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    It’s Time To Stop Believing These Sexual Health Myths

    From periods to contraception to fertility, women’s sexual health is subject to its fair share of myths. In South Africa alone, these myths are not just rampant but serve as a barrier for women to access healthcare. Per one study, “In South Africa, about one in five (19%) women of reproductive age (15–49 years) have an unmet need for contraception, with even higher unmet need among adolescent girls aged 15–19 years at 31%, and 28% for young women aged 20–24 years.” Myths around contraception prevent women from accessing these services, leading to unwanted pregnancy and STIs.

    We’ve dispelled some common myths with input from the experts to lay down some need-to-know facts. Here, the most common sexual health myths you can happily stop believing – and what to know instead.

    Meet the experts: Dr Nico Lin is an Obstetric and Gynaecology registrar at Groote Schuur Hospital in Cape Town. Dr Siyamak Saleh is a doctor, WHO consultant and sexual health influencer.

    Sexual Health Myth #1: You can’t get pregnant during your period.

    While menstruation does mean that your body is shedding its uterine wall, along with an unfertilised egg, this doesn’t mean pregnancy is impossible. “Although the likelihood is lower, it is possible to fall pregnant during your period,” says Dr Lin. “Sperm can survive in the female reproductive tract for up to 7 days. Some women have shorter menstrual cycles and can ovulate shortly after the period ends.”

    What this means: when your period comes to an end, sperm might still be around, allowing you to fall pregnant once ovulation takes place. Always wear protection if you don’t want to become pregnant.

    READ MORE: Here’s Exactly How Your Vagina Changes In Your 20s, 30s And 40s

    Myth #2: The pull-out method works

    Talk about risky business. Per Dr Lin, pre-ejaculation can occur during sex, which could lead to unwanted pregnancy. “The pull-out method or withdrawal method is an unreliable form of birth control because pre-ejaculate can contain sperm, leading to the risk of unintended pregnancy,” he says. Again, use contraception like condoms, the IUD or birth control pills if you want to remain child-free.

    Myth #3: Certain sex positions will increase your chance of falling pregnant

    Just like how you can’t intuit the sex of your unborn child, a special sex position won’t make it easier to fall pregnant. “There is no scientific evidence to support this idea,” says Dr Lin. “Timing of intercourse is more important than sexual position as the key factor in achieving pregnancy is the sperm’s ability to reach the egg during ovulation. Regular unprotected sexual intercourse around the time of ovulation is recommended if you are trying to conceive.”

    Myth #4: Having a regular menstrual cycle means you are always fertile

    “While having regular menstrual cycles is associated with regular ovulation, it does not guarantee fertility,” Dr Lin explains. “Other factors can affect fertility, such as structural abnormalities of the female reproductive tract and endometriosis.” If you are trying to conceive, see your doctor for a check-up to gauge your fertility.

    READ MORE: 5 Simple Ways To Tell Exactly When You’re Ovulating

    Myth #5: Using birth control for a long time makes you infertile

    Simply not true, experts agree. “Long-term use of birth control methods such as pills, injections and intra-uterine devices typically do not impact fertility negatively,” says Dr Lin. “Fertility usually resumes once you stop using the contraceptive. However, responses may vary among individuals with a return to fertility ranging between 2-18 months. Duration of contraceptive use has also been proven to not affect long-term fertility.”

    Also, it’s important to remember that age plays a factor in fertility. The more you age, the more fertility declines. “This means if someone uses birth control for many years, they might find it more challenging to conceive not because of the birth control itself, but because of age-related changes in fertility,” Dr Saleh explains.

    Myth #6: Using contraception will make your partner infertile

    First, let’s make it clear that this is completely untrue. Here’s how hormonal contraceptives work: “They prevent ovulation and thicken the mucus at the mouth of the womb, preventing sperm from entering the reproductive tract,” explains Dr Lin. “It can also work by thinning the lining of the womb, making it less likely for a fertilised egg to implant and grow.” The bottom line: since these methods work within the female reproductive system, they do not affect the partner’s fertility.

    READ MORE: Here’s How To Have A Discussion With Your Doctor About Sex

    Myth #7: The Morning After Pill Is Always Effective

    Well… it’s a bit more complicated than this. “Many factors influence the effectiveness of the morning-after pill, a crucial form of emergency contraception,” says Dr Saleh. “It’s most effective when taken within 24 hours after unprotected sex. There are two primary types of emergency contraception pills: one that contains levonorgestrel (e.g., Plan B One-Step), which is most effective within 72 hours, and another, Ella (ulipristal acetate), which can be taken up to 5 days after unprotected sex. The key mechanism of the morning-after pill is to delay ovulation; therefore, if ovulation has already occurred, the pill will NOT be effective. Additionally, the efficacy of morning-after pills is affected by BMI; higher BMI levels may reduce their effectiveness.”

    Myth #8: Steaming and douching are great for vaginal health

    Leave these practices behind, experts say. “Steaming and douching can disrupt the natural balance of the vagina, leading to several potential risks,” explains Dr Saleh. “These practices can affect the vaginal pH, making the environment more susceptible to infections and irritation. Steaming, in particular, might introduce excessive heat to sensitive areas, potentially leading to burns or discomfort.

    Both steaming and douching can upset the natural balance of healthy bacteria in the vagina, increasing the risk of bacterial vaginosis and yeast infections.” Plus, your vagina is a self-cleaning machine and is designed to maintain its balance without the need for internal cleansing like douching, Dr Saleh warns. Just use a mild soap and water and you’ll be fine.

    READ MORE: Pop Quiz: Do You Actually Know What’s Going On With Your Vagina?

    Myth #9: Vaginal discharge means infection

    This sexual health myth couldn’t be further from the truth. It’s more the quality of the discharge that determines inflammation and infection. “Vaginal discharge is a natural and healthy part of the vagina’s self-cleansing mechanism. Not all discharge indicates an infection,” says Dr Saleh. If your discharge is white, that’s normal.

    “Signs that discharge may be due to an infection include a change in colour, consistency, smell, or if it’s accompanied by other symptoms like itching, irritation or even lower abdominal pain. Discharge that is green, grey, or has a strong odour might signal an infection, such as bacterial vaginosis or an STI, and requires a consultation with a healthcare provider,” explains Dr Saleh.

    Michelle is the features editor at WH. She’s immensely curious about the world, passionate about health and wellness and enjoys a good surf when the waves are good. More

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    12 Ways To Boost Your Libido And Have A More Satisfying Sex Life, According To Experts

    POV: You’re reminiscing about your first few dates with your long-term partner. You know, the time when you used to bonk like bunnies? Back then, it was physically impossible to keep your hands off each other, but now the idea of engaging in spontaneous lovemaking with your S.O. sounds, well, meh.

    If you can relate, you may be going through a period of low sex drive, also known as low libido.

    Biological Factors

    Libido is affected by a combination of biological, psychological and social factors known as the biopsychosocial model, says gynaecologist Dr. Alyssa Dweck, MD. “Bio-” refers to medical conditions such as: diabetes, heart disease and some cancers—essentially anything that can cause hormonal or blood flow changes, all of which can influence sexual drive, Dweck explains. Vaginal pain associated with intercourse (i.e., vaginismus) as well as ageing can also influence libido, adds double-certified gynaecologist Dr. Monica Grover, DO.

    Psychological Factors

    Meanwhile, the “psycho” part of this model is in reference to your emotional well-being and any mental health issues that may impact your libido. For example, depression and anxiety as well as history of abuse or trauma—sexual or otherwise—can impact your sex drive, says Dweck.

    Meet the experts: Alyssa Dweck, MD, is a practising gynaecologist and co-author of three books, including The Complete A to Z for Your V: A Women’s Guide to Everything You Ever Wanted to Know About Your Vagina. Monica Grover, DO, is a double-certified gynaecologist and the chief medical officer for VSPOT. Rachel Smith, LMFT, is a licensed marriage and family therapist and certified sex therapist.

    Social Factors

    Finally, “-social” is all about your relationship with sex and others. Cultural upbringing, religion and value systems influence people’s general thoughts about sex and how they specifically engage with it, explains Dweck. And when it comes to romantic relationships, if there’s conflict or difficulty, a couple’s libido will certainly be affected, she adds.

    Despite these barriers to entry (get it?), there is a way out of this sexual rut.

    If you’ve recently been feeling unsatisfied with your libido, sex experts are here to help. Ahead, they break down some possible reasons for why your sex drive is low and offer some tried-and-true tips for boosting your libido, so you can access pleasure once again.

    What’s considered a “normal” sex drive?

    Before getting into the nitty-gritty of why your sex drive might not be as high as you’d like, first, let’s settle what a normal sex drive is. The short answer: There is no “normal.”

    “Libido naturally varies from person-to-person and changes throughout your life,” explains Grover. What’s “normal” to you might not be normal for someone else, because your sex drive depends on your lifestyle and preferences, she adds.

    For example, someone who grew up in a household where sex was “taboo” and considered shameful might have a different desire for sex compared to someone who was raised in a sex-positive environment. “The messages that you heard about sex and sexuality and what it is and what it means all greatly impact your desire and openness to sex,” says certified sex therapist Rachel Smith, LMFT. So there is no normal; instead, you have to allow the time and space to check in and define for yourself how you wish—and not wish—to engage with sex, she adds.

    “The most important thing when we talk about normalcy is whether somebody is distressed about their drive,” says Dweck. Some people have a fairly low sex drive as their baseline and don’t feel distressed by it, i.e. it’s not hindering their quality of life. Others, however, are very affected by the number of times they have sex or think about sex, she adds, and for those people, some sort of intervention may be helpful.

    While no “normal” sex drive exists, it’s not abnormal for yours to change due to life experiences. As women age, especially during the menopausal period, their sex drive may diminish, explains Dweck. And when it comes to social factors such as relationships, “it’s also not unusual if somebody’s in a very long-term, albeit very happy relationship, that they may have a lower [sex] drive, either as a result of boredom or being stuck in a routine,” Dweck adds.

    Why is my sex drive so low?

    You already know sex drive is determined by a combination of biological, psychological and social factors, but ahead, the experts outline some specific physical and mental health barriers that might have you feeling bleh about making your bedrock:

    Physical Causes of Low Sex Drive

    Sexual dysfunction

    “Sexual dysfunction is a problem that can happen during any phase of the sexual response cycle,” says Grover. Some intercourse-related issues that may decrease one’s libido include: a history of painful sex (i.e., dyspareunia or genital pain either before, during, or after sex), vaginal dryness, vaginismus and/or problems reaching orgasm, according to Grover. All of these conditions “can create anxiety surrounding sex and lead to a decrease in sexual desire,” she explains.

    Reproductive health conditions

    Conditions such as endometriosis, premenstrual syndrome (PMS) and polycystic ovary syndrome (PCOS) can also negatively impact libido due to the hormonal changes and imbalances associated with them, says Grover.

    Medications

    Certain prescription drugs, especially a specific class of antidepressants known as selective serotonin reuptake inhibitors (SSRIs), are known to decrease sex drive, explains Grover. These drugs impact your ability to access the hormones and neurotransmitters important for experiencing sexual pleasure, says Smith. “[Certain] antipsychotics and even medications for ADHD” can also lower libido, Grover adds.

    Fatigue

    Studies have shown that poor sleep can induce adrenal fatigue and increase cortisol levels, which can diminish sexual desire, says Grover.

    Ageing and hormonal changes

    “Changes in estrogen and testosterone levels greatly affect someone’s libido,” says Grover. Some hormonal changes associated with ageing include pregnancy and menopause, both of which can influence sex drive.

    Pregnancy and postpartum

    “Hormone changes during pregnancy, just after having a baby and nursing can put a damper on sex drive,” Grover says. Not to mention, fatigue, changes in body image and the pressures of caring for a child can also contribute to a decrease in sexual desire, she adds.

    Menopause

    During the transition into menopause, estrogen levels drop, explains Grover. This can cause vaginal dryness, resulting in painful and uncomfortable sex, making you less interested in intercourse, she adds.

    Exercise

    Both too much or too little physical activity can cause a decrease in sex drive, according to Grover and a study published in Medicine & Science in Sports & Exercise.

    Stress

    “Stress tends to be one of the number one killers of libido,” explains Smith. And while stress is a mental health-related issue, it’s also a physical health issue as “when cortisol levels go up, sex hormone levels go down,” she says.

    Mental Health Causes of Low Sex Drive

    Anxiety and depression

    Apart from the SSRIs used to treat these mental health conditions, anxiety and depression themselves interfere with your hormone levels, resulting in a lower libido. “Anxiety can cause increased levels of cortisol, or the ‘stress hormone,’ and high levels of cortisol can suppress the sex hormones that impact your sex drive,” explains Grover. Depression, for its part, can cause an imbalance of the neurotransmitters that help regulate libido, Grover adds. And, in general, physical fatigue, low self-esteem and feelings of hopelessness—all symptoms of depression—can decrease sex drive, she says.

    History of trauma

    Experiencing trauma, especially of the sexual variety (i.e., sexual harassment, sexual abuse, or rape), can negatively impact one’s desire for sex, explains Grover.

    Relationship problems

    Issues in a romantic relationship play a major part in decreasing sex drive, says Grover. “Problems with communication, trust or intimacy, are among the most common causes of a low libido,” she explains. While sex is a physical act, there’s no denying the vital role having an emotional connection plays in forming one’s desire for sex. “If you don’t feel safe, secure, cared for, seen, heard, or supported, then you’re less likely to take next steps in terms of intimacy,” says Smith. On the flip side, if the emotional bond is there, but you’re not finding the sex you’re having with your partner particularly pleasurable or enjoyable, that can also negatively impact your libido, she adds.

    Low self-esteem

    How you feel in your body plays a significant role in your openness and ability to access sexual desire, says Smith. “If one’s not comfortable in their own skin, how can they invite someone else in to share in that experience [of sex]?” she asks. The answer: It’s quite difficult (but not impossible—more on that in a sec).

    How can I increase my sex drive?

    Now that you know why your engine isn’t revving the way it used to, what can you do to step on the gas, so to speak? Ahead, these 12 expert-approved tips can help your sex drive go from zero to 60 (vroom vroom!).

    1. Get checked up.

    “Number one, get a medical checkup,” says Dweck. You want to make sure there’s no medical issue or medication that’s screwing with your libido. So, check in with your gynae or a specialist in hormonal changes to either figure out if that’s the cause or cross it off the list.

    2. Implement healthier lifestyle choices.

    Perhaps this comes as no surprise, but the consumption of alcohol and tobacco can negatively impact your sex drive, according to previous studies and research. So while it’s easier said than done—especially in the case of addiction—try your hardest to cut back on these substances.

    And if you’re always tired when it’s time to wriggle in between the sheets, consider getting more sleep and/or levelling up your exercise routine—or the opposite, working out less. Switching up your schedule might help you find your sexy sweet spot.

    3. Manage your stress and anxiety.

    Stress and anxiety increase cortisol levels, which in turn lower your libido. So to improve your sex drive, try to manage your stress and anxiety levels, says Grover.

    You may even consider indulging in some self-care—both after a stressful day and before engaging in sex. Maybe you take a bubble bath after work to open yourself up and alleviate the stress from the day, says Smith.

    4. Prioritize your mental health.

    If a history of sexual trauma is getting in the way of your ability to access pleasure, consider getting assistance to help you treat that trauma, depression, or anxiety, says Glover.

    You may want to speak to a licensed psychotherapist who specialises in your specific type of trauma—or, better yet, a sex therapist that can walk you through releasing any feelings of shame or embarrassment regarding sex and self-pleasure.

    5. Discover your desire style.

    Smith explains that there are two desire types: spontaneous and responsive. Spontaneous desire is what’s typically shown in movies and media; it describes someone who feels a mental or emotional need for sex, first, to which their body quickly responds to thereafter, she says. People with this desire style operate like a “light switch,” Smith explains.

    “Sex is more on the forefront of their minds—they’re probably initiating sex more often because it’s more readily available to them.”

    Those with responsive desire, however, need the physical arousal, first, then the mental and emotional wanting of sex comes after, explains Smith. “This is like the dimmer switch.” These people need to be in sexual experiences for the desire for sex to click in their mind, she adds. They’re not often initiating sex, but when they’re in the thick of it, they’re thinking, “This is great.”

    Arousal—the physiological response to sexual stimuli—often follows desire—the wanting of sex—so it’s important to get acquainted with your desire style in order to figure out what it is that you—and your sexual partner—need to get it on.

    Of course, it’s true that if you don’t want sex, you shouldn’t have it, but this thinking can sometimes be a disservice to those with responsive desire, says Smith. “As long as sex is consensual, you don’t have to want sex to have sex, actually,” she says. For those with responsive desire, it’s quite the opposite as their desire starts from a place of willingness versus wanting.

    6. Figure out your turn-ons and turn-offs.

    You can’t communicate what your sexual needs are with a partner if you, yourself, don’t know your accelerators—turns ons—and brakes—turn offs.

    “And that’s really the only way—through being able to communicate with your partner—that you’re going to learn how to develop good sex or experience a positive, pleasurable sexual experience,” says Smith.

    Smith explains that, in this society, the responsibility to discover your turn-ons and turn-offs is put on partners, when really it’s your own responsibility to figure out what helps you achieve orgasm. One way to figure out what gets you to a big O is through self-pleasure, of course. But yet another way…

    7. Explore erotic content.

    Not only does engaging with X-rated videos and books help you see what might turn you on, but it also assists in getting love on the brain, á la Rihanna. “This is called bibliotherapy, which is just a fancy way of saying using tools like videos or texts to try to get sexual thoughts on the brain,” says Dweck. “The more this is done on a voluntary basis, the more [the desire for sex] will become spontaneous.”

    8. Work on your emotional connection.

    In order to have a strong sexual connection, you first need to develop a strong emotional bond. If you’re feeling uncared for by your S.O., then you’re most likely not going to want to get in between the sheets with them.

    Make sure you’re feeling safe and secure and you can trust your partner and then the rest will follow, says Smith.

    9. Schedule sex.

    Truthfully, when you’re always busy with work schedules, chores and childcare, it can be hard to, uh, get in the mood. One solution: Put “sex” on the Google Calendar.

    For long-term couples, especially, having a convenient, dedicated time to involve yourself in intimacy can help alleviate some of the stress and pressure of keeping the spark alive, says Dweck.

    10. Spend more time on foreplay.

    A huge influence to a low sex drive, especially for long-term couples, is boredom and being stuck in a rut or routine. To get out of that vicious cycle of just “hitting it and quitting it” and re-access pleasure, Grover recommends spending more time getting each other warmed up before heading into the main event.

    You might even consider trying out a new sex move you learned from an erotic video or bringing in sex toys like nipple clamps or a magic wand.

    11. Get rid of expectations.

    Many times folks are so focused on how they “should” be showing up sexually or how their body appears in the heat of the moment that they aren’t present enough to fully enjoy themselves and be in connection with their partner, explains Smith. Sex thus becomes something pressure-inducing, rather than something enjoyable.

    To increase your desire for sex and reach peak pleasure, Smith recommends “slowing down and smelling the roses.” In other words, alleviate the pressure to perform a certain way.

    Think of sex not as something you do, but as a place you go to be together and have a different experience, she says. Once you’re able to put all of that other stuff aside, then you’re truly able to experience the connection that’s available.

    12. Consider a medical intervention.

    If your low sex drive is really causing you distress and you’re discovering that none of these natural remedies are working for you, medical intervention is an option, says Dweck.

    In the end, if you’re not satisfied with where your libido is at right now, just know there’s hope. Through open communication, some self-exploration and self-care and a caring partner, you’re sure to find a frequency—plus, some new sex moves—that will make you both happy and (consensually) handsy.

    This story was written by Naydeline Mejia and was first published on womenshealthmag.com More

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    There Is Nothing Normal About Pain During Sex

    First-time sex is supposed to be painful due to the hymen (a thin piece of tissue located at the opening of the vagina) tearing. Most of us grew up hearing this statement. We held on to it as the gospel and waited our turn to feel this ‘natural’ pain. 

    There’s no bigger lie, believes psychosexual therapist Catriona Boffard, who has been in the game for well over 13 years and is particularly passionate about this subject. She believes that young women being taught that first-time sex is painful creates more long-term damage than we let on and it’s something that should never be normalised.

    “One of the biggest issues is that when women expect something to hurt, or if there has been some physical sexual trauma, chemotherapy treatment or a skin condition, they aren’t going to be sufficiently aroused physically and psychologically – and that will automatically lead to pain. There are many reasons why a woman has unwanted pain during sex, but her first time is not one of them. A woman’s first time shouldn’t hurt.”
    Catriona Boffard

    READ MORE: 5 Things You ALWAYS Need To Do After Anal Sex

    Why you could be experiencing sexual pain

    There are various health and psychological reasons that cause pain during sex – and these should be treated with the utmost urgency. “One of the most common reasons why women experience pain during sex is that they’re not sufficiently aroused. Also, because society tells us that sex first-time sex is going to hurt, that also switches off the probability of being physically and mentally aroused. Her vaginal muscles tense up leading to sexual pain,” explains Boffard. 

    Another reason could be due to sexual pain disorders. “It’s usually a psychosomatic issue that a woman experiences where there is a fear-pain cycle that perpetuates in the brain. It could be that she’s experienced psychological and physical trauma before when inserting a tampon or a finger, being examined by a gynaecologist or when a penis penetrates,” shares Boffard. 

    READ MORE: Vanilla Sex: Not As Boring As You Think

    The third reason is due to dermatological conditions such as lichen sclerosis which affects the tissue in the vulva area or recurring vaginal infections, adds Boffard. Then there’s also the effects of ageing, menopause or chemotherapy which causes shrinking and atrophy (skin condition demonstrated by thin shiny-appearing skin, small readily visible blood vessels, bruises, stretch marks, increased hair, redness, and pigmentation changes) in the vaginal tissue, particularly in the labia. 

    Possible treatments

    Should you decide to consult a psychosexual therapist for your pain during sex, they are likely to first refer you to a sexual health doctor for a full examination and assessment to rule out the possibility of the pain being caused by clinical reasons. “The treatment usually depends on what it is that she’s experiencing. There is no one-size-fits-all model. Every woman needs to be treated differently depending on what her concerns are,” says Boffard. 

    READ MORE: 10 Quiet Vibrators That Will Let You Play In Peace

    One of the most common causes of unwanted sexual pain in women, from a psychological perspective, is negative messaging around sex. “A woman living with vaginismus (the tightening of the muscles on the vagina) may need sessions with a physiotherapist to manage the movement of their pelvis and another may need some psychological therapy sessions. Ideally, a woman experiencing unwanted sexual pain needs a team made up of a sexual health doctor, a sexologist like myself and a physiotherapist,” she says. More

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    The Weird Way Your Menstrual Cycle Affects Your Guy’s Hormones

    We all know how that moodiness around our periods can drive our partners just a bit insane. But your menstrual cycle actually has a biological effect on your partner, too. Yup, per a study, your cycle could boost his testosterone levels. Ah, hormones…

    The study

    Animal studies found that olfactory cues of ovulation (when a biological female releases an egg, awaiting fertilisation by sperm) affected male testosterone levels. Studies conducted by researchers from Florida State University found that the same thing happens to male humans.

    In the studies, women wore t-shirts during different phases of their menstrual cycles. The men in the studies smelled one of the t-shirts worn by a female or unworn t-shirts. Saliva samples were collected before and after smelling the t-shirts s and measured for testosterone levels.

    Men who smelled the t-shirts of ovulating women had higher levels of testosterone than men who smelled a t-shirt worn when the women were not ovulating or a control t-shirt. The scent of t-shirts worn when the women were ovulating was rated as the most pleasing. These olfactory findings brighten the signal that when you’re ovulating, it’s prime time for fun in the sheets.

    But the needle can swing both ways. In another study, researchers measured levels of hormones in heterosexual partners throughout the woman’s menstrual cycle. What they found was surprising: during ovulation, when levels of estradiol are elevated, both partners felt more negatively toward each other than at other times of the cycle. Clearly, your menstrual cycle plays a bigger part in the relationship than you’d think.

    To move closer together, try talking about your feelings to clear the air and make way for a deeper connection and yes, more sex.

    When his testosterone starts to wane…

    With age, men’s testosterone levels do naturally start to decrease. Instead of shoving your nightie under his nose once a month, you could also steer him in the direction of these healthy foods, proven to up his levels: eggs, peanuts, yoghurt, oysters, garlic, oats, avocado, salmon (or other oily fish), fresh fruit and veg, pine nuts, brown rice and liver.

    Add some spice with a sex toy

    We-Vibe Unite Couples Vibrator

    Get that extra deep clitoral stimulation during sex with this remote-controlled toy that you can both enjoy. More

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    The Best Sex Toys For Those With Endometriosis

    Do you have endometriosis? If you do, you’re not alone. According to WHO, 1 in 10 women at the reproductive age are affected by the condition globally.

    Those with endo know how much it can interfere with quality of life, including being intimate with your partner. Because the disorder most commonly involves a woman’s ovaries, fallopian tubes and the tissue lining the pelvis, having sex and/or your period can feel similar to being stabbed over and over again, right in the uterus. Horrendous.

    But having endo doesn’t mean you have to live an orgasm-less life. To help you get your rocks off, sex educator Javay Frye-Nekrasova shares her tips for engaging in partnered and solo sex, plus the best sex toys for those with endometriosis.

    Communication Is Key

    Emotional concerns may include disappointment in not being able to engage in sex with a partner, as one would imagine, as well as frustration with your body. Talk with your partner, share your thoughts, and explore the different avenues of pleasure with each other.

    ‘Warm Up’ Before Engaging In Penetrative Play

    It can take up to 20 minutes for the vulva to be fully aroused. This is important because the vagina elongates when the vulva is aroused, and this can make a big difference in less painful penetrative play.

    Go Solo

    Masturbation can be beneficial for alleviating pain during intercourse as the release of endorphins and happy hormones can help with discomfort. A warm bath with some Epsom salt might also help with pain so that you can enjoy pleasure during masturbation. You can opt for a vibrator like the Mon Ami Bullet, as it is waterproof and safe to join you in the tub.

    Incorporate Sex Toys

    Womanizer | Premium 2 Clitoral Stimulator

    Clitoral stimulation is a great option if penetrative play is painful. The Womanizer Premium 2 is a great clitoral stimulator that uses Pleasure Air technology to simulate oral sex.

    We-Vibe | Tango X Clitoral Stimulator

    If you are more of a vibration lover then the We-Vibe Tango is a great option that packs power in a little package.

    We-Vibe | Match

    For those who want to try out some penetrative play for masturbation, a shorter penetrative toy like the We-Vibe Match could be a good place to start. It is a dual stimulator that stimulates the clitoris and g-spot at the same time. It also has a remote control as well as an app to allow you to control the stimulation.

    The post The Best Sex Toys For Those With Endometriosis appeared first on Women’s Health.

    We may earn commission from the links on this page, but we only feature products we believe in. More

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    Everything You Really Need To Know About Yoni Eggs

    From increased sexual arousal to toe-curling orgasms, there’s a range of benefits that come from exercising your pelvic floor muscles.

    We’ve all heard about Gwyneth Paltrow and her jade eggs, but unlike some of her more left-field ideas – such as her eight-day goat’s-milk cleanse – these eggs do have health benefits. “There are two sides to yoni eggs [yoni is Sanskrit for womb, uterus, source or female genitalia],” says Dr Elna Rudolph, medical doctor, sexologist and clinical head of My Sexual Health. “The physical side, where it acts as a weight in the vagina to train muscles in the same way you would use weights in the gym to train other muscles. And the more esoteric side, where it is claimed to have loads of other positive effects that can’t necessarily be explained scientifically.”

    An ancient Chinese Taoist practice, “yoni eggs have grown enormously in popularity over the past couple of years,” says Yoni Eggs South Africa founder, Juliet Terblanche. “One reason being that women are starting to reject the conventional ways of treating pelvic/reproductive health challenges and are looking for a more holistic approach that is also highly effective.”

    What is a yoni egg?

    Made from a range of stones, the eggs come in three different sizes. When you start using yoni eggs, you need to start with the smallest egg. As your muscles get stronger, you can work your way up to the largest egg. Rudolph suggests using the eggs for very short periods in the beginning so as not to over-burden your muscles. As your muscles strengthen, you will be able to increase the time you use them for. “I wouldn’t advise anybody wear one 24/7 – you need to relax your pelvic floor at times.” According to Terblanche, “a focused daily practice of 15 to 20 minutes is more than enough to experience the benefits of a yoni egg.”

    What are the benefits of yoni eggs?

    So what are the physical benefits of using yoni eggs? “The basic benefit is that it trains the pelvic floor muscles and makes them stronger. This can improve pleasure during intercourse, make orgasms more intense, intensify the sensation for your partner and improve or prevent incontinence,” explains Rudolph. The eggs can be particularly useful for women with weak pelvic floor muscles, especially after childbirth, those with mild incontinence and for those getting on in years.

    While there is a range of benefits, yoni eggs aren’t for everyone: “People with a hyperactive pelvic floor and people who experience painful intercourse, where the cause has not been determined, should not use the eggs,” warns Rudolph.

    Medium Rose Quartz Yoni Egg

    Tone those muscles with this medium egg, perfect for aiding with incontinence and heightening the sexual experience. More

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    Here’s How To Have A Discussion With Your Doctor About Sex

    Your gynae might have “Dr” before her name, but sometimes you have to be the one to school her. That’s because docs don’t always initiate über important talks. It goes both ways, too. We’re often embarrassed to bring up topics about our sexual health for fear of being judged. Per the Ovarian Research Trust, 66% of 18-24 year-olds are so shy of talking with a doctor about sex that they forego the visit altogether, which holds some serious risks, like not knowing your sexual health status and making poor decisions based of Internet research.

    We’ve put down some common topics often avoided at the doc’s rooms, and how you can bring ‘em up constructively.

    Talking with a doctor about: the baby convo

    Many ob-gyns are uncomfortable bringing up fertility, per a recent study. Why? They may not want to seem judgy or presumptuous, and can’t answer the “Am I fertile?” question until you start trying.

    Why It Matters

    If you’re thinking about babies, it’s time to talk about them (egg freezing too), because your reproductive years won’t last forever.

    Your Script

    “I have some questions about my fertility; I’m hoping you can give me better answers than the Internet.” Your gynae will jump at the chance to sift fact from fiction and you can get specific.

    READ MORE: 5 Small Sex Moves So Powerful You Won’t Believe You Didn’t Know Them

    Talking with a doctor about: STI tests

    These aren’t built into your annual check-up, nor are all STIs included when you say, “Test me for everything.” Plus, your doc won’t know when you need ’em unless you tell her (or she sees something amiss).

    Why It Matters

    In many cases, the longer an STI goes untreated, the more damage it can cause. And you

    could spread it. Plus, infections like HPV can turn into cervical cancer (the second most common cancer of women in South Africa and the one with the highest fatality rate) if all goes untreated.

    Your Script

    “What STI tests do you think I need?” This should lead to a chat about sex habits, number of partners, condom use and so on, to determine your risk level. Ask whenever you have a concern or have had unprotected sex. 

    READ MORE: 12 Reasons Why You’re Suddenly Experiencing Painful Sex

    Talking with a doctor about: your sexual happiness

    Loss of desire, trouble orgasming? Too few gynaes will “pry” into this part of your sex life. Almost 65% of SA women are keen to take sexual matters into their own hands, says Désir Intimates owner and MD Brodie Meyer. “They’re big on self-pleasure, with rabbit vibrators making up almost 70% of their purchases, followed closely by lubricants.”

    Why It Matters

    A stronger pelvic floor, healthier heart and immune system, better sleep and immediate pain relief… the benefits of sexual happiness are endless! 

    Your Script

    “Doc, errrr, is too much self-pleasure bad?” This will launch into a larger discussion about your sexual habits between the sheets, which can shed light on the health (and happiness) of your vagina and clitoris. Your doc can also guide you through any problems you may be experiencing during sex, like pains, which could open up a further discussion of possible causes, like endometriosis or a penetration disorder.   

    READ MORE: Pop Quiz: Do You Actually Know What’s Going On With Your Vagina? More

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    12 Reasons Why You’re Suddenly Experiencing Painful Sex

    Painful sex, or dyspareunia, can cause problems in a couple’s sexual relationship. In addition to physically painful sex, there is also the possibility of negative emotional effects, so the problem should be addressed as soon as it becomes evident.
    In many cases, a woman can experience painful sex if there is not sufficient vaginal lubrication. When this occurs, the pain can be resolved if the female becomes more relaxed, if the amount of foreplay is increased, or if the couple uses a sexual lubricant.
    READ MORE: Everything You Need To Know About Having A Coregasm 
    In some cases, a woman can experience painful intercourse if one of the following conditions is present:
    1. Vaginismus
    This is a common condition in which there is a spasm in the vaginal muscles, mainly caused by the fear of being hurt.
    2. Vaginal Infections
    These conditions are common and include yeast infections.
    3. Problems with the cervix
    In this case, the penis can reach the cervix at maximum penetration, so problems with the cervix (such as infections) can cause pain during deep penetration.
    4. Problems with the uterus
    These problems may include fibroids that can cause deep intercourse pain.
    5. Endometriosis
    Endometriosis is a condition in which the endometrium (tissue lining the uterus) grows outside the uterus.
    6. Problems with the ovaries
    Such problems might include cysts on the ovaries.
    7. Pelvic Inflammatory Disease
    The tissues deep inside become badly inflamed and the pressure of intercourse causes deep pain.
    8. Ectopic Pregnancy
    A pregnancy in which a fertilised egg develops outside of the uterus.
    9. Menopause
    The vaginal lining can lose its normal moisture and become dry.
    10. Childbirth
    Intercourse too soon after surgery or childbirth.
    11. Sexually Transmitted Infection
    These may include genital warts, herpes sores or other STIs.
    12. Injury to the vulva or vagina
    These injuries may include a tear from childbirth or from a cut (episiotomy) in the perineum (area of skin between the vagina and the anus) that is made during labour.
    READ MORE: 5 Sex Positions You Should Finish With For An Orgasmic Grand Finale
    How can painful sex in women be treated?
    Some treatments do not require medical intervention. For example, in the case of painful sex after pregnancy, wait at least six weeks after childbirth before attempting intercourse. Make sure to practice gentleness and patience. In cases in which there is vaginal dryness or a lack of lubrication, try water-based lubricants.
    Some treatments for female sexual pain do require a doctor’s care. If vaginal dryness is due to menopause, ask a healthcare professional about oestrogen creams or other prescription medications. Other causes of painful intercourse also may require prescription medications.
    For cases of sexual pain in which there is no underlying medical cause, sexual therapy might be helpful. Some individuals may need to resolve issues such as guilt, inner conflicts regarding sex, or feelings regarding past abuse.
    READ MORE: “I Tried Masturbating To Cure My Hangover — This Is What Happened”
    Call a doctor if there are symptoms such as bleeding, genital lesions, irregular periods, vaginal discharge, or involuntary vaginal muscle contractions and ask for a referral to an SSASSERT-certified sex counsellor if there are other concerns that need to be addressed. More