sexual health — Pleasure Mechanics

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Shedding The Stigma of Genital Herpes :: Free Podcast Episode

If you are a sexually active adult, chances are you have been exposed to the herpes virus. Many people are silent carriers of the virus and will never have symptoms. But the social stigma and fear about herpes is rampant. One listener wrote to us and asked us to help break the shaming silence about genital herpes. On this episode, he joins us to share his story and shatter some of the most persistent myths about living with genital herpes.

We cover:

- How you know if you have genital herpes

- How and when to tell your sexual partner that you have genital herpes

- The choice of listing your STI status in dating profiles
- Taking known risks and sexual accountability

- Why you might not know if you have herpes even if you’ve “been tested”
- How to be an ally for people with sexually transmitted infections

- How we can all work to end the social stigma of herpes and other sexually transmitted infections

Getting Tested For Sexually Transmitted Infections

Getting tested for sexually transmitted infections can help ease your mind and bring you more sexual confidence. You can get tested through your primary care doctor or ob/gyn, and most health insurance plans cover routine testing at least once a year. If you do not want to leave a paper trail of your testing, or if for any other reason you want quick anonymous testing, there are other options, such as STDcheck.com. This website allows you to purchase your choice of tests, pay online and then choose a clinic nearby where you can get your lab tests completed quickly and discreetly. If needed, you can connect with a clinician over the phone who will help you understand your test results and help you with next steps for treatment.

Sometimes getting tested feels scary – but living with worry and fear can be debilitating over time. Getting your test results will be empowering – either you’ll know you don’t have to worry or you will be equipped to take the next steps to get the care and treatment you deserve.

Thanks to STDcheck.com for sponsoring this podcast and providing such a great service!

What is herpes? How do I know if I have herpes?

Herpes is a very common condition caused by a virus. Having that virus can cause painful outbreaks of sores – or the virus can lay dormant and never cause an outbreak. It may cause complications during pregnancy. The herpes virus may also lead to other diseases like cervical or anal cancer.

So whether or not you’ve ever had symptoms, it is a good thing to know your status so you can better manage the risks of sex and other possible health complications. Talk to your doctor and request a blood test if you may have been exposed to the herpes virus or if you have a suspected outbreak.

We are not licensed medical professionals, so we can not offer medical advice or diagnosis. When we receive questions about sexual health issues, we refer out to the experts in this area and recommend you see your doctor or visit a local clinic to discuss your individual sexual health needs.

Here are some resources about genital herpes. Get the facts and help end the herpes stigma that is rooted in sexual shame and sex negativity. About 1 in 6 (probably more) adults in the United States are carriers of the herpes virus. If you have had multiple sex partners, it is likely you have been exposed.

Resources on Genital Herpes

Project Accept

Herpes Info from the CDC

Here is the email we received from Ramsey asking us to talk about the herpes stigma.

I’ve been a fan of the podcast for some time now, along with my fiancé. You’ve taken on a lot of questions that aren’t otherwise covered even in many sex positive publications and media.
The thing I see lacking in your podcast as well as every other type of sex-focused media is living, dating, relationships and sex positive information for those of us living with sexually transmitted disease. Any media that exists focuses ENTIRELY on the dangers and how to avoid STDs.
But the fact is, and statistics bear this out, a great many of us live with these conditions and are largely left on our own, without good information, and without support…without the sex positive attitude that you yourselves espouse. I won’t go into my own frustration regarding lack of medical research that leaves many of us lost and subject to the whims of “information” and “advice” gained on the Internet.
I myself have HERPES (ll) and I have “outed” myself to friends and relatives on Facebook, on standard dating sites, and in conversations because I feel it is important to educate and combat the ignorance on the topic. But it is a subject that makes people squirm, almost as if they could catch herpes from merely touching the keyboard! Hah! Some people approach me quietly to tell me they appreciated my candor and my information, while others encourage me to not broadcast so loudly about something so personal – to in a sense stuff myself back in the closet.
I find it interesting and somewhat ironic that in polite progressive social circles it is no longer socially acceptable to make lewd jokes regarding sexual orientation, but nobody seems to have a problem telling a good herpes joke, as if not one person in the room could possibly suffer the consequences of it, when in fact many do.
As I’m sure you are aware the rate of infection with herpes runs somewhere between 15 and 20% of the population (statistics vary and I won’t debate them here) though the actual percentage of people who are aware they carry the virus is much less. No health organization, including the CDC and planned parenthood, recommend testing for anyone not displaying symptoms. It’s a don’t ask don’t tell policy. That leaves most of us who know we are infected feeling even more bitter and isolated at times.
Dating websites for people with STDs are pathetic in general, and most support organizations run virtually underground to avoid the stigma. This seems the perfect opportunity for those sex educators such as yourselves to step forward into the brink and bring real information, real research, real anecdotal experience to the population at large, many of whom are suffering in silence, overwhelmed by the stigma. This is a topic that needs a sex positive, educational, real world, perspective. It is my deep hope that those such as yourselves who have access to media can really bring this information to the people, educate the uninformed, and support the millions of people who deal with this issue and similar in their relationships and in their everyday lives.
I challenge you to take this on, to take on the social stigma, to take on the misinformation, to challenge the silence, to challenge the ignorance, and provide sex positive, people positive, genuinely useful tools for those of us who suffer the harshness of the stigma, those who often love us, and those who simply aren’t aware what we experience. For myself, there is simply no end to the irony that many of those same people that mock, joke, or are silent out of fear, are themselves silent carriers of the same virus that has had such a profound affect on my life.
In another twist to my own story, I have never had an outbreak. I had a long term relationship with someone who carried the virus and suffered outbreaks. When the relationship ended I decided to get tested, despite my lack of outbreaks and despite my doctors best efforts to talk me out of it. (Did I even get it from this person…maybe not. I was sexually active with multiple partners for many years after my divorce before I met this person. Any one person could’ve carried the virus that I might have carried silently from that day forward ) Would I make the same choice given the chance to go back in time? Maybe not. But I did. And here I am. And I won’t be kept in the dark and I won’t be silent.
It would be great if you could help me bring light to the darkness and provide the kind of sex positive information on this topic as you do so many others. Yes, obviously it’s something to be avoided if possible. But it’s not the end of the world, however one might feel at any given time after the diagnosis . And healthy self-image goes a long way towards a fulfilling and fabulous sex life with great, understanding partners. So this is my soapbox, and this is me shouting out Into the void! Sincere thanks for all you do, Ramsey

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Pelvic Floor Exercises For Better Sex :: Free Podcast Episode

What Are The Pelvic Floor Muscles?

3 layers of muscle that hold up organs and hold bones of pelvis together.
Also includes the muscles of orifices: urethra, anus and vagina
The pelvic diaphragm is the deep, large and thick layer of muscles in the pelvis

The pelvic floor muscles are a web, with tons of blood vessels and nerve fibers running through them.

Why Relax The Pelvic Floor?

We all carry way too much tension in our gluteal muscles and the pelvic floor. We sit for too many hours and don’t get enough exercise. We also have so much sexual shame and tension that causes chronic constriction in this area. Simply put, we are a tight assed culture.

Constrictions in the muscle can pinch off blood flow or interrupt the function of nerve endings. Both of these symptoms of tight muscles will limit arousal, erection and orgasm.

Too much tension in the pelvic floor does way more than weaken our sexual response. Over time, it can lead to stagnation in the vital organs of the pelvis. Too weak muscles can lead to conditions like vaginal prolapse. Incontinence and constipation are also related to the pelvic muscles. For pelvic health and optimal sexual functioning, we all need to pay attention to the pelvic floor and use simple practices to release chronic constriction, increase strength and improve flexibility.

Are Kegels The Right Pelvic Floor Exercises?

Katy Bowman calls for an end to the obsession with kegels.

In graduate school (where I was getting my MS in Biomechanics) I focused my studies on “where pelvic floor disorders come from.” I found this important because in math and engineering fields, where I came from, you can’t work on a problem’s solution until the problem is well defined. In disease research, however, there isn’t really research into the why or the how – only on trying to figure out the remedy. In doing my research on the physics of the pelvis, movement, and how the pelvic floor works, it became clear that while the pelvic floor’s problem was weakness, it was weakness that is the result of too much tension – not weakness that comes from flopping around.

The ultimate goal is to develop both strength and flexibility in the pelvic floor. This goes for both men and women.

Kegels, a term coined by Arnold Kegel in 1948, were once taught to women as part of preparing for childbirth. Then they became trendy to recommend to everyone to improve orgasm. The idea was stronger muscles would lead to stronger orgasms. Now we know better, and recognize that you need both strength and flexibility. Clenches alone can reinforce the tension that is already there, leading to more constriction.

How Do I Begin Exploring Pelvic Floor Exercises?

One easy way to assess the strength of your pelvic floor muscles is to blow up a balloon while noticing the sensations in the pelvic floor area. If you feel sensations like you have to pee, this might mean weak pelvic floor muscles.

A great way to get a sense of the pelvic floor is to look at it with a mirror. You can either use a hand mirror or lie in front of a full length mirror and prop up your head so you can see. Take a look around, and then start clenching and releasing your pelvic muscles and notice the movement.

One of the selling points of kegels is that you can do them anywhere and no one will know. The truth is, a full pelvic health practice requires a bit more time and attention. But we all sit around too much anyway, so what if your television time worked double time as your pelvic power time? A few simple stretches and strengthening exercises go a long way towards pelvic health, even if it is just a few minutes a few times a week.

To release chronic constriction, add a few stretches into your life. Check out the videos below for some great pelvic floor exercises to relax your pelvic muscles.

To strengthen your pelvic muscles, add in pelvic floor exercises like squats and lunges.

Squats might be hard at first, but stick with it and over time you’ll be able to squat deeper and hold it for longer. Squat just a little at first, only going down as far as you can, and make a mental note of how deep you can go. Check in week after week and you’ll begin to notice big changes! Remember that humans are designed to squat, we just have lost the habit so have to retrain the body to get back into this very natural position.

Use Pelvic Massage To Complement Pelvic Floor Exercises

It is important to get a hands-on sense of how tight your pelvic floor is. To get a benchmark feel, press into your perineum (the area between your genitals and anus) and see if it feels tight, loose or in between. The ideal state is a bit like a trampoline: taut but supple. Perineal and anal massage is a great practice for both men and women. External massage in this area is incredibly relaxing and deeply pleasurable, and can be done solo or partnered. Check out podcast episode #153 for a full discussion of anal and perineal massage.

As promised, here is a photo of Chris’ pelvic floor muscle tattoos!