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Sunday, April 17, 2011

Ovidrel and pregnancy symptoms

Emigrating must be a bit like having a sex change, says Susan Erasmus.

The Sexologist deals with some very real sex questions.

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Post a question to our new Fertility expert.

Tertia Albertyn, who has published a book on her battle with infertility, shares her story here. You are welcome to post questions to her on this forum.

Visit our new Adoption Support Forum.

By using this forum, you agree to refrain from aggressive or abusive behaviour while Health24 is hosting you. You agree to refrain from using expletives, or in any way libelling any other user, or defaming any person or institution. IF YOU DO NOT AGREE TO THESE CONDITIONS, PLEASE DO NOT USE THIS FORUM.

Subject: Ovidrel and pregnancy symptoms Posted by: Jenny | 18/3/2011

I just want to know how many of you''ve had the Ovidrel shot?

I had my 1st on 10 March, and I''ve got extremely sensitive nipples now. Also some bloating and more vaginal discharge than normal during this point of my cycle. Clearblue digital hpt was positive today (8 Days after injection), not sure if it''s due to injection or if it is a real positive.

I am the mom of an amazing 2year old boy, and we''ve been TTC for 15mnths (with 2 miscarriages in that time).

I''m not loving this 2 week wait, and any advice or similar experiences would be greatly appreciated!


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TOOOO SOFT

Emigrating must be a bit like having a sex change, says Susan Erasmus.

The Sexologist deals with some very real sex questions.

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Posted by: AHA | 14/4/2011

MY BOYFRIEND GETS AROUSED BUT HIS PENNIS DOES NOT GET HARD.... IT JUST TOOO SOFT FOR SOMEONE WHO IS AROUSED.... I HAVE TRIED EVERYTHING, BLOW JOB ETC.... BUT STILL NOTHING.... IS THIS NORMAL? PLEASE HELP......

Posted by: Sexologist | 15/4/2011
Don?t be too hard on yourself; there are many women who have not masturbated before or who does not feel comfortable with it. What you could do to is to take time to explore your own body ? visit the following website www.sexualhealth.co.za and look under sexual assignments (self exploration). The better you know your own body the more exciting it is to explore ways together with your partner.

You are welcome to phone our helpline ? 0860100262 where you could be assisted in finding a practitioner as close as possible to you.

Posted by: Jack | 15/4/2011
no it is not normal,he must go for a check up, how old is he? Posted by: AHA | 15/4/2011
he is 25 Posted by: Chris | 15/4/2011
Hi AHA, im 52 and me ind the wife still does it 3 to 4 times a week, I get rock hard just thinking of having sex, your b/f has a problem, he must go and see a doctor.

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suiciide and infertility

Emigrating must be a bit like having a sex change, says Susan Erasmus.

The Sexologist deals with some very real sex questions.

Sign up for our newsletter to get all the latest Health news

Post a question to our new Fertility expert.

Tertia Albertyn, who has published a book on her battle with infertility, shares her story here. You are welcome to post questions to her on this forum.

Visit our new Adoption Support Forum.

By using this forum, you agree to refrain from aggressive or abusive behaviour while Health24 is hosting you. You agree to refrain from using expletives, or in any way libelling any other user, or defaming any person or institution. IF YOU DO NOT AGREE TO THESE CONDITIONS, PLEASE DO NOT USE THIS FORUM.

Subject: suiciide and infertility Posted by: cruise | 19/3/2011

how do I run away from all this pain. Endometriosis, inferility, operations, pain everyday, tired of taking pain killers and tired of operations. Dead people dont suffer like me. How do I get out?

Subject: RE: suiciide and infertility Posted by: Ntob | 22/3/2011
As much as it is hard, please DO NOT think of taking your life, you are not alone, I guess God know all our purpose in this world. Only people of this world can make you feel like your life is not worth living, find something to concentrate your life on, there is more to life than babies.

Just hang in there!

Subject: RE: suiciide and infertility Posted by: KAY | 24/3/2011
I have been there as well,been for every kind of treatment possible with no positive result. 7 years into all the failed treatments, I decided to adopt. It was the best decision I ever made. My life is complete now and I don''t have suicidal thoughts anymore. We were not all meant to be birth mothers. My child was born from my heart. I wish you all the best, and remember, somebody out there needs you
Subject: RE: suiciide and infertility Posted by: Visitor | 6/4/2011
I hope you feel better now. I know the despair you can feel while going through this process but don''t allow it to push you over the hill. You have life so there is hope, the dead have no hope anymore. Decide if you want to go on trying and if so, have faith in God, e can make it hapen, he did it for me. Or you may go the adoption route, I have seen it in family as well that it is very satisfying, you still get to be a mother. Take a decision, have faith anf hope in God.

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Sexologist

Emigrating must be a bit like having a sex change, says Susan Erasmus.

The Sexologist deals with some very real sex questions.

Sign up for our newsletter to get all the latest Health news

Posted by: Peter | 15/4/2011

Did you read the post 336 properly?

Posted by: Chris758 | 15/4/2011
Sexologist swopped the two replies! Posted by: ABC | 15/4/2011
The sexologist swopped all the questions replies.

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If you haven't asked a sexual partner about STI testing, what's the main reason why?

Submitted by Heather Corinna on Wed, 2011-04-13 17:24
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HIV-AIDS

Emigrating must be a bit like having a sex change, says Susan Erasmus.

The Sexologist deals with some very real sex questions.

Sign up for our newsletter to get all the latest Health news

Posted by: vima | 14/4/2011

HI DOC. I''M A CONCERN PERSON ABOUT HIV,I WANT TO KNOW FROM YOU THAT IS IT POSIBLE FOR ONE NOT TO CONTACT HIV WHILE HAVING SEX WITH AN HIV PERSON BUT ONLY CONTACTED WITH STD''S SUCH AS GHONOREA INSTEAD? I NEED YOUR HELP.THIS MY 2ND QNS IN A ROW AND NEVER GOT REPELIED.

Posted by: Sexologist | 15/4/2011
The intense orgasms indicates that the contraction of muscles is quite strong and intense and our bodies do not quite operate isolated; so it most probably also impacts on her stomach muscles. It might be helpful for her to explore ?Kegel exercises? ? you can google it and you will get several sites explaining it. The Kegel exercises specifically targets the voluntary contraction and control over the PC muscles (the muscles directly involved with sex. The more she gains control over her PC muscles; the more she will be able to focus the intense contraction of the muscles involved instead of putting strain on all the other muscles. Should she experience still discomfort it might be wise to consult with a medical doctor for a thorough examination.

You are welcome to phone our helpline ? 0860100262 where you could be assisted in finding a practitioner as close as possible to you.
Furthermore you are welcome to visit the following website for any more sexual health information and assignments that could be helpful: www.sexualhealth.co.za


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rhino fertilty clinc

Emigrating must be a bit like having a sex change, says Susan Erasmus.

The Sexologist deals with some very real sex questions.

Sign up for our newsletter to get all the latest Health news

Post a question to our new Fertility expert.

Tertia Albertyn, who has published a book on her battle with infertility, shares her story here. You are welcome to post questions to her on this forum.

Visit our new Adoption Support Forum.

By using this forum, you agree to refrain from aggressive or abusive behaviour while Health24 is hosting you. You agree to refrain from using expletives, or in any way libelling any other user, or defaming any person or institution. IF YOU DO NOT AGREE TO THESE CONDITIONS, PLEASE DO NOT USE THIS FORUM.

Posted by: MELODY | 22/2/2011

hi& mdash -i need advice has any one heard of rhino fertilty clinc are they good cause i am planning to go there as i have been trying to concieve for more than 3yrs afteri miscarried. and they prices are reasonable compared to the other facilities


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Saturday, April 16, 2011

How Can a Lesbian Have Sex With a Dyke? (Or, How Good Consent & Communication is the Answer to Everything for Everyone)

Sun11 asks:

I'm a 19 year old lesbian ("Lipstick") and my girl friend is a "Dyke" and I know she has had previous partners and well so have I but never a Dyke. I'm scared of what may happen when we actually do have sex. What if I do something she's not comfortable with? Matter of fact what do I do if I do? I'm scared that I'll completely blow it and ruin our sexual relationship.

Heather Corinna replies:

Words for gender, sexual or other kinds of identity don't usually mean the same things to all people. In fact, they very, very rarely do.

Those words also can never tell us all or even most of what someone is comfortable with sexually, what their sexual boundaries and limits are and what they are and are not interested in doing sexually. All of those things are complex, very individual, and often situational, and words like lesbian or dyke are only very broad shorthand. Shorthand has its uses, for sure, but it can never sum a whole person up or do a good job of telling us or expressing all there is to know and all we need to know about some of the most complex parts of ourselves and others.

I can't know for sure what the words you are using here mean to you or to your girlfriend. To some people, lesbian and dyke mean the exact same thing -- as in, both are words to describe homosexual or queer women; women who attracted to other women sexually and romantically. To others, they aren't synonyms, but mean or describe different things or a different way of experiencing or identifying something similar. For some people, those words are just about sexual orientation. For others, they're also about gender identity. And whether they're about just one of those things, both of those things, or more than those things, it's never sound to assume that everyone experiences or defines those words or identities the same way.

For instance, while you may have been with other partners who have identified as lipstick lesbians like you do, they probably did not have the exact same experience of that, and certainly all didn't like exactly the same things you did sexually the exact same way, or have exactly the experience you had sexually, because you're still different people, even if you used the same terms to define yourself. Just like I suspect that if both you and I identify as women, what that means to us and what our experiences have been as women have likely been very different, the same goes here.

I'm guessing from your context that you're saying you're femme and your girlfriend is butch, and that until now, you have only been with other femme women. If I'm wrong in that, by all means, email me back with some more information and I'll have another go at this. After all, I've known femme lesbians who identify as dykes, women who identify as lipstick dykes, a butch woman who wore lipstick, as well as dykes who didn't identify as women at all, so just because you ID the way you do and your girlfriend IDs as a dyke doesn't mean she's butch, identifies that way, isn't femme or lipstick herself or is all that different from you. She likely is different from you in many ways just because you're different people, and how different you are based only on two different words you're each using for your identities is totally up for grabs.

If butch/femme or something like it is what we're talking about here, know those are also words and identities that, like the other words we talked about, don't mean the same thing to everyone, and where everyone's experience of being femme or butch are not the same. Same goes for relationships between people who are femme and people who are butch: there's not one way of doing that or experiencing that.

What it sounds like you might be saying at the core of this is that you feel that your sexual identity and your girlfriend's sexual identity seem radically different, perhaps even opposite in some ways, and hers is so unfamiliar to you that you feel clueless, especially when it comes to sex.

If you're feeling like there's some Big Butch Book of Sex that you haven't read and feel like a dolt without, know that there is no such book (even though there are plenty of books about being butch). There's only a guidebook that explains what your girlfriend is and isn't comfortable with, and how her identity is part of that, if she wrote one herself.

Even if you'd dated someone who identifies like she does in the past, it wouldn't be sound to assume you could know or did know the things you don't know now based on one word, how she dresses or otherwise presents, or on her gender identity just because they did feel more familiar to you. If you made assumptions about her based on other dykes you'd dated, you'd be far more likely to be wrong than right much of the time. You'd also miss out on the opportunity to really get to know who someone is uniquely, which is what can make romantic and sexual relationships rich experiences in the first place. I don't know about you, but sex with a stereotype sounds a lot less fun, exciting and deep to me than sex with a person does.

I'm not sure what your expectations are here, but I'm concerned you're saying you feel scared of being sexual with this person. That right there tells me that before you two even start getting sexual, you'll want to do a few things.

First, you'll want to think about why you're feeling so scared right now. Is this a healthy relationship? If it's not, that's one common and very valid reason for feeling scared. If that is the reason, or you're not sure, then your best bet is not to further the relationship right now, period, but to move away from it, even if that just means giving yourself some space and time where you figure out that it is healthy, and you really don't need to be afraid of this person.

If you know your relationship is a healthy one and that this is a safe person, I'd say the next step is to just check in and see if maybe it's about not feeling ready to get sexual with this partner just yet, or not being in a good space in your own head, heart or life right now for sex with a partner, period. After all, sometimes the timing of a cool person coming along can suck and happen when our heads, hearts or lives just aren't in a good place for a new relationship or sex with someone.

If you rule those things out, then what seems most likely is just that you feel intimidated because she's new to you and her identity is new to you. If you've never felt this way about a new partner before, consider this a bit of a wakeup call: every new partner is new to us and unfamiliar, even if we make assumptions to the contrary. And when we want to do our best to do sexual relationships right, it's super-important we always keep that in mind and lead with that, knowing and understanding that we need to figure we're always a freshman with a new partner, never a senior.

So the last thing you'll want to do, which is more about starting a constantly ongoing process, is to establish and then maintain good communication. These things you're freaking out about don't have to be a mystery to you, and you don't have to go into sex together clueless. You just need to ask a lot of questions, listen, share your own input, feelings and feedback, and your partner needs to do the same. That's something everyone should be doing with every partner, even the partners they feel certain will want exactly what they do, be comfortable with exactly what they are or are some kind of long-lost identical twin. No one you're with is ever, ever going to be exactly like you, and the less you assume, the better your relationships and the sex in them will be for both of you.

I can't know what your girlfriend is and isn't comfortable with sexually, what she does or doesn't want, or how she likes things to go if and when any of her sexual partners do something sexually that makes her feel uncomfortable. But she probably knows, and she's the expert about herself. All you've got to do is start asking her so you can start finding out.

Sometimes starting communication with the "I don't know" can be really powerful. It usually feels good to know a partner isn't making assumptions about us, feels good to know someone has a real investment in finding out what we want and need and feels good to know that person we're talking about getting intimate with really wants to get to know us deeply and clearly, rather than just projecting any ideas they might have about who we are unto us. Those are all powerful, positive things. So is someone making clear that they don't think they know us without us telling them and showing them who we are. That's a big deal to everyone, but for those of us who are queer in any way, and often have so many quick assumptions made about us, and so many projections put on us by others, it can be ginormous.

So, you can tell her that you feel like you've never dated anyone just like her, and that you are feeling nervous about sex together because you don't know what she wants and feels comfortable with. You can tell her you want to find out, and that you also want to fill her in about all of that on your end, too. Then you are creating a beautiful invitation for her to show you who she is and for her to find out who you are. Again, that's all great, big-hearted, big-minded stuff.

Then you just start asking your questions, the ones you know you have now. No doubt, you'll have more questions and things you want to find out as you continue your relationship, too, but you don't have to try and predict what those will be. You just need to get started right where you are. She'll probably have her own questions, too, since you two are clearly still just getting to know each other, and she's no mind-reader, either. This also, even just getting started, is likely to involve more than just one conversation.

Some of the places you might get started with are in talking about things you each know, for now, you are and are not comfortable with. Then you can each talk about what you find or feel you need if and when someone oversteps your lines or boundaries on accident, or does something that makes you feel sexually uncomfortable. If you have questions about what, if any, roles she expects when it comes to both of your identities and sex together, you can ask about that. And by all means, if anything comes up in these talks where either of you have some conflicts, you can start working through that together, even before you get sexual at all.

One thing I want to make sure you know is that no one should ever feel like they can't have a learning curve in sexual relationships or can't make "mistakes." Sex is something we learn with partners, not something we can ever just know walking in, even if we've had hundreds of partners before. I put "mistakes" in quotes because I think mistake isn't even the right word for something like experimenting with something sexual someone enthusiastically consented to and having them not be into it or find they feel uncomfortable. It's kind of like putting effort into making a meal that just doesn't turn out to be all that, or that you like, but someone else isn't that keen on. It's just not a big deal, and not even a mistake so much as a difference in tastes and experiences.

Hopefully you noticed that I said I was talking about things someone consented to do or try.

With any new partner, clear consent with words is so important. As a relationship goes on, we'll get to know each others nonverbal responses a bit better so, if we want, we can use consent-in-words less, but it's still always going to be core if we want to be sure we always have it -- and vice-versa -- and are not doing things a partner doesn't feel good about or doesn't want to be doing.

If we're always asking first, and our relationships are healthy, including an environment where we all know we never have to do anything sexual we don't really, really want to do, it's awfully hard to do anything someone isn't comfortable with or doesn't want. Sometimes we or partners may say yes to things and think they'll feel good or that we'll be comfortable, but then we'll find out when we try them at a given time that they don't feel good or we don't feel comfortable with them. If and when that happens, so long as our partners know they can always say to stop or adjust things, and we'll always respond to those requests, it's all good. Seriously.

Doing consent well is important with every partner you have and may have, no matter what their identity or yours is, whether they're different or similar. Any kind of partner is still a separate person, not you, so it's always important to be checking in about how you want to touch them and other ways you want o be and are being sexual together, continually assuring that whatever either of you wants to do, is going to do and/or is doing, you're both freely, willingly and gladly consenting.

And if and when we do wind up overstepping something unintentionally, or a partner simply has an experience where something makes them feel uncomfortable, both of which can still happen now and then even when none of us expect it, all we've usually got to do is be caring and kind. Responses like "Hey, I'm sorry that didn't work out for you, let's try something different," or "I thought that would feel right for us, too. Sorry it didn't. Do you need or want anything from me right now?" do the job just fine. That's it, just like when we accidentally say something in a way that hurts someone's feelings or step on someone's feet when we're dancing.

If you want to do the best you can to assure that any sexual relationship you have will be positive for everyone, then the very best things you can do are the kinds of things I'm suggesting here: laying a great foundation for consent, supporting and nurturing enthusiastic consent (rather than anyone saying yes to things out of feelings like obligation, guilt or fear), engaging in lots of honest, open conversation that includes asking a lot of questions, and always recognizing that any partner you have is an incredibly unique person who no one word or term is ever going to describe. If you do this stuff, I promise, you're not going to ruin anything.

If you haven't done all of that before, this may be one of life's special Ur Doin It Wrong moments. If this is miraculously the first time you've had one of those, know it won't likely be the last, especially with interpersonal relationships, where most of us have about a billion of those moments in a lifetime. We're all constantly learning, and sometimes we don't recognize ways we have or have not been doing things until we're presented with a new person or situation that makes it clear. It seems to me that this relationship may well be presenting you with some pretty awesome opportunities for some serious positives you might not have otherwise created and experienced. How cool is that?

I'm going to leave you with a few links to look over, including a worksheet you both could use together, if you like, to help you get started in finding out what sexual activities both of you may or may not be interested in, how you each like to sexually communicate, and some other aspects of personal sexuality we'll want to get to know with partners. I think you might also find the links about doing consent well and communication helpful.


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Never masturbated

Emigrating must be a bit like having a sex change, says Susan Erasmus.

The Sexologist deals with some very real sex questions.

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Posted by: Chez | 14/4/2011

Hi Doc,

I have a healthy and satisfying sexlife with my boyfriend. We''ve been together for 3yrs and still go at it like rabbits. Im 35 and he''s 37.

Just wondering - i have NEVER masturbated. Havnt even had the urge or wanting to experiment. My girlfriends suggested i lay infront of my bf and masturbate coz men LOVE that, but just thinking about it - i get shy, besides - i wouldnt know what to do!!

My firends dont believe me when i say i have never masturbated, but seriously - i havnt.

Posted by: Sexologist | 15/4/2011
By the sound of it; your boyfriend could definitely benefit from seeking the professional assistance from a medical doctor. There are techniques and medication that could effectively address this. You are welcome to phone our helpline ? 0860100262 where you could be assisted in finding a practitioner as close as possible to you.
Furthermore you are welcome to visit the following website for any more sexual health information and assignments that could be helpful: www.sexualhealth.co.za
Subject: RE: Never masturbated Posted by: Jack | 15/4/2011
There is no problem if you dont do it, as you say you and your bf enjoy your sex life. So dont let other people tell you to do it, my wife also never did that and I dont expect her to do it. Subject: RE: Never masturbated Posted by: Kkk | 15/4/2011
CS did you read the post? I don''t think so - I think you kinda missed it, please revisit it.

View the original article here

When you use the pill, do you still have to use condoms?

I'm and 18 years old and have been having sex for a year and been on the pill for about a year. I take my birth control like a ritual at the same time every day (the combination pill). Sometime my boyfriend and I don't use a condom in the beginning to get him hard then we always put one on. My question is, when on the pill do you absolutely have to use condoms? They say that every time you have sex you NEED to use a condom. I know it is the most effective way, but I thought that the one of the points of the pill is so you don't need to use a condom.

We get asked about this a lot; about whether once you have a more effective method of contraception than condoms, like a hormonal method or IUD, if they're still needed to prevent pregnancy.

The only right answer to that question, no matter who asks it, is that it really depends on what you and your partner want and need.

All methods of contraception, including condoms, can prevent pregnancy, but some methods are more effective than others. If someone had to choose between condoms and the pill, and just wanted to choose one based ONLY on which was the more effective method of the two in preventing pregnancy when used properly, then they'd choose the pill, because it's more effective in both typical and perfect use. But that's not usually the only factor in people's decisions about contraception or condom use, and plenty of people don't have to choose just one.

If you want the most effective, foolproof protection you can get from unwanted pregnancy and still want to have the kinds of sex that present pregnancy risks, then you'll want to use dual protection: to use two methods, not just one, because using two is always more effective. If you're comfortable with or prefer less protection than two methods can offer, then it's okay to only use one method.

There are no have-to's here, there's just what you want to choose to do as an individual, based on what you want, feel most comfortable with and are or are not willing to take a given level of risk with. If you need a little help making that decision, I can certainly walk you through some of that process, and give you some information that might help inform your choices.

How effective at preventing pregnancy a given method is is often one of the biggest, if not the biggest, factors for people making these choices. So, let's have a look at that first. The combined birth control pill is over 99% effective in perfect use, and 92% effective with typical use (same goes for the ring and the patch). With the pill, specifically, some studies have found that typical use rate is substantially lower for young adults younger than 19, but it sounds like you do use your pill properly, and have for some time, so that probably doesn't apply to you.

What any of those percents mean in the real world is this: 92% in typical use means that for every 100 women who report the pill is the method of contraception they have used in one year, 8 of them became pregnant while using that method, and 92 of them did not.

My best advice when people are trying to figure out if they're in perfect or typical use is to remember that perfect use rates are usually from controlled clinical trials, and typical use rates reflect self-reporting and more typical, real-life use, which includes things like taking a pill late or even missing one now and then in a given year (which is very common: taking a pill at exactly the same time for one whole year, never missing any, never throwing one up, and so forth is pretty tough to pull off). To be safest, it's usually best to consider typical use rates when choosing a method or methods, especially with an ongoing method like the pill where how you take it every single day influences your risks, not just how you take it on the day you have sex, unlike with something like condoms, where how you use it only matters each time you use it. To be sure that's clear, how someone used condoms three days ago has no impact on how well using condoms today will protect them, whereas how someone used the pill three days ago IS relevant to possible risks with sex they have today.

But if you know you use your pill as properly as possible, and have swung that for a year of use to know you can do so for a full year, if you average the typical use rate and the perfect use rate, you probably have a good sense of what your effectiveness is. For the combined pill, that'd be 95%.

Once you know the numbers like that, the question to ask yourself is if that's okay with you. Are you comfortable with something around that 5% in-one-year chance of pregnancy? If you are, then it's okay for you, according to you, to use the pill alone when it comes to preventing pregnancy.

If you're still on the fence and want a comparison, let's do the same math once you add a condom. Condoms are 98% effective in perfect use and 85% effective in typical use. We show estimated rates for using combined methods of contraception here. On that page, you'll see the combined rate for perfect use of both methods is 99.99% effective the estimated combined rate of both methods used more typically is 98.8%. If we do that same averaging we did with the pill, for those who use condoms really well, that gives us a 91.5% effectiveness. For those who use both methods very well, then we're looking at just over 99%, a little more than a 4 percent difference between using the pill alone, and just about the same effectiveness as the pill by itself in the kind of perfect use found in a controlled study.

Again, in more practical terms, that means that for 100 people using both the pill and condoms really well over one year, that probably less than one will become pregnant as opposed to five with the pill alone or close to nine with condoms alone. In both cases, that's a pretty big difference.

How big or small a difference that seems to you, though, is going to be about you. There are people who don't want to become pregnant and want to try and prevent it, but who also feel like it would not be the hugest deal if they became pregnant. There are other people who earnestly feel the world would come to an end and to whom pregnancy seems like the worst thing that could happen to them at a given time. Sometimes during one time or life or relationship, while we don't feel a pregnancy would be ideal, we feel like it would be okay and that whatever choice we might make, we could deal with that choice. Other times, for whatever reason, it really is just the last thing we want to have happen. I'd say that if and when you're in the world-will-end, last-thing-I can-deal-with group, that if you're going to have the kinds of sex where pregnancy is a risk, dual contraception is the way to go. If a possible pregnancy feels way less dire than that, then it's much more sound to consider only using one method.

This is something you can also talk with your partner about. There are a few reasons why some couples prefer using condoms, specifically, with another method to prevent pregnancy. One of the biggest perks is that then both people get to share responsibility and both people also get to have some control over the prevention of pregnancy. While a pregnancy can't impact your partners' body and health as it would yours, and often asks less of them in terms of the impact on their whole life, it still can have a big impact on their lives, no matter what choice you make with it, particularly should you become pregnant and choose to parent.

Some folks feel fine without that personal control of their own, while it makes other people really uncomfortable. Some folks also react particularly badly to an unintended pregnancy when they didn't have control: it's easy to blame the other person who had it when it happens, even when a birth control failure wasn't that person's fault. I also don't know what your feelings are about taking all the responsibility for birth control here. If you would rather it be shared, that's one reason to keep using condoms, but you also have the option of sharing responsibility for the method you're using alone, too, like having a partner split the bill for it.

You also might want to consider how much you and/or your partner tend to worry about this stuff. Any kind of worry or anxiety can impact the quality of our sex life and our whole life, so if using one less method = more worry for either of you, that may not be so ideal. If, on the other hand, using two methods alleviates worries, it may be a real positive. And if it seems to make no difference, then maybe this just isn't a factor for either of you at all.

How much you and your partner like using a given method and what kind of access you have to that method is often another factor. So, if the pill alone doesn't leave you feeling secure enough, but using condoms is an issue for any number of reasons, you might also bear in mind the pill isn't your only option and there are more effective methods than the pill, and, since the main difference with those others is mostly with typical use, far more goofproof ones.

You may have the option of choosing a method of contraception that's more foolproof and effective in typical use. Sometimes people use the pill just because it's the only method they knew about or the only one a healthcare provider suggested: I don't know if you've considered other methods or not. Depo-Provera injections, the contraceptive implant and IUDs all have much higher rates of effectiveness in typical use, because they're really, really hard to screw up as a user. With IUDs and implants, there's nothing you really need to do at all, save replacing them every five to ten years. With an injection, you only need to remember to go get a shot once every three months. So, if you want to ditch condoms, but in looking at all this, you feel like the pill isn't leaving you feeling secure enough, you can talk to your sexual/reproductive healthcare provider about some of these other, more effective, options. The healthcare provider you see for contraception is also always a great person to ask the questions you're asking me.

This also isn't a choice you have to make in any permanent way. You may find there are times in your life or relationships where you feel just fine using only one method, or this one method, and times when you feel a lot better backing your method up. And sometimes you may need to use a different method temporarily, like if you've got to or want to go off the pill for any reason or you did wind up missing pills or need to take a medication which may interact with the pill. So, don't feel like this is something you only get to decide once and have to stick to ever after: it's not. You can always change your mind based on any changes in your feelings or circumstances.

Last, but absolutely not least, one of the biggest differences between all other methods of contraception and condoms is that only condoms can reduce your risk of sexually transmitted infections.

Many young people immediately stop using condoms once they have another method of contraception, even if they haven't yet done all they need to to reduce their STI risks. For our readers at Scarleteen specifically, this is a pretty big deal since the age group with the highest rates of STIs are those in their teens and early 20s, with around one in every four people in that age group contracting an STI every year in the United States alone. The risks of STIs are pretty big at your age, and more often that not, it's the folks who worry least about them who tend to be the most at risk, since they also tend to be the folks who don't do enough, or anything, to reduce those risks, which includes using condoms and other barriers for any oral, vaginal and/or anal sex.

My best advice is always to figure that for as much as you're concerned about unwanted pregnancy, you want to be sure you're just as concerned about STIs, and doing just as much to prevent acquiring or transmitting infections as you are in trying to prevent pregnancy.

If you do want that extra protection, either from pregnancy, STIs or both, and your boyfriend is having issues with erection when condoms are on right from the start, know that practice with condoms usually does make perfect. If he gets used to having condoms on from start to finish, chances are that this won't stay an issue like it has been. Of course, you both also always have the option to spend more time before intercourse with sexual activities other than intercourse (or oral sex, if you want to reduce STI risks for that activity by using condoms with it) to get him, and you, more aroused before intercourse starts. You can also try different styles or brands of condoms, including the female condom, so that it's not even going on him at all. Just know that if you're going to use condoms, using them properly is very important, just like using your pill is. Proper use includes a condom being used from start to finish with sexual activities, not being put on or taken off halfway through.

Again, there are no have-to's here. There are just your personal choices, made either on your own -- you are the one who would potentially become pregnant, after all -- or with a partner. I think it's always wise to make these choices very carefully and with as much information as possible, and when it comes to preventing outcomes we don't want, we just want to be sure that whatever choices we do make really fit with what we most want, don't want, and what we do and don't all really feel ready to handle.

I'm going to leave you with a few links to give you more information about all methods of contraception, dual contraception, condoms and preventing sexually transmitted infections. With what I said already and all that extra information, you should be pretty well set to make a sound choice about this. But again, if you still feel like you need some more help, I'd strongly encourage you to talk to your sexual healthcare provider, too. Their job isn't just checking for illness and writing prescriptions, after all, it's also giving you health information.


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hard to orgasm

Emigrating must be a bit like having a sex change, says Susan Erasmus.

The Sexologist deals with some very real sex questions.

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Posted by: shannon | 15/4/2011

Our doctor has put my husband on anti depressants. He has been on them for a week now and has been experiencing all the common side effects. I have noticed since he started them he finds it extremely difficult to orgasm. Our sex life up until a week ago was great. Why is this and will it last for the entire 6 month duration that he is on the tablets? Is there anything he can take or do to counteract this horrible effect.

Posted by: MARK | 15/4/2011
WHEN U GIVE HIM A BLOW JOB DOES HE CUM...

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ectopi pregnancy

Emigrating must be a bit like having a sex change, says Susan Erasmus.

The Sexologist deals with some very real sex questions.

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Post a question to our new Fertility expert.

Tertia Albertyn, who has published a book on her battle with infertility, shares her story here. You are welcome to post questions to her on this forum.

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By using this forum, you agree to refrain from aggressive or abusive behaviour while Health24 is hosting you. You agree to refrain from using expletives, or in any way libelling any other user, or defaming any person or institution. IF YOU DO NOT AGREE TO THESE CONDITIONS, PLEASE DO NOT USE THIS FORUM.

Posted by: zanele | 23/2/2011

I found out I was 5 weeks pregnanct in november last year, however it was an ectopic pregnancy. Thus I had to go in for a surgery to remove my baby and I''m struggling to deal with the loss. to make matters worse, my boyfriend ( who was the father of my child) decided that he wasnt go to with the loss and decided to terminate the relationship. How do I get over this emotional turmoil? will I be pregnant again? what vitamins should I take in order to prevent this in the future? what else should I do in taking care of myself in order to make sure that I lessen the chances of this horrible experiece happening again in the near future. please help!!!

Posted by: Baby | 1/3/2011
That man is horrible but you need to learn a lesson now that no ring on the finger no baby, otherwise how will you cope with all this man dumping you at the slightest sight of misery. You can still be pregnant only one fallopian tube is damaged you still have another 1.
Posted by: Mpho | 20/3/2011
i did have the same problem of ectopic and i want a child more than anything and am 35yrs now ,is that possible that i can be pregnant again.
Posted by: Visitor | 1/4/2011
It is possible to fall pregnant again after an ectopic pregnancy, it happened to me and I now have a healthy prerfect little boy. Trust in the Lord ladies.

Sorry about your turmoil Zanele

Posted by: MINKIS | 13/4/2011
I WAS ALSO HAD SAME PROBLEM -I WAS PREG 2009 AND HAD TO GO FOR ECTOPI.AND IVE BEEN TRYING TO GET PREG AGAINN SINCE THEN AND NOTHING AND THE WORSE PART IM MARRIED AND NOW THERE SOME ROMOUS THAT MA HUSBY MADE ONOTHER GIRL PREG AND WE Are IN A LONG DISTANCE RELATIONSHIP .PLEASE HELP I REALLY DONT KNIOW WEATHER IM STRESSING TOO MUCH BECZ OF WHAT HAPPENED

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Wednesday, April 13, 2011

The Rules of Ooohs and Ahhhs (Hint: there aren't any)

Ohhhyess asks:

I think that I am on my way to being ready to have sex with my boyfriend but I am just worried about the whole moaning thing...during masturbation I sometimes moan, but mostly keep it quiet. Are you supposed to moan when having sex? If so, is there a technique to what you are saying or do you just do it?

Heather Corinna replies:

One of the biggest messages I (and most other sex educators I know) wish everyone would receive and embrace is that when it comes to how you express yourself sexually with things like this, there is no "supposed to." All there is, and should be, is what feels true and real for you, what you find feels good for you and what you find doesn't.

It's hard for people to really create and nurture a sexuality and sexual life that feels like their own -- like an expression of who they are, rather than who someone else is, looks or seems like -- and they enjoy if and when they're trying to follow someone else's script or somebody else's idea of how to be or respond sexually. If we were making a list of the top ten things that tend to keep people from having sex lives they really enjoy, focusing on responding to sex in ways they feel they should, rather than going with how they are really, truly, feeling and responding would be right up at the top.

Human sexuality and sex are so diverse because people are so diverse. No one sex life, way of having sex or way of responding to sex fits all. The trick is to explore and experiment to find out who we are sexually, how we feel, what we want, what we like and what feels right for us, very individually. If anyone expects sex with one partner to be just like sex with another, or thinks that the way they watched one person responding to sex is how everyone else is going to respond, they're going to need to adjust those expectations.

By all means, there are some parts of partnered sex where we can't just do our own thing, because we're not the only person there. There are ways we need to do our best to be mindful about how we behave sexually with others and ourselves to help prevent and avoid physical or emotional harm, and with some of those things, we may need to adjust how we'd behave if we weren't thinking about those things. For instance, even if it doesn't feel 100% natural to ask others for consent and verbalize our own, it's very important to do that. We need to make sure the things that feel good to us also feel good to others, so we can't just go with our own flow completely when someone else is also part of what's going on, who doesn't have the same body we do and who isn't the same person we are. If we don't want to take big risks with our health, we also need to keep safety in mind with any sex that we have, doing the things we can to reduce the risk of injury and illness for ourselves and our partners.

But when it comes to how you experience pleasure and respond to it in ways that aren't about things like safety, consent, and how far someone's leg can really go back behind their head or what they really do or don't want to risk with their life or body, there are no rules like you're thinking. No one is going to be harmed if you do or don't shave your legs, if your partner likes to keep his socks on or not, by what words you use for your gender or body parts or if you moan or you don't. (Well, not unless you're so loud you put someone at risk of being evicted from their apartment. Then you might want to turn it down a bit.) But otherwise? There's no supposed-to here: just what feels okay to you and to your partner on the whole and in the moment.

What's the technique with making sounds (or not)? You experience sex however you do at a given time, and if sounds feel like they want to come out of your mouth, you let them out. If they don't, you don't try and force it. You just be you, having whatever experience you're having, and you just let your vocal chords reflect that, like the rest of your body and the ways you express yourself. And you think about it enough to just make sure that whatever is coming out of your mouth isn't something likely to hurt the other person's feelings or make them feel unsafe.

It should always be okay to express yourself as you're feeling and as who you are sexually, even if it's different from who the other person is, what their previous partners have been like, or from what they might expect from you for some reason or another. So long as the way you express yourself sexually involves kindness, consideration and room for anyone else engaging in any kind of sex with you, sex is a place where you get to be yourself.

The fact of the matter is that, for the most part, sex is something with very few rules and regulations, unlike so much of the rest of life. For instance, there usually aren't any rights or wrongs with sex about things like:

what sounds to make or how soft or loud they arehow you dress or how much or how little you want to be undressedwhether your eyes are closed or openhow to groom yourself (like what you do with the hair on your head or anywhere else on your body, or if you do or don't wear lipstick)what to ask for or not to ask for, unless a partner has expressed boundaries about anything unwanted or off-limits for themwhat words to use for your own sexuality and identitywhat to like or what not to like; what to want and not wantwhat to reach orgasm from or not to reach orgasm from and when to reach orgasmwhen to start a sexual activity and when to stop, or how to position or touch someone else or yourself, beyond what feels good, comfortable and otherwise okay for each of you (and again, let's make sure we remember safety: ideally, you don't want to injure yourself or anyone else, physically or emotionally)how to feel

Sometimes you might find that any of those things or other things like them influence a partner's comfort or arousal (how turned on they are). That's the way in which you or someone else might have rules, boundaries or preferences with this stuff, and/or where you or someone else may need to make adjustments sometimes so you both feel able to be your real selves without stepping on the other.

If something you want to do or don't makes someone else feel unsafe or physically or emotionally uncomfortable, you can talk it through together, creating middle ground and/or boundaries that work for you both. Some things you or a partner might want to like might make the other so uncomfortable or turned off that you just don't do those things with that partner. You or a partner might sometimes need to make some adjustments so something that works for you but doesn't for them can work for you both. For instance, maybe you will find a partner is very quiet during sex, and while you're cool with that, it leaves you with less communication than you need or less responsiveness than you want. If that were the case, you could both brainstorm to find other ways to do those things that do work for both of you, like, for instance, having your partner talking about what they enjoyed most after sex, using words instead of moans, or engaging in more direct eye contact.

Compatibility can also be an issue here: we're not going to be a good sexual fit with everyone we have sexual, romantic or other feelings for. We're also not going to be super-turned on by absolutely everyone, and everyone isn't going to be super turned-on by us, either. If you ever find that however your sexuality and/or someone else's is just really doesn't seem to work for one or both of you -- whether that's about not feeling comfy or safe, not feeling able to be who you are, or just not feeling the buzz -- that's okay, too. You just will probably need to shift that relationship to one that's not sexual and seek out sexual partners who are a better fit for either of you.

What you will want to make sure you do, however you do it, is to communicate with partners in some clear way and that they do the same with you.

Without some ways of communicating, you can't do a good job of keeping each other safe and knowing what's working for each of you and what isn't so that you can enjoy yourselves. When you're masturbating, not only might you feel and respond differently than with sex with a partner, you don't need to communicate with anyone, since you can hear yourself in your own head. It's a different story with a partner.

Making noises is one way of communicating, sure, but since "Ooooh" can also sound a lot like "Oooof," and they tend to express two very different things, moans and groans alone only get us so far with communication, anyway. So, if you do find you're not a moaner, don't feel comfortable doing that or it takes you a while to feel comfortable making noises with someone, it's not like that means you can't communicate. Even if it turns out moaning and groaning feels great for you and you do it constantly, to have good sexual communication, you're going to need to say more than "Mmmm," or "Yeah, baby." The very clearest way to communicate with sex is with words, not just monosyllables, in whatever language you and your partners share and both understand. Ideally, we want to do that before, during and after sex in some way that lets everyone involved feel filled in.

My best advice with this as with so much of your sexual life is just to be authentic. In other words, to behave in whatever way feels real to you, feels really reflective of what you're feeling, rather than being something you fake or put on or do because you think that's what you should be doing. Chances are that during your life, with any kind of sex you're having, there will be times when you'll feel quiet, and times you'll feel loud. There will probably be times you choose to be one way or another and also times when you just do either without even realizing you are because you're deep in the moment. Aiming for authenticity also means making sure you're leaving room for a partner to respond (or not) in the ways that feel true and real for them, too.

That said, sometimes people enjoy being theatrical during sex -- and sometimes being so can feel like what's real in the moment, rather than someone trying to pretend to be someone they're not out of insecurity -- and there are a lot of ways to do role play, some of which include different ways of talking of vocalizing than we might do otherwise. So, don't feel like this isn't something you can't experiment and play with sometimes if you want: just like a lot of different parts of sex, it's always okay to try things differently now and then to see what they feel like for you.

I understand that having a lot of freedom of expression or being without clear direction can sometimes feel intimidating or even scary. Know that when a sexual scenario or partnership is really right for us, and we're doing a good job with consent and care for each other, it's always going to be okay and feel okay for us to experiment with things like this, even if we are a little vulnerable or even make an ass out of ourselves now and then. Like, if you find you're more quiet most of the time, or are mostly a gentle sigh-er, but one time feel the urge to yell "COWABUNGA!" to express your feelings during sex, it should be okay. Hilarious, sure, but still okay. It's okay (and usually fun!) to laugh or be goofy during sex. It's sex, after all, not a funeral service.

Now and then a partner may also ask you to try something that you wouldn't think to try yourself, and when that happens, you can either try whatever that is or decide not to. Sometimes we'll want to step a little out of our sexual comfort zones because we think it could be a good thing, while other times we won't, either because whatever that involved doesn't really rev our engine, or because even if we think it might, we're just not comfortable doing it. All of that is also okay, and once more, your best bet is just to lead with what feels most right for in in general and at that time, in that place, with that person.

If this or other things around your possible sexual responses still feels precarious to you or has you feeling insecure, you can talk together with your boyfriend about it. You could tell him that you are often quiet in your own masturbation and aren't sure about what sounds you will or won't make during sex with him, and need a little reassurance sounds or no sounds are okay, maybe even talk about how you are going to communicate together, which is a great idea, anyway, and would be even if you were the loudest moaner on earth. If you want to feel free in exploring what sounds you might make, you could ask for support in doing that, maybe giving him the same kind of permission and reassurance to explore what sounds he does or doesn't make, too. He may be thinking or worrying about this stuff just like you are, after all.

Last, but not least, if you find you're feeling pretty self-conscious about this, and really worried about doing sex right or wrong, you might just want to check in with yourself about your readiness for sexual activity with this person at this time in your life, relationship and sexuality.

How long or quickly it takes any of us to get comfortable being sexual with others is as individual as every other part of sex, and sometimes we may really want to be sexual with someone, and feel all the way there in some ways, but not others. For sure, it's common to be nervous or unsure about anything that's big and new to us, but if you're finding that you're really worried about things like this, and talking together doesn't really help, what you might want to do is just hold off a little longer or take more time with the ways of being physical or sexual you're already doing and feeling comfortable with to build more trust, comfort and confidence. If and when we ever think we might need a little more time before doing anything sexual, it's always a good idea to give ourselves that time.


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Tuesday, April 12, 2011

Have you heard of game? As in having game, spitting game or playing game?

Submitted by Heather Corinna on Thu, 2011-03-24 16:06
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How to Become an Expatriate of Owville

PaulaKristine asks:

I am a 20 year old female. I have been sexually active since I was 17. Every time I have sex whether I was in a relationship with them or not having sex hurt. When we first start to have sex it feels good, but after a few minutes it starts to hurt, feeling like the penis is hitting a wall. I can't last for more than around 5 minutes or the sex feels like intense pain. Also I have never has an orgasm while having sex, I just do not feel aroused in the same way while having sex, like I do when my clit is being played with. People tell me I just do not have sex often enough so I am not "stretched out" or "used to it" but it does not feel good to me at all, except for the first minute or 2. I don't understand why I don't enjoy sex like the rest of the human population.

Heather Corinna replies:

I want to start by debunking a few things, especially one thing you said which anyone who helps people with sexuality for their job hears all the time. That's what you said about the rest of the human population enjoying sex.

When we talk about sex as something people usually do because they enjoy it and experience pleasure, we're talking about ALL kinds of sex, not just intercourse. I hear you referring to intercourse as sex, but it's only one type of sex of many. For instance, if you or a partner are exploring sexual pleasure and feelings when you're playing with your clitoris, that's a kind of sex, and there are also many ways to do that, not just one: they're all kinds of sex and ways of engaging in sex. Let me back that up a bit more by qualifying that when we say something like "all kinds," we mean the range of different ways of being sexual which people can enjoy, even though almost no one will want, enjoy or find pleasure in every possible kind of sex all the time or in any given sexual situation. What we all do and don't like, enjoy and want not only varies from person to person, but also usually varies for any one person from moment to moment, day to day, relationship to relationship and time of life to time of life.

So, when you hear that most people really like sex? If you're hearing that as intercourse, know that's not quite right. Sex is a way bigger picture than just intercourse.

Almost every day, we hear from someone who isn't enjoying some kind of sex who feels certain that they're alone in that. You're not. If you have the idea that the whole wide world is all enjoying every kind of sex they have all of the time without any kind of physical or emotional pain, discomfort or dissatisfaction except for you, please know you're wrong. That'd be amazing -- not the part where everyone else is and you're not: the part where the vast majority of the world is having awesome sex all the time -- because I think the world would be a better place, and it'd sure make my workweek a lot less packed, but that's just not how it is.

Loads of people have troubles with sex, don't enjoy certain things, or have temporary or situational issues when it comes to not feeling what they'd like to feel with sex as a whole, or any one kind of sex. Like I said, that's not all always for the same reasons. Some people aren't feeling good because they don't feel good about their own sexuality or bodies, or because they're still learning what feels good and how to make clear and ask for what does with a partner, and how to nix what doesn't instead of doing things that they aren't into or aren't liking. Other people are in sexual partnerships that are anywhere from truly horrible and unhealthy to just not being a good sexual fit. Not everyone we have sexual feelings for or love will be a tight sexual partner for us, after all, because those feelings don't mean we'll like or want the same things sexually. Other folks have pain because of health conditions or ways their bodies work or don't work that aren't a good fit with certain sexual activities or ways of going about them. Some folks have those issues because they're focusing more on trying to do what a partner wants or what they think they're "supposed" to do with sex rather than leading with what they want to do and what feels good for them. When it comes to vaginal intercourse specifically, the majority of women will not each orgasm through that activity alone, and an awful lot don't find it to be all-that, especially when all-that is only-that.

With all of those reasons and more, for most people, dissatisfaction or lack of enjoyment is temporary, so long as they can figure out what the problem or issue is, either at any given moment or on the whole, and make whatever changes they or partners need to so things do start feeling good and they can enjoy themselves.

So this isn't just you, and while I'm all about a Utopian world where everyone except maybe one or two people are having the best time ever all the time, or better still, where everyone is, that's just not even close to reflective of reality. Sex can be complicated, we all live in a world that puts up a whole lot of road blocks to having it be simpler, and like anything else in life, it's not totally awesome all the time, and sometimes it can even really suck.

Let's do some more debunking while we're at it. The things people are saying to you aren't sound. More of an activity that's hurting is about the worst idea ever: it's only going to make it more likely you'll keep having pain. When things hurt sexually (and that's not what we're after), we want to step back, not keep pushing it. Intercourse also doesn't stretch the vaginal canal or opening out in any kind of permanent way. That anatomy is made of very stretchy, flexible tissue surrounded by powerful muscles. When you get excited, the opening and canal will usually lubricate, loosen up (or, more accurately, get more flexible), and your cervix will pull back while the back of your vagina "tents," making much more room in there than there is when you're not excited. When you're not excited or excited enough, or when nothing is inside the vagina anymore, it goes right back to the place it started very shortly -- boing! -- being no bigger or smaller than it was before, no matter how many times you have intercourse. Some things can have a more long-term impact on the elasticity of the vagina, like vaginal birth, some injuries, health conditions or medications, or the process of aging (and I'm talking about decades from now). But no kind of sex is one of those things, and seriously, penises just don't have that kind of power, however powerful they can make some people feel.

"Being used to it," is something else I'd toss out in the rubbish bin. People don't keep having intercourse gladly and willingly because it's something that hurts and they get used to that pain. For sure, sometimes that line between pain and pleasure can be murky and indistinct, but like I said before, continuing to do something that hurts is usually the way to stay in pain, not to make it go away.

Mind, sometimes it can take us a while to get used to certain sensations, and also to become emotionally and physically comfortable with sexual activities. But that's not because we somehow get used to pain and it magically becomes pleasure. For instance, I have crappy knees and flat feet. I've always wanted to be able to be a runner, and I tried many different ways to do it years ago: different pacing, different shoes, different terrain, and lo, that discomfort never changed, because my knees and feet never changed. Running just is not going to feel good to me, and that's okay: I've discovered a whole host of other ways of getting my ya-ya's out that work and feel great with my unique body.

We have a lot of pieces here already about pain with vaginal intercourse as well as about a lack of orgasm, especially with intercourse, so I'll link you to those at the end rather than totally reinventing the wheel here, but let me give you some places you can start.

While it's far more common that pain with intercourse is about what we are and aren't doing physically and about how we feel in our hearts and heads, sometimes, pain is about a physical issue, so it's always wise to go ahead and get checked out by a good sexual healthcare provider first, and to take a break from anything that hurts until you do. They can check to make sure you don't have any kind of infection, a vulval or vaginal pain condition or something with your health that's going to result in pain no matter what you do. If you do have something going on pertaining to your health that's causing pain, a provider can find out what it is and get you started with some kind of treatment, as well as advising you about how to move forward sexually to prevent pain.

If it turns out that this isn't about a health issue, there are a few basic things you'll want to check in about and try to get a start here.

1) Do you want to be having intercourse? A lot? I know that may sound like a strange question to you, but it's a very important one. Not everyone wants to have intercourse, or wants to do so every time they do. And wanting to want to isn't the same as actually wanting to. If you don't want to be having intercourse, if that's not an activity you feel a strong desire for, for yourself -- not because it's what a partner wants, not because you feel like it's something you should be doing because you think everyone is -- then it's not likely to feel good. So, you first always want to make sure, each and every time, that when you go to have intercourse, it's because you feel a deep desire, in your body and your mind, to be doing that in the first place. If and when you don't? You want to skip it until or unless those feelings change.

2) Make sure that you're turned on and you're staying turned on. If you stop feeling turned on in your head or never are there to begin with, the body tends to respond in kind: that vaginal flexibility, lubrication and the room your vagina makes inside usually goes kaput when you're not into sex of any kind or lose interest in what you're doing. That experience you're having when you talk about feeling like a penis is hitting a wall could be about a wrong angle or you needing to add more lubricant, but it could also be about hitting your cervix or the back of your vagina which, if you've lost your excitement, have come back down pretty close to your vaginal opening.

You say you don't feel turned on during intercourse, not like you do with other activities, so if that's the case, then that, all by itself, is probably the biggest part of why you're feeling pain and not pleasure.

So, what does turn you on? It sounds like you already know at least one thing, and there are probably more, both in terms of different sexual activities and different ways of feeling emotionally, fantasizing, and relating to a partner and having them relate to you. Whatever those things are, you want to make some of them part of the sex you have before and during intercourse (and after, too, if you want!). If you like your external clitoris being stimulated, then you can keep that going throughout intercourse with your hands, your partner's hands, how you position your bodies or with a sex toy. And if you think any of that sounds weird, trust me when I assure you that it's very common.

For whatever reason, some folks don't realize that when engaging in sexual activity, you don't have to only do one thing at a time, separating activities like picky eaters who keep bits of their dinner apart from each other on a plate so they don't slide together and get mixed up. Good sex is more often like a stew with everything all mixed in together, not like a TV dinner where each bit of food is separated from the other by partitions.

If you don't know already, know your body works the same way: it's not like any one body part exists in a vacuum: everything is connected to something else, and usually to a bunch of something-elses. For instance, your clitoris is probably bigger than you know: those parts you can see on the outside aren't all there is to it. There are parts of it the inside that surround your vaginal opening and canal, so when you get the kind of stimulus you like and need with the external portions, it usually amps up the internal portions, too, which can make intercourse feel a whole lot different, and usually much better.

3) How are you having intercourse? In other words, have you tried doing so a bunch of different ways, both when it comes to positioning, but also when it comes to combining it with other activities like I just talked about above or being in different emotional moods? Have you and your partners been really communicating, so you're always sharing what feels good and doesn't, and then you're both trying a host of things to follow what feels great and steer clear of what doesn't? It's particularly common for intercourse to be a dud or painful in partnerships where the sexual communication isn't open and/or where anyone feels like they need to let their partner just do whatever it is they want to do, or think they should be doing, rather than leading with what feels good for them as individuals.

Chances are there are ways having your external clitoris touched feels great, ways it only feels okay, ways it feels like nothing much is going on, and even ways it hurts. The same goes here, and for a couple reasons, sometimes it can be even more the case with this. For instance, the vaginal canal slopes back at an angle, and while there's some flexibility there, it has its limits: angles matter, so like with other sexual activities, we often have to both scooch around some to find what feels good. Our bodies don't always fit together all the same ways or the ways we'd like, and one position that felt good one day won't the next, so we've got to experiment. One other thing sometimes folks don't know is that it doesn't always feel good for a partner to go way deep with their penis: the vaginal canal does end, after all, so not every penis (or a given penis every day, since how aroused you are determines how much room there is back there, too) is going to feel good being all the way inside to the base.

So, if you and your partners aren't talking before, during and after intercourse about what feels good and what doesn't, and aren't really experimenting as you give that feedback -- like trying different angles, depth, positions, speeds, adding other activities to intercourse, adding more lubricant -- you also just may not have yet discovered what feels good with this and what doesn't yet because you've been limiting the ways you have been having intercourse. It can sometimes take more than a few years to find all that out, especially if you're not with the same partner for a long time, and every time we have a new partner, we start that learning process all over again in a lot of ways.

A really good rule, though, is that if something doesn't feel good? Don't do it. Seriously. If you have tried changing things up a lot and it still doesn't feel good? It may be that you've just discovered intercourse isn't your thing, just like anyone can find any given sexual activity isn't theirs; just like you can find that things you do with your body that feel good to you don't feel good for someone else.

No one has to have any one kind of sex, or have any given kind of sex any certain way. Just like it isn't required for guys to have receptive anal intercourse (where their bottom is the one someone is going inside of), or for anyone to have oral sex who doesn't like or want it, the same goes with intercourse. Not everyone likes it or wants to do it, either every time, or even at all. Finding out what feels good to us uniquely in general, but then also in any given partnership, and at any given time of life, even day-to-day, is a very individual process. We don't all have the same body or the same sexuality -- and both of those often change through our lives -- and also don't enjoy the same things with one partner we might with another. For sure, it'd be a lot more simple, and easier to answer questions like this, we all were exactly the same and never-changing, but it'd also sure make sex and sexuality a lot less interesting.

I'm going to leave you a batch of links to other pieces and answers about pain and lack of orgasm with intercourse if you want to dig in deeper. But what I'd also suggest is that you just take some time to think about what you do and don't really like and want, and to focus on those things, spending the most time and energy exploring what you like, not what you don't. The first link I'll leave you with is a worksheet that can help you do that if you need some ideas about what those things might be. When you identify what those things are, own them: know that whatever it is you like and don't, whatever it is that makes up your own special and original sexuality, it's all good, whether it looks like someone else's or not. If you connect with partners who want or like things you don't, then you just need to figure you two aren't a good fit, and others are out there for you who you'll have more sexual compatibility with.

I also want to make sure you know that what works for us and doesn't often shifts throughout our lives. So, if you feel like intercourse is something you really want to get into, but trying all of what I'm suggesting and more still doesn't change this, let it go for now and don't sweat it. Stick with what works for you for now, and give intercourse a try again a few months or even years later if you're still interested. You may find it feels very different at another time in your life. And even if you never like it, it really, truly is okay.

Human sexuality is diverse, more than most people realize, especially when they're young and new to sex. All those folks out there having a great time with sex you think you're so different from? Some of them aren't being truthful, for one. But more importantly, some of them are. The biggest difference between those folks and people who aren't having a great time is most often just that those folks just celebrate, own and follow who they are, what their sexuality is and what they like, rather than trying to conform to ideas they or partners have about what they're supposed to be doing or what they think should feel good. What that means is that so much of the time, the answer to something like this is just following your own bliss, which is about an awesome an answer to any problem as it gets.


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Three on Going With the Flow

acceberbackwards asks:

I am going on a graduation-required 28 day backpacking trip. It is likely that this will happen to fall around my period. What is the best way to work with your period when backpacking? Pads are out of the question, as they are not so great for letting your pelvic area "breathe" during exercise. Tampons...meh. I don't really want to have to carry the new ones in with me (extra weight), or the used ones out with me, like you have to do with all garbage. I thought a menstrual cup would be good, as it can be worn for a long time and there is no garbage involved--however, cleaning the cup might be complicated because polluting is a no-no out in the elements. Maybe I could use wipes of some sort? Are there wipes that don't have body-upsetting chemicals? It would be nice to not have to deal with this for just one month--are there any sorts of short term forms of menstrual suppressors that I could use just one time without huge side effects?

The people in charge of the whole thing don't seem very educated about other options, and simply reassure all of the girls that they can use tampons and carry around all the garbage.

Heather Corinna replies:

I'd say you have a few good options.

Menstrual suppression isn't really a one-shot deal like you're thinking unless you are already using a hormonal method of contraception you can suppress with, like the birth control pill or the Nuvaring (in which case what you do is take pill packs or rings back-to-back, skipping the placebo period). Certainly, you could start one of those methods if you like, but it sounds like that's not really what you had in mind. Even then, though, it doesn't always work and people can still wind up with a withdrawal bleed or some spotting anyway, especially if they're new to suppression.

I always like to make clear to people that we still have only limited study on suppression, and have little to none on how it might effect young people, in particular. To my knowledge, no studies at all have yet been done on how it might impact those still in puberty, and there are sound causes for concern around that, particularly with breast health. For an array of thought and facts on this, you can check out this link here at Scarleteen, this information from the National Women's Health Network, and this information from the Centre for Menstrual Cycle Research.

Whatever you choose to do around that, I'd say your best bet is to be prepared for some flow no matter what, since it'd suck to find yourself having some and not having the way you want to deal with it available.

The first option I'd suggest is a menstrual cup. Rinsing or dumping a cup isn't polluting anything (though you just want to watch how close to your campsites you dump it in terms of attracting animals). When backpacking, people rinse their mouths and spit it out somewhere, and also urinate and empty their bowels. The idea that menstrual flow is more of a "pollutant" than feces or urine, for those who have it, is about sexism, not facts. It might help to also remember that out in the wilderness, there's blood and mucus from animals pretty much everywhere, even though you don't always see it. So, no matter what you choose, I'd set aside worries that your menstrual flow is a problem when it comes to pollution: it's not.

Whatever your plan is for washing your camping dishes, you can employ the same thing to rinse out a Divacup, Moon cup or Keeper. Just pick an earth-friendly soap, like a gentle, organic castille, and you're all good. Dr. Bronner's soap is a great thing to have when camping for a bunch of purposes, and if you are in need of entertainment, there's always the incredibly bizarre text printed all over it to read out loud around a campfire. You can also just use water, all by itself, to clean it. In terms of wipes, I just recently discovered these awesome Wisi-Wipes. They're teeny-tiny pellets that, when wet, open into wipes with nothing added to them: no chemicals, no detergents. So, you could use those with only water or, again, add any kind of gentle cleanser in order to clean out your cup. They'd probably come in handy for a bunch of things when backpacking, not just for managing a period.

In the case that you can't find a cup in time or are someone who finds they aren't comfortable or easy for you, another choice is to use sea sponges, which I used to use when camping all the time before menstrual cups came around. You can find those at natural foods or beauty stores. You just moisten them a tiny bit, insert into your vagina like a tampon, and then squeeze and rinse them out a few times a day. They also weigh nothing, so having a few in your pack would be no big.

Another option is washable menstrual pads. They breathe worlds better than disposable pads and don't tend to move around as much because they're not as thick and/or held in place by adhesives. You can wash those just like you'll be washing your other clothing. Lunapanties and the liners that work with them are another great option, and they're rad for hiking. I'll be honest and disclose that I personally think Lunapanties are not just the best thing since sliced bread, I think they're better than sliced bread. (I mean, it's not like bread needs to be sliced for us to eat it, so what's the big whoop about it, anyway?) A way to have a pad that doesn't move all over the place, that doesn't create mountains of waste, that saves us bucks over the years and that feels soft and cozy and a lot like nothing at all is pretty major.

If you're not washing anything, you can just put the washables you used (same goes with spongers, if you like) into a freezer bag and wash them when you get back home.

It's a pity that no one in charge of your trip has filled all of the folks who might menstruate while going about all their options. So, how about you use the information I just gave you here not just for yourself, but to make a nice little one-pager email or handout so everyone else can benefit, too?

Anonymous asks:

I have a few questions about first periods. I am a very young teen, and my mom was only a year or so older than me when she got her first. I have little buds. I have discharge and lately it has been yellowish and liquid getting soaked in my undies. I want my first period sooooo bad and I know that everyone says that you won't want it, and I know I won't want it in the future but I really want it now. Is there any way, even if they are just rumours or myths, to make it come faster or much sooner? I also don't want to wear tampons, PERIOD!!! Even with swimming, I never want to touch a tampon. I know people say it doesn't hurt, but it just DOES OK? I heard that if you go swimming with your period that it will temporarily stop while your in the water (or at least become very light and wash away in the water) and then when you get out, it may or may not flow out soon after you get out. Is this true? If not, then is there any way to go swimming with it other than an internal product? Maybe some food to make it come out sooner or stay in longer? Please, I do NOT want to stick something up my vagina.
Thanks!

I'm not going to be one of those people who tells you that you don't or won't want your period, now or later: you want what you want, and even when periods are uncomfortable sometimes, heck, even when they're painful, they're meaningful to plenty of people for a bunch of different reasons. What it has meant or hasn't to me may not ever be the same as your experiences or those of anyone else.

I do want to make sure you know, though, that if why they're meaningful to you is about ideas around maturity or gender -- like the idea of womanhood -- that I don't think having a period or not having one is a good benchmark of either of those things. Some women haven't ever had menstrual periods and won't ever have them, while others stopped getting them, temporarily or permanently: just like that doesn't mean those women aren't "real" women, the same goes for women who haven't started menstruating. How mature someone is or isn't is more about our minds and our emotional and interpersonal maturity and behavior than about our bodies. There are a lot of people seriously lacking in maturity who already had their first period, after all. You may know some of them from American politics.

If your bummer-ness about this is about not being like everyone else, I'd say it's a good idea to try and let some of that go, too. I know that it can be rough to feel like the odd girl out with anything, but there are so many ways we're the same AND different as friends and others around us: we're never going to be just like everyone else, and I'm of the mind that that's a good thing. Conformity is seriously overrated, and if you can let go of a lot of issues with that, you'll not only feel better, but you can help other people feel better about the ways they're different, too.

It's common for people's first periods to happen sometime around the same time other people in their family got their first periods. That's not always how it is, but more times than not, we'll have first periods around the same time as people before us in our gene pool have. So, if your Mom (if she's your birth mother) or other women in your family got theirs when they were older than you, it's totally possible you may get yours around that same time, too.

There's nothing you can do to make periods start sooner than they're going to. There may be myths or rumors about that, but not only do I not know what they are, if that's all they are, they're not going to be of any use to you (or me) because they're not facts. I mean, I could tell you I heard the earth was flat, and that wouldn't change the fact that it's not. There's also no food you can eat or avoid to make a first period come sooner or to stave off periods once you start having them. Periods are about a different system of the body than the digestive system, even if periods can impact that system -- like causing bowel upset around them -- or if what we eat can do things like make cramps a little better or worse.

One thing you can just make sure of is that you're taking care of your general health and body well, getting enough sleep and also eating enough food. Being underweight can keep people from starting periods because menstruating involves having a certain healthy percentage of body fat.

That said, given your age and where it sounds like you're at with puberty, I don't see any cause for concern about not having your period yet. It sounds like you're still just starting puberty. If you find that in your late teens, or when you've gone through many other stages of puberty (like seeing more changes to your vulva, more breast development than budding, some major growth with your height and weight), you still aren't having periods, then you want to go ahead and check in with a doctor just to make sure everything's cool with your health. But until then -- and even then, as sometimes nothing is wrong at all, people are just slower to get there -- I'd not sweat this or put too much mental energy into it.

Whenever you do start getting periods, you get to manage your flow however you want to: if you don't want to use tampons, or anything else where you insert something into your vagina, you don't have to. Mind, tampons shouldn't hurt. It sounds like you've tried to use one already despite not having periods yet, and if that hurt, chances are it's because your vagina was dry, which makes a big difference. Being scared or nervous, or just trying to jab it in there wrong can also be a cause of pain. You will also probably find that as the years go by, you'll feel a little more comfortable with the idea of things being in your vagina, but it's also okay if your feelings don't change. If you don't want to use tampons, you don't have to. There's no one right or wrong way to take care of menstrual flow: it's all about our personal preferences and what options are available to us.

Being in the water doesn't mean menstrual flow stops: the flow starts in your uterus inside your body, an area water can't get to or change, even though sometimes water temperature may effect it somewhat. But some people find that when they're very active and/or in cool water, flow does get lighter or takes a break. Others don't experience that, or don't always.

But you can still go swimming when you have your period if you don't want to use internal products like tampons. Get yourself a pair of board shorts. Then you can just use a pad -- disposable or washable, your choice -- and affix it to your swimsuit bottoms, then put the shorts over them. Washable pads are the better choice for this, since they attach with snaps, not sticky-tape which swimming tends to wash away, and they also don't puff up and get as heavy when they get wet as disposable pads do.

If you want to look into washables, you can look from them online from companies like Lunapads or Glad Rags. Etsy has a bunch of sellers who make and sell them, too, and lots of natural foods stores and even some pharmacies carry them. If you sew, you can even make them yourself.

But my best advice is not to worry too much about all of this right now. You're not there yet, and that's okay. If you're feeling like something you're missing in not being there yet is a benchmark around growing up, I'd ask a parent or other family member about that: maybe you can have some kind of Bat Mitzvah -- literal or symbolic, if that's not part of your culture or family traditions -- some celebration, ritual or activity that gives you the feeling of moving forward that'll scratch that itch and recognize that you're growing up in a lot of ways, not just with your uterus. Whenever you do start your periods, I'm sure you'll find a way of managing your period that works for you. There's just no sense in worrying about things we don't have to!

One more from acceberbackwards:

I've been thinking of switching to cloth pads. I'm 15 years old. My only issue with this is that fact that my dad does the laundry. I'm actually pretty sure he wouldn't mind so much, but I'm generally not comfortable talking to my dad about menstruation, and I assume he would have to wash them in an extra load, which would make him have to work more, etc. In any case, I was wondering; how does one wash laundry in the sink? This skill seems like one that would come in handy in a myriad of situations, including this one.

It sure does! It's one that you'll probably use at least a few times once you move out on your own and find yourself a quarter or two short of whatever the laundry available to you requires, which happens more frequently than any of us would like or usually plan for. I feel a bit silly advising someone on how to do the laundry, but what the heck, sometimes these skillsets overlap, and knowing how to wash your own stuff with or without a washing machine is a pretty essential life skill.

What you just want to do is go ahead and rinse your pads out first, then fill up the sink with warm or hot water, adding a little laundry soap. Then you just plop 'em in there, let them soak a little more, then wash them by squeezing them a bunch of times while they're immersed in the soapy water. You can also rub them together to clean them and help get stains out. (If you really want to get old-school about it, you can find yourself a washboard at a flea market and have a way to help wash your stuff by hand and have a rhythm instrument for nights when nothing good is on TV.) Then you unplug the sink and drain it, and you can rinse your pads either under running water, or conserve water by filling up the sink again with clean water and soaking them one more time to rinse them that way. Then you drain again, squeeze them out, and hang them to dry somewhere. One thing you can do to do that with pads is to move the clips from a few skirt hangers unto one hanger so you can dry a bunch at once in one place.

That said, if you soak your pads before putting them in the wash, then your Dad won't actually have to run an extra load. That can also be helpful even if you wash them yourself. If you can find one of those little wastebaskets with a cover on it and a hard plastic insert, you can easily soak pads overnight out of sight, which makes getting them clean when you do wash them a lot easier.

I know you said you're uncomfortable talking about it with him, but chances are he knows you menstruate, and it's probably a bigger deal in silence than it would be if you just broke that silence. Dads can actually be pretty great about this stuff, and will often go out of their way to make sure it's an issue treated with sensitivity. I've had more than one Dad over the years write me to make sure they handled menstruation with a daughter as best as they could.

Of course, one last option is that you offer to help your Dad with the laundry, which is always the gift that keeps on giving for anyone who does laundry for a household.


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Monday, April 11, 2011

Re: AIDS Committee of Toronto (ACT)

Nobody looked at me funny when I walked in for some gloves and lube. Really comfortable!

Sorry, I could not read the content fromt this page.

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Should I Stay or Should I Go?

You're not happy in your romantic relationship, and you haven't been for a while. You or the person you're with is not getting what you want or need. Some big issues have been getting in the way of what used to be something good. However you got to this point, you've been starting to wonder if you should stick with this or move on, and you don't know which to do. Sometimes, this can be an easy choice, like if you haven't been in a relationship long, if it's just really crap, or if you have an opportunity for something you think is going to be better.

But more times than not, we grapple with these decisions. We'll often feel torn about which choice is going to hurt us or someone else more. We hear from many of our readers who, even when a relationship is downright awful and everything that can be tried to fix it has been tried, have a hard time letting go and leaving. No matter what choices we wind up making, facing any of them can be intimidating and we may get stuck in inaction because we're afraid that whatever choice we make will be the wrong one.

A relationship doesn't need to be perfect or blissful 24/7 to be healthy or happy, and won't ever be, because people aren't perfect or blissed out every waking minute, and relationships are made of people. Conflicts, disagreements and problems do and will happen. We also won't always get everything we want or need all the time. People change over time, so something that worked once, or worked one way once, won't always stay working or keep feeling right, especially if the relationship doesn't change and grow along with us.

Some relationships stay great despite the occasional problem or hiccup, even a big one now and then. Others won't survive even little issues or will always have more conflict than harmony. Some conflicts can be managed and resolved while staying in a relationship; others can't, won't or maybe even shouldn't be, like if people want and need very different things. Some relationships are worth staying in and working through conflict, while staying in others may not be worth the energy and time, or may hurt everyone more by staying than by parting ways.

Deciding if it's best to stay or go can be a hard choice, but certain dynamics or feelings make clear a relationship is either likely to be worthwhile and good or likely to be crummy, a poor place to keep investing energy and will probably crash and burn, no matter what.

You and the other person very much want to be in the relationship you're in togetherMost of the relationship makes everyone in it happy most of the timeYou and the other person are getting most of what each of you wants and needsYou look forward to seeing each other, share a lot of laughter and joy, and find the relationship makes you you feel good about yourselfBoth of you feel the give-and-take is mutualCommunication is open and works wellThe relationship is and has been physically and emotionally healthy and safe for everyoneEveryone in the relationship is/seems very invested in itYou and the other person have more good things to say about each other, and things you like about each other, than criticisms or things you dislikeYou resolve conflict well togetherThe relationship feels like a place where everyone can be themselves, be challenged and grow in positive ways, and is accepted, cared for and supportedYou or the other person don't feel doneYou or the other person don't really want to be in the relationship anymore or feel apathetic about itThe relationship makes anyone in it unhappy a lot of the timeYou or the other person are not getting most of what you want or needSeeing each other isn't something one or both of you looks forward to anymore, there's little laughter or joy, and one or both of you finds the relationship makes you feel bad about yourselfYou or the other person feels like they give way more than they getCommunication has broken down, stopped or feels impossibleThe relationship is or has been physically or emotionally unhealthy or unsafe for anyone in itAnyone in the relationship isn't or doesn't seem invested in itYou and the other person have more bad things to say about each other, and things you dislike about each other, than good things or things you likeYou don't resolve conflict well together or feel only one of you is trying to fix thingsThe relationship feels like a place where someone wants to change the other, where positive challenges and growth have stopped happening or never happened, and/or one or both people aren't being accepting, caring or supportiveYou or the other person feels done

Most relationship experts agree the things in that second list are neon signs it's time to move on. Those are all things that demonstrate a relationship isn't working anymore, isn't beneficial or that you or someone else just doesn't want to be a real part of it. If what you and/or the person you're with are feeling and experiencing looks more like that second list, you've got to know it's time to seriously consider a split, because in a lot of ways, the relationship is already over.

If your relationship and the way you and the other person feel about it is more like that first list, or you don't feel ready to give up, then you are going to need to identify, address and work to resolve conflict you're having together for your relationship to continue, grow and be something good for everyone in it.

The phrase "resolving conflict" is easily misunderstood. It doesn't mean just trying to make conflict go away, shoving it in the back of the closet and pretending it isn't there or doesn't matter. It is there. It does matter. Conflict rarely gets resolved if people don't actively work it out, and isn't resolved if anyone just accepts that parts of the relationship really suck, and figures that someone just has to deal with being unhappy and not getting what they want and need.

Resolving conflict is a process, one usually positive in the process itself, not just when the outcome is what we want. When we work through conflict, we're feeding and watering our relationship, making real commitment to it, getting a better understanding of the issues and each other, and learning what we each can and can't do to make things better for both of us. We learn about our own, our partner, and our relationship's capabilities and limitations, strengths and weaknesses. In that process we usually deepen our relationship, even if we come to unwanted or uncomfortable conclusions. In other words, conflict can provide important opportunities we might not have had otherwise. If we try and look at it that way, addressing and dealing with it can feel less daunting or upsetting, and it's easier to see why dealing with it is smarter than trying to avoid it.

Sometimes we can resolve conflict and still stay in the relationship or kind of relationship we're in, like by learning to communicate better and more openly, making more time or emotional room for each other as individuals, creating more flexibility in our roles, making or honoring a certain kind of commitment or taking better care of ourselves. Other times, resolving conflict involves changing the nature of our relationship -- like switching from a romance to a friendship, switching from an open relationship to something more exclusive, moving out if we moved in together, or making a relationship a bigger or smaller part of our lives. Resolving conflict can also mean choosing to part ways altogether, either mutually, or where one person makes that choice and puts it into action, even if it's not what the other wants.

Whatever your conflicts are, here are the basic ways to try and work it out together. You can also use this list to check if you've yet exhausted the ways you might be able to make your relationship work if you're still feeling on the fence:

Talk it out: Open, clear and caring communication is the gas of every relationship's engine. If we're not communicating, we're not actually relating. So, talk some, talk some more and keep talking. When you talk, use active and reflective listening. Speak fairly and with kindness. Be brave: don't avoid saying things that scare you or you worry will make a partner react in ways you don't want. If you're worried about hurting feelings, say difficult things with as much care and personal responsibility as possible. Use "I" statements, focusing on what you feel and what you want and need, rather than on what the other person is or isn't doing or how they "make" you feel. Avoid ultimatums. If you're at a place where you're inclined say things like "If you do/don't do X, then I'm done," you are probably done already.

Make real time for talking, rather than trying to talk on the fly or when there are distractions. Turn off the TV, stereo, cell phones or computers. Dedicate time for these talks, rather than trying to shove them in or rush them. If one way of communicating feels strained or difficult, you can always try other ways of doing so, like by writing letters or having long phone calls. Just choose ways of communicating where you have privacy, plenty of space for lots of words and where everyone involved feels emotionally safe. Texts or your Facebook wall aren't sound avenues for these kinds of talks.

When we're really upset or angry is often a better time to go for a walk or take a day to ourselves and process our feelings on our own, rather than to talk to a partner about them. You might talk to a friend instead, or journal how you're feeling when you're super-upset, then set a the time to talk things out with a partner later, when your emotional storm has passed.

Come to these conversations with the understanding that everyone involved always gets choices, including the choice to stay or go: no one should be or feel forced to put up with things they don't like, want or can't deal with, because being in a relationship is a choice. If you aren't sure about the answers to the questions or issues raised in the stay/go lists up top, for yourself or about your partner, those can be good talking points to help you assess the relationship, figure out what's wrong, and to find starting points to resolve those conflicts.

Get outside help, perspective and advice. Talk to people you're close to and get their take: friends, family, mentors or others who trust and respect who you know care for and respect you. If someone you know has been in a relationship for a long time that seems great, or they generally seem to have awesome relationships, that can be an excellent person to get advice from, since they'll usually have a good handle on what's needed to make the good stuff happen.

You might consider seeing a counselor or therapist, especially if the issues in your relationship seem to be stemming from your own stuff that pre-dates the relationship or is separate from it (like depression, poor body image, low self-esteem, or previous abuse), or if you've noticed bad patterns in your relationships that keep coming up again and again. Couples counseling is often not a sound route for young couples. It's not usually covered by healthcare, is very costly, takes a lot of time, and is generally designed for people in a very different phase of life and for relationships people have been in far longer than you've likely been in yours. If you are going to need to continue some kind of relationship for a while even if you want out, like if you're pregnant or share custody of a child, are married, cohabitating or share a business, then it makes a lot more sense.

Recognize and accept differences or other things that aren't going to change, and try and ask only for realistic and reasonable change. We can all change many of our behaviors if we want to. But what we can't change is who we are, what our past has been, or what it is we want and need. We shouldn't be asked to, and we shouldn't ask those things of anyone else. Even if you cross that line, you need to know that often, you'll be asking the impossible, so won't get what you ask for, and also are putting someone in a position likely to make your relationship more sour than sweet.

It's fair to ask or be asked for some changes in behavior, like the way we talk to each other, how we act with each other around friends, how much time we do or don't spend together, certain sexual dynamics or or how well we listen. Just make sure that when seeking out those changes, you're both honest about what you each really feel capable of, and also what you want to change and don't. To earnestly change our behavior, we've got to want to do it for ourselves, not just for someone else.

But if someone's personality just doesn't mesh with yours, they don't want and need similar things, or you can't live with their past, you'll need to accept that and figure the only sound action you can take is to figure out what you do and don't want to live with and choose to either stay in the relationship with those things as-is, change the form or model of the relationship or move on entirely.

Make and take some space. I know, I know: the words "Let's take a break," or "I need some space" often cause eyes to roll. But it can be so tough to make these kinds of decisions well without time and space to ourselves, away from the relationship, especially when other ways of resolving conflict aren't working, just like it's hard to keep running if you can't stop now and then to catch your breath. Making and taking space can help everyone, and it's less scary when done with clear intention and direction. So, make a decision to take, say, a week or two without seeing or communicating with each other. Make agreements about what you're each going to do with that time, what you're going to be thinking about and what you each aim to come back to the other with after that time. Set a date to check back in and then talk from there, after having that space apart.

Try a different kind of relationship. Sometimes the trouble isn't that two people aren't a good fit, but that one kind of relationship isn't a good fit for those people. Maybe an exclusive romantic or sexual relationship isn't actually the best one anymore, or wasn't ever. It may be that making that relationship nonexclusive, nonsexual or shifting to a platonic friendship is the fix to what's gone wrong. Maybe friends with benefits stopped working and you need to focus more on the friendship and less on the benefits that aren't feeling so beneficial anymore. Even if you're not sure about if a different framework for a relationship will help, you can always just try something different for a while and see how it feels.

Be honest, fair and real. Don't misrepresent what you want and need. It can be tempting to do if you think doing so will mean a relationship you want to continue will, but it's much more likely to result in a relationship that tanks anyway and makes one or both people miserable in the process. Both people being able to get what they want and need is vital for a happy, healthy relationship.

For sure, we'll all make compromises sometimes, and compromising can also be something good that helps us and a relationship grow. But we want to strike a balance: make sure when compromise happens it's about people meeting in the middle, not one person bending backwards for the other, and that no one is giving up anything that feels essential to them, or doing anything they don't feel good about. Don't ask someone to make compromises when you're not willing to make any yourself. It's also important when making compromises we do so transparently, rather than keeping them secret. For relationships to work well, everyone in them really needs to be clued into what's going on in them. And not communicating about compromise or making sure it goes both ways are quick routes to Resentment City.

Be flexible in your thinking when trying to work problems out and ask the same of the other person. Be creative in approaches to issues, suggesting several different things to try, not just one, and try not to get stuck in only trying things you two already have that obviously aren't working.

Still not sure if you should stay or go? Already tried a bunch of the things in the list up there without results? Here are some common sticking points you can check in with yourself about. For the most part, these are all not-so-great reasons to stick with a relationship, so if any of them hits home, give them some real thought: Is this the right relationship for you in your life now, or was it only right in the past?Are you staying in because this feels good, or because this feels familiar?Are you afraid of change in your life or of being alone or single? Is this relationship keeping you from needed change or growth?Do you feel like letting go means you failed? Are you staying to try and prove something to yourself or someone else?Are you staying because you feel guilty about having been sexual in something other than a lifelong relationship?Are you choosing to stay because you've become a partner's caretaker or counselor rather than their partner?Are you staying because any relationship seems better than no relationship, or because you're afraid this is the only chance you'll have for this kind of relationship?Are you staying because it's what the other person wants or says they need, even if it's not what you want and need?Are you staying because you made some kind of promise that you know you can't keep or don't want to, but feel guilty about breaking?Are you staying in figuring you'll just wait and see if something better comes along, and stay if it doesn't?

One thing you might be getting hung up on, that a lot of younger people do, is thinking more about the future or the could-be's than about the past and present and the what-is, right now, and what has been. Some folks also get stuck focusing on what a relationship was like when it was brand-new. We can also sometimes confuse the bigness of our feelings with the bigness of a relationship itself: sometimes the way we feel about someone or what we want with them is a lot more big or deep than the actual relationship we're in or will be able to have together.

Don't worry about what things could or may be like way down the line: right now, you want to think about how things are and have been up until now. It can also help to mentally scratch out the first few weeks or months of any relationship when we're assessing it. Why? Most typically, we tend to be on our very best behavior when a relationship is brand new. We're just getting to know each other, we're usually only gradually putting ourselves out there. How things were right at the start is how things were right at the start: it's not how they'll be past that point, even in excellent relationships. You can't have a long-term new relationship, and you don't need me to tell you why the idea you can doesn't make sense.

Hasn't been even a few weeks or months yet? If things feel problematic or are full of conflict right at the start, that's usually how you know a given relationship is probably best not to pursue at all. Not everyone we'll like or who likes us will be a good romantic partner or the right thing at the right time. If it feels wrong or like a big mess early in, it's probably best to just take a pass on taking things further.

If the stages of relationships were ways we dressed, those first few months would be tuxedos and tiaras, and further in than that, we're talking about sweatpants and bedhead. And it's in that time when most people are more likely to be much more real, to be more like how we'll be as a relationship goes on. It can also be more helpful to look at how you two have been together through tougher times rather than when things were easiest: most of us show our truest colors when things get rough.

Stuck on the far-flung possible future? One thing trips a lot of young people up in relationships is the idea that the romantic relationship they're in at any given time must be The One. The thing is, while it's common to feel that way, and while our first or early relationships are usually important, the expectation those relationships will last for decades, or be one we're likely to stay in for life, is rarely realistic.

Relationships in adolescence are typically shorter than those you'll have later in life, and the younger you are, the shorter your relationships are likely to be. A large study of over 5,000 romantic relationships found that for those younger than 14, romantic relationships lasted around 5 months on average, for those 14-15, 8 months, and for those over 16, average romantic relationship duration was just over a year and a half. (National Estimates of Adolescent Romantic Relationships, Carver, Joyner, Udry, Adolescent Romantic Relations and Sexual Behavior, 2003, Psychology Press) An ongoing poll of Scarleteen readers here finds that, so far, less than 13% of our users under 20 typically have had romantic and/or sexual relationships that last beyond two years, and, on average, most relationships for those under 20 did not span longer than six months. The divorce rate for people who marry young is also much higher than for older adults who marry. Often how long relationships last during this time of life isn't so much about how good relationships are or are not or how mature or not people are, but about the fact that at this time of life, people are still doing a whole lot of growing and changing, which means relationships will change a lot, too, even if and when they feel eternal.

How long or short a relationship is isn't always the best measure of how good or important it is, anyway, no matter how old we are. Loads of older people have relationships that have gone on for 20 years and have been miserable much of the time. Staying in a relationship longer isn't going to magically change things. So, even when it feels like something is or should be forever, it's important to try and focus on the past, the present and only the future that's in pretty close range, like the next few months or year.

Rather than breaking up, some people passively let a relationship fade: calling less, avoiding someone, being less and less engaged when time is spent together until, eventually, one or both people give up and move on without any or much address of what choices they were making and what went down. While that can seem like people aren't actually doing anything, and a split is happening by itself, that's not true: choosing to be passive and letting a relationship fall away is still doing something.

While that can sometimes seem easier than a more forthright breakup, and certainly allows at least one person to avoid some responsibility, there are big problems with taking that route. It's often a slow agony for one or both people. Someone is going to endlessly wonder what's going on and feel lost, continuing to make efforts to connect in vain and feeling like a total jerk when they're left to swing in the wind. That way of splitting also usually leaves both people without any resolution, which is pretty important to have so we feel able to close a door and move on.

If anyone involved in the relationship invested real effort and care into it, it disrespects those efforts. Lastly, even when relationships tank, we often get important information that helps us with future relationships, like what we want and don't want, like what did and didn't work. When someone is just left hanging like that, they get less information to make it more likely for both of you to have the kinds of relationships go better down the line. Assuming you each cared about each other once, one'd hope you both care enough to part with care, too.

A lot of people will avoid breakups, go the slow fizzle route or or try and passively get someone else to do the breaking up because they don't want to be "the bad guy."

Remember when your relationship was great, and you were so focused on both of you being happy? If a relationship is making either or both of you unhappy, then ending or changing it can be done in that same spirit: in support of mutual happiness. Even if one person is way more unhappy in a relationship than the other for now, and so they see a breakup as a bad thing, in time, staying in something that isn't working for one person is going to make both people unhappier and unhappier if both are really interacting with and invested in each other.

That doesn't mean that the other person might not still see you as the bad guy, especially at first. They might, just like they might if you stay together. But sometimes in life we have to make tough decisions everyone isn't going to like, even if we -- and they -- know now or later they're the best decisions. Whether it happens with romantic or sexual partners, with friends or family, if and when we parent (where you may be "the bad guy" for years at a time sometimes) at work or at school, sometimes in life we're going to have to be "the bad guy" and there's just no avoiding that if we're something other than bystanders in our own lives.

The advice on this page is mostly about safe relationships, not unsafe and abusive ones. Leaving an abusive relationship is a bit of a different ball game, in part because what's most important is simply that you get out as soon and as safely as you possibly can. With an abusive partner, you're at too much risk to worry about their feelings if you leave or to put off getting out. You can't fix an abusive relationship: for the abuse to end, someone just needs to leave. For information on abusive relationships, how important it is to leave them and how to leave safely, check out this link, or read this chapter from Barrie Levy's In Love and In Danger here.

It's also pretty easy to avoid feeling like the bad guy -- or being seen as the bad guy -- overmuch if you do your best to go about a breakup in the most thoughtful, caring way possible

Breakups are a bummer. There's really no getting around that. They also often hurt for one or both people. But a lot of the time, a big part of why a breakup hurts so much is about the way people went about it.

Ideally, when we're invested in a relationship and start to have conflicts, problems or issues, we talk about them, right from the start. And when we're trying to work things out, if and when either of us starts to feel like they just might not be workable, we're filling the other person in, not keeping those feelings secret. Not only does doing that make it a lot easier to break up if and when it comes to that -- and to have it be more of a mutual decision than what one person does to another -- it doesn't leave the other person feeling like a bomb got dropped on them because they thought everything was fine and only found out it wasn't when they got a one-way ticket to Dumpsville.

That said, breakups often don't happen that way because by the time someone is thinking about breaking up, they're not just at the end of their rope, but several yards past it, and communication has broken down. In our first few relationships, things also have probably moved so fast that the shift from things being great to things being awful can happen quickly. It's also all too easy, especially when we're new to intimate relationships, to get caught up in or manufacture a lot of drama.

The best you can ever do is just the best that you can at the time. So, whether you've been communicating along the way to your decision to splitting up or not, here are a handful of things to make a breakup a lot easier on everyone.

While there isn't a "right" time, there are some wrong ones. The right time for a breakup is pretty much when you know you want or need to break up. There's never going to be a perfect time when you can be sure no one will feel hurt, or when the other person won't be angry or disappointed with you. If you're waiting for a perfect time, you're going to be waiting forever.

That said, be kind with your timing. Holidays or birthdays are awful times to break up with someone. Same goes for around big exams or competitions, or when a person is in the midst of a serious crisis outside the relationship, like a problem with their own health, a death in the family or another major crisis. Sometimes that timing is unavoidable, but when possible, a better tactic if you're feeling the breakup mojo coming on during those times is to ask for some space, or to focus on the friendship part of your relationship during those times, and then do a breakup after the holiday, stressful time or crisis has passed or calmed down.

Splitting up is something to ideally do in person, face to face. Texting or voice mail is great for reminding someone to pick up the milk or sending a cute note, but they're pretty heartless ways to split up with someone. If you're in a long-distance relationship where a face-to-face meeting is impossible for a long time, or could only happen at great cost to both people, choose to split with something like a long phone call or a tool like Skype where you can talk face-to-face virtually.

Be clear and direct. When you know you want or need to break up, it's not time for negotiation or discussions about how to fix things. That time is done. You need to be very clear that you are choosing to break up and that a break up is what's happening. Statements like "I think we should maybe break up," or "I don't think this will work out," aren't closing statements, but sound like openings to negotiate or bargain. Instead, statements like, "I need for us to break up," "I feel we've tried all the ways to fix this without results, so I need to be finished, and I want to split up now," or even "I'm breaking this off with you," or "I'm leaving this relationship," are better.

Is a partner threatening to hurt themselves or others if you leave? If so, that's a signal of manipulation and abuse, and is a bigger reason to leave than to stay. Chances are, they aren't in earnest, but either way, they're showing you they aren't able to be in a healthy relationship right now and you won't be able to have one with them. If you're worried they will do themselves harm if you split, just let someone close to them, like a friend or family member, know what they're threatened so they can watch out for them.

Don't backpedal if a partner becomes upset or angry, or if they say they refuse to accept a breakup. We sometimes have readers tell us a boyfriend or girlfriend won't "let" them break up: the thing is, when one person leaves, that's not a choice anymore, just like if we're playing ping-pong with someone and they leave the table, we can't keep playing, even if we want to. Stick to your aim to breakup. You can acknowledge the other person is upset and apologize for causing them any pain, but if you've come to break up, you need to remember that you're done, the time for trying to fix things is past, and keep that very clear.

Own your own stuff, including this choice. You are choosing to break up, based on what you want and need. No one is making you do these things: they're your choice. So, now's not the time to go on about what the other person did or didn't do, why they suck or how they could be better: if you're splitting up, you've probably already gone round that carousel. One or both of you are probably going to be hurting when this goes down, so anything that is or feels like a personal attack will only make you and the other person feel worse when you already feel bad enough: you want to do a split with as much care and kindness as possible. Whatever happened in the past is in the past: you're making a move towards your future, regardless of what the other person did or didn't do.

Don't make promises: A breakup isn't the time to talk about what kind of relationship you'll have later, or about if you might get back together some other time or in some other way. What you're doing right now is finishing the relationship as it stands. Talking about future maybes when you're breaking up only makes a breakup feel confusing for everyone, and is something that can keep people from having a finality they need to let go and move forward. People also tend to feel differently about what they want post-breakup a few days, weeks or years later than they do in the moment. And if and when promises made don't come to pass -- as they often won't -- it can double the heartbreak.

If later down the road, you want to talk together about a friendship, or revisiting the possibility of trying again with a romance, you can do that later.

Be sure to make space for yourself and give them space after a breakup. Even if you're going to try to be friends, or if you've got some loose ends left to tie up, it's best to give everyone at least a few weeks on their own, without contact, to grieve and process.

Sometimes someone you're breaking up with will want to try and get all their resolution done right there and then, or want you to go over ever detail of why you're breaking up with them. That's usually not so sound, but you can find some middle ground that's respectful to both of you and that also helps them save some face. Acknowledge what they want is important and that you respect their feelings and wishes, but make clear that now isn't the best time for that. You can tell them you'd be happy to arrange a time to do that if they still want it in a few weeks, when you've both had some separation first.

Don't make friends pick sides or put them in the middle. The longer you've been in a relationship with someone, or the smaller your peer circle, the more likely it is that you'll share friends, which can be awkward for everyone for a while. But making friends pick sides isn't cool, nor is making them part of your breakup, like having them deliver the news or return someone's stuff. Try and be fair about mutual friendships and find ways to manage them gracefully, and keep your breakup between and about the two of you, rather than dragging your friends into it.

Be nice. Acknowledge the good stuff that was part of your relationship to the other person. Even if things are tense or strained by the time you break up, do your best to just thank someone for contributing the good things they did and for spending part of their life with you. Even if you want to take the low road, or the other person is hitting below the belt, you're likely to feel a lot better in the long run if you stay on the high road.

Even when choosing to move on or make a major change feels like the best thing we can do, that doesn't mean we'll feel happy about it. Letting go of relationships is often hard, even when they're not good for us anymore. Moving from one phase of our life to another, radically changing who is and isn't in our lives are big changes that tend to drum up big feelings. If you feel sad, you get to be sad. Take care of yourself: even a wanted breakup usually isn't all you'll need for self-care after a relationship tanks. Lean on people in your life who support you, give yourself time to grieve, and do whatever you tend to do to process tough feelings and baby yourself when you've gone through something painful.

Don't forget: it's okay not to do this perfectly. Speaking as someone who learned a lot of these things the hard way and imagines she'll always be learning still, with blunders made on both sides and probably more to come, you're probably going to make your own mistakes or be at the receiving end of someone else's. A piece like this isn't something I write with the expectation you're going to read it and do everything just right. The aim is to help you with these decisions and enacting them, hoping to spare you some mistakes, but knowing you're likely to make some, too, just like the rest of us have and probably will again.

Even when we really mess up with a breakup, we can often create an opportunity to make amends with someone: to tell them we're sorry, to take responsibility where we should and to make it all a little better by sharing how we realized we did it wrong.

None of these choices are written in stone. If you're making a choice to stay and that winds up feeling wrong, you can make another choice to break up. If you're choosing to split, that doesn't have to be a final choice, either: you can always try renewing a relationship later on in life if you want. The idea that if we break up once we're shutting the door on the possibility of ever being together is fatalistic: some people take second tries at relationships months, years or even decades later, and sometimes that second time goes way better than the first because of time and space taken in between. If and when we and someone else are super-important to each other, we rarely get just one shot.

Leaving can also be liberating. When leaving is about making a choice to move away from what makes you or someone else unhappy or stuck, and towards what makes you or the other person more happy or gives you room to grow, that's a powerful, positive thing.

Be sure you give yourself credit for being able to make a hard choice to do what you felt was best. Leaving is active, not passive, and often involves taking positive risks. It takes assertiveness, self-reliance, courage and a real investment in ourselves and our lives. Before you got to this, you likely also invested care, energy, time and difficult emotional work in trying to resolve conflict in different ways. Those are great big deals and you deserve props for them.

Lastly, know that it's very unusual for anyone to have only one relationship in their life that's important, even if right now you're 300% sure this is or has been the only person you will ever love or feel this strongly about. What's far more common is for people to have at least several major connections, including romantic relationships, which are or were all big in their own unique way during the time of life we had them: very few relationships we've had will ever have been a waste of time. All the relationships we have tend to contribute to and build on each other and become part of who we do. Even if and when something doesn't turn out how we'd have liked or wanted and we have to let go of a relationship we wanted to hang on to, we'll tend to find the things we learned and experienced in it stay with us.


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