Simple advice from experts, to unlock your deeper sexuality.
Welcome to How-To Sex Podcast; a resource to give daily guidance for successful sexuality, regardless of how you like it.
We tap into the expertise and insights from a wide variety of masters, who want to share their discoveries, and innovations.
And now, let’s get into, today’s topic.
Getting naked with a mixed social group might be a tantalizing item
on your bucket list, but the options can be radically different, and
lead to disappointment, even betrayal and abandonment. To the person
who’s never seriously considered getting naked in a large mixed group,
perhaps all the options seem the same. But where some groups, like
swingers clubs; gather with the intent of openly sexual interactions;
Naturist and nudist clubs specifically ban public sexuality. Even an
innocent erection might be frowned upon and the guy might be asked to
step apart from the women while he’s turgid.
There was once a time when your relationship had magic. That spark of romance, anticipation, and bonding. You’ve invested so much, until things somehow went south. It might have been a major incident, or a slow drifting away from each other.
It might be a personal health issue, or a forced new environment for the two of you.
We’ll look at home treatments and try to reverse bad habits, But we’ll also discuss your options with a caring and competent professional therapist who specializes in identifying and reversing obstacles in your lives, in a gentle manner.
Dating can be a thrilling adventure, full of exciting possibilities. But it’s important to be aware of potential red flags that might signal a less-than-ideal partner. While everyone has their quirks, some behaviors can be toxic and detrimental to a healthy relationship. You may have a great sexual chemistry, but partnership is a bonding of your souls. To that end, finding emotional intimacy is a bigger challenge than sexual intimacy.
Relationships are hard enough without choosing a partner who adds unnecessary drama and toxicity. It’s good to have standards and protect your own peace!
With input by Blonde&Balanced and Dinsmore. Listen to the Podcast at How To sex. Clearly, western culture has started failing to secure our survival. We saw it in western Europe, late in the last century. Plus, totalitarian Asian governments dictated it. We quit having enough babies to replace ourselves. We quit teaching our younger generations that a big part of existence is, creating more existence.
We delegated out so much of parenthood, that we quit associating with our roles in life.
The other day, a few media outlets in the New York region covered the story of a woman who can’t seem to stop having orgasms, which would seem joke-ready but can actually be a nightmare.
While the New Jersey woman’s condition has not been formally diagnosed, it appears she has persistent genital arousal disorder (P G A D), something we explored years ago.
The syndrome usually manifests as a constant blood engorgement of the female genitals, mainly the clitoris. This creates a sensation of needing “relief.” Cue the jokes. But imagine constantly sensing the need for orgasm at work, on the bus, while visiting with friends, and then finding no relief, or only very temporary relief, if you masturbate. Genitals can become highly sensitive, and sore. Sufferers describe feelings of isolation and mental anguish.
Unfortunately, nobody is quite sure what causes it or how to treat it, but, according to Jim Pfaus, a researcher at Montreal’s Concordia University who studies the neuroscience of sexual response, and who is currently engaged in studying persistent genital arousal, there are enough clues to develop a working theory.
“The root cause,” he explained, “may be an irritation of the clitoral sensory nerves.” The brain interprets this sensation and sets off a cascade of events.
If you want to incur the rage of a woman in this condition, even the slightest suggestion comparing her to a nymphomaniac, could result in you likely getting beaten up and humiliated.
She didn’t ask for this, and she detests its imposition almost as much as sexual assault. A woman wants to be a willing participant. Offer her whatever help she asks for, but it may be for you to get the hell out of here, especially if she usually has some attraction to you, and is now confused by her physically-aroused state.
A brain region called the pro-optic area responds to dopamine signaling by sending out instructions for the body to prepare for sex, as if a woman has been engaged in foreplay when, in fact, she’s not remotely in a sexual context. Blood flows to the genitals. “So we think that this blood flow is in a state of hyperarousal in women with P G A D,” Pfaus said. “They get engorgement quickly, reach orgasm quickly when they try to relieve themselves. It shares features with premature ejaculation and priapism” in men.
That’s consistent with observations others have made. For example, Barry Komisaruk at Rutgers University found that of a group of 18 women with P G A D, 12 had cysts on nerves in the sacral region of their spines. The cysts may be stimulating clitoral nerves.
A variety of drug therapies (there’s even one report of a physical therapy involving manipulation of muscles in the region) have shown to help. SSRIs, commonly used for depression, seem to provide some relief. But Pfaus believes the drug varenicline (Chantix, commonly used for smoking cessation) is most promising. It works by interrupting the signaling that leads to dopamine release. Blood stops flowing.
While the therapy has worked in scores of women, Pfaus said, the drug isn’t perfect. “Unfortunately it comes back when they go off it.”
Brian Alexander
Moon Sprayed Eyes tells us about her condition, and the problems she still faces. It Killed My Marriage
I haven't received any diagnosis yet, but I have experienced nearly all of these symptoms as far back as preschool.
I have been to so many doctors, Primary Care Managers, Obstitricians, Gynecologists,, and mental health professionals, due to how I describe the sensations of throbbing, tingles; that make me feel like I'm trapped in a constant state of arousal; that is debilitating, deviant-like, impositions.
For 25 out of my 40 years I've not heard anything closely related to P G A D.
However, I have received diagnoses of; hypersexuality, sexual addiction, masturbation addiction, PTSD, hypersensitivity, rejection sensitivity, childhood trauma, divorce anguish, adult trauma, shame, guilt, agoraphobia, Major Depressive Disorder, anxiety.
The fallout? I was married 11 years. We tried individual and couples therapy 6-7 times and completed all sorts of “activities”, “homework” and received certificates.
It didn’t get better because my spouse husband couldn’t keep up what wasn’t natural to him.
We both had a hand in the demise of our marriage and we both deeply regret not being what the other person needed.
I really hope other marriages can fix or improve the parts that matter most; because I don’t wish this pain on anyone.
My former husband and I have been grieving each other’s loss since 2021 and I don’t think we’ll ever get over the loss of each other to “move on.” Not because we haven’t tried, but It’s not as easy to start over as one would think, when nothing feels normal. I don’t have the answers but I don’t wish this fate on anyone either.
Well you get the idea. All that just to learn, I was describing Persistant Genital Arousal Disorder 100% accurately, the whole time.
Along with nerve pains, and restless leg, insomnia. but hey, its all in my head, right?. Anyways.
Everything I've read, talk about biases, and that it's considered to be rare; more medical gas-lighting. 🫢
I am very interested to see what else comes out, and I’ll find as many research studies to bring the printed reports to my next appointment, because I can already see him rolling his eyes, and calling the nurse to bring the straightjacket.
Amp It faced a short term crisis with this disorder. She summarizes her ordeal. My Doctor Needs To Grow Up!
I had P G A D for about a week earlier this year. It was one of the worst things I have ever experienced. I was a hysterical mess after just a few days. I genuinely felt like I was losing my grip on my sanity. Orgasms didn’t even help—they actually made it worse. It hurt and the constant pressure in my pelvis was unbearable. There was a lot of ice packs and lidocaine and sobbing. I can’t imagine dealing with that BS long term. I don’t think I would even survive it. It was hell. Not even remotely sexy.
Since I had back surgery a few months ago my Gynecologist thought it could be something nerve related and wanted me to follow up with my neurosurgeon too. He did order an MRI for me, but the man would not stop cracking jokes at my husband about; “Ha ha ha, just don’t turn her on, am I right?”
No, sir. That was probably my grossest interaction with a doctor.
Glass Breather retells a grim story of her friend’s tortured life and premature death. It’s Perpetual Rape.
I have a friend who has suffered from this for her whole life, since she was five. She said the only way she could describe it was like being raped by demons constantly. Constant engorgement of the genitals, anxiety and stress would also cause unwanted stimulation which could not be contained through masturbation. It only made it worse. Orgasms would also usually make it worse.
Many of the women who suffer from this end up committing suicide. She has managed through a rigorous daily routine of yoga and meditation.
There are some theories that it has something to do with the psoas muscle, near the tailbone; or some sort of impinged spinal nerve that sends a feedback loop to the brain.
It is so far from pleasurable. Torture is closer to the truth.
Love In The Sun gives us a clinical insight. The desperation leads to bold behavior
I worked as a nurse in a big gynecology clinic. This was a teaching hospital in the US. We had a doctor who specialized in it.
Yes the suffering women would start masturbating in front of the doctor and would masturbate many many times a day, to the detriment of their lives.
She couldn’t hold a job, be a parent, or much of anything besides just being perpetually frustrated.
It was absolutely heartbreaking to hear their stories.
So no, this isn’t the same pleasurable experience most of us experience as an orgasm. It’s not pleasurable at all. Widespread
The condition is profound and widespread, but most sufferers are terrified that they might become exposed to public embarrassment and mockery.
LOS Angeles concert-goers were enjoying a rendition of Tchaikovsky's fifth symphony last week, when the sound of someone having a 'loud and fully body orgasm' suddenly cut through the music.
The incident sparked lively debate between audience members about whether the moaning woman was in the throes of toe-curling pleasure, or if she jerked awake after nodding off and having a bad dream.
Spectator Molly Grant told the LA Times she thought the unknown woman had orgasmed; "because she was heavily breathing, and her partner was smiling and looking at her, like in an effort to not shame her."
But another attendee said they'd witnessed her fall asleep on her partner's lap and wake with a cry 'five seconds later'.
Nevertheless, her 'scream/moan', which the LA Philharmonic blithely continued playing over, lead some to wonder whether the woman was suffering from a rare condition which causes uncontainable genital arousal.
Being constantly aroused however, isn't as fun as it sounds.
Medical News Today reported that people with P G A D can have trouble getting on with their day-to-day lives and may experience anxiety, panic attacks and depression.
Christine Decker from Wisconsin, developed the ultra rare condition after slipping a disk in her back.
She suffered a terrifying 236 orgasms in hospital while paramedics watched in horror, and Christine later became completely housebound.
Christine said the hormone therapy which reduced her levels of testosterone also slashed the number of her daily orgasms to just eight.
For mum Cara Anaya-Carlis, having P G A D meant something as simple as the vibrations from a washing machine could send her spiraling into episodes that could last between four and six hours, where she'd experience orgasms every 30 seconds.
Cara began to 'feel too dirty' to be a part of her son's life and felt too embarrassed to work.
Lior Ofir Schwartz from Miami Beach, Florida; began feeling constantly aroused despite not having sexual desires in 2012.
She described the feeling as a 'painful' itch she could not scratch, which would usually come on before the orgasms, when she was stressed, or at night.
Lior's condition worsened to the point that she was unable to have sex with her now husband Jonathan, when she began dating him, due to the pain.
And a mum in England, who started suffering uncontrollable orgasms following an NHS checkup, was left devastated after being told her health board wouldn't fund the medicinal cannabis to help her.
The widow, from East Dunbartonshire, told the The Herald: “Why should I be paying the bill when I didn’t cause the problem? This was inflicted on me by the NHS, so the NHS should be paying for it.
"It’s been recommended by the very specialist they sent me to – that I had to fight to be sent to – and now they’re ignoring his advice.
"The condition has calmed down a lot. My own GP says she’s never seen me looking better in the past two years than I do now. They’re the only thing that’s worked. For me, it’s amazing not to have feeling down there."
Maria believes the condition was sparked during a routine check at Glasgow's Stobhill Hospital in September 2017, claiming a consultant "rammed" a speculum into her.
In the weeks after the examination, Maria said she started to notice distressing symptoms, which were eventually diagnosed as P G A D, caused by damage to her pudendal nerve.
And she said she was furious after it was a NHS consultant who recommended the treatment, with the board now not paying. Thar She Blows
Lorna, who runs a food delivery service, drove over a speed bump in January 2019.
She said: “I felt a pounding and bulging sensation below.
“It was lucky I didn’t crash as I was losing control of my body.
“When I got to the house, I handed over the lunch with my legs crossed, ran to the car and quickly drove home.”
When it recurred, she saw her GP last July.
They offered an epilepsy treatment that eases nerve pain, and reduces the length of episodes.
Lorna, of Doncaster, South Yorks, turned down an ultrasound fearing it would send her into throes of orgasm, but never followed by a pleasant afterglow.
She added: “Once in a supermarket I had to grab shelves for support.
“People looked at me strangely. Another time my friend simply mentioned my boyfriend. I began panicking.
“I’d already started orgasming and so I ran inside a shop.”
She said of her love life: “Henry found it funny at first, but now we can’t kiss passionately as it sets me off. He counts down from three then says: ‘Thar she blows!’ Bewildered Doctors
Doctors have struggled to identify what exactly causes P G A D.
In a 2012 study, MRI results showed that 66.7 per cent of women who demonstrate P G A D symptoms also had a Tarlov cyst - abnormal sacs filled with spinal fluid in the base of the spine.
PERSISTENT genital arousal disorder (P G A D) is spontaneous, persistent and unwanted genital arousal without any sexual desire or satisfaction.
Multiple orgasms over hours, days or weeks can be agonising for sufferers, offering no relief.
Scientists do not know what causes the condition, but suspect neurological, vascular, pharmacological or psychological causes may play a role.
Symptoms can persist for long periods of time, and include:pressure pain clitoral throbbing tingling vaginal congestion vaginal contractions spontaneous orgasms
The signs and symptoms can affect the vagina, labia, perineum and anus.
The condition can impact on a sufferer's work and home life, leaving many feeling embarrassed, and avoiding sexual relationships.
People who have P G A D can undergo cognitive behavioral therapy, to help identify what triggers the attacks, and to manage the ensuing anxiety.
Antidepressants and anti-seizure drugs have also been used as treatment, and - in the case of Tarlov cysts being presence, surgery could also work.
Today we’re talking about the thrill of ministering to your sex
partner’s wonderful playground right between two legs. And today we’re
discussing the oral delight to the mouth. This is the safest sex act
involving penetration. The first report comes from BareAmy83. She’s so
delighted for all the health benefits she derives from her man’s semen.
But it’s her story to tell, so here she is.
JT has a great message for guys who need some coaching on how to play a woman’s cunt like a concert violinist.
It comes with plenty of hope from us ladies, that you will pay attention and put the knowledge into practice.
Now, JT is in charge of the workshop. For the couples in the classroom, Get comfy and help each other. All we ask is that you keep the moaning down to a level where other students can still hear the guest lecturer. And now I give you JT Hammerhead.
There is perhaps no greater point of contention than the G-spot. Does it exist? Is it just a myth? How does it work?
The old world of centuries past, had a trusted process of passing on skills from one generation to the next. Apprenticeships were an effective way to learn through practice. The concept is still used in many trades, But today it also incorporates testing and demonstrations of skills acquired, in order to be certified by an oversight guild or trade association.
We’re instituting this same concept of mastery, to help lovers assess their progress in the art of erotic coupling.
Youthful pledges enter apprenticeships where they learn fundamental skills and benefit from supervised practice.
Many a woman has been subjected to shame & humiliation by an ignorant lover who assumes that the chick just pissed in bed, in the middle of lovemaking. The truth is, He caused it more than she did. And he should actually be proud of his superior coupling skills. Bless his darling heart and stupid head! Here’s an essay
Please Release Me, Let Me Flow. Men’s Guide To Female Ejaculation. Introduction and tips
Do you seek some physical confirmation that your bedroom skills are pushing your lady to the peak of desire? Are you delivering the zenith of BIG ‘O’s? When the blushed chest and moaning and screaming haven’t sufficed as proof, start exercising those arms, clip your nails and get your waders out…things are about to get real messy!
Men take ejaculation for granted. It’s like a 'liquid-trophy’ of man-hood, and the source of your future legacies and heirs. But cast your mind back to that very first time you managed to squeeze some 'Gentleman’s Gel’ from the end of your 'young chap’, I guarantee you might have been writhing in ecstasy, but you were also confused and maybe even a little ashamed. My boyfriend will admit to believing he’d somehow 'broken it’ when he finally popped his cork in his teen years. With females the climax has always been much harder to tell. After all, the female orgasm never had such a visible finale, or so you’ve been led to believe.
A skill possessed by most females but in reality admitted and permitted by few, female ejaculation is one of those few remaining taboos and 'un-tapped’ delights of the 21st century. You all know that your girl can’t help but spill the beans on your 'sexploits’ to her close circle of friends. She’ll be all too eager to divulge your size, expertise and finishing techniques, but never be fooled into thinking she’s dishing the dirt on herself. It’s strange but there are still some subjects considered too taboo to share over a bottle of wine, and depositing her 'load’ seems to be up there with rimming and fisting. In truth you are more likely to hear a guy discuss the pleasures of female ejaculation than you ever would a woman
History dating back as far back as the 2nd Century has detailed the ability of females to ejaculate during sex. Yet often when seeking medical counsel from doctors, gynecologists, and psychiatrists, these anxious ladies were invariably told they were incontinent and needed either surgery or psychotherapy. The belief and humiliation of it being linked to incontinence stripped any sexual satisfaction, often leaving the female ashamed. After all what girl wants to earn herself the reputation of an un-intentional 'bed wetter’? Even today’s UK Censors have been known to emit footage of females ejaculating from porn films, wrongly believing it to be urine and therefore fetish orientated. In fact what these ladies are actually achieving is the absolute pinnacle of female sexual pleasure. An ejaculatory orgasm, or 'squirting’ as now commonly referred, which renders them well and truly spent!
Most of us ladies who have experienced an ejaculation initially believed we’ve suffered from a leaky bladder. Instead of enjoying the sensation we were mortified to believe we had 'golden-showered’ our partner and indeed, in many cases so did you men. Lots of females, under thorough interrogation or clever coaxing will admit to having had an experience where they believed they’d 'leaked’ during sex. The feeling of ejaculating is not dissimilar to peeing, a shower of warm wet liquid and a feeling of intense release.
Often it’s the guy’s reaction to ejaculation that will determine any future releases. If he’s had previous experience, or at least understands what has actually just happened, things will be significantly less embarrassing for both parties. In truth, he has skillfully hit the lucky girls G-spot and her eternal font of pleasure. If however he jumps to his feet shouting 'Fucking-Hell! You’ve pissed yourself’, the chances are your girl will dry up like the Serengeti…as will your sex life.
It has taken almost 1,800 years for the subject, often considered an urban myth, to finally be an acceptable and willing bed partner. When it first started happening to me I was so paranoid I found myself looking at adult nappies in Boots Chemist surgical dressings department. You may snigger but I assure you, to a girl only in her twenties if you believe you’ve started to pee yourself during sex, it’s like the end of the world. No amount of Bulgari perfume is going hide the stench of piss sodden sheets.
For our part, the fairer sex has enjoyed and indulged the sexual revolution. We found our clitoris, and in increasing numbers so have men. We’ve stocked up on toys, some of us have even engaged in threesomes, swinging and discovered the delights of Fetishes. In a relatively short time women have been sexually liberated, and for the first time in history we can finally take the lead in the bedroom and dungeon. In 1981 when Newsweek published its editorial piece 'Just How the Sexes Differ’, it claimed the major difference was 'that men ejaculate, but women do not’. Oh! How naive they were. The actual difference between men and woman is that we can 'shoot’ more, and further than you. Soon teenage girls everywhere could be enjoying their own version of the 'Soggy Biscuit’ game.
Once released, the actual ejaculation itself can be a mind-blowing experience for both partners. Not only does the female get 'THE’ most intense orgasm, but also the lucky partner gets some serious dousing of love-juice. The amount of fluid 'squirted’ can vary considerably in volume. Most Doctors have settled between the 5ml and 100ml volume, but personal experience and others can testify to soaking a bath towel over the course of an evening. The amount varies as much as force of expulsion. My partner in particular will often receive a warm soaking of his balls. But on occasion, particularly during harder 'doggy style’ penetration I’ve managed to drench not only him, but also the soles of my feet and beyond. Something he’s definitely partial to.
In reality many men are fascinated with this so-called 'phenomenon’ adding to the growing 'ejaculating super-female’ urban myth. Legend has it that when Motley Crue drummer Tommy Lee started dating a girl named 'Bullwinkle’ it wasn’t her looks he was interested in, but her ability to 'spray her cum across the room’. That may also lead some credence to Pamela Andersons’ claim that guys’ can’t get enough of her 'trick pelvis’.
Equaling the tally for all those 'pearl necklaces’ has its satisfaction, especially ejaculating during oral and I’m becoming very adept at delivering my own version, a 'sparkling-choker’. But a price does have to be paid for all this pleasure. First of all it can present a new slant on the question of 'who sleeps on the wet patch?’ Especially when we are not talking about just a loving’ spoonful, but up to half a pint and bed linen that look like they should be displayed in the Tate Modern. Forget Tracy Emmin’s 'un-made bed’. Check out my sheets, I could give Jackson Pollock a run for his money!
There are a few ground rules to undertaking your quest. Do not set out believing there really is such a thing as the 'ejaculating super-female’, even if I personally would wear the t-shirt with pride. Most women can ejaculate but many don’t. In the same way that all women can orgasm even though some don’t, be it through physical or mental blockage, or just plain in-experience. When you guys first engaged in a 'five knuckle shuffle’ you got a result. It may have taken a while before you managed to produce your 'baby gravy’, but you still got hard and it captured your affections. The climax has always been much more hidden and complex in females, and as such, a source of infinite frustration in men. Giving rise to that ever popular question 'How was it for you?’ You seem to need to ask us!
There are indeed many complexes in achieving female ejaculation but it’s best to start with compatible partners. Both parties have to be sexually adventurous as some women claim that their partners will literally 'wilt when showered’. Other females, especially if you’ve just 'popped their cherry 'ade’, will still dive for the bathroom absolutely mortified and convinced they have committed an indiscretion. If the idea of water-sports has intrigued you in part but you’re not too keen on urine, female ejaculation could be your 'holy grail’.
Now, whoever said that condoms were passion killers has never tried a mattress protector, or jumping up halfway through a really good session to find a towel. Forget that decaying crusty sock you keep under the bed, which is covered in dead cultivations of 'man-milk’. If your girlfriend can squirt you will seriously need to upgrade. At one stage I even started obsessing about staining the mattress. This doesn’t happen but it does raise yet another issue of 'protection’.
Like in Yoga where one is taught to almost reverse ones breathing pattern, in sex the female needs to control another inbuilt reflex. The building of the 'ejaculation’ does feel very much like a desire to pee and as soon as the urethra starts to tingle, second nature kicks in. When squeezed The Pubococcygeus Muscle (try get your tongue around that!), prevents the bladder leaking. It is crucial for your girlfriend to oppose this contraction and actually bear down against it. This is not an easy concept to get your head around because if you bear against the muscle that prevents you peeing, surely that means you do. Not in this instance it seems. Contraction of the muscle in this instance actually stops an orgasm from building; pretty much the same way as squeezing the base of the penis and thinking momentarily of Anne Widdecombe does in men. It does not prevent further ejaculation, just postpones it. This is the first barrier you need to deal with. Don’t be under any illusions that your girlfriend will fill your mouth with milk & honey on command. If only life were that simple. Remember the hunt for the clitoris? Well if that equaled gaining an 'A’ level qualification, getting your girlfriend to 'squirt’ for the very first time is like obtaining a PhD.
The ejaculation itself does come through the urethra, the same tube used for urination. It is located just outside the vaginal opening. If you spread your ladies inner labia and trace your finger from just inside her pussy, up towards the clitoris, after about half an inch you can find a tiny hole. Almost a needle in a haystack, especially if your lady is unshaven. This is where the ejaculation fluid exits, but not where it originates. That’s the job of the 'Skene Gland’. The equivalent to a male prostate, which produces seminal fluid in males and it’s hidden between the G-spot and the clitoris. Although some insignificant traces of urine are evident, the composition is not that dissimilar to the fluid produced by the male prostate to keep all those hungry little 'baby-makers’ alive during male ejaculation.
The fluid can appear like either watered down milk or can be clear in composition. It in no way offers any contraception as the fluid is expelled outside the vagina. Therefore the only conceivable purpose of female ejaculation is for pleasure. And the pleasure is intense, in many cases far surpassing any previous best. Ejaculation can take place during both a clitoral and a vaginal orgasm, thus providing a magical 'third’ orgasm. If you are lost on the difference between a clitoral and a vaginal orgasm, you might want to ask your girlfriend; although if you really don’t know the difference, you probably won’t have a girlfriend to ask.
An ejaculation results from manipulation inside the vagina, as per a vaginal orgasm, but with an added jackpot. Giving the female an amazing double whammy orgasm. Sometimes after ejaculation the female can virtually pass out from the after-glow of forceful feelings. But don’t worry, unlike men, there’s usually more to follow. Give her a few minutes and she’ll be filling up like the office water cooler.
Obviously a starting point to your crusade is required. It usually helps to wait until your lucky lady is already aroused before declaring your honorable intentions. Place a towel on the bed to help absorb your 'baptism’. Each orgasm will deliver a different volume of liquid in all manner of directions and velocity. This can range in spectacle from a trickling 5ml to a turbulent 200ml (I no longer worry about my creative juices drying up, as I reckon with my other talents I could easily always get some freelance work with the fire service).
I would just also like to rectify a point here about another 'urban myth’ that we girls have been swallowing for years. When was it actually decided that the male load averaged at 10cc? Who were these 'specimens’? My boyfriend often cums so much I once actually accused him of being a freak. Bad etiquette I know, but sometimes I resemble the star attraction at a 'Bukakke’ club. I have literally eaten his humble pie though; first time I ejaculated over him he was perfecting his oral skills. I came so much he was thoroughly drenched. His hair, face and chest were totally dripping. The sheet showed perfectly where his head and torso had taken the brunt, leaving an outlined dry patch. He loved his 'baptism’ so much I counted 9 more ejaculations before rolling over, passing out and leaving him with the mess. Now there’s a novel occurrence. On other more adventurous occasions we have actually measured distances, managing up to 5ft of coverage; and I used to think the Bangkok ping-pong ball trick was impressive.
If you haven’t yet introduced toys to your relationship, fingers will be more than adequate for the job. Both can achieve the desired result but for first timers you will need to feel your way around, so you should probably leave the toys until later. Scrub your hands well. Trim and if necessary file your fingernails, you don’t want to cut the poor girl (Welders, Guitarists and Builders take note: your fingers are not often noted as 'hands that do dishes’. But this is one area you can truly exploit those textured fingertips). It can also help to exercise your arms and fingers a little; you do not want to find yourself huffing 'are you nearly there yet?’ Time should not be of essence during sex unless your girlfriends expecting a birthday telegram from the Queen.
Start off slowly with lots of foreplay, for both parties. Maneuver her onto her back with you positioned between her thighs. Using your fingers and tongue stimulate her clitoris. Wet your fingers and tweak her nipples to really get her going, whilst executing the best cunnilingus skills you can muster. When you sense her starting to get aroused, insert two fingers inside her with your palm facing upwards. Enter your fingers up to the second knuckle and bend upwards to create an L shape. Now gently probe around until you find a rough surface approximately 2 inches in length. This is the G-spot and is located directly behind the clitoris but inside her pussy.
When you literally 'hit the spot’, start to stroke this area and it should start too en-large. Ask her to let you know if she can feel any increase in intensity. If she can’t maybe you have the wrong area so keep looking. Don’t go mad, but you may be surprised at your partner’s thresholds. Try out differing degrees of pressure as you are probing, and if necessary use some lube. Massaging the clitoris with your thumb whilst doing this also increases stimulation. If she is having trouble relaxing or is becoming self-conscious be prepared to let her see that it’s also working for you. It helps to see that your fella is enjoying himself, and watching my guy 'box with his one-eyed champ is an absolute delight.
Your stroking may need some variety. You can work the two fingers together simultaneously or they can work in opposition like a finger walking exercise. Work around the whole area. An effective method is to combine the two previous suggestions followed by sliding your fingers in about an inch, before pulling out and sliding them back in. Start off slowly and build in speed. Don’t go too hard; you are not trying to fist her. Try stimulating her clitoris at the same time; trust me this is not a time for idle hands. Keep measuring her responses. Heavy breathing, deep moaning and contractions around your fingers are a good indication that something is working. When you feel her start to bear down, begin pumping your fingers faster. At some point hopefully your girlfriend will experience a desire to pee. This is what you are both aiming for. If she can bear down and positively encourage this, and your handy-work has been sufficient, things should get very wet.
This isn’t necessarily the best position to achieve ejaculation. The inside of a women’s vagina is shaped, sized and angled individually, a bit like the shape of the male member. Penetration from behind may definitely be the key. Do remember however that in this position you need to work palm down. It will be easier for you to work on her G-spot and massage her clit at the same time. Try different variations with hands, tongues and fingers. Remember, if you do become dis-heartened, this time there are prizes for her 'Cumming’ first. If fingers are not working, try using your thumb. Although initially it won’t reach the G-spot, if you stimulate her clitoris it will swell during arousal. Take two fingers and lay them either side of her clitoris, then position your thumb inside her forming a three-fingered claw. This allows for the curve between the forefinger and middle finger to apply pressure and friction to the clit. If you start to move your thumb and fingers in a pumping motion you will massage both clit and G-spot at the same time. When she starts to bear down increase your speed. Over time it is possible to control and even prevent ejaculation whilst still enjoying the orgasm, but that’s just plain criminal! 'Please release me, let me flow’ should be every female’s motto. If your girlfriend does manage to ejaculate it will, rest assured, catch you both by surprise. This is a significant moment for both of you, and if it’s either party’s first time, you will remember that moment of impact forever. The truly amazing bonus that evolution has granted us finally superior to males is that we can do it again and again. Be aware that in the same way we can have multiple orgasms, we can also have multiple ejaculations. Intensity and amount of fluid may vary with each individual orgasm until our supplies are depleted, but the sensations just get better. Being entered from behind whilst 'squirting’ provides the ultimate finishing touch. The smile of the man who is lucky enough to have his balls drenched by his ladies cum is definitely a Kodak moment.
Your girlfriend may not ejaculate every time she orgasms, and indeed a case is even documented where a lady approached her gynecologist believing she was ill because it had stopped happening. Pressure on the female to deliver can be intense, and can prevent ejaculation in the same way it happens to men. Relaxation, an open mind and willingness are the three key factors. If these elements all click the final result will most likely be the most pleasurable and intense orgasm she has ever experienced. Now just imagine being the guy able to deliver that!
After ejaculating your girlfriend will obviously, and hopefully, be a bit delirious for a few moments. It passes way too quickly so let her enjoy it before commencing with your wicked-way. She probably will want you to continue in a few seconds, or she may wish to have a breather. But I’m sure you will also wish to take a couple of seconds to comprehend the aftermath. As for achieving other ejaculations beyond this point, it’s a bit like riding a bike hopefully without the grazed knees.
Once perfected, don’t be surprised when she now starts to hassle you for oral. Yep! Equal rights! Which leads us nicely on to the etiquette of swallowing and taste. Like male ejaculate, the taste of lady-juice can vary from bitter to sweet according to diet, water consumption and a host of other environmental and biological factors. Male porn stars frequently abstain from alcohol or spicy food for a couple of days before a shoot to combat what is known as the 'gag factor’. It’s an assault on the ladies taste buds and will invariably produce a 'Spunk-purging’ reaction. But if you drink a pint of water and avoid spicy food, it’s not quite the delight of Evian, but it’s definitely more palatable. Well the same goes for us girls. On occasion it can taste sweet, on occasion bitter and at certain times of the month metallic…it is generally advised to avoid these times as you could end up earning your 'red wings’. Nuff said!
Here’s More About the female Ejaculation, written to help men understand that she didn’t just pee in bed. In fact, her body and soul just paid you the highest sexual compliment that you can ever get. Perhaps 90% of men will never know the accomplishment of bringing a woman to this high level of sexual ecstasy. Here’s an essay from Roissy. Squirting; She Can Do It!
In most stories Its mentioned how the women cum so hard it shoots out of their pussies. Not unlike a guy shooting ropes. It is all in the technique, and you can get there too. Whether you are a man who wants to see his lady just soak the hell out of the sheets or you’re a woman who would like to experience total indescribable bliss. Then you should read on.
A long time ago when the wife and I first started dating, almost fourteen years, we were like any other couple just starting a relationship. We would fuck our brains out every chance we got! The kitchen, the bedroom, the living room it didn’t really matter what room or what place, if we got a moment we took it. We thought our sex life was spectacular. Heck one night I remember ejaculating more than seven times. I couldn’t begin to tell you how many she had. We loved it all; oral, different positions, tie up games, fun with food, and even ventured into the swinging scene. We would read erotic novels or go on the computer to Literotica to find hot stories then play out the scenes. We had tried just about anything “normal” (because normal is relative) two people could do with each other. She would give me mind blowing orgasms with her mouth, cunt, and ass. I would eat her pussy till she couldn’t take anymore. Then one day we watched a movie, I can’t really recall what one it was but anyway, in this movie it showed a technique for making the woman cum so hard that her cum would actually squirt right out of her pussy. And let me tell ya, the look on the girl’s face when she was finished cumming was remarkable. It was a look of pure satisfaction. My wife asked me if I thought we should try the procedure and I said absolutely!
Now that you know how our sex elevated to frequent squirting, and let me tell you it is still a regular occurrence, let me explain how it is done! A pre-step to take before trying this method. Make sure to take a leak before you start. An emptied bladder is more responsive to sexual stimuli. You’ll understand more as we continue.
If you’re a woman who wants a higher degree of arousal and wet, mind-blowing multiple orgasms, let me talk to the man in your sex life. I have some special instructions to share.
This kind of arousal needs more than a massive cock to make it happen. Here’s how to get her off over and over, in a wild and wet session.
STEP 1: Make sure you’re both comfortable. Maybe a little wine, soft music, or perhaps a good erotic massage, it doesn’t matter, just as long as a woman is completely relaxed.
STEP 2: Do whatever it is you usually do to have a nice normal orgasm. If a female orgasm is having problems occurring, just skip right to STEP 4).
STEP 3: Make sure she is feeling very comfortable, it is key!
STEP 4: Start licking the woman’s clit and slide two fingers deep in her cunt. If your woman has a slightly bigger cunt opening, then increase the number of fingers being used.
STEP 5: Turn said fingers so that your palm is up facing you. (If a lady is trying to do this alone, she should have her palm against her pubic bone then bend the wrist so it points away from her body. Almost like are making a scoop.)
STEP 6: Push your fingers toward the ceiling. You want to turn your wrist like you are trying to start a motorcycle.
STEP 7: Run your fingers along this “wall”, feel for a small rough area. Believe it or not it kind of feels like a walnut. She will know the spot immediately.
STEP 8: Keep rubbing, increasing the speed and pressure as you do. Don’t rub too hard or too fast right off the start. Work up to it.
STEP 9: This is probably the most important one. When you do see your woman starting to get real excited, they might tell you to stop because they feel like they are about to pee. Remind them they have no pee in their bladder, and tell them to JUST RELAX and let it Go!
STEP 10: Take cover because you are about to be showered upon. My wife has squirted over three feet in the air lying on her back!!
So there you have it, lovers, ten steps to oblivion. I forgot to mention one thing. TOWELS, TOWELS, TOWELS! Or get a second set of sheets ready. And don’t whine about doing extra laundry, it is totally worth it.
I can’t promise this method will work for you but if you want to pursue a mind-blowing ecstasy, and never have before; why not give it a shot. We did, and the shooting hasn’t stopped since.
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
On the internet in general, there are several stories and guides
posted on the subject of giving blowjobs. Many of them are great and
give various techniques and opinions on how to enhance oral sex on a
guy. Once again, I'm not claiming to be an expert, especially at the
young age of 22, but I do have skill, experience and above all,
enthusiasm. In this post, I'm focusing on the deepthroating aspect
because I feel over time I have gotten pretty good at it and want to
pass my knowledge along so that I may help others.
It may be time to let the girls out of boob prison.
With Sam EscobaR, Tonilyn HornunG, & CQt Rose. Listen to the Podcast at How To Sex. With their pokey underwire, thick straps and sweat-trapping cups, bras are not always the most comfortable thing in the world. Sure, getting a bra that properly fits can do wonders for your boobs, but there's nothing quite like going without one.
While there are certainly some folks who simply can't go bra-free, whether it's due to comfort or size, the ones who can; seem to universally agree that it is supremely amazing — whether you do it in public or just in the comfort of your own home. As someone with large breasts who has recently started embracing the wonders of going braless, I am totally obsessed. Why? Let me count the ways.
We’re taking plenty of time for this issue, because it has a lot of myths, yet it impacts much of how we interact.
In the same way that busty women often carry themselves in a
confident aura, and often intimidate other women, Some men have a
confidence that is tied to their ‘package’. Men who don’t have
super-sized packages, sometimes feel a significant lack of confidence.
Never mind that longer, thicker men are usually denied uncomfortable
intercourse from many women. And they are almost always deprived of
alternative sex act like fellatio and anal penetration.
Some men are also adverse to the attention they draw for their larger
physiology; just as some women don’t like being stereotyped for having
big tits.
We’re taking plenty of time for this issue, because it has a lot of myths, yet it impacts much of how we interact.
In the same way that busty women often carry themselves in a confident aura, and often intimidate other women, Some men have a confidence that is tied to their ‘package’. Men who don’t have super-sized packages, sometimes feel a significant lack of confidence.
We’ve spent a good amount of time and attention on a man’s physiology
and the impact on sexuality. Now lets discuss a woman’s breasts. They
are often called tits, a term originating from the French word, tetons.
You’ve also heard the terms; boobs, knockers, puppies, milkers, bust,
mammaries, and other slang descriptives.
Let’s start by discussing the variety of female mammary glands,
worldwide. A global study recently published several findings. Let’s
look at what the Daily Mail website has to say.
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.
Written for all men who wish their wives/partners would have more sex with them, and for all women who wish the men in their lives knew how to really please them.
Frustration; it's a bitch; it can be good, really good, or very, very bad. The idea is to make the sexual frustration great for her, so that when the time comes, she is so wild for you, the sex is mind blowing for both of you. This can happen every time, if you know what to do, and how to approach her the right way.
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. However, some groups saw higher rates of STDs than others:People ages 15 to 24 accounted for 61 percent of chlamydia cases and 42 percent of gonorrhea cases. Gay and bisexual men accounted for nearly half of all primary and secondary syphilis cases.
Here’s what you need to know about how to spot, treat, and prevent STDs.
What Is the Definition of an STD?
“STDs are diseases that are passed from one person to another through sexual contact,” a representative of the CDC says.
According to the CDC, some of the common STDs are chlamydia, gonorrhea, herpes simplex virus type 2 (HSV-2), human immunodeficiency virus (HIV), human papillomavirus (HPV), and syphilis. "Many of these STDs do not show symptoms for a long time," per the CDC, "but they can still be harmful and passed on during sex.”
Virtually all STDs can be transmitted through anal, vaginal, or oral sex. In addition, some STDs can also be transmitted through close skin-to-skin contact, even if no intercourse occurs.
HPV, for example, can be spread through skin-to-skin touching. In addition, “Molluscum contagiosum, a viral skin disease, can be spread through sexual or casual contact, as can scabies, an itchy skin condition caused by a mite infestation. It is also possible to get scabies from an infected sleeping bag or bed,” says Edward W. Hook III, MD, an endowed professor of infectious disease translational research in the departments of medicine, epidemiology, and microbiology at the University of Alabama in Birmingham, who works with the CDC.
STDs don’t just affect the genital regions: “Oral herpes can be transmitted through oral and genital sex,” says Dr. Hook.
It is important to remember that STDs may have no symptoms. However, new vaginal or urethral discharge or a new rash after sexual contact should be evaluated by a medical professional.
When symptoms do occur, they can include the following:
Chlamydia Symptoms of chlamydia can include vaginal discharge in women, penile discharge in men, and burning during urination in men and women.
Gonorrhea Gonorrhea can cause thick, cloudy, or bloody discharge from the vagina or urethra, and pain or burning when peeing. If you have gonorrhea in your anus, it may cause itching in and around the anus, discharge from the anus, and pain when defecating. Gonorrhea in the throat may cause a sore throat.
Hepatitis B Acute hepatitis B can cause fever, fatigue, loss of appetite, nausea or vomiting, abdominal pain, dark urine, clay-colored bowel movements, joint pain, and jaundice (yellowing of the skin and whites of the eyes). Symptoms can appear anywhere from six weeks to six months following exposure to the hepatitis B virus. Chronic hepatitis B sometimes causes symptoms similar to acute disease.
Genital Herpes Signs of genital herpes typically include red bumps that develop into blisterlike sores in the genital area and sometimes on the buttocks or thighs. A new infection with HSV-2, the virus that causes most cases of genital herpes, may also cause flulike symptoms, including fever, headache, feeling tired and achy, and swollen glands.
Oral Herpes Symptoms of oral herpes can include itching of the mouth or lips, sores or blisters on the lips or inside the mouth, and flulike symptoms such as fever, headache, body aches, and swollen glands.
HIV Early symptoms of HIV infection can resemble those of the flu: fever, headache, muscle aches, and sore throat. They may also include swollen lymph nodes, diarrhea, nausea and vomiting, a fungal infection of the mouth, and a rash on the abdomen, arms, legs, or face. If HIV goes untreated, later symptoms can include fatigue, weight loss, night sweats, joint pain, short-term memory loss, and recurrent infections.
HPV Most strains of HPV cause no symptoms and are detected only after abnormal cells are discovered during a Pap smear. However, some types of HPV cause genital warts, which appear as skin-colored or whitish growths on the genitals or anus.
Molluscum Contagiosum Often the only sign of this skin disease is pink or flesh-colored bumps with a dimple (indentation) in the center. It is most common in children, who typically get it from skin-to-skin contact or from shared towels or similar items. In adults, it can be sexually transmitted.
Pubic Lice Symptoms of pubic lice include itching in the genital area, tiny bugs in your pubic hair, and visible nits (eggs) on hair shafts. Pubic lice can also infest the hair on legs, armpits, eyebrows, eyelashes, and other facial hair such as mustaches and beards.
Scabies This skin infestation causes intense itching that is typically worse at night. It can also cause small red bumps or a rash and raised lines on the skin where the mites have burrowed.
Syphilis In the primary stage, syphilis causes a painless sore, or ulcer, at the location the bacteria entered the body, often in the genital area. In the secondary stage of syphilis, a rash may occur on the torso and elsewhere on the body.
Trichomoniasis Another common STD, trichomoniasis is a parasitic infection that can cause burning and itching in the genital area for men and women as well as painful intercourse. Trich can also cause a smelly discharge and painful or frequent peeing.
Can I Have an STD and Not Know It?
Yes. Many STDs don’t cause any symptoms, especially during the early stages, so the only way to know for sure if you have one is to get tested. Keep in mind that you can get an STD from having sex with someone who has no symptoms and may not know they have an STD.
Are Adolescents Disproportionately Affected?
The CDC reports that half of newly reported cases of STDs occur in people between the ages of 15 and 24, noting that young women’s bodies are biologically more susceptible to STDs.
“Chlamydia and HPV are common as soon as you become sexually active,” Hook says. “Gonorrhea and genital herpes peak in the late twenties to thirties.”
All STDs, though, including HIV, can and do occur at any age.
When and How Often Should I Get Tested?
“Women should be tested for chlamydia on a regular basis. Some gynecologists test for it automatically, but not all do,” Hook says.
Testing for chlamydia, gonorrhea, and trichomoniasis involves collecting either a urine sample or a swab from the vagina or penis.
For other STDs, including HIV, syphilis, and genital herpes, blood testing is most accurate.
To test for HPV, a sample of cervical or anal cells must be collected.
How often an individual needs to be tested for STDs depends on their level of risk for infection.
The CDC recommends the following for testing for chlamydia:Annual screening in sexually active women age 25 and younger and in older women who are at an increased risk for infection because of a new sex partner or multiple sex partners Annual screening in men who have sex with men, based on exposure history, with more frequent screening in people at the highest risk Screening in all pregnant women at their first prenatal visit Annual screening in sexually active people living with HIV
The CDC's recommendations for gonorrhea testing include the following:Annual screening in sexually active women who are at risk for infection, which includes women ages 25 and younger Annual screening in men who have sex with men, based on exposure history, with more frequent screening in people at the highest risk Screening in all pregnant women under age 25 and older women who are at an increased risk Annual screening in sexually active people living with HIV
The CDC's recommendations regarding screening for syphilis include these guidelines:Screening in all pregnant women at their first prenatal visit Annual screening in men who have sex with men Annual screening in sexually active people living with HIV
In all cases, more frequent screening or screening for additional STDs may be appropriate for certain individuals, depending on their risk factors, including sexual behavior and how common a particular disease is in their area.
Where Can I Get Tested for STDs?
Your family doctor or ob-gyn should be able to do STD testing. In some areas, other options include specialized STD or sexual health clinics.
You can find locations in your area that offer fast, free, and confidential testing using the CDC’s Get Tested tool.
How Can I Protect Myself From Getting an STD?
Abstaining from all sexual contact is the only way to reduce your risk of STDs to zero. But the following measures can also help:Having only one sexual partner, and ensuring that person is monogamous too, lowers your risk of STDs. Proper use of a condom every time you have sex greatly reduces the risk of all STDs. Getting vaccinated against hepatitis B is the best way to avoid this viral infection. The hepatitis B vaccine can be given to people of any age. Getting the HPV vaccine protects you against strains of the virus that cause genital warts and cervical and other cancers. The HPV vaccine is routinely available to people ages 9 through 26. It is additionally approved for adults ages 27 through 45 but not routinely recommended. Adults age 27 or older who believe they would benefit from HPV vaccination should discuss it with their doctors.
What Are the Treatment Options for Common STDs?
Some STDs are curable with medical treatment, while others can be managed to control symptoms and reduce the risk of transmission.
These STDs can be cured with antibiotics:Chlamydia Gonorrhea Syphilis Trichomoniasis
STDs that can be cured with insecticides include the following:Pubic lice Scabies
STDs that can be managed with antiviral medication include these infections:Chronic hepatitis B Genital herpes HIV
When precancerous cells caused by HPV are found on the cervix, treatment may include watchful waiting or surgery to remove the abnormal tissue.
Does Having One STD Make You More Likely to Get Another?
“Having one STD does not predispose you to others, aside from the behavioral risks shared by all STDs,” says H. Hunter Handsfield, MD, a professor emeritus of medicine at the University of Washington Center for AIDS and STD in Seattle, who also served on the board of the American Sexual Health Association.
“However,” says Dr. Handsfield, “having genital herpes due to HSV-2, but not HSV-1, roughly doubles the risk of HIV if sexually exposed to the virus.”
What Happens If STDs Are Left Untreated?
“The longer something goes untreated, the more likely it is to cause complications,” Hook says. “Left untreated, infections from gonorrhea and chlamydia can travel from a woman’s cervix to her uterus and fallopian tubes, which may cause infertility.”
Untreated syphilis "can become neurosyphilis, causing neurological disease,” says Suzanne Fenske, MD, an assistant professor of obstetrics, gynecology, and reproductive science at the Icahn School of Medicine at Mount Sinai in New York City. Late-stage complications of syphilis also include aortic aneurysm and other cardiovascular problems.
Untreated HIV can impair the immune system’s ability to fight off infections and diseases, leading to so-called opportunistic infections, neurological complications, and sometimes cancer.
Untreated chronic hepatitis B can lead to liver failure, cirrhosis, liver cancer, and death.
Failing to treat STDs can have risks for future generations as well. Women who have herpes, chlamydia, gonorrhea, or syphilis can transmit the infection to their baby at birth, which is why testing for STDs; and following safer sex recommendations; during pregnancy is so important.
HIV can also be passed from mother to child during pregnancy, labor, or delivery, but the risk of transmission can be reduced if the mother takes antiretroviral drugs throughout her pregnancy and the baby receives HIV medicines for several weeks after birth.
Complications of STDs
Does the Number of Sexual Partners Affect My Chances of Getting an STD?
“As a broad rule, more partners means higher risk,” Handsfield says. “However, there are innumerable exceptions. Some people have 100 or more partners per year and remain free of most if not all STDs. Others have one or two partners and multiple infections over time.”
The bottom line is to use condoms or dental dams (small sheets of latex) to lower your risk and discuss STD testing with your medical provider if you are sexually active.
Can STDs Recur?
A curable STD that has been treated correctly will not recur, but it is possible to get the same STD again. In fact, it’s fairly common. To avoid getting the same STD again, your sexual partner, or partners, must also be treated. And to avoid getting the same or other STDs after treatment, practice safer sex, including using condoms each time you have sex.
The good news is that getting infected more than once does not appear to cause more long-term complications.
“In women, a second or third infection with chlamydia may raise the risk of complications like pelvic inflammatory disease,” says Handsfield. “But for the most part, people with multiple episodes of STDs do not fare any worse than after the first infection.”
Chlamydia: Often a Silent Disease
Many people don't realize they have chlamydia because they don't experience symptoms. That's why the condition is often called a silent infection. But untreated chlamydia can cause serious complications in both men and women, including ectopic pregnancy in women. To prevent such complications, young women and men at high risk of chlamydia are advised to get tested for it yearly.
Genital Herpes: A Lifelong Infection
An easily transmitted disease, genital herpes is caused by a virus that stays in the body for life. The infection can cause painful sores to form on the genitals, thighs, or buttocks, but the severity of symptoms ranges widely from no symptoms at all to recurring sores, painful urination, and flulike symptoms. Medication can prevent or shorten outbreaks, as well as lower the chance of passing the virus to a sexual partner.
Gonorrhea: Still Curable, but Antibiotic Resistance Is a Problem
Gonorrhea is highly contagious and, like chlamydia, may cause mild or no symptoms. If left untreated, though, it can cause serious complications, including pelvic inflammatory disease in women and epididymitis in men. While gonorrhea is curable, some strains of the bacteria that cause it have become resistant to most antibiotics.
As of December 2020, the CDC recommends a single 500-milligram (mg) intramuscular dose of the antibiotic Rocephin (ceftriaxone) for uncomplicated gonorrhea. Treatment for coinfection with Chlamydia trachomatis with oral doxycycline (100 mg twice daily for seven days) should be administered when chlamydial infection has not been excluded.
Hepatitis B: Disease of the Liver
Hepatitis is an inflammation of the liver, and the hepatitis B virus is one of several viral causes of hepatitis. There are also nonviral causes. In the United States, infants have been routinely vaccinated against hepatitis B since 1991, and the rate of acute hepatitis B in the United States has plummeted since then. Worldwide, however, chronic hepatitis B infection is common.
HIV: Incurable but Preventable
HIV is a virus that attacks the body's immune system, impairing its ability to fight off infections and diseases over time. The final stage of HIV infection is called acquired immunodeficiency syndrome, or AIDS. AIDS is a life-threatening disease. You can reduce your risk of getting sexually transmitted HIV by using condoms correctly and consistently.
Just about everyone who is or has been sexually active has had HPV at some point. In most cases, the virus clears up on its own, but when it doesn’t, it can cause genital warts and a variety of types of cancers, depending on which strain of the virus you have. The Gardasil 9 (HPV 9-valent) vaccine protects against both warts and cancer and is approved for adolescents and young adults.
Molluscum Contagiosum: May Clear on Its Own
This viral infection can be sexually transmitted or spread through contact with infected skin or contaminated objects, such as towels and toys. It can also be spread from one area of the body to another by touching a lesion then an unaffected area of skin. In many cases it goes away on its own, but treatments are available if it doesn’t.
Syphilis: Life-Threatening if Not Treated
Syphilis is a bacterial infection that is growing more common in the United States, particularly among men who have sex with men. It can be cured with penicillin or, in the case of a penicillin allergy, other antibiotics. Left untreated, syphilis can affect the heart and brain and be life-threatening. Syphilis that is passed from mother to infant (congenital syphilis) is also a severe, life-threatening condition.
Trichomoniasis: A Parasitic Infection
Trichomoniasis is more common in women, particularly young women, than men. The parasite that causes trichomoniasis can infect the penis or vagina but not the mouth, anus, or other body parts. While symptoms of trichomoniasis may raise a medical provider’s suspicions, a definitive diagnosis requires a laboratory test.
