you can expect more nuggets of wisdom on her podcast that helps to normalize the messiness of sex. As a doctor of human sexuality, Morse’s compassionate nature allows listeners to feel less alone when it comes to their struggles in the bedroom – because guess what? – no one has sex all figured out, and Morse is here to remind us of that and help us by sharing her decades of research.

Best Sex Podcasts | The Sex and Psychology Podcast
The Sex and Psychology Podcast

The Sex and Psychology Podcast

Being connected to your sexuality is as mental as it is physical, and if understanding the psychology behind sex turns you on, then you’ll want to check out the Sex and Psychology Podcast hosted by Kinsey Institute Research Fellow Dr. Justin Lehmiller. You’ll nerd out to discussions on sexual attraction, throuples, masturbation, anal sex, and so much more.

Best Sex Podcasts | Shameless Sex
Shameless Sex

Shameless Sex

April and Amy are two friends “with a passion for initiating shame-free conversations about sex and relationships” and “strive to normalize all forms of consensual sex” and it shows. On Shameless Sex, they discuss everything from porn addiction to polyamory relationships to finger banging – all with their trademark wit and radical honesty on full display.

Best Sex Podcasts | Turn Me On
Turn Me On

Turn Me On

Jeremie and Bryde are a divorced, formerly polyamorous, couple who are now best friends, so it’s not surprising that they have a lot to talk about when it comes to love, sex, and relationships. They lead thought-provoking discussions on their podcast covering every niche of sexual wellness with humor and charming candidness.

Best Sex Podcasts | We’re Having Gay Sex
We’re Having Gay Sex

We’re Having Gay Sex

Feeling like overhauling your sex life? So did comedian Ashley Gavlin, the host of We’re Having Gay Sex, who, after 10 years of serial monogamy, trades it all in to explore her sexuality. Along with her co-hosts, Katy Sisk and Gara Lonnin, they chat with guests from all over the gender and sexuality spectrums (from straight to gay and cis to trans) about their sex lives.

Best Sex Podcasts | VagEsteem
VagEsteem

VagEsteem

VagEsteem was a term coined by host Vanessa Geffrard, a health and sex educator in Baltimore, during a workshop educating the women about “Vag’ and body confidence. Since then, her work in sexual wellness space has grown into a podcast where she creates a safe space for women to learn and discuss everything from sex work to Kegels to fertility to endometriosis.

Complete Article HERE!

Sexless relationships aren’t uncommon—here’s what to do if you’re in one

— Here’s what to do if you’re in one

It doesn’t necessarily mean your relationship’s over

By

You know how many of your pals are proudly posting about their Stanley cups, favourite books, and hot girl walks? Well, odds are, even more of your friends are silently suffering through a sex drought. So, if you’re currently craving more coitus than your partner wants to, can, or is willing to participate in, you can take comfort in the fact that you’re not alone.

Many people don’t talk about their dry spells, because it can feel embarrassing to imply that something is ‘wrong’ in your relationship, says Shannon Chavez Qureshiz, PsyD, CST, a licensed psychologist and sex therapist based in Beverly Hills. But actually, it’s a common experience. ‘Most couples go through a period of being sexless,’ she says.

Research backs this claim up: One 2018 survey published in the Archives of Sexual Behavior found more than 15 percent of married folks hadn’t had sex the previous year. But the actual statistics may even be higher than these numbers, according to Chavez. ‘Most people in sexless relationships do not disclose to others they are in a sexless relationship, due to the social stigma associated with the lack,’ she says. So, the good news: you’re not alone. But, the less-good news: the knowledge that (many!) other people are currently wading through a sex drought doesn’t make it easier to figure out what you should do.

Meet the experts: Shannon Chavez Qureshiz, PsyD, CST, is a licensed psychologist and sex therapist based in Beverly Hills. Carolina Pataky, PhD, LMFT, is a sexologist and co-founder of South Florida’s Love Discovery Institute. Rachel Wright, LMFT, is a New York-based licensed psychotherapist and host of The Wright Conversations podcast.

Ahead, sex and relationship therapists answer all your questions about being in a sexless relationship, including what causes it and what you can do to fix it. (Yes, that means that many sexless relationships can return to their sex-filled beginnings—with a little tenderness, love, care, and conversation.)

What is a sexless relationship?

Traditionally, sexless relationships are defined by a lack of—or low occurrence of— intercourse within a relationship. ‘A widely used benchmark on the topic says relationships are sexless when sex happens less than 10 times per year,’ says Carolina Pataky, PhD, LMFT, a sexologist and co-founder of South Florida’s Love Discovery Institute.

The problem with this definition is that it typically centres on just one type of sex, when the definition of sex is (or at least, should be) much more expansive than intercourse, says Rachel Wright, LMFT, New York-based licensed psychotherapist and host of The Wright Conversations podcast.

‘Most people in sexless relationships do not disclose to others they are in a sexless relationship’

There’s no doubt that penis-in-vagina sex, strap-on sex, and anal sex can be pleasurable. But narrowing in on just these sex acts means that people who are having plenty of satisfying oral sex, hand hanky-panky, toy play, or mutual masturbation technically fall in the ‘sexless’ category, says Wright.

In effort to be both more inclusive and accurate, many sex educators and therapists propose a new, more nuanced understanding of sexless relationships. Chavez, for example, says the term should be reserved for partnerships where the quality, pleasure-rich physical interactions are lacking and (and this is important) this lack is distressing to one or more of the people in the relationship.

Pataky agrees that quantity shouldn’t be the sole determining factor in a sexless relationship diagnosis. ‘If both individuals in the relationship are content with their level of sexual activity—and it’s high-quality when it happens—then, regardless of its infrequency, the term ‘sexless’ might not accurately reflect their situation,’ she says.

What is the difference between a sexless relationship and a dry spell?

>Much like the differences between toe-ma-toe and toe-mah-to, the differences between sexless marriage, a dry spell, and a dead bedroom is a matter of semantics. All four imply the same concern that sexual intimacy is missing in action, says Chavez.

As you might guess, sexless marriage is a term reserved for low-copulatory couples who are wed. Meanwhile, a dry spell generally suggests that a few weeks or months have gone without an ‘adequate’ (as defined by the individual using the term) number of intimate encounters.

Someone in a dry spell, however, might not be going through a year(s)-long drought, says Pataky. ‘Usually, a dry spell is often seen as a natural ebb and flow in a relationship’s sexual dynamics, rather than a prolonged problem,’ she adds. However, Chavez notes that ‘some people feel like dry spell is a more socially acceptable term, so [they] use it over other terms, regardless of how long it has been.’

Finally, ‘dead bedroom’ generally refers to a relationship that isn’t just missing in (penetrative) sex, but also other forms of physical intimacy, too. There’s a queer-centric version of this ‘dead bedroom’ called ‘lesbian bed death,’ which also suggests a lack of action. (Though many want to retire the phrase, since it facilitates that false belief that women and non-men are less sexually-inclined than men, which is false.)

All in all, if someone is using one of these terms, they are most likely trying to express anguish. As such, whether it’s your partner, pal, or patient (heya, therapists!) who is using this language, it’s in your best interest to ask follow-up Q’s that can help you discern the exact issue.

Why are we having no (or less) sex?

To borrow a line from Elizabeth Barrett Brown, let me count the ways. ‘A sudden decrease or drop off in sexual activity can stem from a variety of reasons,’ according to Pataky. The good news is that once the trigger is identified, it can usually be trouble-shot in such a way that sex either returns, or the couple (or triad) realise they are no longer compatible, and can either restructure their relationship or split.

Ahead, 6 common culprits as to why you’re not getting it on anymore.

1. You’re busy bees.

Even a quickie takes some time! So, if you and your boo are currently only getting by with the help of your Google calendar and post-it notes, it makes sense that you’d notice a dip.

‘Having a new baby, one or more partners being in crunch time at work, and navigating a family member’s worsening health are all time-consuming things that can impact how often you have sex,’ says Pataky. Plus, all of these examples are things that take a toll on your emotional and mental bandwidth, as well, which can also throw your sex life a curveball.

If this sounds like you, Pataky says scheduling sex can be an effective strategy to enhance intimacy and connection in relationships, especially in scenarios where the spontaneity of sexual encounters has waned due to life’s demands. ‘Scheduling sex is not just about the act itself; it’s about creating a sacred space for sexual and emotional connection,’ she says.

2. You’re feeling stressed.

When you’re under periods of high stress, your stress hormone (cortisol) levels rise, explains Pataky. Because the entire endocrine system is interconnected, this can cause hormones that impact your interest in sex (such as testosterone and oestrogen) to go haywire, as well.

For some people, high stress can function a bit like an aphrodisiac, causing them to crave sex, and further enjoy the stress-relieving benefits of orgasm, says Pataky. For more people, however, there is no bigger cock or coochie block than stress.

Whether the underlying cause of the stress is financial disarray, your living situation, or work drama, finding ways to navigate it can help. Meditation, mindfulness, deep breathing, yoga, movement, and reduced caffeine intake may all prove useful. Oh, and do your best to stop stressing about how much (or how little) sex you’re currently having! Doing so is only going to exacerbate the so-called issue.

3. Someone is on the asexuality spectrum.

As individuals, our sexuality can evolve and evolve and evolve again. That’s why some people may be interested in less kinky sex in later years than they were in their 20s, while others become interested in dating across the gender spectrum after decades of only dating on one side of it. Well, an individual’s sexuality can also evolve in such a way that they find themselves hanging out on the asexuality spectrum.

Quick refresher: Asexuality is an orientation wherein individuals do not experience regular sexual attraction—if they experience it at all. Much like queer, asexual is considered an umbrella term that houses a range of non-allosexual identity, such as demisexual and graysexual.

‘Identities on the asexuality spectrum are valid sexual orientations, and individuals who identify as asexual may still form meaningful and fulfilling romantic connections,’ says Pataky. Fact is, not all people on the asexuality spectrum are also on the aromantic one. (ICYDK: Aromanticism is an orientation marked by the lack of regular romantic attraction, or interest).

‘Understanding and respecting different sexual orientations is essential for fostering inclusive and supportive romantic relationships,’ she says. So, in instances where an asexual identity underpins a lack of sex, it can be helpful for the non-asexual (also known as allosexual) partner to understand exactly what being asexual means to their partner, she says. (In addition to chatting with your partner directly, consider reading Ace: What Asexuality Reveals About Desire, Society, and The Meaning of Sex by Angela Chen).

It can also be helpful to understand the asexual partner’s current relationship to sex. Some individuals are sex-repulsed, while others are sex-neutral. Those in the latter camp may elect to have sex with their partner(s) despite not feeling sexual attraction, for a range of reasons such as the stress-relieving benefits of orgasm or the intimacy it allows them to foster with their partners.

To be clear: Happy, healthy relationships between an asexual person and an allosexual one, are possible! As is the case with other relationship dynamics, a combination of self-awareness, clear communication, and empathy are key.

4. One of you has had a medical change.

Chronic pain conditions, physical health issues, unaddressed mental health woes, medication changes or side effects, and hormonal shifts can all lead to a decrease in sexual activity within relationships, according to Pataky.

Indeed, several health conditions such as diabetes, cancer, and heart disease are known to reduce libido. Further, for medically unknown reasons, decreased libido, sexual changes, and erectile dysfunction are common side effects of a wide range of medications—including medications used to treat depression and anxiety, as well as certain forms of birth control.

Pregnancy, postpartum, nursing, perimenopause and menopause, and so on are also often times when an individual might experience a decreased interest in sex as their body goes through a massive, massive change, Pataky says. ‘In particular, the postpartum period is one typically ripe with decreased sex as the pregnant person’s body recovers, and the couple adjusts to the emotional and logistical challenges of being new parents,’ she says. Makes sense!

Whether it’s baby-related or not, if you think there’s an underlying medical or medicinal culprit to your loss of interest in sex, consult a healthcare provider ASAP. You should never (ever!) simply discontinue use of the medicine you think is the culprit. Instead, tell your doc that a dip in sex drive is one of your unwanted symptoms and see if they can prescribe an additional medication to counteract the effects, or another medication altogether.

5. There’s an emotional disconnect.

‘Recognising the complex interplay between emotional well-being and sexual well-being is crucial for trouble-shooting a sexless relationship,’ says Pataky. ‘Emotional connection between partners is fundamental to a fulfilling sex life. So, a lack of or diminished emotional bond can result in decreased sexual desire and activity.’

To be clear: It would be both inaccurate to say that all people who are in sexless relationships are emotionally unfulfilled! However, there is value in analyzing how you and your partner have been spending less quality time together, have been less verbally affirmative about your TLC, have stopped communicating with as much regularity or generosity, or have otherwise stagnated emotionally, according to Pataky. ‘It can give you a good starting point,’ she says.

6. So, so many other reasons.

To put it bluntly, the aforementioned list of reasons why you and your boo have stopped boning are just the tip of the frustrating iceberg.

For folks who are allosexual, sex drive and libido serve as a barometer of the body’s state of overall health and well-being, says Chavez. When anything that impacts overall well-being pops up, a downturn in libido—and as a result a decreased interest in partnered play—can occur. As such, ‘body image issues, sexual boredom, unaddressed relationship conflicts, infidelity on one (or both) sides, job dissatisfaction, trauma, betrayal, and sexual shame can all result in someone no longer wanting to have sex,’ she says.

The best thing an individual can do when their libido lulls is to get curious about it, says Wright. ‘The lull often serves as a check-engine light, telling you that it’s time to take inventory on what’s going on with your body and life more generally.’

So… should I stay in a sexless relationship?

There is no one size fits all answer to this question. Ultimately, it comes down to whether or not you are feeling distressed by the lack of sex, says Chavez.

‘Not having sex with your partner doesn’t necessarily imply that you are dissatisfied or not fulfilling needs in other areas of intimacy,’ she says. Some people are perfectly happy in a sexless relationship! If other facets of the relationship are thriving and you can communicate about your sexual desires and needs, odds are that it is probably a relationship that is worth staying in, she says.

‘Sexlessness is really only a significant concern if one or both partners are experiencing distress, dissatisfaction, or a sense of disconnection due to the lack of sexual intimacy,’ Chavez says. This distress is most common in relationships where the individuals do not feel safe or able to communicate their sexual needs, she says. But it’s a huge problem because it often results in feelings of loneliness, inadequacy, and guilt—all of which can have serious side effects on mental well-being.

When considering whether or not to stay in your relationship, Chavez says it’s important to consider:

  • How important physical touch is to you
  • Where intimacy exists in your relationship outside of sex, if anywhere
  • Your current relationship structure and relationship orientation
  • Where you and your partner(s) lie on the asexuality spectrum
  • Whether you and your partner have the ability to communicate
  • Whether or not you have the ability to talk about sex, specifically

What should I do if I’m unhappy in a sexless relationship?

1. First, think about how important sex is to you.

Of course, the suggestions below will give you tips around conversing with your partner(s). But before you do that, take some time to get really honest with yourself about how important sex is to you.

Some questions to ask yourself:

  • In my dream world, how often would I be able to have sex?
  • Why do I like having sex with my partner? What does it bring me (or us), exactly?
  • What role can masturbation play in helping me meet my sexual wants?
  • What types of touch and intimacy with others are currently allowed within the current structure of my relationship?
  • Is there a relationship structure change that can be made that will support my happiness?
  • What degree of compromise am I willing to make, as far as my sexual desires are concerned?

Whether you journal your answers in a Moleskine, jot them down in your Notes app, or chew them through with a therapist or friend, Wright urges you to do your best not to judge yourself for the answers that come to mind. We are taught that there is a very narrow range of what desires and frequency of sex are permissible, she says. As such, the many people who fall outside of that range (and desire more or less sex) will have to fight the internalised belief that their desires are capital-w Wrong.

If you notice feelings of shame, humiliation, or discomfort as you chew through these questions, Wright suggests working through these emotions with a sex-positive mental health professional. ‘They’ll be able to remind you that your wants and desires are normal.’

2. Talk to your partner.

Given that there’s really no way to know whether or not you and your partner are on the same page about sexual frequency unless you talk about it, communication is key, says Pataky.

‘When discussing the frequency of sex with your partner, it’s essential to approach the conversation with openness and empathy,’ she says. ‘Begin by creating a safe, non-judgmental space where both partners feel comfortable expressing their feelings and desires.’ It’s also best to use ‘I’ statements to express your feelings and avoid placing blame, she says.

Some examples of what you might say:

  • ‘I read an article about sexual frequency in relationships, and it made me realize that we haven’t talked about our sex life or sexual frequency in a bit. Would you be open to reading the article, and then discussing it with me sometime this week? I think it could be a nice way for us to get on the same page.’
  • ‘When you have the energy, I’d really like to make time to share about our sexual needs, desires, and wants. My perception is that I’m much more interested in physical intimacy these days, and I’d love it if you could share some insights with me about if that’s the case, and why. I want to make sure that we’re both getting our needs met and I’m not dropping the ball on some place I’m overlooking.’
  • ‘I’ve observed that we haven’t been as intimate or sexual in the last few months as we were the first few years of our relationship. I’m feeling a little unsure on how to talk about this because I don’t want anyone to feel pressured, but I do miss being physically close with you. Would you be open to brainstorming ways that we can nurture that piece of our relationship?’

Remember: What you say is important—but what your partner says is, too. ‘It’s crucial to listen actively to your partner’s perspective and acknowledge their feelings as well as share your own,’ says Pataky.

3. Prioritise intimacy.

Sure, a sexless relationship can be healthy! But for most allosexual people, it’s not possible to be in a partnership that isn’t intimate.

‘Intimacy is a culture of closeness and connection between two (or more) people that builds over time,’ says psychologist and sex therapist Megan Fleming, PhD. It’s the thing that enables relationships to feel safe, supportive, sacred, and can set the foundation for sexual closeness, she said.

That’s why Pataky says that couples looking to break their sex drought should start by rebuilding intimacy. ‘This can include spending quality time together, engaging in affectionate touch like massage and cuddling, and strengthening your emotional connection through regular dates and shared activities,’ she says.

4. Consider a different relationship structure.

fully on board with—not something someone submits to due to coercion, fear of being left, or emotional distress, says Chavez.

‘Opening the relationship is never a fix for a relationship problem; it is a lifestyle not a band-aid to other unaddressed issues,’ she adds. Still, it may be a sound work-around for some duos—for instance, pairings between someone who is asexual and allosexual. ‘If you think opening your relationship might be for you, you need to commit to open communication and honesty, and should do your research before jumping in.’

The Ethical Slut by Janet Hardy and Dossie Easton, Polysecure by Jessica Fern, and the Multiamory and Remodeled Love podcasts are all great resources to start your learning.

5. Consult a professional.

If your lack of sexual activity is causing distress or if there are underlying issues that you and your love are struggling to resolve on their own, professional help can be invaluable, says Pataky. ‘A couples therapist or a sex therapist can provide a structured environment to explore these issues, improve specific guidance and strategies for addressing sexual concerns and enhancing the sexual aspect of the relationship,’ she says.

A pro will also be able to remind you that there is no universal ‘right’ or ‘wrong’ amount of sex to have, she says. What’s key is that individuals in the relationships are content, communicating, and consenting to whatever sex-filled, sexless, or sex-occasional dynamic that’s at play.

Complete Article HERE!

Disabled People Use Sex Toys, Too

— So Why Aren’t They More Accessible?

By Maggie Zhou

Sex is considered one of our baseline human needs. In Maslow’s hierarchy of needs, some experts place it right at the base of the pyramid with other physiological necessities like breathing, food, water and sleep. Other people consider it a social need, akin to friendships, community and intimacy.

For many allosexual people, sexual pleasure is an essential part of life. So why are disabled people so often left out of the conversation?

4.4 million Australians live with disability. While tools that help people eat, wash and walk are widely understood and accepted, there’s a long way to go to rid the taboo of adaptive technology for self-pleasure and sex.

Your life has benefited from adaptive technology — whether you realise it or not, whether you’re disabled or not. Also known as assistive technology, we’re talking about devices specifically designed to aid disabled people with everyday living. Electric toothbrushes, shoe horns and removable shower heads — these household items began as adaptive tech.

There’s a growing cohort of disabled Australians, occupational therapists and entrepreneurs dedicated to making sex more accessible. “A healthy sex life, whether solo or with a partner, is vital for people with disabilities, just as it is for anyone,” Dr Sakshi Tickoo, occupational therapist and author of SexCare, tells Refinery29 Australia. “Exercising control over [your] body through sexual expression can be empowering. It allows [you] to assert autonomy and make personal choices about [your] body and desires.”


These conversations aren’t limited to disabled people; having frank, inclusive and open discussions about sex benefits everyone.

These conversations aren’t limited to disabled people; having frank, inclusive and open discussions about sex benefits everyone. “Sexual scripts often teach us that intimacy and sex must look a certain way, bodies must work in a certain way, and the experience must end in a certain way. This ‘certain way’ is limiting for all bodies… Pleasure is the measure,” sex therapist Selina Nguyen and sexology masters student Niamh Mannion echoed on Instagram.

“Sex toys, especially those designed with accessibility in mind, can compensate for various physical limitations by providing an alternative means of achieving sexual pleasure and satisfaction,” Dr Tickoo says.

Robert Duff-Silsby is the co-founder of Perth-based sex toy brand, Luddi. In 2021, at the disability service provider he worked at, a conversation about a physiotherapist’s client struggling with unmet sexual needs spurred on the creation of their own adaptive sex toy, the Ziggy. The NDIS-friendly toy is touted as an “inclusive vibrator for all genders, sexualities, ages and abilities”

“Disabilities vary so much that it’s really impossible to make one product that meets everyone’s need,” he tells us, sharing that Luddi designed the product to try meet as many people’s needs as possible. What eventuated was a product that’s easy to pick up and turn on and off, uncomplicated to use, and features Braille on the packaging.

“I think the way that we look at it is maybe a little controversial, but we don’t think assistive technology should exist as a category,” Duff-Silsby says. “There should be products that exist for everyone that ha[ve] certain accessibility features built into [them]… If you have multiple products with an extra piece of knowledge, it allows [more] part[s] of the population to access the product. If you have lots of these products, you’ll meet a whole population’s needs, in theory.”

One in six Australians are disabled, and becoming disabled is something all people can experience. “Our physical capabilities may change as we age or encounter various health challenges… The relevance of sex toys, not just for individuals currently living with disabilities but for the broader population, [serves] as a proactive approach in maintaining a healthy and satisfying sexual life through these changes.”

23-year-old Sydneysider Ariel* has idiopathic neurological disorder and has always had a “complex… relationship with self-pleasure”. “I often feel disenfranchised from able-bodied communities who discuss sex toys and sex in general,” she tells us. “My disability prevented me from engaging in a lot of social situations as a young person, and as a result, I feel I missed out on times to explore my sexuality and relationships. I hold a lot of shame about that.”


“Sex toys have brought me joy and accessibility and I hope people acknowledge the importance of them for our community!”

Over time, she’s become more comfortable exploring her relationship with sexual pleasure. This openness has allowed her to experience pleasure from her small and portable battery-powered bullet vibrator. “Sex toys have brought me joy and accessibility and I hope people acknowledge the importance of them for our community!”

Despite all this, she tells us about the stigmas she still faces. “I do think autism is often infantilised and therefore embracing one’s sensuality and sexuality as an autistic person isn’t as widely accepted by neurotypical society… There is often less autonomy granted to physically disabled people and it’s often unexpected to hear of or see sex-positive media with disabled folks included.”

Sex in itself is still generally considered a taboo in mainstream spaces. This is only compounded for disabled people. Imagining a future where we respect the varied abilities and preferences in the bedroom is utopic for all of us. A sexual health model that’s inclusive of people’s varying needs and desires respects pleasure and anatomy. And that’s hot.

*Names have been changed to protect identities.

Complete Article HERE!

Everything you’ve ever wondered about polycules in polyamory, explained

— Plus, how to be in one that works.

By <

Recently, polyamory has become seemingly popular in mainstream media. It’s likely you’ve seen the word tossed around during your late-night Instagram scrolls, or via a TikTok video of someone sharing what their ethically non-monogamous relationships look like. It’s also possible you’ve heard the term “polycule” thrown into the mix, and you’ve gotten curious about what, exactly, that entails. If the idea of having multiple partners piques your interest or you’re curious about how a polycule functions, it may be a relationship style you want to explore.

Polyamory is the practice of having multiple romantic and sexual relationships with the consent of all people involved, says Jen Schneider, LCSW, a Massachusetts-based psychotherapist who specialises in polyamory and ethical non-monogamy. And it’s not uncommon: Roughly four to five percent of the U.S. population practices polyamory in some form, according to a 2021 study.

There are various ways to be polyamorous, or ethically non-monogamous; different people will have their own definitions of what polyamory looks like to them. While some people might find themselves in a closed throuple, other people might view their partners and their partners’ partners as one ever-evolving, intimate collective.

Meet the Experts: Jen Schneider, LCSW, is a Massachusetts-based psychotherapist who specialises in polyamory and ethical non-monogamy. Domenique Harrison, LMFT, a California-based therapist who specialises in interracial, queer, and non-monogamous relationships. Stephanie Manes, LCSW, is a relationship therapist based in New York.

So, how is a polycule structured? How might a polyamorous person join—or start—their own? Read on for everything to know, straight from therapists who specialize in non-monogamy.

What is a polycule in polyamory?

The word ‘polycule’ is a portmanteau for a ‘polyamorous molecule.’ In practice, a polycule is a group of non-monogamous people linked by romantic and sexual relationships, says Schneider. It can be as big or as small as you can imagine. ‘A polycule can be three individuals or an infinite number of people, as no two polycule structures are alike,’ she adds. The number of people in a polycule depends on each member’s intentions.

It’s important to note that not everyone has to be dating, interacting, or sexually intimate with each partner in the polycule, says Domenique Harrison, LMFT, a California-based therapist who specialises in interracial, queer, and non-monogamous relationships. But even if a member is only actively involved with one partner in the polycule, they’re still considered a part of the community.

In a polycule, ‘everyone has consented to each person’s participation in each relationship—and knows in some way about each person in the relationship,’ explains Harrison. That said, polycules often hinge on a partnership between two people who are married or otherwise committed. From there, their partners may have different people they are dating, pursuing, or in another committed relationship with; altogether, this collective can people can become a polycule.

It’s also worth noting that people don’t necessarily decide to actively form a polycule, according to Schneider, but instead enter a polyamorous relationship with an individual who has other relationships, thus joining an existing polycule.

How is a polycule structured?

In practice, polycules can take many different forms. Although there are overarching structure types, each polycule will be set up in a cadence that works best for its members.

In fact, people in polycules often choose not to use any kind of overly-specific labels within their relationships, as they can be reductive and create a disconnect between partners, says Schneider. This is the same reason many ethically non-monogamous people disdain a hierarchical practice of polyamory, as the prioritisation of partners can be seen as hurtful or limiting to one’s autonomy.

Still, there are a few common forms a polycule can take, per therapists:

V Structure

In a ‘V’ structure, one member of that polycule is the letter V, so to speak, connecting the other members who are not in a relationship with one another. ‘There may be one individual that has two partners, but those other two partners are not in a romantic and/or sexual relationship with each other,’ says Schneider. Although a V structure may stay platonic for those two people, over time, they might choose to become involved—resulting in a triad.

Triad

A triad, or throuple, is ‘a group of three members who are all sexually or romantically entangled,’ says Schneider. It is up to the group members to decide whether their triad eventually grows to include other participants, and also up to the individuals whether their relationship is open or closed. Most likely, all members of the group see each other as equals—there isn’t a hierarchy.

Quad

A quad is similar to a triad, but with four individuals. A four-person polycule can look like an ethically non-monogamous married couple, each with their own dating/committed partner. It can also look like two married couples who date each other, or four individual people who choose to all be emotionally and/or sexually involved with one another.

Seven or eight–partner polycule

The more people you add to a system, the more complicated they become—however, a larger polycule is obtainable with great communication and understanding. ‘A seven- or eight-person polycule can look like two couples, where each couple is committed to their original partner, while dedicated to the health, safety, and sexual intimacy needs of [their other partners],’ says Harrison. In multiple-partner polycules, it’s likely not all are sexually active with one another, yet they are all aware of each other’s role and presence.

Why might someone want to join a polycule?

Stereotypes about polycules abound, but truth is, there’s a multitude of reasons someone may choose to be in a polyamorous relationship—which, naturally, leads to joining a polycule in some shape or form.

Depending on what someone’s looking for, a polycule can help that person find community, connection, safety, a sense of risk, and/or romantic or sexual flexibility. Some people find polycules create less pressure to meet one partner’s every need. They may also generate excitement and foster experiences one can bring back to the primary partner, says Stephanie Manes, LCSW, a relationship therapist based in New York.

In some cases, a queer person might choose to be in a polycule so they can enjoy various connections and experiences with different genders, says Harrison. And in other cases, it isn’t even about gender—being a part of a polycule simply allows someone to explore and express multiple attractions authentically, which provides a sense of fulfilment and emotional intimacy across different types of relationships.

At the end of the day, polycules are all about living a life that reflects one’s values and beliefs, says Manes. Although monogamous heterosexual relationships and marriages are ‘the norm’ in Western culture, polyamory offers a freedom to connect with others in a way typical relationships structures do not, she explains. People who are polyamorous believe that it’s unlikely to find someone who has the exact same desires or interests as you, and polycules can allow an individual to have their needs met without limiting one partner or creating tension. Ultimately, polycules reflect a belief that opening a relationship circle expands our capacity for love and care, adds Manes.

What are some tips for successful polycules?

Because there are more people involved, polyamory can require even more communication, transparency, and honesty—with your partners and yourself—than a monogamous, two-person relationship might. Here’s how to be in a polycule that works, according to therapists.

1. Be direct, honest, intentional, and thoughtful about what you want.

Before diving headfirst into a polycule, it’s essential to understand why you’re interested in the dynamic and what you are looking to get out of this arrangement. And it’s even more important to give yourself flexibility in case those answers change—and be willing to discuss all of your thoughts with your partners, says Harrison.

‘If you want to join, be open and vulnerable about the why, how, and when with the polycule you’d like to be in a relationship with,’ she advises. On the flip side, if you’re opening your relationship or welcoming a new person in, ‘have as many conversations as necessary and then a few more to confirm, connect, consent, and collaborate about your and every other potential partner’s needs and wants.’

2. Learn what your specific boundaries are.

In all relationships, understanding and knowing your boundaries is crucial. But with polycules, multiple feelings and opinions need to be centered. Figure out what you’re okay with, and where you draw the line. Some people in polycules choose to meet their metamours (your partner’s partners). Others find setting a boundary to distance themselves from them is what’s best for their emotions and needs.

‘There’s a multitude of reasons someone may choose to be in a polyamorous relationship’

If you don’t know your boundaries, Harrison recommends exploring books on how to navigate and feel secure in polyamorous relationships. Also, remember that it’s okay if your boundaries change over time—maybe you feel comfortable with knowing intimate details of your partner’s sex life at first, but later decide that you’d like to revisit the topic together. Polyamory is ever-changing!

3. Create space for other members to share their goals and expectations, too.

Once you have your initial boundaries figured out, make sure you understand all other members’ goals and expectations, too. ‘Polyamory requires balancing the desires, needs, and vulnerabilities of several people at once,’ explains Manes. ‘The more transparency there is at the outset, the fewer problems you might encounter down the line.’

This involves highly intentional and constant honest communication with all parties. Manes recommends planning weekly or bi-weekly emotional check-ins, which can be a great way to offer that space for people to communicate.

4. Understand that emotions are a part of the experience.

In a polycule, it is perfectly okay to experience emotions that you have not previously had in other relationships. In fact, it’s expected, especially when it comes to meeting partners’ partners. Schneider shares that experiences like meeting your metamours, or new members of the polycule, for the first time can bring up anxiety, jealousy, or stress—these are all very common and completely okay.

In order to support yourself through these inevitable feelings best, explore them as much as you can before entering an ethically polyamorous situation, suggests Harrison. ‘I encourage folks to learn what jealousy, envy, and resentment are like for them: What have been my experiences with jealousy, envy, and resentment? Do I view envy and jealousy as morally wrong? How have I resolved feelings of resentment on my own, or spoken up to share my feelings with a partner to receive a resolution?’ she encourages folks to ask themselves. Accepting and interrogating these feelings can help you grow more comfortable with them.

5. Have regular sexual health check-ins.

Schneider recommends having a ‘safer sex conversation’ with any potential partner before engaging in any kind of sexual interaction. During this first conversation, you can discuss your own STI status and testing history, and ask each other questions about your relevant sexual history—you’ll also want to make a plan on how you and the rest of the polycule will practice safe sex.

>A lot of polyamorous individuals get STI testing every three to six months, but it’s up to the polycule how often STI/STD/HIV testing takes place, says Schneider. You can find your nearest sexual health clinic here.

6. Research and reflect on polycules and the ENM lifestyle.

Joining and/or forming a polycule should only be done with self-reflection and self-understanding. There are so many helpful books, podcasts, articles, support groups, and activity groups that explore polyamory and ethical non-monogamy that can help you understand if these relationship models meet your needs. Schneider, Harrison, and Manes recommend Polysecure and Polywise by Jessica Fern, The Polyamory Workbook by Sara Youngblood Gregory, The Smart Girl’s Guide to Polyamory by Dedeker Winston, and Set Boundaries, Find Peace by Nedra Glover Tawwab.

Polyamory isn’t for everyone, but depending on your needs and wants, a polycule can provide an expansive, supportive, and romantic community. And if you identify as polyamorous, a polycule can be an affirming and loving space to explore your identity. Because, at their core, ‘polycules are a celebration of ethical non-monogamy,’ Harrison says. ‘They allow us to connect with people who share our interests, explore new things, and build long-lasting friendships and families with people we choose to love.’

Complete Article HERE!

Your Complete and Queer Guide to Outercourse

— From heavy petting to mutual masturbation to oral sex, outercourse opens up infinite avenues for pleasure.

 

Gay couple cuddling in bed

By

Between the sorry state of sex education in the United States and a comparative lack of widely accessible LGBTQ+ sexual health resources, it takes a while for most queer and trans folks to learn — and name — the type of sex they want to have. This can be especially true for those who prefer non-normative types of sex or simply feel a bit boxed in by depictions of queer sexuality in the media or online. Often overlooked in popular representation of queer sex, outercourse, in particular, is a great way for folks across the gender, sexuality, and ability spectrum to explore pleasure.

As a catch-all term, “outercourse” describes the many sex acts and erotic activities that lie outside of internal (often called penetrative) sex. There are so many reasons queer and trans folks are drawn to outercourse, according to sexologist Marla Renee Stewart, sexpert for sexual wellness brand Lovers. For many people, outercourse may feel more affirming and pleasurable “particularly if you are undergoing bottom surgery recovery or getting used to your new growth because of HRT,” says Stewart.

Outercourse is often confused with foreplay — and for some people it is — but it can also be its own thing. Whereas foreplay is more like an appetizer, outercourse is about the holistic experience of sex, more of a potluck of pleasure than any single entrée.

Below, queer sex educators share everything you need to know about outercourse including what it is, how to have it, and why you might love it.

What is outercourse?

Outercourse describes sexual or erotic activity that does not involve internal vaginal and/or anal sex, or in other words non-penetrative sex. Often, outercourse is used as an umbrella term for external-only sex or hookups, but it encompasses a variety of sexual or erotic acts like mutual masturbation, oral sex, or grinding. But more on that later!

“Some people may view outercourse as foreplay and others may view outercourse as the main course,” says Lena Peak, a queer sexuality educator and founder of Eros Insights. “There’s no definitive answer here, you and your partner(s) get to define these terms for yourselves, or even reject them altogether!”

“One of the main reasons people might enjoy, prefer, or prioritize outercourse in their sex lives is because it de-centers penetration as the pinnacle of sex,” adds Peak. Traditional heteronormative sex — or intercourse if we want to get specific — is often defined by the presence of cis men and centers their pleasure. Outercourse, on the other hand, upends this narrow, more hegemonic understanding of sex and what “counts.” It allows people of all genders and bodies to imagine, speak back, and co-create the kind of connection they crave — regardless of the specific sex acts involved.

As a result, outercourse is a mainstay for many queer and trans people, particularly for those who may experience gender dysphoria, have a history of trauma, certain medical conditions, or disabilities, in addition to folks who simply prefer this type of pleasure.

Is it the same as abstinence?

No, outercourse isn’t the same thing as abstinence, but there is some nuance here.

Generally speaking, abstinence is the decision to refrain from sex or sexual activity, particularly P-in-V sex. Some people choose abstinence for moral, cultural, or religious reasons, while others opt to take a purposeful break for personal or medical reasons. Abstinence is also used for pregnancy and STI prevention.

But what exactly qualifies as sexual activity, or being abstinent more generally, depends on the person. For some, anything “beyond” kissing is off the table, while others consider everything except internal sex to be chaste. With such varied definitions, it’s possible that one person’s sex is another person’s abstinence. So while there can be overlap between the physical acts of outercourse and some types of abstinence, the main difference is intention.

Whereas abstinence is about limiting or distancing oneself from sex or gratification, Stewart says outercourse is inherently about receiving and giving pleasure. Make sure to have a conversation with any potential partner about how you define sex, outercourse, and abstinence.

How do I have outercourse?

The good news is there’s absolutely no “wrong” way to have outercourse. The only limit is your imagination.

To get you started, there are the usual suspects: heavy petting (or touching someone, often their genitals, indirectly through their clothing), oral sex, mutual masturbation, and hand jobs. Fingering may also come into play here, which means using your fingers and hands to arouse yourself or your partner. Typically, fingering refers to touching a vulva, clitoris, or anus. Though fingering often includes internal vaginal or anal touch, it doesn’t have to. Grab some lube and use your fingers to touch your partner’s vulva with long, gentle movements to “warm up,” before playing with their clit. Unless your partner is into it, you should avoid sharp, prodding motions. Instead use the pads of your fingers and focus on stroking motions.

You might also opt for grinding, which is sometimes referred to as “dry humping” or “tribbing.” Usually, this involves rubbing your genitals against someone’s body (like when straddling someone’s waist or thigh, for example.) The infamous act of scissoring is in this general family of touch as well, though it involves direct genital contact.

There are also sex acts that don’t focus on genitals, instead opting for a more integrated or erotic approach, like sensual massage or deep kissing. Some kink activities like impact play, bondage, or sensory play also fall under this category. If you’re not sure where to start, Peak recommends setting time aside to explore pleasure mapping, which involves using different types of external touch and sensations on different parts of the body. This can help you not only identify how you like to be touched, but also discover and potentially “map” new erogenous zones on your body.

Though these are all great jumping-off points, it’s important not to get too bogged down with what is or isn’t considered outercourse. Just focus on what turns you on. “Rather than narrow your scope to certain specific behaviors, try making a list of all of the areas on the outside of your body that you enjoy stimulating or that you’re curious about stimulating,” sex educator Cassandra Corrado tells Them. “How do you like for them to be touched? What types of touch do you want to try? What about your partner, how do they like to be touched, and where? Create your menu from there.”

As with any type of sexual or erotic contact, you should always discuss boundaries, consent, and safe sex practices. Remember, if the outercourse activities you’re engaging with involve genital touching or any contact with sexual fluids, you can still spread STIs.

Why is outercourse important for queer folks?

Though anyone can enjoy outercourse, it can be especially powerful for queer and trans people. First and foremost, the term is a way to name the type of sex that feels best to you and start a conversation about what feels right (and hot) for you and your partner(s).

Those on the ace spectrum, for example, may find satisfaction and belonging in certain kinds of erotic touch, like kissing or impact play. Meanwhile, a stone butch or top may opt for non-genital focused touch, like massage, or indirect stimulation via grinding.

Second, outercourse can be a framework to help you take a big step back, think about what you’ve been consciously and unconsciously taught about sex, what’s “normal,” and create your own road map for meaningful shared pleasure.

“By prioritizing, or at least normalizing, outercourse, it makes space for us to reconfigure the sexual scripts that many of us are handed early on. It allows us to prioritize experiences that bring us pleasure and fulfillment, rather than following the sexual behavior escalator to its ‘final destination,’” says Corrado. “And it allows us to take a much wider approach to our sexual decision-making, encouraging us to think about our and our partners’ bodies, boundaries, desires, and pleasures in a more expansive way than society may have initially taught us.”

Complete Article HERE!

Male infertility is more common than you may think.

— Here are five ways to protect your sperm

By Karin Hammarberg

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

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

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

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

1. Try to be in the healthy weight range

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

These reduce the chance of both spontaneous and IVF conception.

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

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

2. Avoid recreational drugs

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

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

3. Stay clear of anabolic steroids

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

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

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

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

4. Quit smoking and vaping

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

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

5. Reduce exposure to environmental chemicals

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

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

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

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

Can a Sexless Marriage Be a Happy One?

— Experts and couples are challenging the conventional wisdom that sex is essential to relationships.

By Amanda Montei

Will and Rose met online 10 years ago. His screen name was professorparsley, and he looked the part — tall and thin, with glasses, features that Rose found attractive. On their first date, Rose learned that Will was a college student living with his mother, and his handle came from a nickname given to him by a child at an art camp where he worked. They laugh about it now, as they do with most things. Will thought Rose was exciting and direct. He grew up in suburban Ontario, and she was from Southern California, which was like another world to him. Right away, what they loved about each other were their differences.

Rose was drawn to how stable Will seemed — so unlike the other men she had dated, who dreaded commitment. Their relationship survived multiple moves, about a year of long-distance dating and the challenges of finding time to be together while living with parents and roommates. Now, seven years into their marriage, they have their own place: a one-bedroom apartment in Los Angeles, where Rose sees Pilates clients. Will is gone during the day, teaching, and at night they cuddle in bed and watch television. “It’s my favorite part of the day,” Rose says. (Rose and Will are middle names. All subjects asked to be referred to by their first names, middle names or a nickname, out of concerns for their privacy.)

As much as Will grounds her, Rose feels that the familiar calm of their relationship also shuts her down sexually. They go months without sex, but they don’t lack intimacy. They have a policy of never refusing a hug, something they instituted to resolve the minor disagreements that inevitably crop up in any relationship. They have also talked candidly about how, for her, the safe predictability of their marriage — the quality she loves about their lives together — dulls her sex drive. She knows that can be confusing, even frustrating, for Will, but she doesn’t like the idea of forcing herself to have sex. Rose’s mother, now divorced, felt obligated to have sex with Rose’s father once a week. That’s not the kind of relationship Rose wants.

To get into a sexual mood, Rose relies on a set of rituals to help build anticipation — doing her hair and makeup, shaving her legs, having a glass of wine over dinner or, when their schedules allow, going on vacation to break out of their routines. Will doesn’t need to do anything to feel ready for sex, and Rose sees this as another way in which they’re different. Over the years, they have accepted that this is what their sex life looks like, and will look like, if they want to be together, which they do.

During the pandemic, the couple went more than a year without having sex, but they savored their extra time together. Rose used to spend hours driving in traffic to different workout studios, coming home late, not seeing her husband much. Stuck at home, they took walks around their neighborhood. They talked constantly. They started taking online yoga classes together, a hobby that stuck. Will appreciates these smaller opportunities to connect. Rose thinks she’s not the nurturing type, but Will disagrees. “She’s not stingy in spirit or time,” he says.

Sometimes they shower together and hold each other naked, without any expectation of sex. Though Will remains hopeful that these moments will lead to something else, he doesn’t push it.

Cultural attitudes about the role sex plays in a marriage have evolved significantly over time. Where once marital sex was primarily a means for bearing children, in recent decades, the conventional wisdom was that frequent sex was integral to a happy union. During the 1990s, a new wave of sex positivity coincided with the ascendancy of different forms of therapy, including couples counseling. Experts coached couples on how to strengthen their marriages, often relying on the belief that healthy relationships included consistent sex with partners. By the 2010s, appointment sex had become one popular method for maintaining intimacy and, somewhat implicitly, safeguarding against separation.

In more recent years, however, both relationship experts and couples themselves have been gradually dismantling some of these commonly held views, working to destigmatize the unconventional approaches that some take to stay together. Online groups have sprung up for couples who challenge basic assumptions that spouses should share a bedroom or even a home. Sharon Hyman, who runs a Facebook group called Apartners for couples who have chosen to live separately, told me that many of the members in her community find their sex lives improve when they don’t spend every minute together. “My goal is to show that there are healthy options for relationships,” Hyman says. “No one size fits all.”

One effect of the ever-changing sexual climate is that many couples today are simply less willing to tolerate what the psychotherapist Esther Perel calls “boredom” in the bedroom. Perel has made a career of articulating how domestic overexposure saps eroticism, which requires some intrigue, mystery and unfamiliarity. That’s not to suggest that long-term love and desire are impossible, but according to Perel, keeping sexual interest alive requires getting creative. In her podcast, “Where Should We Begin?” Perel helps couples explore and articulate their fantasies, honor each other as individuals and experiment with new approaches to fulfilling their desires together.

For Perel, as for many other relationship experts, that sometimes means re-examining investment in another foundational premise of marriage: monogamy. The advice columnist Dan Savage, too, has argued that monogamy isn’t entirely plausible, or pleasurable, for everyone, and is critical of Americans’ obsession with moralizing infidelity. He encourages married people to be honest with each other about how hard it is to carry the responsibility of fulfilling their partner’s sexual and emotional needs for decades on end.

A photograph of a miniature model of two beds separated by a window.

While some are questioning the standard of monogamous sex in marriage by exploring polyamorous and open relationships, others are pushing back against the pressure to have sex at all. In fact, Americans on the whole are having less sex than they used to — across race, gender, region, educational level and work status. One study found that American adults born in the 1990s are having less sex than older generations; they are in fewer steady partnerships, and those who are partnered are also having less sex. The 2021 General Social Survey found that about 50 percent of all adults polled had sex once a month or less, with half of those people reporting they hadn’t had sex for a year. Researchers have speculated about the reasons for this 30-year sexual low, from isolation caused by technology to cultural conversations about consent.

Many younger women, for instance, shaped in part by the #MeToo movement, are engaging in intentional abstinence. There are trends on TikTok about going “boysober,” a word coined by the comedian Hope Woodard, who says that taking a break from sex can be empowering for women who previously altered their desires to accommodate men. The digital feminist 4B movement, which originated in South Korea but has spread globally through social media, advocates a rejection of childbearing, as well as heterosexual dating, marriage and sex. “Platonic life partners,” meanwhile — friends who commit to owning a home and even raising children together — insist that sex and romance are not necessary to lifelong unions.

The sex educator and researcher Emily Nagoski is resistant to the idea that frequent sex should be a chief component of every committed relationship. Nagoski — who has been open about her own hiatus from marital sex — doesn’t endorse obligatory sex, nor does she encourage aiming for any sexual base line in terms of regularity or behavior. Drawing on the work of the Canadian sexologist Peggy Kleinplatz, Nagoski believes that low desire can sometimes be evidence of good judgment. “It’s not dysfunctional not to want sex you don’t like,” Nagoski says.

In her new book, “Come Together,” Nagoski urges couples who want to explore their sexualities and deepen their sexual bond to begin by figuring out what each person wants when they want sex. For many, sex represents freedom from the ordinary, but what it takes to get there will look different for every couple and is likely to change over time. After all, desires don’t always align, or they evolve in unexpected ways.

Michelle and John met in 2005 at a party, and in the early years of their relationship, they couldn’t keep their hands off each other. Four years ago, however, after experiencing what she calls a “traumatic” childbirth, Michelle began to worry that intercourse would cause her pain.

She and John did not have sex for a year after they became parents. Now they can go months without it. Friends of theirs, too, seem to be experiencing new chapters in their own sex lives and opening up their marriages, which has sparked conversations between Michelle and John about the possibilities for reinvigorating their sex life. But they don’t always agree on what they want, or what they’re comfortable with.

John knows, however, that having sex outside the marriage is a red line for Michelle. She witnessed infidelity tear apart her parents’ relationship. “I think there’s a big fear about ‘I have an urge that may be resolved in a minute or two,’ but the sense of what could be broken is not worth the risk,” John says.

Love, for both, is about much more than fulfilling those momentary desires. After almost two decades together, they consider themselves best friends and “soul mates.” When they first began dating, Michelle was reeling from the loss of her brother, who died in a car accident. She talked with John about the experience on an early date, and they were inseparable after that. John thought she was beautiful and wanted to spend as much time with her as he could. Michelle thought he was a welcome distraction, someone who could lift her out of her grief. They went to concerts. He made her mixtapes. But there were also times when she broke down crying, and he was there for her.

John used to try to comfort Michelle by saying he understood how she felt, but when he lost his own brother in 2012, he realized how wrong he had been. As he mourned, Michelle “just knew what to do in the unspoken moments — whether it was knowing when to give me space, or knowing when I needed a hug, or I just needed her to be next to me,” John says. Today, Michelle remains the “central piece” of his happiness.

Michelle and John share a one-bedroom with their daughter, and while they get some privacy during the day, they’re busy working from home. Now, most days, Michelle masturbates in the morning, while John takes their daughter to preschool. He masturbates at night in the bathroom, while watching porn on his phone. For John, it’s merely a physical release, but for Michelle, pleasuring herself serves a different purpose: She is trying to figure out what makes her feel good. Exploring her changed body alone eliminates the guilt she has when she can’t climax with her husband. She doesn’t want him to think it has anything to do with him. “I want to get there, but it’s not getting there,” she says.

Of the more than 30 married people I interviewed, many, like Michelle, told me that becoming parents irrevocably changed their sex lives. Camille, who lives in California, felt her marriage was the most solid and caring relationship she had ever experienced, but becoming a mother distanced her from her desire. “It feels like something I can’t quite touch, like in another room, or another part of me that I don’t know how to access,” she says.

Other mothers started to see sex as one more chore, another line item on their list of responsibilities. Keti, a mother of a neurodivergent child who craved being held, found that sex with her husband had become “robotic” as she began to see it as “one more demand.” Her husband was doing everything he could to support her, but she felt an obligation to get back to their old sex life, even though she wanted “desperately to go into a forest and just lie down and not hear anyone or anything.”

Lilien, who has two kids, says becoming a mother was a turning point for her. She had to leave her previous career and didn’t know who she was or what she wanted. “My identity was totally eviscerated,” she says. “I was really confused about what my worth was.” Her history of sexual assault also resurfaced in profound ways. She thought she needed to be “permeable” to nurture her children. She didn’t have the capacity to extend that physical openness to her husband. She couldn’t stand soft caresses from him, which felt like the tickling of her child’s hands.

Lilien’s husband, Philip, never pressured her to be intimate, for which she is grateful. “The most important thing for me was to maintain a place where the sex you have is very positive, very consensual, very understood and mutually enjoyed,” he says. Five years later, Philip knows she is still coming to terms with everything motherhood has brought into her life. Recently they started having more sex, about once every other month. Lilien loves her husband’s firm back rubs, which he’s happy to give.

Other couples, much like Rose and Will, confessed to feeling sexually misaligned with their partners as their desires shifted in different directions. Jean, a 38-year-old mother living in Virginia, told me that her husband’s interest in sex has dropped off gradually over the course of their 13-year marriage. She, on the other hand, experienced what she called “a secondary puberty” as her kids grew older and became less dependent on her. She felt “so sexually charged” that she visited her gynecologist to confirm she wasn’t having a hormonal issue. She’s now trying to figure out how to navigate her husband’s low desire. “I feel like I’m living in the upside-down a lot of the time,” she says. “My friends complain about their husbands grabbing their butt while they wash dishes, and I think, Wow, I would love to feel wanted like that.”

Another mother, Emily, says that sex gradually became less important over the course of her 34-year marriage. When her kids were little, intimacy with her husband stalled briefly, but as their children grew older, they had a “revival of a good sex life,” Emily says. Now she is 59 and has had several operations resulting from a battle with cancer, including a hysterectomy and mastectomy. As a result, her desire lessened, and sex began to feel like “vacuuming the house” — something she did to make her husband happy. And he noticed. “If you are used to somebody responding to you in a certain way, you can tell when they are acting,” she says. “I wasn’t the same person.”

One night in bed, about 10 years after she went on a hormone treatment for her cancer that put her into early menopause, they had a frank conversation about their sex life. “We discussed my lack of desire, and he said that if I’m not turned on, then he’s not either,” Emily says. He admitted that his sex drive had dipped, too. So they decided not to force it. She feels there’s some cultural pressure for older people to keep up their sex lives into their 80s. She’s read, with skepticism, articles claiming that maintaining sex later in life is healthy. “Is it?” she said. “I don’t know.”

Emily feels their marriage has progressed naturally: They experienced decades of passion, and while they remain affectionate outside of the bedroom, their relationship now transcends sex in many ways. It’s about the life they’ve built together. “We’ve been in a sexless relationship for years now,” Emily says. “We get along great, but we’re more like best buds than lovers.”

Despite their insistence that sex isn’t essential in their marriages, most of the couples I spoke with still keep track of how often they have sex. They also appear haunted by how far they deviate from perceived norms. John, for instance, hopes he and his wife can work back up to having sex two or three times a week, but admits he has no idea where that figure came from.

Numbers, Nagoski believes, can be a counterproductive metric. It’s impossible to hear such statistics and not judge one’s relationship against them. Numbers also don’t account for whether participants are enjoying the sex they are having. “You’re comparing yourself — you’re judging yourself as OK or inadequate — compared to a whole bunch of people you’re not having sex with, who are not having sex with you,” Nagoski says.

For couples measuring themselves against what Nagoski calls the “fictions” of sex, or for those worried that their relationship is on the line whenever they enter the bedroom or don’t meet some monthly number, there may be too much pressure for sex to be enjoyable. It’s more important that couples establish what kind of sex is worth having.

‘There are people who tell you all the sex they’re having. I feel like it’s a lot more common that a lot of people are not.’

Rose admits to feeling the weight of societal expectations. Recently she decided that since she and Will were rarely having sex, she would have her birth-control implant removed from her arm. During the procedure, the nurse intimated there was something wrong with Rose’s marriage. Rose felt shamed and angry. The idea that she should be living in a constant state of arousal with her husband after a decade together is, to her, ridiculous, but also part of a facade she thinks many married couples maintain.

“There are people who tell you all the sex they’re having,” she says. “I feel like it’s a lot more common that a lot of people are not.” With the help of her therapist, Rose is exploring whether her A.D.H.D. may play a role in her need to seek new stimuli — not because she sees it as a problem but because she is interested in understanding her desire more fully. “Apparently the partner fatigue I experience is not so uncommon because our ‘special’ brains are always seeking out what’s new,” she says.

Will sometimes turns to Buddhist writings on restraint to explore his sexuality. He jokes there may be some confirmation bias at work, but he thinks his wife’s self-awareness — and her unwillingness to force herself into sex that she doesn’t want to have — has matured him. For Will, intimacy is less about completion and more about connection. “I’ve learned, even just about the act of sex itself, the ending is not always the best part,” Will says. “There’s pleasure throughout the spectrum.”

In March, for Rose’s 40th birthday, they took a trip to Hawaii. She switched off her phone for hours as they sprawled out by the ocean. Will remembers turning toward his wife and staring at her, watching her relaxing, her body loose. In that moment, he wasn’t thinking about sex or how beautiful Rose looked under the sun. He was thinking about how similar they actually are. More than anything, they want to enjoy themselves in their own way, to savor the small moments when they can let the rest of the world fade away.

Complete Article HERE!

STI Testing and Older Adults

— Why awareness and prevention are essential to avoiding sexually transmitted infections (STIs)

STI testing is often recommended annually. However, your lifestyle, health history and other factors can affect how often you can be tested.

By Sadia Arshad

Discussing sexual health, pleasure and STI testing for older adults can seem taboo, even in social circles or health care settings. While sex can be a great source of fun, connection and excitement, the unsexy reality of sexually transmitted infections (STIs) exists, even as we age.

One study examined the sexual health and lives of older adults, noting that over 50% report engaging in sexual activity. While older adults have sex, there are several misconceptions about preventing STIs, such as the lack of condom use, sexual health education for older adults and the lack of discussions around sexual health.

STI rates have steadily increased nationwide and are expected to increase, causing a demand for understanding STI testing for older adults and STI prevention awareness.

More people find sexual partners via dating apps and social networks, leading to increased sexual encounters without adequate education on STI prevention. In addition, STI rates have steadily increased nationwide and are expected to continue to increase, causing a demand for understanding STI testing for older adults and STI prevention awareness.

STI Testing for Older Adults

STI testing is something that anyone, regardless of age, can feel shy, embarrassed or hesitant to talk about. Testing can be done in many health care settings and doesn’t have to be done precisely at a women’s, men’s or sexual health clinic.

If you have a primary care provider (PCP), your PCP can order STI testing. It is important to note that many health care providers do not receive formal training on discussing sexual health, let alone discussing sexual health and STI testing for older adults.

Talking with your partners and educating yourself are significant steps to ensuring you are in control of your sexual health.

You can take your time and search locally to see who can be a good fit for you to discuss your sexual health needs. You can also educate yourself on STIs and testing options. You can even order an at-home STI testing kit for you and your partner(s).

If you engage in sexual activity, such as oral sex, anal sex or vaginal sex, you are at risk of contracting an STI. Talking with your partners and educating yourself are significant steps to ensuring you are in control of your sexual health. It’s time to be prepared so that you can have the best sex life possible.

Common Bacterial STIs

  • Chlamydia is a bacterial infection and among the most common STIs. It can be tested via a urine sample or localized swab, such as a vaginal swab.
  • Gonorrhea is a bacterial infection that has earned public attention for newer antibiotic-resistant strains. It can be tested via a urine sample or localized swab, such as a throat swab.
  • Syphilis is another bacterial infection and has earned much public attention for making a nationwide resurgence after almost being undetected in America for years. It can be tested for via a blood sample.

Typical Viral STIs

  • Human Papilloma Virus or HPV:HPV is the most common STI in the United States and can lead to certain cancers if left untreated, such as cervical or oral cancer or genital warts. Many times, HPV can remain dormant in someone’s body for years without any signs of infection. Testing is done via a Pap smear for women, but currently, there is no approved HPV test for men.
  • Herpes Simplex Virus (HSV): HSV is a viral STI that can be transmitted via skin-to-skin contact. Like HPV, HSV can remain dormant in someone’s body for years without any signs of infection. HSV testing is done via blood sample.
  • Human Immunodeficiency Virus (HIV): HIV is a viral STI that can progress to acquired immunodeficiency syndrome (AIDS) if left untreated. HIV can be transmitted via breast milk, blood, semen and vaginal fluids. It can be tested for via saliva or blood sample.

Other Common STIs

  • Trichomoniasis is a parasite that can be transmitted via sexual contact. It can be tested via a urine sample or localized swab, such as a penile swab.
  • Hepatitis A is a type of liver infection that can be transmitted via the oral-fecal route, such as when someone is engaging in oral sex on the anus or eating contaminated food. Hepatitis A can be tested via blood samples and prevented with the Hepatitis A vaccine.
  • Hepatitis B is another type of liver infection that can be transmitted sexually and via blood. Like Hepatitis A, it can be tested for via blood sample and prevented with the Hepatitis B vaccine.

Your lifestyle, health history and other factors can affect how often you can be tested for STIs.

When looking for STI testing, whether using an at-home kit or in your doctor’s office, ask or look to see which infections will be tested for. Remember, you can ask your doctor about particular sexual health concerns, and the doctor will review them with you.

Costs and Results

Unfortunately, an exact cost is hard to provide, given the nature of insurance coverage and the types of tests you get. Contact your insurance company or seek STI testing at your local public health departments if concerned about cost.

STI tests are often available within a few weeks, like other medical testing. Most health care practices have online patient portals in which you can see your results when they are posted. If you test positive for an STI, most clinics will notify you and discuss your STI management options.

How Often Should You Get Tested for STIs?

That is a personal choice, as that frequently depends on how much sex you are having. If you are having sex with the same person and that person is having sex with only you in a monogamous relationship, then your risk for STIs is not as high as someone who engages in casual sex with various partners.

Generally, STI testing is often recommended annually. However, your lifestyle, health history and other factors can affect how often you can be tested for STIs.

Morevoer, the most common STI symptom is no symptoms. Many people have perceptions of STIs only affecting certain people, such as people who “look dirty” or “look like they have a lot of sex.” Untreated STIs can lead to chronic pelvic pain, pelvic inflammatory disease and possibly more health complications.

Many older people are having sex, are contracting STIs, and are not being offered STI testing because of ageism, negative bias and shame around sexual health.

Talking to your doctor about your sexual health questions and asking about STI testing can be nerve-wracking at times, yet it is critical to your health. Sexual health is health care and an essential part of your well-being.

Complete Article HERE!

How to Be Submissive

— The AskMen Guide for How to Be Submissive in Bed

By Eve Parsons

When you hear the word “submissive,” what do you think of?

Many people think sexual submissiveness is all about allowing yourself to be (consensually) “punished” or otherwise denigrated, but the reality is much more complicated.

And thanks to either sensationalist or outright false portrayals by movies and pop culture, myths and misinformation continue to abound when it comes to this unique area of sexuality.

In this piece, we spoke to several leading sexperts in the world of BDSM and beyond who know what it means to navigate submissive play time in a healthy, safe way.

So if you’re curious about exploring your submissive side, or wondering what that might look like, read on.


What Is Sexual Submission?


“Sexual submission is a form of power exchange and a way to experience a consensual negotiation of surrendering power or decision-making to another person,” says Mark Cunningham, a licensed marriage and family therapist, AASECT-certified sex therapist, psychedelic therapist and owner of Adaptive Therapy.

Ideally, says Cunningham, these actions are things that are discussed and mutually agreed upon prior to the experience.

“These negotiations define how one person may demand or take action toward another person,” he says.

If that sounds a little vague, it’s in part because submission is a broad concept. BDSM play is not a “one size fits all” or uniform area of sexual expression in the least.

“There is almost no ‘always’ when it comes to BDSM play,” says BDSM educator and author Jay Wiseman.

Being a submissive can thus vary widely depending on what you and your partner agree to.

“Sexual submission can involve the use of props, toys, ropes, nipple clamps, cages, and so much more,” says Cunningham. “Or it can purely be a psychological or behavioral relationship that does not involve any use of items.”

In other words, how you play is all down to you and your partner (or partners).

It’s also important to remember that “submission and kink are not always related to one another,” clarifies Leighanna Nordstrom MA, MFT-C of Break the Mold Therapy. “Kink is about non-normative sexual expression (i.e., trying all the things you didn’t learn about in traditional sex ed); submission is about power and control (i.e., allowing someone to determine how you feel and behave during certain scenarios).”

Meaning, you can be in an otherwise “vanilla” relationship, but still have a little power exchange dynamic in a sexual relationship, or you can use submission as a vehicle to explore various kinks, such as those that often fall under the umbrella of humiliation play.

Being a Sub Isn’t Set in Stone

It can be useful to see “submissive” and “dominant” power dynamics as appetites, instead of hardened identities. (And being a submissive also does not necessarily make one a “bottom” automatically either, contrary to many people’s assumptions — it’s definitely possible to bottom while domming, and vice versa.)

In a tutorial video, the world-renowned sexologist, educator and author Midori discusses the differences between topping and bottoming, and how these terms can work in the context of BDSM power exchange — but can also apply even if you’re more on the vanilla side, too.

“Top is usually the person doing an action — being in charge, doing the tying, doing the spanking, or being physically on top, or going ‘into’ the other person’s body with a finger, tongue, dildo or penis. Top may or may not include being dominant or sadistic,” Midori explains.

“Bottom is the person who is receiving the actions: being spanked, poked, nipple-clamped, penetrated, or following the orders. Bottoming may or may not involve being submissive [all the time] either,” she adds.

Therefore, this is why, as Midori suggests, it always a good idea to ask a current or potential new partner what exactly they mean when they say: “I’m a submissive” or “I’m a bottom” — and really listen to their explanation, because all too often people make the mistake of assuming that expressing sexuality is a uniform experience or undertaking when this is not the case.

Additionally, Midori cautions against assuming that our sexual appetites for how we want to experience sexuality are set in stone: “Sometimes we get really stuck in the idea that ‘I am a top’ or ‘I am a bottom’ [but] don’t narrow yourself, paint yourself into a corner being attached to an identity; these are ‘appetites,’ not identities,” she explains.

As such, it is totally normal for your appetites to change or evolve over time — it’s merely human nature.

As Nordstrom says, “If you’re reading this, you may be developing a new appetite for submission in sex. This could be because your appetite for dominance has been more than sated, or because you have become curious what other possibilities sex could hold if you were to experiment.”


Exploring Sexual Submissiveness & Masculinity


If you’re curious about sexual submission but worried that your sexual partner(s) might see you as less manly if you’re not fulfilling the dominant archetype, that’s understandable. It’s normal to experience anxiety when we crave the acceptance of a partner and are not sure how they will react.

However, if you “zoom out” and look at the bigger picture, you can see where this anxiety is ultimately born from outdated social stigmas and sexist stereotypes of manhood and gender roles.

As Cunningham suggests, ask yourself a question: “First, whose values/definition of masculinity are you using to define your masculinity, and do you agree with that or is this something you have simply adopted without much reflection?”

Cunningham also notes that “many top leaders in positions of power like CEOs, or high-ranking military members for example, are drawn to submissive play because of the freedom, excitement, and healing that they can experience in moving outside of their ‘normal’ mode of operation as a leader or position of power.”

“Sex is a powerful way for us humans to cope and express parts of ourselves that we may struggle to access in our day-to-day lives,” he adds.

In other words, you could be the most powerful man in the world, with days filled with success and conquering, but at night you might find yourself wanting the release of surrendering to a partner who’ll be in control.

Kink and power exchange can be a great, temporary escape from reality and the baggage that comes with the performative roles we all play in mundane society.

In short, you are not “lessened” in the least by wanting to explore submission; being brave enough to admit your true desires and allowing yourself that opportunity means you can be enhanced by a new depth of connection and variety in your sex life.


How to Talk to a Partner About Your Submissive Desires


Ok, I want to explore: What are some ideas for communicating with my partner about my submissive desires and fantasies?

Assuming your breakfast conversation does not get particularly kinky, you might be in need of an “icebreaker” or two. Not to worry! There’s no need to make this terribly complicated or convoluted…

“Having a ‘catalyst event’ for bringing up the conversation can be an easy “in,” says Nordstrom. “You might say, ‘Hey, I was reading this magazine, and it made a suggestion about having positive, playful conversations about sex with your partner. I’d love to try it! Would you?’”

Or, Nordstrom adds, “Instead of springing your newfound submissive appetite onto your partner, consider trying to have a positive conversation about your whole sex life, and work the submissive appetite into the conversation.”

In other words, “zoom out” and share with your partner what you already really enjoy about being with them–and then ask them what they’re enjoying — and would like to try. This way, you both have the opportunity to be and feel heard.

As another “in,” Wiseman also suggests commenting on a book, movie, TV show or other piece of pop culture that depicts a D/s dynamic.

And notwithstanding submissive desires, having an understanding of your partner’s fantasy life can help you to better understand where they are coming from and what might excite them.

Nevertheless, it’s always good to remember that it totally is normal for someone to have sexual fantasies that they do not necessarily want to act out in real life—so never, ever take for granted the need to establish clear consent.

Now, if you and your partner already enjoy open communication about your sex life (yay!), then by all means go ahead with a straightforward Q&A session.

Midori suggests you ask your partner how they would like to feel in a dominant role.

“This isn’t about what toys to use or what you end up doing,” she explains. “This is about the core of [their] pleasure, leading to your hot submission. [Do they] want to feel adored, cruel, gentle, imperious, fickle, selfish, nurturing, powerful, or….? Then ask yourself how you want to feel: surrendered, willful, obedience, devotional, small, strong, enduing, obliterated, vulnerable, or…? And [then] find an overlap of emotional journey in your scene.”

Additionally, give yourself and your partner some grace, especially if you are navigating uncharted waters together.

“It is very common to have fear, uncertainty, confusion and many other challenging feelings in addition to excitement and curiosity when considering submissive exploration,” says Cunningham. “Do your best to name and even journal about your feelings and thoughts and to share these with your play partner so you can feel a greater sense of connection, understanding and ultimately intimacy.”

But remember: this erotic play time should also be a source of unabashed joy and delight; being open to the experience fuels the enthusiasm, Nordstrom says.

“When it comes to trying out any new sexual behavior, I have to remind my clients that sex is play!” she explains. “This means that it may be cumbersome, awkward, messy, confusing, or funny. But it shouldn’t be a job with an expected outcome. Going into new sexual scenarios in a curious mindset opens doors for anything to happen, instead of just focusing on one specific outcome.”


Best Practices for Exploring BDSM Submissiveness


According to Wiseman, good ‘best practices’ include getting adequate education and talking ahead of time about what will occur. In other words, sexual submission is not something you ever do (or expect your partner to do) ‘spontaneously,’ and certainly never under duress.

As with many other pursuits, when you are new to BDSM, it’s best to start slowly, as Nordstrom suggests: “My recommendation when partners are playing around with power dynamics is to always start slow, evaluate how different sexual acts are working, adapt behaviors as needed, and then go deeper into the dom/sub roles.”

“I cannot stress the importance of consent enough,” Nordstrom adds. “Creativity can take over when partners engage in BDSM. That said, it’s still VERY important to check in each time a new idea gets added to the sexual scenario. With consent comes trust (i.e., I believe you will ask me before you do something new to my body AND I believe you will tell me if I’ve done something that went too far).”

Nordstrom continues: “Safe words or actions are vital to any kink/BDSM scenario. Simple, easy to say words are best for safe words. “No” is not a good safe word, because, depending on the intensity of the scene, you may be begging your partner to stop when what you really want is for them to keep going.”

And this is where sexual submission can baffle outsiders.

“The funny thing is that in a power exchange relationship, the person who is in the submissive role is actually in a greater degree of control, because of their prior defining of their soft/hard boundaries and in their ability to create the play scene and rules with the dominant or master partner(s),” Cunningham explains.

As such, it is important to understand that the best BDSM scenes involve mutual collaboration between the submissive and the dominant well ahead of play time. If the power exchange feels one-sided or reluctant, then it’s really not a true exchange and the excitement is lost.

“Kink desires are much like appetites,” Midori says. “Creating a scene with your partner is like planning, cooking, and sharing that meal together. Even when you are surrendering in the scene, the creation is collaborative. Both of you have to like the ingredients and the whole meal for it to be fantastic.”

Complete Article HERE!

The Dangers of Recreational Viagra

— The risks of taking Viagra without erectile dysfunction range from mild side effects to dangerous drug interactions

By Raevti Bole, MD

Advertisements for erectile dysfunction (ED) medication are everywhere. Viagra® and Cialis® are enormously popular. And as the ads suggest, they’re highly effective at improving sexual performance in people with ED.< But the use of these medications is also booming in people who don’t have sexual problems. But know this: This “recreational” use of Viagra can be risky.

Why do people without ED take Viagra?

To understand why people experiment with Viagra and Cialis recreationally, it’s helpful to understand how these drugs work.

Viagra and Cialis belong to a category of drugs called phosphodiesterase type 5 (PDE5) inhibitors. These medications open blood vessels and can be used to treat pulmonary hypertension and urinary problems.

But most famously, medications like Viagra and Cialis are used to address erectile dysfunction. The reason? Increased blood flow from PDE5 inhibitors results in firmer, longer-lasting erections.

Now, it’s important to note that erection firmness can be subjective. Most people will notice temporary differences in the quality of their erection depending on stress, energy levels, time of day, alcohol consumption and many other factors.

But if someone can reliably get and keep an erection that’s rigid enough for penetrative intercourse, they probably don’t have ED or a real need to pop a Viagra or Cialis, explains Dr. Bole.

That said, people without ED have recreationally used Viagra or Cialis to increase blood flow to their penis because they want to:

  • Counteract the effects of alcohol or other drugs on their sexual performance.
  • Improve the chances of an erection lasting long enough for sex multiple times.
  • Increase their confidence by reducing anxiety about performance or premature ejaculation.

Does Viagra improve athletic performance?

People also use Viagra and Cialis recreationally to improve their exercise performance. But does it really work? To keep the answer simple: No.

“PDE5 medications can increase oxygen levels and heart function in people who have cardiac risk factors or cardiac disease,” says Dr. Bole. “For people who are healthy, there’s no good evidence that the medications significantly improve athletic abilities in a standard, sea-level environment.”

Why mention the altitude? Well, there’s some evidence that Viagra may make a difference for those doing activities in thin air at higher altitudes.

Researchers found that cyclists taking sildenafil, the medicine marketed as Viagra, improved cardiac output and exercise performance at higher altitudes. Another study focused on Mount Everest trekkers showed that sildenafil increased exercise capacity at high altitudes.

As noted, though, any benefits experienced closer to the clouds do not transfer to lower altitudes where most of us spend our time.

Five risks of recreational Viagra use

The potential consequences of taking Viagra and Cialis recreationally depend on medical, psychological and social factors. The risks range from mild to serious and include:

1. Dangerous interactions with other drugs

PDE5 inhibitors lower blood pressure. Mixing them with other drugs that also lower blood pressure can be potentially life-threatening, says Dr. Bole.

Be sure to review with your healthcare provider all supplements and medications you’re taking to check for potential interactions. Here are some examples of medications known to interact with Viagra or Cialis:

  • Amyl nitrate, which can also be misused as a street drug known as “poppers.”
  • Nitroglycerine, a medication used to treat angina (chest pain) in people with coronary artery disease.
  • Certain types of blood pressure medications, prescription drugs that lower high blood pressure. (Isosorbide mononitrate is one example.)

2. Uncomfortable side effects

The side effects of Viagra and Cialis are usually mild. Headache is a common side effect that can vary from mild to pounding. You may also experience:

  • Acid reflux.
  • Facial flushing.
  • Muscle aches.
  • Stuffy nose.
  • Vision changes.

One of the most severe adverse events is called priapism, a painful erection that lasts for several hours. “Luckily2, it is quite rare when using oral ED medications,” notes Dr. Bole. “But if this happens to you, seek emergency medical care immediately.”

3. Psychological dependency

Frequent use of Viagra or Cialis just to boost confidence can create psychological dependency — especially if you’ve never discussed the issue with anyone. You may eventually feel that you need it to have sex, creating a long-term issue for you and your partner.

“If you are having severe performance anxiety that’s affecting your erections, I recommend talking to your healthcare provider or a sex therapist,” says Dr. Bole.

“A medical professional can discuss your worries about sex; help you set personalized and realistic expectations; and develop strategies to improve your confidence without relying on medication alone.”

You may still choose to try a medication, but understanding the psychology behind sexual performance is a healthier strategy.

4. Unknown dosage and contaminants

ED drugs and supplements are easy to find without a prescription. People get them from friends, family members and online. You can even find them sold as vitamin or herbal supplements at gas stations.

But without a prescription from a reputable provider, you don’t know the dosage of active ingredients in the pills you’re taking or even what may truly be in the medication.

For example, the U.S. Food and Drug Administration (FDA) has issued advisories for “Rhino” male enhancement products. These products are available at gas stations, corner stores and online. Marketed as “dietary supplements,” tests show they may contain hidden PDE5 inhibitors.

Taking these sorts of fraudulent products can be dangerous for unsuspecting consumers, warns the FDA.

5. Association with high-risk behaviors

Combining Viagra or Cialis with alcohol or drugs can lower inhibitions. As a result, you may be more likely to engage in risky sexual behavior that could expose you to sexually transmitted infections (STIs).

“Using ED medications to enhance your sexual performance when you’re under the influence of alcohol or drugs can lead you to make choices that harm your sexual and overall health,” stresses Dr. Bole.

When to talk to your provider about Viagra use

If you’re taking Viagra or Cialis recreationally to improve your sexual or exercise performance, Dr. Bole recommends letting your provider know.

Long-term use could mask a real decline in erectile function due to underlying health problems such as:

“Some patients may feel reluctant or embarrassed to talk about their sex life,” recognizes Dr. Bole. “But we have these conversations all the time with patients. You are not alone. Our role is to help you understand the risks versus benefits and provide guidance without judgment.”

Complete Article HERE!

Multiple Sclerosis

— How to Have a Healthy Sex Life

Multiple sclerosis (MS), like many other chronic medical conditions, can affect every aspect of a person’s life, including their sex life. MS can create physical and emotional barriers that must be overcome to have a healthy sex life. Here is what you need to know about sex and MS.

By

  • MS can decrease sex drive and cause sexual dysfunction in men and women.
  • The emotional toll of MS can affect sexual function and intimate relationships.
  • Sexual dysfunction caused by MS is treatable with medication and other therapies. Patience, communication, and therapy can help improve relationship problems caused by MS.

Multiple Sclerosis (MS)

Multiple sclerosis affects 2.8 million people worldwide, including 1 million people in the United States alone. MS is an immune-mediated disease that occurs when the body’s immune system attacks healthy nerve cells, ultimately preventing nerves from communicating with one another. MS affects nerves within the brain and throughout the body, causing both physical and mental problems. MS affects the body and the mind, both of which are involved in sexual function.

MS can affect different parts of the brain as well as different parts of the body. This causes people with MS to have different symptoms, severity, and disease progression. While individual experiences with MS vary, MS presents similar challenges and difficulties for everyone.

Physical effects of MS

MS can cause a variety of sexual problems, both directly and indirectly. These are described as primary, secondary, and tertiary sexual dysfunction. Because the brain plays a role in many different bodily functions, problems with communication within and outside the brain can affect sexual function by influencing hormone levels, mental sexual arousal, and physical sexual response. There are many, often unexpected, ways that MS can impact your life.

The effects of primary sexual dysfunction caused by MS include:

  • Low libido (sex drive).
  • Numbness or decreased sensitivity of the genitals.
  • Erectile dysfunction.
  • Poor vaginal lubrication.
  • Difficulty achieving orgasm or ejaculation.

Secondary sexual dysfunction caused by MS includes:

  • Muscle weakness.
  • Muscle spasticity.
  • Fatigue.
  • Pain.
  • Incontinence.

Emotional effects of MS

Sex is both physical and mental; your mental or emotional state affects your sex life. MS can have a profoundly negative impact on mental health and relationships.

Tertiary sexual dysfunction includes problems caused by the emotional and psychological effects of MS.

Depression can cause sexual dysfunction by lowering sex drive, decreasing sexual arousal, and preventing or delaying orgasm. Low self-esteem and poor body image can lead to emotional insecurity. Physical and emotional problems caused by MS can make it difficult to establish and maintain intimate relationships.

How to improve sex with MS

MS, like other chronic illnesses, can force you to make adjustments to how you would normally do things in your day-to-day life; this includes sex. You can improve your sex life by understanding the effects that MS has on your body and mind and making changes to your physical and emotional approach to sex.
Treat sexual dysfunction

MS causes sexual dysfunction in men and women, but it is treatable. There are many treatments available for erectile dysfunction, but there are also treatments available for women with sexual dysfunction marked by difficulty with arousal and orgasm.

To improve sexual dysfunction caused by MS:

  • Treat erectile dysfunction (pills, injections, pumps).
  • Treat female arousal problems with Addyi (flibanserin) or Vyleesi (bremelanotide).
  • Use water-soluble lubrication liberally.
  • Use sex toys to increase stimulation.

Make adjustments based on your limitations

Weakness, pain, and physical limitations can make sex more difficult, but you can make adjustments to your sexual routine to account for these things.

To overcome physical limitations caused by MS:

  1. Adjust sexual positions to increase comfort, reduce pain, and improve stimulation;
  2. Use medication to help with incontinence;
  3. Take medication side effects into account; adjust when you take medications.

Building better relationships with MS

Physical difficulties caused by MS are only half of the problem; the other half is mental. Building and maintaining healthy intimate relationships can be difficult regardless of physical limitations or emotional problems. Relationship problems affect everyone at some point in their lives, whether you have MS or not. Any relationship, sexual or not, can benefit from self-care, patience, and good communication.

To have a healthy intimate relationship with MS:

  1. Seek support, therapy, and/or medication to deal with emotional problems;
  2. Communicate your needs, desires, and expectations with your partner;
  3. Consider couples counseling or sexual therapy.

Communication is the cornerstone of any interpersonal relationship. Good communication is essential for healthy intimate relationships, especially when there are barriers that make intimacy more difficult. Perhaps the most important steps you can take to strengthen a relationship is to share your expectations with your partner and work together to meet those expectations.

Multiple sclerosis takes a physical and emotional toll on those who suffer from it. MS can decrease sexual drive, impair sexual function, make sex physically difficult, and damage intimate relationships. Fortunately, there are ways to improve sexual drive and function in those with MS by using medication and other sexual dysfunction therapies. Additionally, understanding the limitations to sexual activity caused by MS can help you make adjustments that allow you to meet your physical needs. Finally, patience and good communication with your partner are essential for establishing and maintaining a healthy intimate relationship.

A diagnosis of MS is life-changing for both you and those closest to you. MS presents many challenges to living a “normal” life, but those challenges can be met and conquered. Don’t let a diagnosis of MS or other chronic illness keep you from pursuing intimacy or other things that help make life fulfilling.

Complete Article HERE!