Monthly Archives: March 2013

Prostate cancer ‘damages sex life’

Prostate cancer ‘damages sex life’

2013-03-18

Around 160,000 men in the UK have been left with little or no sex life after treatment for prostate cancer, the Macmillan Cancer Support charity says.

It suggested rising cancer rates meant cases could more than double by 2030.

Yet many patients could be helped if more services were available on the NHS, it said.

Erectile dysfunction is a potential side-effect of surgery, radiotherapy and hormone therapy used to treat the condition.

More than 40,000 men are diagnosed with prostate cancer in the UK each year.

In some there may be permanent nerve damage, meaning they cannot maintain an erection.

In others the physical problem can be temporary while for some the treatment has led to a psychological barrier to sex.

Two in three prostate cancer patients say they are unable to get an erection.

Macmillan said men also needed to feel they could seek help when they were having problems with sex after their treatment.

‘Lonely journey’

Jim Andrews, 63, a prostate cancer survivor from London, said his first reaction to his diagnosis of the disease was that it would kill him.

“The thought of libido-killing drugs and sexual dysfunction still seemed minor in comparison to the alternative.

“By the time I realised I was likely to survive, my sex life had been destroyed. I was devastated.

“It was not a subject that any professional talked to me about. It’s been a lonely journey as no-one talks about it.”

Professor Jane Maher, chief medical officer of Macmillan Cancer Support, said the figures showed that this was a major problem facing patients after their treatment and not enough was being done.

“The sheer volume of men affected shows the need for careful discussions before treatment.

“Many can be helped through early intervention and better support for men living with or beyond prostate cancer,” she said.

The charity wants to see specialist nurses, better psychological support and physiotherapists more widely available to prostate cancer patients.

It says men should also be encouraged to seek help from their GP when they are having problems.

Dr Daria Bonanno, a consultant clinical psychologist funded by the charity, said: “For many men with prostate cancer there is a certain stigma attached to talking about erectile dysfunction.

“Many may feel a sense of loss of masculinity and sadness around the inability to sustain an erection and will be reluctant to seek support.

“This can often cause them to emotionally isolate themselves from their partners and could make the issues worse.”

Why Marriage Is Good for Your Health — Until You Get Sick

Why Marriage Is Good for Your Health — Until You Get Sick

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It’s supposed to last through sickness and in health, but it turns out that it’s a better idea to get married because you love someone, not because you think it’s going to keep you healthy for the long haul.

That’s the message from a study published this month in the Journal of Health and Social Behavior, which contradicts previous research that extolled the health benefits of partnership. It turns out that marriage is all well and good — until a person’s health starts declining.

While studies of married and single people show that healthy unmarried people are far likelier to die than healthy married people during the 20-year research period, the numbers equal out when both married and unmarried people report poor health. “Marriage is more protective for healthy people,” says lead author Hui Zheng, an assistant professor of sociology at Ohio State University.

In the study, researchers tracked 789,000 people who participated in the National Health Interview Survey from 1986 to 2004. Participants were asked to rate their health from excellent to poor. Follow-up data allowed Zheng and Patricia Thomas, a postdoctoral fellow at the University of Texas at Austin, to determine that 24,100 participants died between 1986 and 2006.

When they reported excellent health, unmarried people in the study were on average 75% more likely to have died than married people. More specifically, separated folks were 58% more likely to die during these studies, divorced people were 62% more likely and widowed people were 93% more likely to kick the bucket compared with married people.

Marriage, then, can be a boon for a health. “It encourages people to maintain good health behaviors and have good social support and a sense of purpose in life,” says Zheng.

But while “marriage is good for health … its protective effect declines as people’s health declines,” says Zheng. Unmarried people who reported fair (as opposed to excellent, very good, good or poor) health were 40% more likely to die than similar married people in the study. That breaks down to a 39% greater risk of dying for those who were separated, a 31% higher risk for divorced people and 20% higher risk of dying for widowed people compared with those who were married.

What’s going on? Does love fade as health fades? That’s hard to document from the studies analyzed, but part of the explanation may be more prosaic. Married people are not as quick to report declining health as unmarried people are. So by the time a married person cops to having failing health, that person may already be in dire straits.

Meanwhile, a separate Danish study published this week in the International Journal of Epidemiology has found that gay men are doing pretty well with longevity: their mortality rate has dropped below that of unmarried or divorced men. Denmark boasted the world’s first legislation in 1989 recognizing same-sex partnerships.

The good news doesn’t extend to married lesbians, however; their mortality rates rose, primarily because of suicide and cancer, according to the same research. Researchers aren’t sure why marriage didn’t have the same beneficial effects on lesbians’ health as it had on men’s health.

The complicated results confirm one thing that’s clear about marriage — it is indeed complicated, especially when it comes to the ways that these perfect unions can impact health and longevity.

Quit smoking: Your heart will thank you

Quit smoking: Your heart will thank you

2013-03-13

Cigarette smoking increases your heart rate, narrows the walls of your blood vessels and reduces the amount of oxygen being delivered to your system, among other things. That’s why smoking is considered a major risk factor for cardiovascular disease.

Unfortunately, obesity is also a risk factor for cardiovascular disease. And most smokers gain between 6 and 13 pounds in the six months after they quit, according to a new study published in the Journal of the American Medical Association.

The benefits of quitting smoking are well known. “Cigarette smoking has short- and long-term cardiovascular effects that are reversible shortly after cessation,” according to the study authors.

But the researchers wanted to know if the weight gain following smoking cessation would counteract the positive effects quitting has on your cardiovascular system.

The study

The researchers analyzed data from the Framingham Offspring Study, which included more than 3,200 people. Information from the study participants was collected every four years between 1984 and 2011.

For the current study, researchers first divided up the 27 years of data into four “mini-studies,” explained lead author Carole Clair in an e-mail. Each mini study had a time span of about 6 years. The researchers then recorded the participants’ weight at the beginning and end of each mini study, and classified the participants into one of four categories: smoker, recent quitter, long-term quitter or non-smoker.

Because the data they used was collected every four years, the researchers didn’t know exactly when their study participants’ quit smoking, Clair said. So a recent quitter was defined as someone who reported smoking at one data collection point and not at the next. A long-term quitter was someone who reported not smoking at two consecutive data collection points.

The researchers then looked at each mini study to see if participants had a “CVD event,” such as coronary heart disease, angina, stroke or congestive heart failure.

The results

The median weight gain for recent quitters over a four-year period was about 6 pounds. Despite this, researchers found quitters had a significantly reduced risk of cardiovascular disease.

Recent smokers who quit were about 53% less likely to have cardiovascular disease than those who continued to smoke, Clair said. Long-term quitters had a 54% lower risk, despite weight gain.

These results applied to only those in the study without diabetes. While the researchers also looked at data for people WITH diabetes, they did not find a significant association between quitting smoking and a reduced risk of cardiovascular disease. Clair believes the study sample was too small and that more people would reveal results similar to the non-diabetic results.

Caveats

The smoking data in the Framingham study was self-reported, so participants’ could have fudged the truth on their smoking habits. And as mentioned earlier, the exact time period for when participants’ quit smoking was undetermined.

The study also did not capture any relapses that the smokers may have had. “Smokers generally need several attempts before successfully quitting,” the study authors wrote.

One other limitation to the study is its lack of diversity – the majority of the participants were white, so the authors aren’t sure if their results would translate to a wider population.

The takeaway

People who quit smoking can reduce their risk of cardiovascular disease. Period.

“The message of this study is that weight gain following smoking cessation does not offset the benefits of smoking cessation on cardiovascular diseases,” Clair said. “Doctors should advise all their patients to quit smoking.”

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Rashness & Rumination: New Understanding About the Roots of Depression

Rashness & Rumination: New Understanding About the Roots of Depression

Two studies explore some of the developmental roots of depression in childhood and adolescence.

In the first study, published in the journal Clinical Psychological Science, researchers focused on depressive rumination, or the relentless focus on what has gone wrong or will go wrong, coupled with an inability to see a solution to these overwhelming problems. It’s no surprise that rumination has a strong connection to depression— in fact, studies show that some talk therapies can actually make depression worse by compelling people to focus on problems and their origins, rather than guiding them toward positive solutions on what to do about them.

To better understand what role rumination might play in seeding depression to begin with, however, the researchers, led by Mollie Moore at the University of Wisconsin-Madison studied 756 young adolescent twins, aged 12 to 14. They compared identical twins, who share the same genes, to fraternal twins, who are no more genetically alike than other siblings, using questionnaires designed to tease out whether the teens tended to brood over their problems and their insolubility or whether they thoughtfully reflected on them with an eye toward finding possible solutions. What psychologists have labeled “moody pondering” or brooding is more likely to be associated with depression, while reflection may actually be helpful as a coping mechanism for emotional or challenging experiences. The authors also looked at whether the teens were able to distract themselves from their problems, noting that “individuals who have a greater tendency to ruminate and a lesser tendency to distract are at the greatest risk for experiencing depressive symptoms.”

They found that while much of brooding is influenced by environmental influences such as parenting and peers, virtually all of the connection between whether that brooding is associated with depression may be driven by genes.  Someone who inherits a tendency to brood, in other words, also seems to inherit a tendency to become depressed.

“I appreciated the authors’ distinction between brooding and distraction and their finding that the two played opposite roles,” says Gregory Smith, professor of psychology at the University of Kentucky in Lexington, who was not associated with the research, “At the core, they found that although brooding is not highly heritable, genetic influences appear to contribute to the relationship between brooding and depression.”

That doesn’t mean that people who brood are necessarily at higher risk of depression. Because the research only looked at the twins at one point in time, the authors note that “it remains unclear from our results alone whether brooding is a risk factor for depression or is merely associated with depressed mood concurrently.”  Since rumination can be re-directed and managed through cognitive behavioral therapy or other interventions, figuring out whether the tendency to brood can trigger depression could lead to early and effective treatments, which might actually prevent depression by stopping ruminating before it becomes engrained in brain circuitry.

Smith, who is also investigating some of the potential root causes of depression, reports in his study, published in Psychological Science, on an interesting connection between depression and people’s tendency to act without thinking when faced with strong emotion, known among psychologists as “urgency.” Although this behavior seems unrelated to depression, he and his colleagues found a surprising link.

“In numerous longitudinal studies, [urgency] has been shown to predict subsequent involvement in a range of rash, ill-advised behaviors, including problem drinking, pathological gambling, smoking, risky sex, drug use, binge eating, and others,” he says.

And what’s driving these behaviors is an impulse to act without considering the consequences. “It might be [more] useful to understand impulsivity more broadly: as the tendency to respond to an immediate urge or need, without due consideration of one’s ongoing, long-term interests and health,” Smith says.

That can lead to not acting when it’s necessary, as well as actively making poor choices. “Sometimes inaction can meet an immediate need at the expense of an ongoing goal pursuit,” he says. “For example, one might be very nervous about asking one’s boss for a promotion and raise. Inaction [not asking] would alleviate the immediate nervousness, but at the expense of one’s longer-term interests.”

In the study, Smith and his colleagues studied over 1,900 fifth graders as they made the transition from elementary school into sixth grade middle school.  After controlling for factors like gender and early onset of puberty that could also affect depression, they found that fifth grade urgency was one of the best predictors of being depressed in sixth grade:  the only greater predictor was already having been depressed in fifth grade.

And this prediction held up even after the authors controlled for early involvement with smoking, drinking or binge eating:  addictive behaviors that might themselves lead to depression because of their negative consequences.  Instead, the findings suggest that impulsivity in the face of emotion — leading to either action or inaction — increases risk for both addictive disorders and depression.

While the connections between either ruminative negative thoughts or impulsive behaviors and depression might seem obvious, such finer-grained understanding of how these tendencies may contribute to depression could lead to better ways of preventing an array of behavior problems.

Best Time To Hit The Gym

Best Time To Hit The Gym

2013-03-12

We all know a few people who swear by working out at the crack of dawn every day.

They naturally enjoy waking up and heading straight to the gym, and claim to get more out of their exercise routines in the early-morning hours.

Then there’s another group that wouldn’t dream of getting on the treadmill, StairMaster or bike before 6 p.m., when the day is behind them and their muscles feel stretched and loose.

So which is better? Personal trainers and experts on exercise say the effectiveness of your gym time depends partly on your body rhythms as well as what exactly you’re trying to get out of it–whether it’s losing inches around your waist or putting inches on your biceps.

Primed In The P.M.
First, you have to pay attention to your body’s abilities, says Cedric Bryant, chief science officer for the American Council on Exercise, the nonprofit fitness certification and education provider. He counsels people that the best time to exercise is the one that works with their body clock and fits with their schedules.

But that said, from a physiological standpoint, Bryant says the afternoon may be a better time to engage in more explosive exercises, such as kickboxing or racquetball. Research has shown that the body’s temperature tends to rise by a few degrees in the afternoon, warming the muscles and connective tissues and resulting in a slight improvement in your performance capabilities.

Working out in the afternoon also requires a little less time stretching on the mat because your heart and muscles are more prepared for the stress of exercise than when you’re fresh out of bed, Bryant says. If you’re not putting in a longer warm-up, morning workouts can put you at a higher risk for injury.

Khari May, personal training manager at Crunch in New York, tells clients who want to build muscle mass to hit the weights in the afternoon. In the morning there isn’t enough glycogen in our muscles, or stored fuel, to support an effective workout.

“The body is like a well-put-together car,” May says. “If there’s not enough fuel it might not work for you or take you as far.”

A.M. Advantages
There are, of course, pluses to working out in the morning too. May recommends it for people whose main priority is losing weight. Working out, doing cardio especially, on an empty stomach will burn more fat calories because your carb reserves are almost used up. That causes the body to turn to fat stores for energy first. (Many fitness experts warn, however, that running on empty isn’t the most efficient way to work out.)

Another point in favor of the early birds is that evidence has shown they’re more likely to stick with their fitness routines.

“What happens is they’re able to get it in before the various demands of life compete for [their] time,” Bryant says. “Many of us are well-intentioned but then the realities of life come into play and squeeze out exercise.”

Spread It Out
No matter what time you end up choosing to work out, the experts say you’re probably better off spreading it out in frequent intervals throughout the week, rather than saving it all up for one hellish day or the weekend.

Even if you run the same number of miles in one day as you would have over three or four short sessions, you may burn the same amount of calories but you’ll lose out on other health benefits. Every time you exercise you temporarily lower your blood pressure and blood glucose levels, which provide cumulative benefits over the years, Bryant says.

What’s more, exercise can curb some people’s appetites, another good reason to spend more time at the gym than on the couch.

Perhaps the best reason? May says working out hard one day a week is a sure way to trash your body.

“Being a weekend warrior can’t make up for it,” he says. “You’re putting your body at risk and you’re not going to get the same effect.”

When It Comes to Sex: Use It or Lose It

When It Comes to Sex: Use It or Lose It

2013-03-11

By Stacy Lloyd

Although male sexuality is very different from female sexuality, studies say that it turns out for both sexes, that you need to “use it or lose it.”

The advice from researchers for older men who want to preserve their sexual function is this. Have sex, and have it often, Huffington Post reported.

In a study that followed nearly 1,000 older Finnish men for five years, researchers found those who regularly had sex at the start of the study were at lower risk of developing erectile dysfunction (ED) by the study’s end, said Huffington Post.

“It’s what we in vascular surgery refer to as the ‘use it or lose it’ concept,” Dr. Hossein Sadeghi-Nejad, an associate professor of urology at New Jersey Medical School Hackensack University Medical Center told USNews.com.

“Sexual activity will promote maintenance of normal erectile function down the line.”

Women need to use it or lose it as well.

Women who have sex with themselves or a partner have better vaginal lubrication and elasticity of vaginal tissues than those who are abstaining, wrote FoxNews.com. More frequent sex also goes a long way in boosting a woman’s enjoyment of sex.

Some researchers believe that there’s a psychological component as well, said WebMD. People may stop wanting sex if they go a long time without it.

Sometimes this is true because people “turn off sex” to avoid feeling sexually frustrated. Having more frequent sex can actually maintain interest in sex.

Men and women may experience sexual changes as they age. WebMD advised that some changes may be the first sign of a medical problem.

So talk with a doctor about any concerning changes. He or she may be able to recommend treatments that will help.

Illness and side effects of medications can hinder sex, warned FoxNews.com. So be active, informed and communicate with your doctor about any medical conditions or medications that can hamper sexual intimacy.

People who have heart conditions can still enjoy full, satisfying sex lives, wrote WebMD. If arthritis is a problem, experiment with different positions. Women, use water-based vaginal lubricants to reduce vaginal dryness or irritation.

FoxNews.com advised staying physically healthy. Exercise and have a healthy diet. Don’t smoke, don’t abuse drugs or drink excessive amounts of alcohol.

Prescription medications that can enhance the sexual response are also available, said WebMD. Some people find herbs such as ginkgo biloba and ginseng enhance their sexual function.

But remember, both prescription drugs and herbal remedies carry the risk of side effects, so talk with a doctor.

What can people do now?

One researcher suggests the best predictor of later-in-life sexual activity is the amount you’re having at mid-life, wrote FoxNews.com.

So what better time to get started than right now?

Why Married People Are Smug and Singles So Carefree

Why Married People Are Smug and Singles So Carefree

2013-03-07

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If you’re single, you can’t seem to get away from the couple who won’t stop cooing and talking about how great it is to be in a relationship and how relieved they are to be spared from the horrors of dating.  And if you’re married, you can’t stop hearing from singles about how marriage is a hellish trap and their own commitment-free life is a blissful expression of their independence.

It may not make the annoying nature of your self-satisfied friends any easier to take but a new study may explain why people in relationships are so convinced that partners are the way to go, while those who are single adamantly refuse to accept the joys of being part of a pair.  People who see their relationship status as unlikely to change are prone to idealize it— while those who are open to other possibilities don’t feel the need to boost themselves by disparaging the status of others.  Understanding the psychology of this process can help explain a lot of otherwise mystifying behavior among both singles and couples.

The study, which will be published in Psychological Science, is based on the theory of “cognitive dissonance,” a phenomenon first described in the 1950s. If you are deeply committed to a belief and have acted in ways that you think are irreversible as a result, it’s often easier to change your other beliefs and actions than it is to question the original idea.

“Cognitive dissonance happens when we’ve made a choice and we’re not 100% satisfied with it or it goes against something we believe,” says Kristin Laurin, assistant professor of organizational behavior at Stanford University, the lead author of the study,  “We feel uncomfortable, so what we do is adapt our attitudes so now the choice fits better with the attitude.”

The term was first coined by psychologist Leon Festinger, who studied members of an apocalyptic cult. After they had quit their jobs, cut ties with outside friends and family and sold their belongings, the predicted catastrophic flood failed to arrive. The leader gave them a lame explanation that it had been their faith that saved the world.  But while some members did quit, many others became even more fervent, in a desperate attempt to justify their already-made decisions to dedicate their lives to the cult.

Festinger and his colleagues and students soon found that a similar reaction occurs in many cases where people have paid a high price for something that fails to deliver fully.  In fact, these studies find that the more people pay for something, the more likely they are to see it as having been worth it.  Whether it’s wine or a car or even a fraternity initiation, the more you pay in cash or emotional pain, the better you tend to feel about what you’ve gotten. (This is part of why hazing is so hard to eradicate:  it does increase loyalty).

Laurin and her colleagues suspected that a similar thought process might take place when people consider their relationship status.  If you believe you are likely to stay single, it can be easier to look on the bright side, rather than constantly spending time envying people in pairs.  Similarly, if you think your relationship is going to last, it’s not a great idea to focus on the upside of being unpartnered.

Researchers tested these ideas in several experiments, one of which was conducted on Valentine’s Day two years ago. In that study, 113 college students were offered chocolates for answering survey questions about their current relationship status and whether they felt it was likely to last.

Then, they read a description of a student of the same gender, who was either single or in a relationship and were asked to write a few paragraphs about how they thought that person would spend Valentine’s evening. They also quantified how happy and fulfilled the person would be and were asked if they thought the student in the example would have a better evening if they had the opposite relational status to the one described.

As predicted, participants who saw their relational status as unlikely to change made more positive judgments about those who shared that status and were more negative about those who didn’t.

“The more the coupled people felt that their relationship was going to last, the more they wrote happy stories about relationships and sad, unhappy stories about being single,” Laurin says, “And conversely the more single people thought that they would be single for a long time, the more they wrote happy stories about single and sad, unhappy stories about relationships.”

These preferences may help explain why single people tend to find that their friends drop them when they couple up — and why couples who break up often find themselves excluded by their married friends. “I think that definitely contributes to the divide you see,” says Laurin.

However, the research did not find that couples were more likely to idealize their status than singles were — even when similar experiments were done with older adults, amongst whom being single is more stigmatized than it is in college.

“That was one of most surprising things we found,” Laurin says,  “We thought that since there’s a prevailing cultural ideology that people should be in relationships, [it] might be harder for single people to say ‘Yeah, it’s totally awesome [being single],’ but we actually found exact same size effect across both groups.”

Other experiments explored whether cuing people to think about their relational status as more or less changeable would reduce the effect (it did) and whether being more satisfied as a single or coupled person would account for the idealization of one’s own status (it didn’t).

So whether or not you have someone to come home to on Valentine’s Day — take heart.  Those smug married people or carefree singles don’t actually have it better— they just want to convince themselves that they do.

Why Do People Have Sex?

Why Do People Have Sex?

2013-03-05

By Stacy Lloyd

Researchers have generally assumed people have sex for one or more of three reasons: to have children, experience sexual pleasure, and cement relationships, according to PsychologyToday.com.

Well, wrote WebMD, today’s reasons why people have sex seem to vary much more.

A 2010 Sexuality & Culture review of sex motivation studies states people offer “far more reasons for engaging in sexual intercourse than in the past.”

These include a wide range of motivations, from pleasure and procreation, to insecurity, to inquisitiveness.

This aside, some sexologists still believe, at the most basic level, there is only one true reason people have sex. We’re wired for it, reported WebMD.

“Our brains are designed to motivate us toward that behavior,” Richard A. Carroll, PhD, sex therapist and associate professor in the psychiatry and behavioral sciences department at Northwestern University Feinberg School of Medicine, told WebMD.

Research from the University of Texas at Austin revealed hundreds of varied and complex motivations that range from the spiritual to the vengeful, wrote ScienceDaily.com.

After conducting comprehensive studies on why people have sex, psychology researchers David Buss and Cindy Meston uncovered 237 motivations, which appear in the Archives of Sexual Behavior.

The Guardian wrote the two psychologists canvassed 2,000 people to compile the list of the 237 most popular reasons. PsychologyToday.com added that they asked people aged 17 to 52, to list “all the reasons why you or those you know have engaged in sexual intercourse.”

The Texas psychologists used the research to identify four major factors and 13 sub-factors for why people have sex, wrote ScienceDaily.com.

One major factor is physical reasons. The sub-factors are pleasure, stress relief, exercise, sexual curiosity, or attraction to a person, wrote WebMD.

Dummies.com said that many people engage in sex for the sensory experience, the wide range of physical and emotional pleasures that a person can derive from sexual activity.

Another major factor is emotional reasons. These sub-factors are love, commitment and gratitude.

Part of the glue that holds longtime love together is sex, said Dummies.com.

WebMD said that a major factor of why people have sex is a variety of goal-based reasons. The sub-factors are procreation, improving social status (i.e. to become popular) or for revenge.

The fourth major factor is insecurity-based reasons. These sub-factors include self-esteem, a feeling of duty or pressure, and to guard a partner, wrote ScienceDaily.com.

PsychologyToday.com wrote, the myth is that men and women are emotionally very different. However, in the Meston-Buss survey, the top reasons why both men and women become sexual were based on attraction and pleasure.

Men and women gave the same priority to horniness and almost the same to expressing love, and feeling closeness/intimacy.

How to sleep with a woman

How to sleep with a woman

2013-03-04

By :Hugh Wilson

According to new research, what you do in bed can seriously undermine your relationship.

And on this occasion, the experts aren’t talking about sex. Hotel chain Premier Inn surveyed 2,000 adults and found that bedroom battles caused by cold feet, snoring and late night loo trips are putting more and more relationships under stress.

In all, these bedroom bothers led to 167 arguments a year, the survey found.

So how do you successfully sleep – and we mean sleep – with a woman. Here’s our handy guide.

Don’t hog the duvet

According to the study, hogging the duvet is the number one cause of arguments among couples in the bedroom, leading to lost sleep and serious resentment. So don’t be a duvet hogger if you can help it.

Admittedly, it can be pretty hard to help it, given that many of us wrap the warm cosy things around ourselves – pulling them off our partners in the process – when we’re fast asleep. The answer? Think of investing in two single quilts rather than one double.

Our research shows that most of the arguments couples have in the bedroom are down to habits that are easy to resolve as a relationship develops,” said spokeswoman Claire Haigh.

Get help for your snoring

Snoring was the next most hated bedroom baddie, with 20% of respondents claiming that a snoring spouse cost them up to two hours of sleep a night. More women than men complained of a snoring partner.

“People suffer from snoring to varying degrees and the research shows it can impact on our day-to-day lives, especially if one person in the relationship is missing out on much needed sleep,” said Haigh.

So what’s the answer? The British Snoring and Sleep Apnoea Association has a handy guide to help you determine what sort of snorer you are and what you can do about it.

It’s also worth knowing that lifestyle factors such as being overweight and drinking alcohol before bed can make your snoring worse. Similarly, overwork or a poor sleep routine can mean that when you do finally hit the sack you’re seriously overtired, another risk factor for snoring.

Be a gentleman in bed

When it comes to bedroom etiquette, it can be the simple things that matter most.

According to the study, one irritation is a partner who leaves the lights on to read. Another is a partner who comes home late and doesn’t get undressed in another room. Yet another is a man who comes home a little the worse for wear and stumbles around the bedroom trying to remove his socks. And then there are those of us who just have to get up to go to the loo in the night.

It’s no wonder the research found that one in 10 partners had considered ending their relationship because of disturbed nights and bedroom annoyances.

Much of this is easily remedied, of course. If you want to read when your partner wants to sleep, do it in another room. And when you do come to bed get ready elsewhere and slip silently between the sheets undetected.

And if all else fails, there is one more radical option that may improve your relationship no end…

Many couples are now choosing to sleep separately, at least every now and then, for the good of their physical health and the health of their relationships. In fact, a study published earlier this year found that one in 10 couples that live together regularly spend nights in separate rooms or at least separate beds.

That might go right against your grain. Conventional wisdom says that couples that sleep apart do so because they can’t stand each other. But Dr Neil Stanley, one of the UK’s leading sleep researchers, says that sleeping apart can be a good thing for many of us. Couples suffer 50% more sleep disturbances, Dr Stanley claims, when they share a bed.

That’s serious, because disturbed sleep leads to tired days and tiredness leads to cranky couples. You’re more likely to argue, bicker and put strain on your relationship when you’re tired. Dr Stanley says that poor sleep increases the risk of divorce, as well as a host of physical and mental problems.

So perhaps the most gentlemanly thing you can do in bed tonight is to get out of it. If you don’t have a spare room, maybe you can invest in a sofa bed or fold-up mattress?

That’s not to suggest you sleep apart all the time – there’s some evidence to suggest that sex lives and relationships can suffer if couples never share a bed. But on nights when you’re out late, or you know you’re particularly tired, or you’ve had a drink, sleeping in a separate room could ensure you both get a good night’s sleep, and wake up healthier, happier and nicer to be around in the morning.

Comprehensive Sexual Education—A Prevention Strategy

Comprehensive Sexual Education—A Prevention Strategy

By Amy S. D. Lee, MS, WHCRNP, Nurse Practitioner

I was interviewed the other day about drug-resistant gonorrhea—a topic I’ve written about here previously. The interviewer asked me what I thought could be done now that we are hearing that some strains of gonorrhea are developing resistance to most antibiotics.

I answered that I thought we had to focus on prevention—prevention that starts at an early age and continues throughout life.  Such an early education campaign starts with a program called Comprehensive Sexual Education (CSE) for adolescents.

What is Comprehensive Sexual Education?

It is sexual education that encourages children to practice abstinence until marriage, but also provides adolescents with the information and instruction they need to engage in responsible sexual behavior at every phase of their lives. This means how to protect themselves from becoming pregnant or getting a sexually transmitted infection (STI).

Young people must have accurate and sufficient information to make informed and responsible choices about their sexuality. Polls concerning CSE have shown that 72 percent of junior-high-school parents and 65 percent of high-school parents support CSE in the schools.

Although the American teen pregnancy rate has declined by one-third since the 1990s, it is still double that of Great Britain, 10 times Switzerland’s, and three times Canada’s.

Prevention of sexually transmitted diseases and pregnancy begins early and continues throughout a person’s life. Talk to your healthcare provider for further guidance on a Comprehensive Sexual Education program in your home and in your community.