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Safer Sex Menu

Safer sex can be fun and you won’t have to worry as much. The best advice is to use safer sex supplies until you and your lover are in a monogamous relationship.

- Saucy phone-sex or sex talk
- A luscious body massage
- Naughty videos & audios
- Scrumptious body licking
- A spicy striptease
- Savory kissing
- Mouth watering mutual masturbation
- Tasty cleavage fornication
- Juicy oral delights with a condom or rubber dam
- Steamy sex with vibrators and other adult toys (Not shared)
- Delicious penetration with an FDA approved condom

- Sugary caresses
- Syrupy love bites served gently
- Sweet body pressing
- Warm blows of breath
- Creamy cuddles

Condom Talk

If your lover gives you a hard time about wearing a condom, here are some good responses and excellent reasons why you need to use one.

Him: I don’t think condoms are romantic.
Her: Just let me show you how romantic condoms can be.
Him: You don’t trust me, do you?
Her: It’s not a matter of trust; it’s a matter of health.
Him: I don’t like to use condoms.
Her: I don’t have sex without them.
Him: I haven’t had sex with anyone in years so I know I’m clean.
Her: Thanks for being so honest, but let’s use one anyway.
Him: I can’t feel anything when I wear a condom.
Her: Let me provide you with some extra stimulation.
Him: I know I’ll lose my erection by the time I get it on.
Her: Here, let me put it on for you with my mouth.
Him: I’m only going to use a condom this once.
Her: Once is all it takes.
Him: Sorry, I don’t have one.
Her: That’s ok. I do.
Him: How come you have condoms on you? Did you plan to have sex with me?
Her: I made sure I had some because I really care about you.
Him: Forget it. I’m not going to use a condom.
Her: Fine. Then let’s not have sex until we can work out our differences.

Dr. Ava Cadell’s Sexual Consent Form

Who needs it and why use it?

Superstar athletes, actors, rock stars, politicians, even entrepreneurs have groupies that will do just about anything to have sex with them, but can they be trusted? Will they lie about the act being consensual? Could they threaten to sue or worse still, make an accusation about sexual assault? You bet they can! So how can these people who are regularly out of town and away from home, which can lead to loneliness and result in temptation, protect themselves? Condoms can protect from the Std’s and unwanted pregnancy. Another form of protection is to have a signed sexual consent form before having any sex as I described on TV’s Celebrity Justice, CNN , ABC , Fox News and Good Morning America

If you think that a sexual consent form is only for the rich and famous, think again. Even if you have no assets, you need to protect yourself from false accusations because you can lose everything including your personal property, freedom and reputation. There are many other benefits to signing a sexual consent form, including the fact that you literally open up a form of intimate communication prior to rushing into sex. And, ladies the sexual consent form can protect you from being taken advantage of sexually because there is an -out clause- that stipulates that if you say the words -Code Red,- your partner must stop immediately. I chose this phrase because the words -No- and -Stop- have been used all too frivolously in our society and unfortunately, they are not always taken seriously. By using the sexual consent form with an FDA approved condom, you could protect yourself legally and sexually.
Benefits of a Sexual Consent Form
- I created it so that there will be no confusion or miscommunication as far as sexual consent is concerned.
- It protects men from conniving women who may bring false charges of sexual misconduct for financial gain.
- Even men who have no assets need to protect themselves from false accusations because they can lose everything that is dearest to them. Property, freedom and their reputation.
- This form is actually a way for the man to ask for permission to have sex with the woman.
- Women should NOT sign it if they do not trust the man are not ready for intimacy.
- It can be a form of foreplay before you get to the bedroom since you get to talk about sex before rushing into it. Great communication.
- The woman can select which sexual activities she wants to indulge in.
- -No- & -Stop- has been used frivolously, playfully and teasingly & is not taken seriously anymore. The phrase Code Red will not be mistaken for anything other than -high alert- hands off, you’ve gone too far. A similar ‘Out Clause’ is used in consensual bondage.
- Code Red is an alert that means stop because I am having physical or emotional problems. He must stop instantly.
- Any contract is contestable, even a prenuptial or Will. But if I were accused, I would rather go to court with it than without it. It would be admissible and relevant as evidence of consent if signed by the alleged victim.
- It’s a great way to keep tabs on how many sex partners you’ve had.
- This is not a rape tool. On the contrary, I believe that it will prevent rape. A rapist is less likely to use a sexual consent form.
- As for the argument that a woman can be forced into signing it, I contend that a handwriting expert could probably identify a forced signature.
- There is never a guarantee that someone will NOT take advantage of you sexually, emotionally or physically. The best line of defence is always to be cautious and listen to your gut instincts. Never do anything that you do not want to do!

Is Oral Sex really Sex?
It is ridiculous to view oral sex as -not sex.- It’s just as intimate as sexual intercourse, so why would you engage in oral sex with someone you wouldn’t want to have intercourse with? Well, I’ll tell you why. It all started in 1998 when then President Bill Clinton stated publicly, -I did not have sexual relations with that woman- even though he had repeatedly received oral sex from his intern, Monica Lewinsky. Now there is the growing problem of defining what sex really is. In the minds of many teenagers, oral sex isn’t really sex. They seem to think they can stay virgins by engaging in oral sex because their hymen isn’t broken. That’s like saying, you can have anal sex and remain a virgin. Technically, it’s true, but theoretically and emotionally it’s not. Some guys also think they aren’t cheating when they have oral sex with another woman because they can’t get her pregnant. Giving and receiving oral sex is one of the most intimate and erotic acts that can be exchanged within a loving adult relationship and yes, it is sex!
Oral sex isn’t a safe sex activity

Although oral sex is safer than vaginal and anal sex, it is still possible to contract Std’s. The bottom line is that oral sex should be avoided if the giver has any sores or bleeding gums in the mouth. Even if he or she has just brushed or flossed their teeth, it can cause microscopic scratches in the lining of the mouth that makes one vulnerable to infection. Because of this, doctors advise the use of condoms for fellatio (flavored condoms are best) and the use of female condoms, dental dams or kitchen plastic wrap) for cunnilingus.

Better to be safe than sorry

Many people are unclear on the risks associated with oral sex. Unprotected oral sex carries a lesser risk for the transmission of sexually transmitted diseases (Std’s) than unprotected intercourse or anal penetration, but there’s still a risk for both the giver and the receiver of oral sex. First let’s look at how to avoid these contagious Std’s by practicing safer sex.

Safer Sex Supplies

If you love yourself, you must protect yourself. Ladies, there’s no reason why you can’t enjoy the eroticism of oral sex and practice safer sex at the same time. Even if you’re in a monogamous relationship, you’ll want to have some of the safer sex supplies around to help you add more pleasure, persity and spontaneity to your oral sex adventures.

Female Condoms

Reality Condoms are the most well known, but they recently changed their name to FC Female Condoms. Femidom is another brand of female condoms. Most female condoms work the same way. They’re made of polyurethane (stronger than latex), are hypo-allergenic, heat conductive, and odorless. They are a soft, loose-fitting sheath specifically designed to protect women from pregnancy and Std’s by lining the inside of her vagina. Read the instructions before inserting it because if you don’t insert it correctly, it’s like not using protection at all. The female condom has to go deep inside the vagina and over the cervix.

Dental Dams

Aptly named because they are used by dentists to isolate a tooth. Dental dams come in various sizes and flavors. Made of ultra think latex, these square shaped barriers allow good sensations for oral sex. Sheer Glyde Dams are FDA approved for protection against Std’s for cunnilingus and rimming. The best way to use a dam is for the giver to mark the -mouth- side of the dam with a marker so that they knows which side to lick, then apply a couple of drops of lubricant on the other side, press the dam against her vulva with two hands and enjoy.

Latex Gloves and Finger Cots

Good oral sex involves the hands as well as the mouth. There’s nothing more exciting than orally pleasing a woman’s clitoris and fingering her vagina or anus simultaneously. By using latex gloves and or finger cots (think of them as mini condoms for your fingers) you can increase erotic sensations and protect the receiver from jagged fingernails, cuts, germs or viral Std’s such as herpes, which can be spread by skin-to-skin contact.

Lubricants

We all know, -wetter is better.- But, which lube is best? It can be very confusing because there are so many to choose from including, odorless, tasteless, water soluble lubricants with a lightconsistency and without Nonoxynol-9 spermicide. Here are some favorites: Wet Light, Astroglide, ForePlay Personal Gel, Aqua Lube, Sensua Organics and Probe Silky Light.

What Stds can I get from Oral Sex?
The following list of Std’s is the most contagious and common when it comes to performing and receiving oral sex on a person. While no one knows exactly what the degree of risk is, to ensure safeties make sure that no cuts or lesions are present in the mouth or on the genitals. Protect yourself and your partner by using a barrier to avoid the contact of bodily fluids that may result in catching a sexually transmitted disease.

Herpes is a virus that causes sporadic flare-ups of painful blisters, usually around the mouth and or genitals. Herpes can hop from mouth to mouth and from mouth to genitals through the mucous membranes and skin. It can be spread by hand to vagina or hand to anus contact. Since Herpes is such a common virus, you can get a prescription drug called Valtrex.

Genital Warts are similar to Herpes in that they are a virus that remains in your system for life. They are spread in the same way through skin to skin and mucous membrane contact. The warts have to be removed surgically by laser and the bad news is that they may reoccur anyway.

Gonorrhea is a serious bacterial Std that can be spread through unprotected oral-vaginal contact. Symptoms may not show, but vaginal burning, discharge and pelvic pain are common warning signs. The good news is that antibiotics do work, but they must be taken for weeks.

Syphilis is a severe bacterial Std that can also be spread through unprotected oral-vaginal contact, especially if there is a sore present on the mouth or her vagina. Syphilis can be deadly if it isn’t cured in the first couple of stages. The first visible sign and stage is the sore at the entrance of the vagina; the second sign is a body rash. Fortunately, Penicillin can cure Syphilis in these early stages. However, the third stage attacks the nervous system and debilitates the heart. Medications have limited success if left untreated.

Crabs and pubic lice are tiny creatures that gravitate towards the pubic hair where they live. They can be spread from one infested person to another. Symptoms include itching, swollen lymph glands and a mild fever.

Hepatitis A is a dangerous virus that can be transmitted by rimming or analingus (licking or penetrating the anal opening with your tongue). Other rimming risks include anal herpes, anal warts, internal parasites and even HIV. Hepatitis A can be prevented by getting a hepatitis A shot. In some cases hepatitis infection can cause muscle ache, fever, loss of appetite, headaches or dizziness.

Hepatitis B can be a life-threatening virus transmitted from sexual contact or contaminated needles. It’s found in blood and other body fluids, such as semen, vaginal secretions and the breast of a lactating woman. It’s possible to contract Hepatitis B when performing unprotected oral sex, especially when fluids from a carrier enter your body through a cut or sore in your mouth. Symptoms of Hepatitis B are fever, abdominal pain, jaundice and in some cases liver disease. There is no known cure, but it can be prevented with a vaccine.

Hepatitis C is the most deadly of all the hepatitis diseases. It is transmitted exclusively through direct blood contact so the receiver of oral sex must be menstruating, and the person going down on her must have a cut or sore on his mouth. There is no known cure or vaccine for hepatitis C at this time. Symptoms include the same as for A and B, plus dark urine, light stool colors, yellow eyes or skin and tenderness of the liver area.

HIV/AIDS can be fatal when the blood, semen, vaginal secretions or breast milk of an infected person enters another person’s bloodstream through a cut, sore or blood vessel. If you perform oral sex on a menstruating partner, you could be at risk. Even if you have recently flossed or brushed your teeth, it’s possible that you cut your gums and you could be at risk. HIV doesn’t have any immediate warning signs so it’s possible to have the virus for years and transmit it to others. The first symptoms of AIDS are weight loss, night sweats, pneumonia and other illnesses related to a low immune system. There is no known cure or vaccine for AIDS, but combinations of medications can slow the virus down.
How to properly put on a male condom
Prepare: Always check your condom for an expiration date, throw it out if it is expired. Also, make sure to store condoms in a cool place, such as a desk drawer, never store a condom in your wallet, hot environments (such as in your car) or if it has been washed or dried by accident. Don’t hesitate to get a new condom if you have any doubts.

The penis must be erect in order to put on the condom. Do not attempt to put a condom on if the penis is limp.

Opening: Be careful when opening the package, condoms can rip very easily. Feel free to use your teeth, in a sexy manner, but be careful.
If the man’s penis is not circumcised, be sure to pull the foreskin back first.

The condom should be right side out. Make sure to unroll the condom slightly at first in order to check which direction it is unrolling in. Slip it over the head of the penis; moving downward (it should unroll easy). (Hint: try putting the condom on with your mouth, watch your teeth.)

It is important that you hold the top half inch of the condom between your thumb and forefinger when you roll it down. This will leave space for when your man ejaculates.

Roll down the condom as far as it will allow, it should reach the base of the penis.

In the case of anal intercourse (remember: always use a condom during anal intercourse, even if you cannot get pregnant) use a lot of lubricant, the anal region is not naturally lubricated and can tear more easily than the vagina. For intercourse, a water-based lubricant is best. Always apply lubricant after the condom has been put on, a condom could easily slip off of a lubricated penis. Apply lubricant as often as needed, dry condoms break more easily.

For Men: make sure that when you pull out, you continue to hold the condom in place at the base of the penis. If possible, pull out while your penis is still erect. It is imperative that you remove the condom only after you are completely out of your partner’s vagina.

Once you have safely removed the condom, throw it away immediately, a condom can be used once, and only once. In the case of anal intercourse, make sure you use an entirely new condom, never switch from vaginal to anal intercourse with the same condom. A man should never ejaculate in the same condom twice, and should also never wear a condom that somebody else has already used.

Also, remember never to use more than one condom at a time. -Doubling Up- only increases the chances of the condom breaking.

Using a female condom
How to properly put on a female condom:

The female condom is a sleeve of polyurethane with a closed end and a larger open end. There is a flexible ring in each end.
Have a condom fashion show
We all need to know about safer sex practices. And, safer sex can be very sexy and fun. For those of you using condoms, experiment with different kinds of condoms and practice putting them on manually and orally.

Condoms:
There are many kinds of condoms including flavored, polyurethane, extra-large, snug fitting, extra-sensitive, and condoms with nubs and stimulators. Here are some examples for you to choose from and experiment with:

Latex: Mentor, Ramses, Durex, Global Protection, Sheik, Pleaser, Kimono, Lifestyles, Crown, Magnum, trojan, Contempo, Paradise

Natural: Fourex, Natural Lamb, Skin Kling

Polyurethane: Avanti, Reality for women (female condom)

New Condoms:
Pleasure Plus Bulbus Head (Gives room inside the condom for the head of the penis to have more friction.)

Custom fit condoms by condomania.com.
You can also experiment with dental dams, latex gloves or finger cots.
Safer Sex Activities
- Cuddling and caressing
- Dry kissing
- Undressing
- Phone sex
- Watching or reading erotica
- Cleavage fornication
- Massage
- Mutual Masturbation
- Manual stimulation
- Oral sex with an FDA approved condom or rubber dam
- Sex toys unshared
- Intercourse with a condom and spermicide

Unsafe Sex
- French kissing in the presence of open sores or cuts
- Manual stimulation in the presence of open sores or cuts
- Oral sex without a barrier
- Sharing unclean sex toys
- Sucking the breasts of a lactating woman
- Vaginal or anal intercourse without an FDA approved condom
- Penetration of anything from the anus to the vagina
- Never blow or force air into the vagina because it can cause an embolism that could be fatal, especially if the woman is pregnant.

Birth Control Methods

NuvaRing-99.7%; $30-$35/ monthly. Protects against pregnancy for one month, no pill to take daily, does not require a -fitting- by a clinician, does not require the use of spermicide, nothing to put in place before intercourse. Possible: more regular, shorter periods, less: menstrual flow and cramping, acne, iron deficiency anemia, excess body hair, headaches, depression and vaginal dryness and painful intercourse associated with menopause, reduces the risk of ovarian and endometrial cancers, pelvic inflammatory disease, noncancerous growths of the breasts, ovarian cysts, and osteoporosis (thinning of the bones), fewer occurrences of ectopic pregnancy (in a fallopian tube), ability to become pregnant returns quickly when use is stopped. Increased vaginal discharge, vaginal irritation or infection, cannot use a diaphragm, cap, or shield for a backup method of birth control, rare but serious health risks, including blood clots, heart attack, and stroke (women who are 35 and older and smoke are at a greater risk), change in sex drive and temporary irregular bleeding, weight gain or loss, breast tenderness, nausea (rarely, vomiting, changes in mood, and other discomforts)

Patch- 99.7%;$30-$40/month supply of patches. Protects against pregnancy for one month, no pill to take daily, nothing to put in place before intercourse, Possible: more regular, shorter periods, less: menstrual flow and cramping, acne, iron deficiency anemia, excess body hair, premenstrual symptoms (such as related headaches and depression) and vaginal dryness and painful intercourse associated with menopause, reduces the risk of ovarian and endometrial cancers, pelvic inflammatory disease, noncancerous growths of the breasts, ovarian cysts, and osteoporosis (loss of bone mass), fewer occurrences of ectopic pregnancy (in not in the uterus), ability to become pregnant returns quickly when use is stopped Skin reaction at the site of application, menstrual cramps, may not be as effective for women who weigh more than 198 pounds, rare but serious health risks, including blood clots, heart attack, and stroke (women who are 35 and older and smoke are at a greater risk), other side effects include change in sex drive and temporary irregular bleeding, weight gain or loss, breast tenderness, nausea (rarely, vomiting, changes in mood, and other discomforts).

POPs (Progestin-only Birth Control Pills)- 92-99.7%; $20-$35/ monthly. Can be used by women who cannot take estrogen, nothing has to be put in place before vaginal intercourse, can be used while breastfeeding, ability to become pregnant returns quickly when use is stopped, irregular bleeding patterns, headache, nausea, dizziness, sore breasts, must be taken at the same time of day each day to reduce the risk of pregnancy and irregular bleeding

IUD- 99.2-99.9%; $175-$500/ exam, insertion, and follow-up visit. Nothing to put in place before intercourse, ParaGard® (copper IUD) may be left in place for up to 12 years, Mirena® (hormone IUD) for five years, no pill to take daily, Mirena® may reduce menstrual cramps, ability to become pregnant returns quickly when IUD is removed Increase in cramps and heavier and longer periods (copper IUDs), spotting between periods, increased chance of tubal infection leading to infertility if inserted when a woman has a STI, rarely, wall of uterus is punctured during insertion, rarely, insertion can cause infection, pregnancies, which rarely occur, are more likely to be ectopic (not in uterus)

Depo-Provera- 97-99.7%. $20-$40/visits to clinician. $30-$75/ injection. Can be used by women who cannot take estrogen, nothing has to be put in place before vaginal intercourse, can be used while breastfeeding, effective for 12 weeks, no pill to take daily, helps prevent cancer of the lining of the uterusirregular bleeding, headache, nausea, dizziness, sore breasts, must receive injection every three months, loss of monthly period, change of appetite, weight gain, depression, hair loss, or increased hair on the face or body, nervousness, skin rash or spotty darkening of the skin, change in sex drive, side effects not reversed until medication wears off (up to 12 weeks), causes temporary bone thinning, may cause delay in getting pregnant after shots are stopped, pregnancies, which rarely occur, are more likely to be ectopic (not in the uterus)

Abstinence-100%; Free. No medical or hormonal side effects of any kind. Many people find it difficult to abstain from sex play for long periods of time

Withdrawal- 73-96% (nearly 100% w/condom); Free (or cost of condoms). Can be used when no other method is available. Not effective against Stds, requires great self-control, experience

Sterilization- 99.5-99.9%; $2,000-$6,000/ Tubal sterilization; $350-$1,000/ vasectomy. Permanent protection against pregnancy, no lasting side effects, no effects on sexual pleasure. Risks of minor surgery, regret, usually not reversible, rarely, tubes reopen, allowing pregnancy to occur

The Pill- 92-99.7% $20-$35/monthly. Nothing to put in place before intercourse, more regular, shorter periods, less: menstrual flow, cramping, acne, iron deficiency anemia, excess body hair, headaches, depression and vaginal dryness, and painful intercourse associated with menopause. Reduces the risk of ovarian and endometrial cancers, pelvic inflammatory disease, noncancerous growths of the breasts, ovarian cysts, and osteoporosis (loss of bone mass), fewer occurrences of ectopic pregnancy (not in the uterus), ability to become pregnant returns quickly when use is stopped, can be used to change the timing and frequency of your period rare but serious health risks, including blood clots, heart attack, and stroke (women who are 35 and older and smoke are at a greater risk), change in sex drive, temporary irregular bleeding, weight gain or loss, breast tenderness, nausea (rarely, vomiting, changes in mood, and other discomforts), must be taken daily, persistent side effects may be relieved by having your clinician change your prescription

Diaphragm- 84-94% $15-$75/ diaphragm
No major health concerns, can be used during breastfeeding. Can be messy, allergies to latex, silicone, or spermicide, should not be used during vaginal bleeding or infection, increased risk of bladder infection, can only be left in place for up to 24 hours

Condom- 85-98% (nearly 100% with withdrawal) $0.50 and up – some family planning centers give them away or charge very little. Easy to buy in drugstores and supermarkets, can be put on or inserted as part of sex play, can help relieve premature ejaculation, helps to protect against Stds and AIDS Latex allergies, loss of sensation, breakage

Female Condom- 79-95% $2.50/per condom Easy to buy in drugstores and supermarkets, can be put on or inserted as part of sex play, erection not necessary to keep condom in place, can be used by people allergic to latex, external ring of condom may stimulate clitoris. May be noisy, may be difficult to insert, may irritate vagina, penis, may slip into vagina during intercourse

Sponge- 68-91% $7.50-$9/package of three sponges. Easy to buy in drugstores and supermarkets, can be put on or inserted as part of sex play, does not interrupt sex play (it can be inserted hours ahead of time) May irritate sex organs, can be messy, may be difficult to remove, cannot be used during vaginal bleeding

Spermicide -71-82% $8/applicator kits of spermicide ($4-$8 refills). Easy to buy in drugstores and supermarkets, can be put on or inserted as part of sex play May irritate sex organs, can be messy

Fertitility Awareness- Based Methods (FAMs)-checking temperature daily, checking cervical mucus daily, recording menstrual cycles on calendar, keeping a very accurate record of when your period comes each month, keeping track of your menstrual cycle using a string of beads called CycleBeads 75-99% $5-$8 and up/temperature kits (drugstore).

$13/CycleBeads- Free classes often available in health and church centers No medical or hormonal side effects. Requires expert training before effective use, uncooperative partners, taking risks during -unsafe- days, poor record keeping, illness and lack of sleep affect body temperature and may interfere with the temperature method, changes caused by vaginal infections and douches may interfere with the cervical mucus method, must have regular menstrual cycles that are never shorter than 26 days and never longer than 32 days to use CycleBeads

If You Choose Fertility Awareness-Based Methods (FAMs)…
… a professional will teach you how to keep track of your menstrual cycle to help you predict -safe- and -unsafe- days. Abstain from intercourse (periodic abstinence) or use condoms, diaphragms, caps, shields, or spermicide during nine or more -unsafe- days

Stds from Unprotected Intercourse
Genital Herpes- Virus; Burning sensation in genitals, low back pain, pain when urinating, flu-like symptoms, small red bumps may appear around genitals, some show no symptoms. Medications prescribed by your doctor, such as ValtrexTM

Gonorrhea-Bacteria Women: strong smelling vaginal discharge, may be thin & watery or thick & yellow/green, irritation or discharge from the anus, abnormal vaginal bleeding, possibly some low abdominal or pelvic tenderness, pain or a burning sensation when passing urine, low abdominal pain sometimes with nausea
Men: white, yellow or green thick discharge from the tip of the penis, inflammation of the testicles & prostate gland, irritation or discharge from the anus, urethral itch & pain or burning sensation when passing urine. Antibiotics (Similar to antibiotics used for Chlamydia)

Chlamydia Bacteria- Women: an unusual vaginal discharge, pain or a burning sensation when passing urine, bleeding between periods, pain during sex or bleeding after sex, low abdominal pain sometimes with nausea
Men: white/cloudy, watery discharge from the tip of the penis, pain or a burning sensation when passing urine, testicular pain and/or swelling. Antibiotics (those similar to gonorrhea). Such as, Doxycycline

Syphilis- Bacteria; Painless sores or open ulcers may appear on the anus, vagina, penis, or inside the mouth, and occasionally on other parts of the body. During the second stage (roughly three weeks to three months after the first symptoms appear), an infected person may experience flu-like symptoms and possibly hair loss or a rash on the soles and palms — and in some cases all over the body. There are also latent phases of syphilis infection during which symptoms are absent. Antibiotics. However, can be extremely dangerous if left untreated.

HIV/AIDS- Virus; Most symptoms of AIDS are not caused directly by HIV, but by an infection or other condition brought on by a weakened immune system. These include severe weight loss, fever, headache, night sweats, fatigue, severe diarrhea, shortness of breath, and difficulty swallowing. The symptoms tend to last for weeks or months at a time and do not go away without treatment. In some cases, infections result in death. Doctors can prescribe and array of medications (commonly known as a -cocktail-) to preserve life, however, there is no cure.

HPV (Genital Warts)- Virus; Can cause cervical cancer, visible warts in and around the genitals, may look like miniature cauliflower florets, some show no symptoms. Warts can be removed by a physician, however, they will always return

10 Common Questions Men Have About Sex Addiction

1. Question: Am I a sex addict?

Answer: There are a number of red flags that can signal an addiction to sex. A person who uses sexual activity be it intercourse, viewing pornography, phone sex, chat rooms, prostitution or masturbation as a numbing agent, something to prevent them from feeling bad, may have a sex addiction. Other indicators the sexual behavior is causing the addict problems include their spouse becoming upset over their behavior or they’ve gone into debt over payment for phone sex lines or Internet pornography sites. Spending an excessive amount of time viewing pornography Over 10 hours a week is another red flag, since this sexual behavior is interfering with time spent with friends, family or at work.

Another key factor is the addict has tried to stop engaging in sexual behavior but failed. When all these things come together, it’s time to ask a professional about getting help.

2. Question: Can I be cured?

Answer: Many sex addicts have reported being able to bring their sexual behavior under control, through any one of a variety of treatment methods. Some attend intensive rehabilitation facilities; others go to therapy sessions, attend 12 step meetings or use medication and a host of other techniques to control their sexual behavior. This can include finding a trusted person to act as an “accountability partner.” Or for pornography addicts, it can mean the use of pornography blocking computer programs.

3. Question: Does being cured mean I give up sex?

Answer: No. Unlike chemical dependencies related to alcohol or drugs, sex is recognized as a healthy aspect of life. Treatment for sex addiction, while it does involve a period of abstinence, seeks to bring harmful and unwanted troublesome sexual activity under control to where it is no longer causing harm. It may lead to stopping viewing pornography, discontinuing solicitation of prostitutes and other “bottom line” behaviors or even illegal activities. The goal is stopping harmful behavior, but certainly not giving up sex.

4. Question: Is sex addiction even real, or just something people use to excuse their behavior?

Answer: Truth be told, there are some experts who don’t feel sex addiction is real and say it’s more a product of conflicting social norms and mores. Other say sex addiction exists but do not feel it meets the definition of an addiction in the same way addiction to alcohol or drugs does. For a sex addict seeking treatment, it may be a moot point. To get treatment, first one has to recognize they have a problem and stop trying to use their own willpower alone to control it. Many people have sought treatment for sex addiction and reported results. Much of the criticism about its validity has been aimed at celebrities embroiled in public sex scandals and is hardly analogous to the average person not living in the public eye. Sex addiction is real and one struggling with unwanted sexual behaviors certainly can attest to that fact.

5. Question: What caused this? How did I get to be this way?

Answer: There is no definitive cause for sex addiction, and for each person it will be different. Many sex addicts report being sexually abused at a young age and growing up with a distorted view of sex and what a healthy sex life should be. For others, it is simply the rush of chemicals in their brain after discovering a parent’s pornography stash or coming across it in some other fashion. Still others indicate the accessibility of Internet pornography had them fall into a cycle, while there are those who turned to using sex as a numbing agent during a difficult period in their lives and began relying on it as a coping mechanism. For some growing up with abuse, neglect, abandonment and enmeshment have cause the to seek out other ways to feel good about life and themselves.

While knowing the cause of sex addiction is important, those on the path to recovery should not seek to dwell on the unchangeable past; instead, they need to focus on their present actions.

6. Question: Does viewing pornography and sexual interaction over the Internet count as cheating on my spouse?

Answer: Not to be glib, but it can depend on the spouse. Certainly many women do feel that their spouses having cybersex or phone sex with another woman qualifies as infidelity. They may not react in the exact same way as if it had been physical sex with another woman, but the impact on a relationship can be dire. First, the wife will feel betrayed. She won’t trust her husband if he’s been hiding his behavior. She may can feel bad about herself, perhaps thinking some failing on her part led the husband to seek these sexual outlets.

Even pornography viewing can be a sore spot for women. Society places a lot of pressure on women to be physically attractive and sexually desirable and they may feel they are in competition with actresses in pornographic videos. This can affect their self-esteem, even if they do not confront their husband about the behavior.

7. Question: Can medication lower my sex drive so I don’t have this problem.

Answer: Yes and no. There are medications out there that can lower a person’s sex drive, and they are often used to treat sex addiction. However, they are limited in their power to erase the problem completely. Some form of therapy, be it a 12 step program or other process, is required.

8. Question: Will I ever be cured or is this a lifelong problem?

Answer: Many people report being able to bring their sexual behaviors under control, sometimes after a period of months or years, and are living lives relatively free of problems related to sex addiction. These people have addressed the factors in their life they had once sought to control by using sex; they have now embedded into their lives multiple tools to avoid falling back into destructive addiction cycles. For some, there is always the fear they will relapse, and some do struggle with sex addiction for long periods of time. There is no quick fix for the problem.

9. Question: I’m also addicted to alcohol. Is my sex addiction just a sign that I’m susceptible to addictive behaviors in general?

Answer: In some ways, yes. Many sex addicts report being addicted to alcohol, drugs, or behaviors such as gambling. They also claim family members with various addictions. It’s certainly been theorized that a person can have a genetic predisposition to addictive behaviors. As to treating multiple addictions, it should be noted that many sex addiction treatment programs are modeled after alcohol treatment techniques developed by Alcoholics Anonymous. 12 step programs such as Sexaholics Anonymous, Sex Addicts Anonymous and Sex and Love Addicts Anonymous model their programs after and borrow their literature from that organization.

10. Question: Am I really a sex addict or is my sex drive just naturally high?

Answer: The difference between a sex addict and a person who enjoys a lot of sex has to do with why the behavior is being sought and the inability to stop an unwanted behavior as well as the obsession and compulsion. A person with a high sex drive is aroused and in most cases can control acting on that arousal. A sex addict is engaging in sex as a coping mechanism, isolating themselves from others even if they have a real life partner for the sex, and engaging in the sex act compulsively. They may feel shame after they complete the act, or some general feelings of depression. Actual arousal is not the primary motivator.

The Treatment of Sex Addiction – An Analytic Approach

It is well known among people in the 12-step sex programs that of all the addictions, sex is the most difficult to master. Far from the notion that sex addiction is the “fun” one, the suffering of dealing with this affliction is enormous. The compulsion is so compelling that it is common for members of the sex recovering groups to be unable to maintain any continuous time of sexual sobriety, giving way to despair and hopelessness. Before treatment, sexual enactment is the addict’s only source of safety, pleasure, soothing and acceptance. It vitalizes and connects. It relieves loneliness, emptiness and depression. Sex addition has been called the athlete’s foot of the mind: it is an itch always waiting to be scratched. The scratching, however, causes wounds and never alleviates the itch.

Furthermore, the percentage of people who go to therapy or a 12-step program is quite small. The majority of sexual compulsives live in isolation filled with feelings of shame. Almost 100% of the people who come to me for an initial consultation, whether it be for compulsive use of prostitutes, phone sex, a fetish, cross dressing, or masochistic encounters with dominatrixes, relay that beneath the shame they feel in telling me their story, they also experience a sense of freedom that comes from finally being able to share with another human being the hidden, shameful, sexually compulsive acts that imprison them.

This is a condition that gradually bleeds away everything the person holds dear. The life of a sex addict gradually becomes very small. The freedom of self is impaired. Energies are consumed. The rapacious need for a particular kind of sexual experience drives the addict to spend untold hours in the world of his addiction. Inexorably, the compulsion begins to exact higher and higher costs. Whether it be on the internet indulging in sexual fantasies with fantasy people, being on the phone to the sex hot-lines, or frantically searching the net and the S&M clubs for someone who will act out a particular, ritualized fetish fantasy, or cruising the bars searching for the “one” who will have sex in a public toilet, or going to dungeons to be whipped, flogged and humiliated, sex addiction is a devastating illness that takes an enormous toll. Friends slip away. Hobbies and activities once enjoyed are dropped. Financial security crumbles as sums as high as $40,000 or $50,000 a year are spent on sex. Then there is perpetual fear of exposure. Relationships with partners are ruined, as the appeal of intimate sex with a partner pales in comparison to the intense “high” of indulging in the dark and devious world of sexual compulsion.

What is a sex addict? Sex addiction, of course, has nothing to do with sex. Any sexual act or apparent “perversion” has no meaning outside of its psychological, unconscious context. A simple definition of sex addiction is not dissimilar to definitions of other addictions. But a simple definition of this complex and intractable condition doesn’t suffice. What sets sex addiction apart from other addictions and makes it so persistent is that the subject of sex touches on our innermost unconscious wishes and fears, our sense of self, our very identity.

Current treatment might include participation in a 12-step program, going to an outpatient clinic, working with the Patrick Carnes material, aversion therapy, or the use of medications to stave off hypersexuality. Most therapy is cognitive-behavioral, designed to help the patient to control or repress the instinct for a period of time, usually out of a desire to comply with the group norms of their 12-step meeting or a need to please the therapist. While I recognize the efficacy the 12-step programs to provide structure and support, in my opinion, the reason that relapse is so prevalent is that these treatment modalities do not effect long-term structural personality change that eliminates the compulsion at its roots. Current treatment does not aim to transform psychic energies so that the reality sector of the mind dominates the personality so that the impulse to act out can be understood and controlled.

While the definition of sex addiction is the same as that of other addictions (recurrent failure to control the behavior and continuation of the behavior despite increasingly harmful consequences), sexual compulsion is set apart from other addictions in that sex involves our innermost unconscious wishes, fears and conflicts. Sex addiction is a symbolic enactment of deeply entrenched unconscious dysfunctional relational patterns with self and others. It involves a person’s derailed developmental process that occurred as a result of inadequate parenting. Hence, permanent growth and change are most likely to occur in the arena of contemporary psychoanalysis, which seeks understanding and repair of these unconscious dysfunctional relational patterns along with the development of a more unified and structured sense of self. This new personality restructuring can better self-regulate feeling states without the use of a destructive defense like sexualization and can find meaning, enjoyment, intimacy, meaningful goal setting and achievement from attainable and appropriate sources in life.

The remainder of this paper will give a brief overview of the historical psychoanalytic views about sexual deviance, and will then articulate the current analytic understanding about the dynamics and treatment of sexual compulsions.

Any discussion of historical psychoanalysis must, ipso facto, begin with Sigmund Freud. Freud formulated that sexual deviance occurs due to an incomplete resolution of the Oedipus complex, with its concomitant castration anxiety. Unconscious castration anxiety occurs in the person’s present-day consciousness in the form of fear of confrontation, retaliation, or rebuke, a sense of inadequacy, and perhaps doubts about gender identity. Sex addiction, according to Freud, is a defensive way to cope with a tenuous sense of masculinity combined with unrelenting anxiety about sex, women, intimacy, aggression, and competition. Analysts that followed Freud held varying views. Sexual compulsions derive from an insatiable need for approval, prestige, power, bolstering of self-esteem, love and security which are experienced as being necessary for survival. The addict experiences the absence of sexual acting out as a threat to his very existence.

Characteristic of any addict is a long history of a disturbed mother-child relationship. An unempathic, narcissistic, depressed or alcoholic mother has low tolerance for the child’s stress and frustrations. Nor is she able to supply the empathy, attention, nurturing and support that foster healthy development. The result in later life is separation anxiety, fear of abandonment and a sense of imminent self-fragmentation. This anxiety sends the sex addict running to his eroticized, fantasy cocoon where he experiences safety, security, a diminution of anxiety as well as the quelling of an unconscious wish to establish and maintain the missing, yet essential tie to mother. Typical of this person is the hope that he can find an idealized “other” who can embody, actualize and make concrete the longed for endlessly nurturing parent. This approach is doomed to failure. Inevitably, the other person’s needs start to impinge on the fantasy. The result is frustration, loneliness and disappointment.

On the other hand, a mother can be overly intrusive and attentive. She may be unconsciously seductive, perhaps using the child as a replacement for an emotionally unavailable spouse. The child perceives the mother’s inability to set appropriate boundaries as seductive and as a massive disillusionment. Later in life, the addict is hypersexual and has trouble setting boundaries. Real intimacy is experienced as an engulfing burden. The disillusionment of not experiencing appropriate parental boundaries is acted out later in life by the addict’s unconscious belief that the rules don’t apply to him with regards to sex, although he may be regulated and compliant in other parts of his life.

A major theme for all addictions is that they have experienced profound and chronic need deprivation throughout childhood. Addicts in general sustain emotional injury within the realm of the mother-infant interaction as well as with other relationships. Intense interpersonal anxiety is the result of this early-life emotional need deprivation. In later life, the person experiences anxiety in all intimate relationships. Because the sex addict has anxiety about being unable to get what he needs from real people and because his desperate search for the fulfillment of unmet childhood needs inevitably end in disillusionment, he inevitably returns to his reliance on sexual fantasies and enactments to alleviate anxiety about connection and intimacy and as a way to achieve a sense of self-affirmation.

Sex, for the addict, begins to be his primary value and a confirmation of his sense of self. Feelings of inferiority, inadequacy, and worthlessness magically disappear while sexually preoccupied , through acting out or through spending untold hours on the internet. However, the use of sex to meet self-centered needs for approval or validation precludes using it to meet the intimacy needs of a cherished other. Characteristic of this kind of narcissism is the viewing of other human beings not as whole people who have their own feelings, wants and needs, but rather as deliverers of desperately needed satisfaction that shores up a fragile sense of self. This sets up a cycle wherein his narcissism prevents him from deriving satisfaction from mutual, reciprocal relationships in real-life. Sexualizing, once again, is returned to as a magical elixir wherein his needs are magically met without having to negotiate the very real vicissitudes of intimate relationships.

A client of mine, a 48-year-old attractive single man, is in the process of the breaking up of yet another relationship. After spending years of living a noxious childhood household, he went into his own world of fantasizing and masturbation as a way to soothe and protect himself.

“When I was a kid, I was obsessed with beautiful women in the magazines. When I was able to date, I went through one woman after another. In adulthood, I knew there was sadness and anger I didn’t want to face. To evade them, I had a steady stream of women who worshipped me, soothed me, paid attention to my needs. I went to peep shows and I visited prostitutes. Many a night I would spend hours in my car circling the block looking for just the right street-walker to give me oral sex in my car. One night I had sex with a transvestite. I cried all the way home.”

He met a girl whom he designated as “perfect – my redemption, my salvation.” He became engaged but soon lost interest in the sex, which he described as “boring”. While still engaged, he started picking up hookers for oral sex in the car and began compulsively using phone sex.

His current relationship is breaking up because he picked a woman for her youth and beauty (which reflected well on his narcissistic self). The rest of the story is predictable. They moved in together and the beautiful, young, sexy female started become real and having needs of her own. He admits he never felt warmth or love for her; she was merely a supplier of his narcissistic needs. As the relationship deteriorates, he fights the impulses to return to sex with strangers who don’t make demand on him.

Another client of mine, a 38-year-old married man, has a compulsion to visit prostitutes. Three years into the treatment, he was finally able to talk about his anger towards his mother for depriving him emotionally through neglect and for never touching or caressing him. He can now make a connection between visits to the prostitutes and his hostility against mother for depriving him of sensual pleasure. He got lost in the mire of his parents’ constant feuding.

“When I was very young I would put a blanket on my genitals as a kind of soothing which I wasn’t getting from my parents. The rest of my life was a struggle to find other ways to soothe myself. When I discovered prostitutes, I thought I was in heaven. I can get sex now and be in total control. I can have it immediately, any way I want it, whenever I want it. I don’t have to concern myself with the girl, as long as I pay her. I don’t have to concern myself with vulnerability and rejection. This is my controlled pleasure world. This is the ultimate antithesis of the deprivation of my childhood.”

The use of sexualization as a defense is a common theme that runs through the psychoanalytic literature. A defense is a mechanism the young child devises to psychologically survive a noxious family environment. While this way of protecting himself works well for a period of time, the continuous use of it as an adult is destructive to the person’s ongoing functioning and sense of well being.

By losing himself in sexual fantasies and constantly seeing others as potential sex partners, or by erotic internet enactments, the sex addict is able to significantly reduce and control a wide variety of threatening and uncomfortable emotional states. Most addicts control or bind potentially overwhelming anxiety via the addiction process. Diminution of depression, anxiety and rage are some of the pay-offs that operate to facilitate and maintain life in the erotic cocoon.

I quote another patient which illustrates a case of narcissistic personality together with the use of sexualization as a defense. He is a 52-year old attractive, successful single man.

“I went on a date the other night. She wanted sex. I didn’t. It’s predictable. I don’t think I can even maintain an erection anymore. While a spend untold hours compulsively websurfing to live in my erotic fantasies, when it becomes real, when you find someone who seems to be the embodiment of your sexual pre-occupation, interest soon wanes as her wants and needs come into the picture. Sometimes, I don’t even bother with the pursuit of real women, because I know the inevitable result is disillusionment. I’m simply not prepared to meet somebody else’s needs.

Oddly enough, my life is still dominated by sex. It becomes the lens through which I view everything. I go to a family gathering and get lost in sexual fantasies about my teenage nieces. I live in constant fear of being found out to be a “pervert”. I see a woman on the train dressed in a way that triggers me, and I’m ruined for the day. Regular sex just doesn’t do it for me anymore. It’s got to be bizarre or forbidden or “out of the box”. I arrive at work in an erotic haze. Women around me are all objects of sexual fantasy. I’m distracted; not focused. If something requires my attention, when real life intrudes and yanks me out of my sexual preoccupation, I get angry. Real life is so boring. Ordinary sex with a girlfriend holds no interest for me.”

This patient uses sexualization as a defense. He uses his sexual pre-occupation as a way to ward off chronic feelings of loneliness, inadequacy and emptiness born of a childhood trying to get nurturing from a withdrawn, depressed mother. When stress or anxiety begins to overwhelm the regulation of his emotions, he is beset by intense urges to indulge in his fantasies and enactments. Sexualization thus becomes his standard way of managing feelings that he perceives to be intolerable as well as a way of stabilizing a crumbling sense of self-worth.

It is my belief that sex addiction requires a contemporary psychoanalytic approach. Psychoanalysis changed drastically in the 1970′s with the work of a prominent psychoanalyst who jettisoned the Freudian approach and established a kind of treatment that is particularly useful in treating sex addiction. Contemporary analysts no longer conduct treatment three-times a week on the couch. They do not unearth hidden meanings, or remain silent, or put themselves on a “thrown” as being the “One Who Knows”. The process is a shared one and the relationship between patient and therapist is co-created and mutual.

Some contemporary psychoanalysts use the concept of a vertical split in treating the addict. The split exists from inadequate parenting which results in structural deficits in the personality. Patients often report that they feel fraudulent, living two separate lives with two different sets of values and goals. They feel they’re acting out a version of “The Strange Case of Dr. Jekell and Mr. Hyde.”

One sector of the personality, the one anchored in reality, is the responsible husband and father. This part of the person is conscious, adaptive, anchored in reality, structured, and often successful in business. This is also the sector that experiences guilt and shame about his sexual behaviors and ultimately drives him to seek therapy to ameliorate his misery.

The “Mr. Hyde” side of the vertical split has a completely different set of values and seems to be impervious to his own moral injunctions. “Mr. Hyde” represents the unconscious, split-off part of the personality. It is impulse-ridden, lives in erotic fantasy, and is sexualized, unstructured and unregulated. This side of the vertical split seems to be incapable of thinking impulses through, and thus is oblivious to the consequences of his behavior. This is the part of the self that is hidden, dark, driven and enslaved.

A comprehensive discussion of the actual process of therapy is beyond the scope of this paper. Suffice to say, the therapist uses him/herself as an instrument in integrating the split which results in personality structure building. Treatment bridges the gap of the split. Its aim is the establishment of a relationship with the therapist that regulates emotional states, is used as a “laboratory” to bring to consciousness maladaptive relationship patterns, provides empathy and understanding and reconstructs the childhood origin of the addiction. The goal is an integrated self that is able to merely experience a sexual fantasy without being preoccupied with it and without acting out a damaging sexual scenario.

The patient achieves some ability to self-regulate moods, and to seek out adequate and sustaining available supportive relationships both in and out of treatment. He is then free to put sexuality in its proper place and free up energies to gain satisfaction from real relationships, pursue creative or intellectual goals, obtain pleasure from hobbies and activities, and have a heightened sense of self-esteem, thus enabling him to end his isolation. He is then free to love, to have deeply satisfying, self-affirming sex, work to his potential, and experience being a valued member of the human community.