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Goodpods has curated a list of the 10 best How To Sex episodes, ranked by the number of listens and likes each episode have garnered from our listeners. If you are listening to How To Sex for the first time, there's no better place to start than with one of these standout episodes. If you are a fan of the show, vote for your favorite How To Sex episode by adding your comments to the episode page.
Preventions: Part 1
How To Sex
12/21/24 • -1 min
The Many Pregnancy Prevention Options
By Everyday Health. Listen to the ► Podcast at How To Sex.
Contraception Options 101: Everything You Need to Know About Birth Control
Here’s the lowdown on pregnancy prevention with pills, patches, implants, and other types of birth control, plus information on effectiveness, availability, cost, and more.
By Cheryl Alkon; By John Paul McHugh, MD courtesy of American College of Lifestyle Medicine
Updated on August 28, 2023
It’s a fact: If you’re a woman, and you have sex with a man, it’s possible you’ll get pregnant. But if you don’t want to have a baby, there are many forms of birth control to help prevent pregnancy.
Birth Control: A Definition and Overview
While abstinence, or refraining from intercourse, is the only way to prevent pregnancy with 100 percent certainty, contraception, or birth control, comes in several different forms, both non-hormonal and hormonal.
Non-hormonal methods generally create a physical barrier between the sperm and the egg; a notable exception is the copper IUD, which changes the uterine environment but does not actually present a physical barrier. Two permanent contraception methods require surgery: sterilization, or tubal ligation, for women and vasectomy for men.
Hormonal methods generally prevent ovulation (the release of an egg), make it more difficult for sperm to enter the uterus, or prevent a fertilized egg from implanting in the uterus.
What’s the Best Birth Control Method?
“It varies, and it depends on you and your lifestyle,” says Keosha T. Bond, an assistant medical professor at The City University of New York School of Medicine in New York City. “I try to explain there’s no one-size-fits-all. It’s more, ‘What can I do, and how does my body react?’ There are so many contraceptive methods out there, but not every one will fit every person.”
How Effective Is Birth Control?
The effectiveness rate of various birth control methods is based on perfect use; meaning the method is used consistently and correctly every single time, and typical use, which includes people who use the method inconsistently or incorrectly.
Knowing what all your birth control options are will help you and your partner choose what works best for you. “I think it’s awesome to be talking about it. A lot of people just don’t know” about birth control, says Christine Carlan Greves, MD, an obstetrician and gynecologist with Orlando Health in Florida.
Birth Control Methods: All Your Contraception Options
Here’s a look at the various kinds of birth control available today.
Hormonal Birth Control
Contraceptive methods that use hormones alter how your body works in order to prevent pregnancy. These range from daily-use options, such as birth control pills, to long-term-use approaches, such as hormonal IUDs, which can stay in place for several years, says Dr. Bond.
Hormonal Contraception Option: Birth Control Pills
There are two types of birth control pills: combination pills that contain both estrogen and a form of progesterone called progestin, as well as progestin-only pills (also known as the mini pill).
The pills work by preventing ovulation, so there is no egg for sperm to fertilize, or by thickening cervical mucus so sperm cannot travel to an egg.
Birth control pills need to be taken every day as directed. Most types of progestin-on...
Sex Positions: Part 2
How To Sex
12/15/24 • -1 min
Prone Positions for intimacy
BY THE EDITORS OF MEN’S HEALTH. Listen to the ► Podcast at How To Sex.
A fun, new sex position is an easy way to immerse yourself in a sexual experience. Take a much-needed break from stressing about work or the state of the world by attempting something adventurous in the bedroom, like the many sex positions you’ll find on this list. (Don’t worry, we also included fan favorites like missionary, cowgirl, spooning, and doggy style.Which positions should you try next? Start by asking yourself what you’re hoping to achieve by changing up your usual routine. This will guide how you approach this list of sex positions, explains Ian Kerner, sex therapist, and author of; She Comes First; and, So Tell Me About the Last Time You Had Sex.
Guys, if you and your woman are looking for positions to help her orgasm, then you want to look for sex positions where you can manually stimulate her clitoris during penetration. “Most women are not going to be able to get highly aroused or have an orgasm unless there’s some kind of clitoral stimulation happening,” Kerner says.
Or perhaps you want to explore elements of BDSM (an umbrella term encompassing Bondage and Discipline, Dominance and Submission, Sadism, and Masochism) with new sex positions. “Some of these positions are great for power play, where you can feel dominant or submissive,” Kerner says.
Some of these sex positions are fun to try for novelty’s sake, but not necessarily ideal from start to finish. “You will likely want to mix and match positions,” Kerner says. “You can start in some of the more adventurous and highly athletic positions, but then transition into a less demanding position, where you can fully relax and feel present in the sex you’re having.”
If a sex position feels uncomfortable, don’t overdo it. This isn’t a “push through the pain” situation. Just switch to something else! There are plenty of positions here to choose from.
These positions are detailed in no particular order, but we’ll need to split this topic into two parts, because of the great variety of expressions on the list. And if we’re just not descriptive enough for those listening to the audio podcast, be sure to pull up the transcript with detailed illustrations of all 56 positions.
And now, let’s continue with the next position.
Chapter 4: Man On Top
27. Missionary
Also known as: The Matrimonial, Male Dominant
Benefits: We know this one isn't necessarily new to lots of guys, but there's something sort of kinky about doin' it in the most vanilla position of all. Plus, you get lots of eye and body contact.
Technique: Men, Your woman lies down on her back, her legs spread enough for you to lay upon her, facing her; with your legs between hers, and your penis penetrating her vagina. The massive skin-to-skin contact triggers oxytocin for both partners and aids deeper sexual arousal. Kissing enhances intimacy and bonding. Her hands are free to stimulate him, why he shifts his weight occasionally from one arm to the other, giving his a free hand for pleasuring her breasts, and other intimate touches. The most commonly used position in the world, the missionary, is an especially intimate position allowing for face-to-face contact. You like it because you can control penetration depth and speed of thrusting. Your woman enjoys feeling your weight on her body, and the maximum skin-to-skin contact.
Note that this position can make it more difficult to hold off ejaculation because of the intense friction and deep thrusting. To lengthen lovemaking, start with this, then switch to a position that maintains clitoral pressure without so much pelvic back and forth.
Also try: Push up to create space in between you to sneak a small vibrator down for buzzing the top of her mound.
Hot tip for him: Raise one of her legs so her knee is level with your right shoulder. Keep her other leg flat on the bed. Thrust toward the inner thigh of her raised leg. This adjustment forces tighter penetration and more clitoral pressure.
How To Make Him Scream For You
How To Sex
12/26/24 • -1 min
What every man wishes you knew
By almost. Listen to the Podcast at How To Sex.
There are articles in abundance on what women want and need. There was even a movie recently, with Mel Gibson, about our secret feminine thoughts and desires, men spend hours trying to figure us out and what we need, but do we try to figure them out? You don’t see many about what men need and want, and they can be as mysterious to us, as we are to them. All women think they need to do is, rope ‘em, hog tie ‘em and throw ‘em in the barn...well men ain’t cattle girls, they know how to open that barn door even if we get them in there.
Usually all you read is bitter accounts by angry cold women, about why men aren’t worth much, and how to avoid the ones who may not be easy to catch, complete with titles and types and assessments of why you don’t want one like THAT... Well, ladies, I catch them...and if you want a good one, well, you better start figuring out what he wants or you aren’t going to get him, let alone keep him. My men are trying to figure out how to keep me, not escape me.
Every woman knows men are into chemistry, although what it is, is a bit unclear. What it is is sex appeal, it is, they want to appeal to us sexually, and for us to appeal to them sexually, is really all that is, it’s not looks or weight, or height or make up, it’s how we look at them and how we make them feel, if we make them feel like males, deep inside, they’re attracted to us. They’ll admit to that readily enough, but to get inside the mind of a man, to learn what it is that makes him choose to stay and commit? That’s the secret ladies, they have to want to commit to us. Most of us can all do enough to get them to stay for breakfast at any time. It’s keeping hold of them that’s tough. And to us, we want that commitment and they know it, but many of us want it because their paycheck comes with it. They want their money’s worth, and that is fair, girls, it is. They aren’t about to tell us this though, because they know we can be determined and devious. The line the bride sings walking down the aisle, of “Phew, I”ll never have to do THAT again!” Is a little too often true. They want truth and beauty, not to be a victim of some woman with a need for income. They believe in love more than we do at times.
Men hit about 35 and begin to wake up to a silent urging to procreate and nest, they reassess their life in the wild, and begin to consider settling down, they get as broody as any woman does. Or if they have procreated and nested, they begin to feel the urge to stretch their wings and fly, to seek out more, and feel the wonder again. Men aren’t one dimensional, is part of that, they need both, passion and comfort, home and freedom and sensuality, they’re really somewhat simple, they’ll give us everything if they can just be a star in their own lives. That’s really all it takes. That and they want an interesting life. Give them that, and they’ll line up to commit to who ever gives it to them.
You’ll hear wives lament and whine that he’s cheating on her, but what you don’t hear is why he is, and it’s not just some younger body, it’s... she’s interesting and the wife isn’t. The wife has become dull and boring, and to her, all life is about is vacuuming the house now, and she yells at him and whines at him, just like she does after he flies the coop! and he’s tired of sleeping with the maid whose got attitude, who’d want to sleep with a bad tempered tyrant!
Half of that is she berates him, it’s never enough, take out the garbage, fix the car, when are you going to mow the yard, she becomes this chore monger, another boss, so he has two jobs, not a home and a career. And she only lives to do chores, herself, he earns, he works, he takes second place in his own life, he is the gadget man, the vacuum cleaner with a mind, the guy who keeps life orderly for us, and not much else. The kids matter more, and Little League does, hey, girls, if they did that to US, we’d leave, in a second! And do. We’d never put up with working all day and handing over our check only to come home and get yelled at? And she wonders why he left?! Someone was nicer to him is why, and she wasn’t...You can’t keep cows in the barn if you leave the door open, ladies! Get a clue wifey, you weren’t what he needed, you were too busy making cupcakes to notice him, you said no fourteen times a week? And you didn’t keep your buns firm or your underwear sexy. You bored him into leaving and you berated him for not liking you that way. And you follow it up with insulting him after the fact that he’s shallow, and he has the problems! So were the cupcakes for the bake sale really THAT important? C...
Creepy In The Swingers Club
How To Sex
12/11/24 • -1 min
Why creepy guys often don't get laid, even at a swingers’ club
By Hord Holm. Listen to the Podcast at How To Sex.
I've been to a Swinger Club on roughly a dozen occasions, so perhaps not enough to count myself as an expert. But perhaps enough to have observed some common behaviors, and these are what I want to address here, particularly in relation to single guys who go to Swinger Clubs.
The Swinger Club Scenario
What usually happens is that my husband suggests that we go to our preferred club about a week ahead of time (or further out, if there is an enticing theme advertised for a particular night.)
We make our reservation, and then I wonder: what kind of night will it be? It will either be a great night, lots of fun with amiable strangers, or it will be a night for just me and my hubby because of a Plague of Creepy Guys, who we will have to spend at least part of the evening avoiding.
But what, pray, does this Plague of Creepy Guys look like?
I need to start by outlining how a Swinger Club will usually be laid out. The Club is most likely divided into three zones.
The first zone is the Bar and Social Zone. Sex might happen there, but the main purpose of this zone is for patrons to relax, buy expensive drinks, which brings in one half of the Club's profit margin, and get to know each other.
The second zone is the Spa Zone, with a sauna, massage area, perhaps a hot tub or even an indoor pool. Sex might happen here, too, but often the Club regulations will prohibit sex in the hot tub or pool, if there is one, for hygiene reasons.
The third zone is the 'Action Zone,' which is where most of the fucking will occur. There will be separate rooms offering greater or lesser privacy, perhaps with themes or pieces of equipment, mirrored walls and ceilings, etc.
On arriving at the Club, the average patron will head for one of the first two areas until they feel like heading for the Action Zone. And it's then that the Plague of Creepy Guys will be encountered. This Plague will most likely be really off-putting to the first couples who enter the Action Zone, though they may be less of an issue once a greater number of couples, or perhaps even threesomes & groups, are scattered about.
But we have to ask a question: why is everyone at the Club?
Well, to get laid, of course! Though there may be the occasional patron who is there more as a voyeur; in which case, the following isn't really addressed to them. And if that's you, then have fun and don't be too creepy about it. Those patrons looking to get laid are divided into three groups; couples, single men, and single women.
However, single women are generally rarer than hen's teeth! I have seen one in the times I've attended clubs, and talking to more regular attendees one in twelve visits is actually better than average. And when we consider it, that's hardly a surprise as it must take some pretty tough chops as a single woman to walk into a Swinger Club and put oneself in that situation without anyone on one's 'side'. Hell, I’m adventurous, but I would never go without my man!
This leaves us with a clientele divided between couples and single guys, and thus there are, by definition, pretty much always more men than women in the Club; unless it's a couples-only night. And this factor, the outnumbering of women by men, is the basis of the Plague of Creepy Guys.
Describing the ‘Creepy Guy’
For the purposes of this piece, the Creepy Guy can be defined as follows: he can be young or old, handsome or a broken-down old wreck, or anything in between, but his defining characteristics are his silence and an air of desperation. He wanders around the Action Zone seeking to interpose himself on couples (or threesomes, or occasionally groups), with his cock in his hand and his mouth hanging half open, and at no point does he say anything.
Now, I get it. Single guys are the bread and butter of Swinger Clubs (indeed, they are the other half of the Club's profit margin). They pay a premium to get in and they want to get their money's worth. Single guys aren't necessarily Creepy Guys, either, but if they are they can be absolute pests.
Perhaps the Creepy guy is proud that he doesn’t spend the money on a cheap hooker or a lap dance. But he sees this entry charge as something which entitles him to a...
How to make him scream for you
How To Sex
04/12/24 • -1 min
What every man wishes you knew
By almost. Listen to the Podcast at How To Sex.
There are articles in abundance on what women want and need. There was even a movie recently, with Mel Gibson, about our secret feminine thoughts and desires, men spend hours trying to figure us out and what we need, but do we try to figure them out? You don’t see many about what men need and want, and they can be as mysterious to us, as we are to them. All women think they need to do is, rope ‘em, hog tie ‘em and throw ‘em in the barn...well men ain’t cattle girls, they know how to open that barn door even if we get them in there.
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Anal Sex: What's the Big Deal?
How To Sex
12/13/24 • -1 min
Fred Requests a woman's point of view to help him understand.
Then Maye weighs in with good memories and advice.
By BOSTON FICTION WRITER & MayhemLass Listen to the Podcast at How To Sex.
Fred’s Question
Dear BFW;
I've never tried anal sex before. It never appealed to me. Actually, I never have given it much thought until I perused the anal sex category here at Literotica and found it so popular.
I am a bit embarrassed to admit it, but I have never even had sex doggie style either. Yes, I realize that doggie style sex is an overwhelming favorite for hordes of people but not for me. It is not that I did not try having sex doggie style, it just did not work for me; my cock did not reach far enough for me to feel like I was fucking her. I mean, really fucking her. Okay, it reached but it would not go in far enough for me to feel that feeling of deep and satisfying penetration. It felt weird. I mean, I do not have a small cock. My cock is a little bigger than average at 7". Yeah, she seemed to enjoy it, but I was not receiving the same feeling that I receive when doing it missionary style and being able to really pound her.
"Sorry, Honey, scoot down so that your head doesn't bang the wall."
Moreover, although all the women who I have ever been with were clean, having just showered, shaved, douched, and flossed, whenever I tried having sex with them doggie style, I always received an aroma of excrement, which is a total turn off. I mean, I really do not want to smell shit when I am boning someone, and I am not even having sex with them anally; I am just trying to do it doggie style. Yet, when you start pounding away, pumping your pelvic area against her hips, you are going to get a whiff of poopies. And even if she is the most beautiful chick, that is gross.
"Geez, Beyonce, what the Hell did you eat last night? You smell like a 3-day-old Taco Bell."
I remember growing up and that was one of the worse ranks you could say to someone about their mother.
"Shut up Carl! Your mother takes it up the ass."
Way worse than saying that your mother wears combat boots, taking a cock up the ass was a big insult. That is, until a Greek kid moved into the neighborhood and we were playing; and then we started arguing over something stupid and one kid said to the Greek kid.
"You mother takes it up the ass."
The Greek kid, Nick, I think his name was, shrugged and walked away because, apparently, she did take it up the ass. He probably thought the kid was complimenting his mother instead of insulting her.
I remember that movie back in the late '70's, Midnight Express with Billy Hayes. He played a college student who went through Turkey hoping to score some drugs, Hashish, and deliver them back to the United States, only he was caught. Boy, those Turks fucked everybody up the ass; it did not matter if you were a man or a woman. What did he call Turkey, a country of pigs? Anyway, any time you dropped anything in that country, you were best just to walk away from it and pretend that it was not yours rather than to bend over and pick it up only to find a Turkish cock up your ass.
"Fred, Is that your money clip?"
"Hasad, I don't know who that money clip belongs to but it is not mine."
"It has your name engraved on it, Fred."
"Hey, Hasad, do you think that I am the only person in Turkey named Freddie?"
"Yes."
"Okay Hasad, then, kick it over here and I'll lie on the ground with my ass to the pavement to pick it up."
Anyway, call me ignorant and I am sure that I will piss off a lot of people who are into anal sex but I always thought of anal sex as a gay thing or as a Greek thing and never as a another choice selection to my sexual menu.
"Honey, can I fuck you up the ass tonight?"
"Gee, Sweetie, wouldn't you rather have a blow job?"
"Okay, Honey."
Now that I think of it, that movie with Burt Reynolds, Deliverance, I can hear the banjo music, now, showed those mountain men fucking anything that moved up the ass.
"Look, Darryl, a deer. Shoot it."
"Nah, let's track it and catch it. Then, we'll fuck it up the ass before we kill it and bring the meat home to Maw."
Oh, and that scene in Quentin Tarantino's, ...
Cock Worship
How To Sex
12/31/24 • -1 min
Why she loves to pleasure his cock, and how she does it.
By AnaLeePleasured. Listen to the Podcast at How To Sex.
I have always found it odd that there are women out there who do not enjoy giving a man a blow-job, especially if it is the man they love, or are in love with. Personally I just cannot imagine anything nicer than the experience of sucking a beautiful hard, or soft cock and knowing that my efforts are being enjoyed. I believe it is an honor and a privilege to be allowed to pleasure a man in this way. I have always wanted to explain why I love it so much and how I feel when I do it and what the experience gives me. That is what I will attempt to do now. I hope that someone out there enjoys reading about how wonderful cock sucking is from one woman’s perspective, and hopefully somehow, a few of those women out there who see it as a “chore” can be converted into developing a new attitude to pleasuring their man.
My first time that I went down on a man was after a late, or rather, early night of partying hard on the dance floor of a local nightclub when I was just eighteen. He was thirty-seven and we had been getting hot and close all night and into the morning. Others on the dance floor were telling us to “get a room”, and we finally listened to them. So off we went to his place for the rest of the ‘night’.
We both had a shower and went to bed but sleep was the last thing on our minds. So we kissed and I finally got close enough to see what I had been brushing up against all night. His cock was long and hard and I ached to touch it. I didn’t ask, just reached out and felt it, running my hand up and down the shaft, Soon I was masturbating him with both hands and getting more and more excited by his groans of pleasure. I don’t know why, but I just sort of took control of the situation because he was enjoying himself so much and seemed happy by what I was doing. So I kissed a trail down his strong lean stomach till my mouth found its target.
He was so surprised when my mouth engulfed his cock. He couldn’t seem to believe that I had just gone straight down on him without a word of encouragement from him. He seemed almost alarmed that I had wanted to suck his cock. For me it was the most natural thing in the world. I had never done it before and I had never even seen porn at that stage in my life. I just knew I wanted to taste, to use all the senses that I possessed. But then, that is just how I am, I believe in getting the most out of a beautiful experience, making meaningful memories that last long after the act. That is what I am all about.
So that was my first experience of sucking a cock and when I think about it now, what I loved most of all about it, was the way he enjoyed what I did. He encouraged me every step of the way with moans and groans, saying “YES” when I sucked his balls or gently stroked them with my hands while sucking his cock. Then afterwards, he had looked at me in amazement and awe, admitting that he had never been so masterfully handled before and wondering where I had learned to do it so well.
He also told me that no woman had seemed to really enjoy sucking his cock before and that it usually seemed as if a woman did it as a “favor” or saw it as a “chore”, needing to be asked to do it. He said he couldn’t believe I had done it voluntarily. What he said had made me wonder why anyone faced with such a lovely cock would need to be asked to suck it, I just couldn’t understand it. From that first experience I learned so much about men and what they like and I also learned about myself and what I like too.
For me there is no greater compliment than having a man’s erect cock pointing straight at me, I see it like a child sees candy, it just begs to be tasted and sucked. It is my reward for being a good girl, I get to have the lollipop. When we are young our parents teach us that there is more joy in giving, than receiving and as we grow older, many of us stop thinking that way and start to want more and more and give less and less. That is such a shame because life should be more about giving and enjoying the shared pleasures ...
Getting Your Man Into Eating Your Pussy
How To Sex
01/01/25 • -1 min
How to train a man to love cunnilingus.
By cd prosper ot. Listen to the Podcast at How To Sex.
A lot of women love to have their pussy licked as much as or even more than having a cock fill their cunt. And if you have a man who loves to go downtown every chance he can get, great! But what do you do if your man either won’t do it, won’t do it right or long enough or if he treats pussy-licking as something obligatory and a mere prelude to sticking his cock up your twat? Well, don’t just complain.
Here’s some advice about what you can do to get your man to adore eating you for as long as you can stand! First of all,
1: Initiate Sex
Are you horny? Do you want his cock, his finger, his ass or especially his tongue: then let him know it! A lot of women, even if they’re dripping wet and desperate to be sucked and fucked into oblivion, will wait for their man to initiate sex. Chances are that when that happens, a man is going to have his own agenda. But, why not start out with your agenda, instead of his?
So what if you’re shy! Get over it! We know that women have moments when you want and even need sex. So tell him when that happens! If you’re in a relationship, what on earth is the point of hiding your sexual needs? Is it some kind of weird power trip: if he knows you need sex, you can’t ration it? That might have worked in the fifties, but surely we’re way past that now. Besides, nothing will turn him on faster more than knowing that you want sex. So tell him! But how?
Words are best: nothing like an e-mail or a quick phone call to his office, provided it’s private, if you need that; and a “Honey: I can’t wait till you get home. My panties are sopping wet.” Or “I’m so horny and my vibrator isn’t doing it for me; I need you!” You can bet that he’s going to blow off or rush through whatever overtime might have been in the offing (if he is the type who stays at work when he has a horny chick to come home to, what on earth are you doing with him in the first place?).
If you’re reluctant to be that explicit you can always use all the tried and true chick ‘come hither’numbers. That’s Okay. But if your man is tired or depressed, he can miss the non-verbal cues, or worse, ignore them. Ignoring a verbal invitation is not an option for most men: 99 times out of a hundred he’s going to accept, no matter how tired or down he is.
One final suggestion: a pre-arranged signal. One couple has a bride and groom from a wedding cake. When either one wants sex, they put it out where the other can see it: yes, it’s really hokey, but it works.
So, why is so important for you to initiate sex? Because you score big, big points with your man just by initiating: men hate, let me repeat that, men hate the burden of always having to initiate sex because unless you’re hooking up with a nymphomaniac (whom most of us have never met, let alone screwed), initiating sex involves a certain probability (often quite a high probability) of rejection and attendant humiliation. When you initiate you instantly get your man’s gratitude, and cooperation. And if he doesn’t like to dive into your muff and polish your pearl, you will need some of that cooperation. So initiate already.
All right, you have your man racing to get into your panties. Now what?
2: Tell him, yes, tell him in clear words, what you want.
Now, I gave you, reluctantly; non-verbal alternatives to initiate sex. But there’s no way around this one, you have to say exactly what you want: “Honey, could you go down on me.” “Honey, I need your tongue,” The more explicit and urgent the better: “Lick me!” “Eat me!” “Suck my pussy!” Especially, if you’re somewhat prudish or restrained, the more graphic and desperate your language, the more you will turn your man on and, maybe get his head between your legs, fast.
Be sure to use a pleasant and delighted voice. And it’s all about how you frame the issue. Never tell him what he’s failing at. Tell him what you need more of. When you tell him what he failed, he feels rejected and his confidence is crushed. That’s never a good thing for healthy coupling. But when you share your need, you allow him to be a hero and rush to your cause. It makes him feel needed, desired, and special.
You can add that if you were more ravished in this manner ‘God knows what you might do for him?’ Or how much more often y...
Preventions: Part 2
How To Sex
12/22/24 • -1 min
STDs: What Are They and How Do You [not] Get Them?
By Everyday Health. Listen to the ► Podcast at How To Sex.
This episode deals with the following STD concerns: Chlamydia, Genital Herpes, Gonorrhea, Hepatitis B, HIV, HPV, Molluscum Contagiosum, Syphilis, Trichomoniasis, Chlamydia, Genital Herpes, Gonorrhea, Hepatitis B, HIV, HPV, Molluscum Contagiosum, Syphilis, Trichomoniasis.
The number of cases of sexually transmitted diseases (STDs), now more commonly referred to as sexually transmitted infections (STI), in the United States hit an all-time high in 2019, according to data released on April 13, 2021, by the Centers for Disease Control and Prevention (CDC). The CDC’s surveillance report shows that nearly 2.5 million new cases of gonorrhea, syphilis, and chlamydia were reported that year.
Chlamydia remained the most common condition reported to the CDC, with close to 1.8 million cases, up 19 percent since 2015. Gonorrhea diagnoses reached 616,392, up 56 percent since 2015. And primary and secondary syphilis diagnoses reached 129,813, up 74 percent since 2015.
Of high concern is that congenital syphilis cases, that is, syphilis in newborns, nearly quadrupled between 2015 and 2019, reaching 1,870 cases. From 2018 to 2019 the number of stillbirths caused by syphilis increased from 79 to 94, and the number of congenital syphilis-related infant deaths rose from 15 to 34 deaths.
While the 2019 STD statistics reflect pre-COVID-19 pandemic numbers, preliminary data from 2020 suggests many of the same trends continued during the pandemic. Experts attribute some of the growth in STDs in 2020 to disruptions in STD testing and treatment programs caused by the pandemic.
While 2.5 million cases of chlamydia, gonorrhea, and syphilis may sound like a lot, it’s likely an undercount: Many people with these and other STDs, formerly known as venereal diseases, go undiagnosed and untreated. The CDC estimates that nearly 20 million new sexually transmitted infections occur every year, accounting for almost $16 billion in healthcare costs annually.
Inequities in STD Burdens
The numbers of STDs increased in all age groups and among all racial and ethnic groups in 2019, according to CDC statistics. Howe...
Sexy Seniors
How To Sex
12/17/24 • -1 min
A discussion of Advanced Maturity and Sexuality
By Mark Stibich, PhD. Listen to the ► podcast at How To Sex.
Many people in their 70s and 80s are not only sexually active, but satisfied with their senior sex lives.
University of Michigan Institute for Healthcare Policy and Innovation. Let’s talk about sex. Though the frequency or ability to perform sexually may decline with age due to physiological changes, these don't necessarily affect how a person experiences or enjoys sex.
Aging-related problems like erectile dysfunction (ED), vaginal dryness, or urinary incontinence can affect sex. But their impact can also be minimized by using medication, managing chronic conditions, seeking individual or couples counseling, and changing sexual practices.This article explores the sex lives of adults 65 and over and the problems that can interfere with sex as the body ages. It also discusses the various treatment options and ways to maintain—or even jumpstart—your senior sex life.
Studies suggest that men are almost twice as likely as women to still have sex or masturbate in their later years. A British study found close to 60% of men ages 70 to 80 and 31% of men ages 80 to 90 are still sexually active. In women, those figures drop to 34% and 14%, respectively.
This lower rate of sexual activity in older women may be due to a lack of opportunity rather than a lack of desire. Research shows that older women are less likely to have partners (due in large part to the fact that they often outlive their partners). This is sometimes referred to as "the partner gap."
It is common for men to experience sexual problems after age 40. Reasons include a natural decline in testosterone levels, heart disease, and prostate problems. The inability to achieve or sustain an erection or reach orgasm or ejaculation are common concerns.
Erectile Dysfunction
Erectile dysfunction (ED), formerly known as impotence, is the inability to achieve or maintain an erection firm enough for sexual penetration and long enough to achieve orgasm.
While ED is more common in older men, aging itself does not cause the problem. ED is related to conditions, sometimes several at once, that directly or indirectly interfere with erections.
Risk factors include high blood pressure, diabetic nerve damage, smoking, obesity, Peyronie's disease, depression, and even certain medications. An accurate diagnosis is needed to ensure the right treatment.
ED drugs like Viagra (sildenafil), Levitra (vardenafil), and Cialis (tadalafil) are often the first-line treatments for ED. Lifestyle changes and counseling can also help. For some men, hormonal therapy, penis pumps, and penile implants may be recommended.
Benign Prostatic Hyperplasia
Benign prostatic hyperplasia (BPH) is a non-cancerous enlarged prostate and one of the most common health problems in older males.6 BPH can cause symptoms like difficulty urinating, frequent urination, or waking up in the middle of the night to urinate (nocturia).
On top of this, BPH can cause sexual problems like low libido (low sex drive) and delayed ejaculation (difficulty reaching orgasm).
Among the treatment options, testosterone therapy may help restore libido. There are also certain drugs used off-label that may help with delayed ejaculation, including cabergoline (originally marketed as Dostinex) and Wellbutrin (bupropion).7
Because some ...
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How To Sex currently has 37 episodes available.
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The podcast is about Health & Fitness, Adventure, Podcasts, Education, Discovery, Advice, Sexuality and Communication.
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