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Indonesian Youths Want to Be Heard on Family Planning

Indonesian Youths Want to Be Heard on Family Planning

2016-02-24

Jakarta. Years ago, when Angraini Sari Astuti was diagnosed with ovarian cancer, she experienced first-hand how difficult it can be for Indonesian adolescent girls to visit a qualified health professional when they desperately need one. Not because there were no doctors where Angraini lived, near Solo in Central Java, but because of the stigma associated with anything related to premarital sex in the world’s most populous Muslim-majority nation.

“In 2008, when I checked into [the office of] a gynecologist in preparation of my tumor surgery, other patients stared at me,” now-25-year-old Angraini said at a youth event on the sidelines of the International Conference on Family Planning held in Nusa Dua, Bali, late last month. “They were wondering: why would such a young girl come to a gynecologist?”

Angraini, who fully recovered, is now an energetic and outspoken youth activist working with the United Nations as a volunteer to call on the Indonesian government to give youngsters a seat at the table when policies are made that directly affect them.

Activists like her say empowerment and education are more necessary now than ever before, because while the country’s family planning program has been widely hailed as a great developing-world success story, the numbers on adolescent sexual and reproductive health in Indonesia remain disheartening.

65 million young people  

Indonesia’s successful family planning program, which lowered the country’s total fertility rate from 5.6 in 1967 to 2.6 in recent years, has cleared the way for a much-anticipated demographic dividend.

There are over 65 million people in Indonesia today aged between 10 and 24: almost 30 percent of the population. But even as this may be good news in terms of economic growth potential, illegal abortions abound and HIV transmission rates are on the rise, while the government is not legally allowed to provide any means of contraception to people who are not married. Regular health clinics tell youngsters that abstinence until marriage is the only way to stay out of trouble.

According to data from the United Nations Population Fund (UNFPA), people between the ages of 20 and 29 account for almost 40 percent of newly confirmed cases of AIDS in Indonesia. These numbers suggest that many get infected with HIV between the ages of 15 and 24.

UNFPA also notes that more than half of reported HIV cases in the country are due to unprotected sexual intercourse, with intravenous drug abuse being another major cause.

Maternal mortality

Reliable numbers are hard to come by, but experts estimate there are at least two million abortions per year in Indonesia. The fact that these abortions mostly involve married women in Indonesia indicates that access to contraception is hardly something that only affects adolescent girls.

As abortion is illegal in Indonesia except in cases of rape, foetal abnormality or when the pregnancy threatens the mother’s life, most of these procedures are carried out unsafely. Indonesian girls and women with an unwanted pregnancy ingest menstruation-inducing herbs, are given a uterine massage or even have foreign objects inserted into their uterus.

Indonesia’s maternal mortality ratio (MMR), or the number of maternal deaths per 100,000 live births, remains high, at an estimated 126, and unsafe abortions cause an estimated 16 percent of these deaths.

In other words: some 6,400 women died from pregnancy-related causes throughout the archipelago last year, and over 1,000 of these women died because of an unsafe abortion.

Even though Southeast Asia’s largest economy is performing better than countries like Laos (197) and Cambodia (161) in terms of MMR, it still lags far behind neighbors such as Vietnam (54), Malaysia (40), Thailand (20) and Singapore (10).

Child marriage

One of the ways Indonesian authorities are trying to prevent unwanted pregnancies and stem the rise of sexually transmitted infections such as HIV/AIDS, is by promoting abstinence until marriage, for instance by limiting the availability of contraceptives for unmarried people.

However, one of the consequences of this policy – which is generally accepted by people across the country because it is considered to be in line with religious teachings and tradition – is that many people marry young.

In many parts of Indonesia, unmarried girls are being labeled perawan tua, or “old virgin,” as early as in their late teens andchild marriage remains very common, despite the many dangers associated with the practice.

Humairah Samad, a senior high school student from Makassar, in South Sulawesi, confirmed that where she lives, too, many tie the knot at a young age.

“Our culture has been like that for generations,” she told the Jakarta Globe at the family planning conference in Bali, citing the need for better education on issues of sexual and reproductive health to break that tradition.

Another Indonesian youth activist, Nanda Fitri Wardani, a young MD from Lampung who studied at Bandung’s Padjadjaran University, says many girls in Indonesia have plenty of dreams but are often not empowered by their parents and sometimes end up getting married as early as age 13.

Such a young marriage usually means the end of school and any prospect of a career beyond motherhood.

Harm reduction

Nanda says she believes the Indonesian government should be supported in its decision to not provide contraceptives to unmarried people, citing the state ideology of Pancasila and its first principle: belief in God.

“Having sexual intercourse before marriage is forbidden based on the religions that we follow here,” Nanda said in Bali, stressing that abstinence remains the best way to stop the spread of HIV/AIDS among young people.

Siswanto Agus Wilopo, a professor of reproductive health at Gadjah Mada University (UGM)’s faculty of medicine, however, says the government needs to approach the issue differently.

Siswanto told the Globe he was quite confident that the legal situation would not change anytime soon, as a majority of legislators in the House of Representatives believes that the law can prevent unmarried people from engaging in sexual intercourse.

Faced with such unfavorable odds, the professor says the country needs a harm reduction policy, because the numbers suggest there clearly is a problem, regardless of what politicians say. A start would be the provision of contraceptives to unmarried couples, as part of an emergency regulation, he said.

“You have to go step by step,” said Siswanto.

“One kind of harm reduction policy is the availability of ECP [emergency contraception pills] which will prevent unprotected sex ending in abortion. It is better to use a pill compared to having an abortion, isn’t it?”

“We start with that, campaign about it. If you present the facts, if you present the data – people in Indonesia are smart … I believe that at least harm reduction can be promoted.”

For now, however, the Indonesian government is adopting a hands-off approach. Although some believe the sale of such prophylactics needs to be limited to prevent people from engaging in premarital sex, condoms are still available in supermarkets and convenience stores in major urban areas.

Youth-friendly services

UNFPA in 2014 launched an initiative in cooperation with the private sector that is aimed specifically at helping adolescents. As part of the Unala program, which is being piloted in Yogyakarta, affiliated clinics specialize in providing youth-friendly physical and mental health services.

At the Unala clinics, selected GPs offer health services for youngsters who might be afraid of the social stigma attached to extramarital sexual activity, real or perceived. One way of doing this, for instance, is by using an appointment-only system – which is very unusual in the Indonesian health sector – to avoid prying eyes in the waiting room.

Besides Unala, there are other initiatives to help people in need, such as a hotline run by Yogyakarta-based activists that allows girls and women with an unwanted pregnancy to discuss – free of charge and judgment – what options are available.

Such sessions are aimed at preventing tragic but all-too-common situations where girls or women end up having unsafe abortions at one of the many illegal clinics in Jakarta or at the hands of a local midwife.

Meaningful participation

Babatunde Osotimehin, the executive director of UNFPA, says youngsters all over the world should be given the space to express themselves, so that governments and NGOs understand what they want, and what they need.

And one of the most important things that young people need, is comprehensive sexuality education (CSE), he says, stressing that this in fact is the right of every young person.

In Indonesia, only few schools offer such programs, however. Some others do teach children about sexuality, but take a fear-based approach instead of one that stresses a young person’s rights.

Apart from CSE, another important step is greater involvement of men, the UN under-secretary-general said, speaking at the family planning conference in Bali.

“There is no man in this world who would like to see his daughter die,” said Babatunde, “or see his wife die.”

Angraini, the Indonesian youth activist, told the Globe that for family planning and sexual and reproductive health programs to work, meaningful participation of young people at all levels of the policy-making process is essential.

“Listen to the young people themselves,” she said. “Don’t just ask them to attend a seminar when everything is already settled.”

Apart from empowerment, there is a clear need for adequate, youth-friendly health services across the country, she said, to clear all hurdles for young people “concerned about confidentiality and judgmental opinions from others.”

“Involving young people, both married and unmarried, in family planning education, and raising their awareness on this issue, will have a positive impact in lowering maternal and child mortality and morbidity,” Angraini said, “as well as equip young people with the information they need to make their own decisions.”

But she stressed that young Indonesians should not just remain passive while waiting for change to happen.

“Let us … work together with parents, families, government health personnel, teachers [and] educational institutions … [so that they all] fully recognize young people’s need for non-judgmental understanding, the right information, adequate health services and comprehensive sexuality education,” Angraini said.

“We are the future of family planning.”

C.D.C. Investigating 14 New Reports of Zika Transmission Through Sex

C.D.C. Investigating 14 New Reports of Zika Transmission Through Sex

Health authorities in the United States said they were investigating 14 new reports of the Zika virus possibly being transmitted by sex, including to pregnant women. If confirmed, the unexpectedly high number would have major implications for controlling the virus, which is usually spread by mosquito bites.

Scientists had believed sexual transmission of Zika to be extremely rare. Only a few cases have ever been documented. But if all the women in the cases the Centers for Disease Control and Prevention is examining test positive for the virus — as two women already have, and four others have done in preliminary lab tests — officials believe there is no way other than sex that they could have contracted it.

The specter of so many cases — all in the continental United States — brings fresh complexity to the medical mystery of Zika. The virus is suspected to cause birth defects and a rare condition of temporaryparalysis.

Does Misogyny Lead to Unhealthy Sexuality?

Does Misogyny Lead to Unhealthy Sexuality?

2016-02-18

February 16, 2016 by  

To best understand the relationship between misogyny and sexual health I’ll begin this piece with a comprehensive definition for each term.

Misogyny: “[M]isogyny is primarily a property of social systems or environments as a whole, in which women will tend to face hostility of various kinds because they are women in a man’s world  (i.e., a patriarchy), who are held to be failing to live up to men‘s standards (i.e., tenets of patriarchal ideology which have some purchase in this environment)” (Manne, p.2). In other words, misogyny is systemic oppression of women, within patriarchal societies in which women are expected to adhere to patriarchal expectations, otherwise face punishment.

Sexual health: Sexual health “is a state of physical, emotional, mental and social well-being related to sexuality; it is not merely the absence of disease, dysfunction or infirmity. Sexual health requires a positive and respectful approach to sexuality and sexual relationships, as well as the possibility of having pleasurable and safe sexual experiences, free of coercion, discrimination and violence. For sexual health to be attained and maintained, the sexual rights of all persons must be respected, protected and fulfilled” (World Health Organization, 2006).

We all are aware that sexual health is not something which is explicitly discussed in Muslim communities. However, subtle messages and lessons regarding sexuality and sexual health are being relayed to women constantly and these messages place a heavy burden on them.

  • “Wear a long shirt when you go to the mosque. You don’t want the men to see your curves.”
  • “Don’t get too comfortable/friendly with the boys in your class.”
  • “Keep your voice down in the mosque. The men shouldn’t be able to hear you.”
  • “If a man sees your hair your wudu is invalidated.” (Yes, I was told this once.)
  • “Don’t stay out past dark. People will talk.”
  • “You don’t need to know those things until you get married. And then, your husband will teach you.” (Though this message may not be explicitly stated, there are ways in which this message is relayed.)

None of these statements mention sex or sexuality explicitly, but they all send a clear message. “You, woman, are a sexual being whose curves and voice will sexually excite and distract men, who, upon seeing your hair, will have thoughts so dirty YOUR wudu will be invalidated. Also, getting friendly with the boys in your class will inevitably lead to sexual relations and if you stay out past dark people will assume you’re out there having sex with men. Oh, and if you know about sex before you get married then your husband will assume you were out having sex with men and he won’t respect you. So just let him teach you because he knows from all the sex he was out having with women, like most guys do.”

Women’s sexuality, in Muslim communities, is too often defined in relation to men. The attitudes, views, opinions, and thoughts of men are given priority over the reality of women’s lives. Women’s behaviour is strictly regulated to the meet the patriarchal expectations laid out by men. And, as a result, women’s behaviour is often viewed in sexual terms such that women are policed to behave in ways that do not “force” men to behave in sexually “haram” ways or that ensure people know you are not engaging in “unlawful” sex. When women do not adhere to these expectations, or are assumed to not be adhering to them, they are faced with derision, disrespect, and sometimes ostracization and isolation.

This is misogyny. And enacting this misogyny in the name of religious duty or obligation is a form of spiritual violence, in which women are denied access to religious and spiritual attainment because they fail to meet patriarchal expectations of women’s behaviour.

So how is this misogyny harmful to women’s sexual health? Because it denies women bodily autonomy, having a detrimental impact on the physical, emotional, mental and social well-being related to sexuality. It denies women the choice to decide what is and isn’t sexual, safe, coercive, pleasurable, violence. It conflates non-sexual behaviours (how long our shirts are) with sexual ones and disguises sexually violent ones (coercion) as sexually healthy (sexual education) or natural (men can’t control themselves).

It places the burden of modesty and honour on the shoulders of women,consequently victim-blaming women for any sexual disrespect and sexual violence they may endure.

It assumes women to be recipients of sex placing them in danger of being abused and manipulated, or in a situation of unpleasurable and uncomfortable sex. It shames women regarding their own sexuality and their bodies, a shame which can have an impact on their self-image, including their sexual self-image, and confidence.

So how do we address this? The answer is simple, yet one that meets a lot of resistance. Stop being misogynistic. Obviously, this is much, much easier said than done. We have had centuries of misogyny built into not only our culture, but also our interpretations of religion. This will take a lot of work and will require that we challenge those very patriarchal notions that so many of our values and beliefs are premised upon. But this needs to be done, one little action, one little step at a time, if we want healthy communities.

misogyny-300x181

A few steps to begin this process:

Stop sending girls and women these harmful messages and start sending boys and men messages that instill the unconditional respect of women.

Educate girls and women on sexual health and give them the tools to make their own decisions on what is and isn’t healthy for them.

Stop defining women’s sexuality in relation to men. Women do not exist to sexually please men. It seems like it should not need to be said, but women are whole and holistic people, and sexuality only one part of our being. Let women, and girls, define and decide what we want.

Recognize women’s right to bodily autonomy. A woman can choose to do with her body what she wishes. No one else has the right to decide for her nor to infringe upon her autonomy.

This is just the beginning, the tip of the iceberg. However, if we, as a community, begin with these few basic steps, we will be on the road to a sexually healthier community.

Sobia Ali-Faisal received her PhD in Applied Psychology from the University of Windsor in 2014. She currently resides in Canada.

Young Men’s Sexual Behavior May Predict Teen Pregnancy Risk, The Kind Of Dad They’ll Be

Young Men’s Sexual Behavior May Predict Teen Pregnancy Risk, The Kind Of Dad They’ll Be

By 

For years, researchers have investigated young women’s views on motherhood in an effort to reduce teen pregnancies. But in a new study from Northwestern University, they shift their attention to young men and their behavioral patterns, which can shed light not only on their chances of becoming fathers, but also the kind of fathers they’d be.

Past research into young men and sex had primarily focused on the link between risky behaviors and sexually transmitted diseases (STDs). But co-author Dr. Craig Garfield and his team were more interested in seeing how attitudes toward risky sex, pregnancy, and birth control related to their future parental outcomes. They found teens and young men with more nonchalant attitudes toward sex were more likely to be nonresident fathers — men who didn’t live with their children.

“I was very surprised that, based on what adolescent males tell us in their teenage years, we could predict whether they would later become a teen father or a nonresident father,” said Garfield, an associate professor of pediatrics at Northwestern, in a press release. “We’re expanding male reproductive health across the lifespan and beginning to see how early beliefs relate to later outcomes and health, including fatherhood.”

fatherhood-predictions

The research team interviewed 10,253 male teenagers and young adults. Participants were asked to respond to statements, like “If you had sexual intercourse, your friends would respect you more;” “it wouldn’t be all that bad if you got someone pregnant at this time in your life;” and “using birth control interferes with sexual enjoyment.” Then 20 years later, they followed up with the participants to compare their responses from the initial interview to whether they had a child, if they lived with the child, and their age when they impregnated the mother.

Those who practiced riskier sexual behavior “significantly increased” their odds of becoming a nonresident father, especially when it was an unintended pregnancy, the researchers found. Specifically, young men who were less concerned about risky sex were 30 percent more likely to become a father who did not live with his child. Teens who felt it “wouldn’t be that bad” if they impregnated a girl were 20 percent more likely to become nonresident fathers.

These findings served as a way to predict the likelihood of young men becoming fathers in their teenage years. But they also show a correlation between boys’ attitudes about sex and the type of fathers they’d grow up to be 14 years later. While it’s unclear what causes this correlation, research shows teen fathers are less likely to finish school, and more likely to rely on public assistance and have lower-income jobs throughout their lives.

The researchers also found teenage boys who understood the pros and cons of using birth control were 28 percent less likely to become nonresident fathers, suggesting sex education may help as an intervention. According to the Sexuality Information and Education Council of the United States, young people who receive comprehensive sex education are 50 percent less likely to become pregnant or get a woman pregnant, and significantly more likely to delay a pregnancy and invest time in a planned pregnancy.

But first, Garfield says we must get teen boys to change their views on pregnancy. He says interventions that focus on this will reduce the number of teens who go on to become fathers and reduce their chances of becoming nonresident fathers. “That’s a role the school system and health care workers can play when seeing young men for physicals,” he said. “Together we can help young men think about their futures.”

Source: Garfield C, Duncan G, Peters S, et al. Adolescent Reproductive Knowledge, Attitudes and Beliefs and Future Fatherhood. Journal of Adolescent Health. 2016.

Testosterone helps older men with low sexual desire, study shows

Testosterone helps older men with low sexual desire, study shows

By Lynne Terry | The Oregonian/OregonLive 
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When it comes to treating older men with testosterone therapy, physicians have largely been on their own. There just haven’t been any good studies.

That changed Wednesday.

Research published in the New England Journal of Medicine shows that testosterone therapy boosted the sexual activity and desire in older men with low levels and no health issues.

But the hormone replacement therapy did little to increase their physical ability or energy level.

The study included nearly 800 men aged 65 and older at dozens of academic medical centers, health care institutions and Veterans Affairs facilities from Seattle to Boston. All of them had low testosterone levels and symptoms such as low sexual desire. They also had no health issues that would mean they shouldn’t get testosterone, such as cardiovascular problems or high levels of a protein produced by the prostate.

Over a year, one group received a testosterone gel that raised their levels to that of a 19 -to 40-year-old. The others got a placebo. The men participated in trials that measured sexual function, physical ability and vitality, or energy level.

They took a quiz every three months. The questionnaires showed that men in the testosterone replacement group experienced an increase in sexual activity, desire and erectile function compared with the placebo group. They also reported an improved mood but the results were minimal, said Dr. Eric Orwoll, an endocrinologist at Oregon Health & Science University.

“It’s not like they went from sad to overwhelmingly happy,” said Orwoll, who wrote an accompanying editorial about the study.

Men reported enjoying exercise more, but the testosterone group didn’t fare better in a six-minute walking test compared to the placebo group. The testosterone therapy didn’t affect their energy level, either.

Though the results weren’t dramatic, the study did break new ground, Orwoll said.

“This is the first really well done study,” Orwoll said. “That in and of itself is really important.”

He said it will give physicians solid data to help them guide a discussion with patients about whether testosterone therapy is the right choice for them.

He cautioned that the results only apply to men who have the same characteristics as the study group. It doesn’t apply to men with normal testosterone levels.

The likely benefactors: men with low testosterone levels who have complaints about sexual function, Orwoll said.

“We know that testosterone therapy is safe for a year,” Orwoll said.

There were four cases of prostate cancer diagnosed during the study. But the group wasn’t large enough to conclude an association with the testosterone therapy, the study said. Researchers also noted that men with a high risk of developing prostate cancer were excluded along with those with moderately severe urinary tract symptoms.

More studies are needed to determine any potential long-term risks and effects, Orwoll said.

“There are a lot of other things that testosterone might have an effect on like anemia or bone strength,” Orwoll said. “There are a lot of still unanswered questions out there.”

Flagging sex life? How watching reality TV or wearing high heels may be to blame

Flagging sex life? How watching reality TV or wearing high heels may be to blame

2016-02-09

  • Maintaining your libido can be a delicate balance of health and desire
  • Numerous things – from everyday foods to gadgets – may interfere 
  • Good Health looks at surprising reasons your love life could be off-kilter

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When your relationship has gone beyond the first flush of passion, maintaining your libido can be a delicate balance of health and desire.

And it doesn’t help that numerous things – from everyday foods to gadgets – may interfere with your sexual performance.

Here, Good Health looks at some of the more surprising reasons your love life could be off-kilter…

 

SUFFERING FROM A BUNGED-UP NOSE

 

Smell plays an important role in our recognition of pheromones – the scents given off by a partner’s body through sweat – and affects sexual behaviour.

 

A 2012 study at the University of Gothenburg in Sweden found that men with no sense of smell had significantly fewer sexual partners than those with a normal nasal function, and women with no sense of smell felt less secure in their relationships.

 

Psychologist Dr Ilona Croy, who led the study, says having impaired smell will give you a disadvantage in the mating game.

 

‘A lot of social signals are transported through the olfactory channel (the nose lining and associated nerves) and a depleted sense of smell makes it likely that you might miss them,’ she says.

Simply having a cold could also affect the sex drive of both men and women, adds Dr David Edwards, an Oxfordshire GP and sexual health specialist.

‘Viral infections can temporarily reduce testosterone levels,’ he explains.

GOING ON A DIET

If you’re trying to slim down, it could have an unwanted side-effect.

Losing weight too quickly puts stress on the body – even if you are a healthy weight – which can trigger the release of a hormone called prolactin, a powerful suppressor of sex drive.

‘Stress like this can also mean a reduction in oestrogen and testosterone levels, which is why a woman’s menstrual cycle can become irregular,’ says Dr Sarah Brewer, a GP and the author of Overcoming Low Sex Drive.

Losing more than 10 per cent of your body weight too quickly can make the body think it’s starving, which can cause sexual interest to fall, she adds.

SLIPPING ON A PAIR OF HEELS

They may look sexy, but high heels could make sex less enjoyable for some women.

Dr Eden Fromberg, a New York-based gynaecologist, says that because heeled shoes tip the body forwards, this forces the postural muscles to contract as the body works to maintain an upright posture.

‘If the pelvic floor muscles are chronically contracted, they can become tight and therefore restrict the passage of nerve impulses going through them to the reproductive organs and arousal tissue,’ she says.

‘Wearing high heels all day can affect a woman’s orgasm – there is a reported improvement in female patients who retire their heels or use them only rarely.’

HAVING A DESK JOB

A sedentary job is just as bad for a woman’s potential to orgasm, warns Dr Fromberg.

‘If you sit with rounded shoulders and your tail tucked under for hours, the muscles of your pelvic floor and the psoas muscle (which runs diagonally from the lower back through to the groin) remain chronically at “half mast” – not stretched or contracted,’ she says.

This can affect the signals passing along important nerves leading to the reproductive organs. ‘Bucket chairs and recliners are the worst for exacerbating the sorts of postural problems that can lead to compromised sexual pleasure,’ she adds.

The body is designed to move constantly, so the more active you are, the more effectively blood supply and nerve signalling can work.

BEING HOOKED ON REALITY TV

People who have a TV in their bedroom have sex half as often as those who don’t, according to a 2006 study of 523 Italian couples.

The effect is more marked for the over-50s, with the average of seven couplings a month falling to just 1.5 on average.

The study found certain programmes – violent films and reality shows – impede passion.

According to Dr Edwards, good sexual relations depend on couples communicating with each other, not sitting side by side watching television.

‘If whatever you are watching makes you sad or grumpy, it is more likely to affect your libido,’ he says.

Technology can affect your love life in other ways, too. Sitting and spending more than seven hours a day on an electronic gadget (such as a phone or tablet) can trigger back pain, according to the British Chiropractic Association, and a recent survey of 2,000 people by backpainhelp.com found that 25 per cent had avoided sex because of back pain.

Men who carry a mobile phone switched on for at least four hours a day are at greater risk of erectile dysfunction than men who use phones intermittently, reported a study last year in the Central European Journal of Urology.

One suggestion is that heat could be to blame.

YOUR ‘CUDDLY’ LOVE HANDLES

As well as triggering energy slumps, excess sugar in the diet is laid down as fat, which can raise oestrogen levels, reducing the effect of testosterone in women and men.

‘The more body fat you have, the more chance the testosterone in your system will be bound into the fat, which means less “free testosterone”,’ says Dr Edwards.

‘Not only will this reduce libido, it makes you more likely to gather fat in your abdomen, which binds to any remaining testosterone, so diminishing your available supply.’

Fat around the middle is a particular problem, because it can lead to a reduction in a sex hormone-binding protein called globulin, which is produced by your liver, explains Dr Mark Vanderpump, a consultant endocrinologist at the Royal Free Hospital, London.

This protein attaches itself to testosterone, transporting it around the body. ‘Men with lower levels tend to have a lower concentration of testosterone,’ he says.

THAT WEEKEND BIKE RIDE

Men who exercise regularly have a 70 per cent reduced risk of erectile dysfunction compared with men who do none – but serious cyclists are more likely to suffer impotence.

It seems the firm, angular saddles can put pressure on nerves and arteries around the groin, reducing blood flow to the penis.

‘If there is bruising to the pudendal nerve (a major nerve in the groin that runs from the genitals to the base of the spine), erectile dysfunction can last for up to two years,’ says Dr Edwards.

But it’s more typically seen on Mondays or Tuesdays after a weekend in the saddle, he adds.

He recommends saddles with a deep groove down the middle – to relieve pressure on the nerve – or putting a cushioned gel pad on top. ‘If cycling leaves you with a numbness or tingling in your groin, it’s time to adjust your seating arrangements.’

YOUR FEET ARE JUST TOO COLD

Women need warm feet for orgasm, suggested a Dutch study published in 2005. Researchers revealed that 80 per cent of women were able to achieve orgasm when they wore socks, compared with 50 per cent when barefoot.

According to Professor Gert Holstege, a neuroscientist at the University of Groningen who led the stud: ‘The feet play a significant role in maintaining body temperature, and by regulating internal climate the mind and body can come into a relaxed state needed for an orgasmic release.’

P.S. BEER MAY MAKE YOU A BETTER LOVER

The popular perception is that beer puts a downer on a man’s love life. However, Dr Kat Van Kirk, a sex therapist and associate professor at the Institute for the Advanced Study of Human Sexuality in Los Angeles, says that beer can actually make men better in bed because the plant chemicals (phytoestrogens) it contains may help to delay orgasm.


Read more: http://www.dailymail.co.uk/health/article-3437895/Flagging-sex-life-watching-reality-TV-wearing-high-heels-blame.html#ixzz3zeJ2N06Z
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Will climate change cause more complex effects on sexual and reproductive health?

Will climate change cause more complex effects on sexual and reproductive health?

2016-02-08

 Published: February 4, 2016

The Zika viral epidemic represents a perfect storm of climate change, disease, sexuality and reproductive health. In 2009, I was deeply interested in the effects of climate change worldwide. I work for a regional organisation and I was studying trends which I thought would impact women’s health and rights.

Disasters – both natural and climate change induced were one of these trends. Three key events stood out in my memory; the 2004 Indian Ocean tsunami, the 2008 Cyclone Nargis in Myanmar and the 2010 Pakistan floods. These incidents affected the partners we work with on the ground, and many had rushed in to deliver aid. A number of partners talked about the need of access to comprehensive sexual and reproductive health services, occurrences of sexual violence, and of course the need for camps to be set up in a manner that suited the needs and realities of women. One of the activists in my circle told me that after the tsunami, women who had tubal ligation in Tamil Nadu, had fought for and won the right to reverse tubal ligation, because they had lost their children in the tsunami. I was often on the lookout for such interesting angles to sexual and reproductive issues during the times of disaster.

In 2009, I read an Oxfam briefing paper which posited that the greatest impact of climate change will be on people’s health. This seemed to reiterate all the experiences I had with partners. This paper also talked about a particular health challenge – the increase in water-borne, insect-borne, vector-borne diseases due to increases in temperature and rain, and the inability of health and municipal services to be able to plan and manage these changes.

In Malaysia, we have seen year-on-year drastic increases of dengue, and it helped me connect this issue with the larger, little explored connection with climate change. Even in my country, health personnel often attribute it to different things such as; newer, pesticide-resistant mosquitoes and lack of civic consciousness of citizens. However, this was an interesting angle, and of course I could also pick up on the regional stories of dengue and Chikungunya in the Philippines, Indonesia and India.

Naturally, when the first stories of Zika surfaced, these three connections came foremost to my mind.

The first stories revealed that the virus was first reported in May in Brazil, there was an increase in the births of babies with microcephaly – around 3700 to 4000 between October and now. Many were aghast because this spike of babies with microcephaly puts stress on health services, families and communities – and even on educational services. Since the Zika virus manifests itself in indiscernible ways, women may not know that they have contracted the virus, if pregnant – until they deliver. A week ago, I was sitting on a panel in an international conference – when the astonishing news broke that the solution El Salvador presented was that women must avoid pregnancy till 2018 due to the potentially dangerous Zika virus.

Just yesterday, the first case of the sexual transmission of Zika has been recorded in Texas. But in 2013 itself, the possibility of sexual transmission of Zika had been published in medical journals by looking at the case study of an infected person in Tahiti. Some attribute the fast spread of Zika due to dual transmission modes.

It is equally interesting to consider that the largest outbreak is occurring in a region, which has highly restrictive abortion laws and access to contraceptives including condoms is limited due to socio-religious norms.

Many years ago, I wrote a proposal which posited this hypothesis: an undue burden will be placed on women who live in countries which face climate change and have fundamentalist policies (influenced by religion, and do not recognise sexual and reproductive rights) because they will be denied access to essential services. This viral epidemic is one such example.

A comprehensive approach is needed to combat diseases such as these.

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One, access to dual-protection methods (pregnancy prevention and safe sex) is essential.

Two, access to comprehensive maternal health services: ante-natal scans to enable early detection, access to pregnancy termination (as a choice), and safe delivery and neo-natal care (as a choice).

Three, understanding that as time goes by, climate change will only cause more complex effects on sexual and reproductive health, and in order to cater for this we need policy, programme and paradigm change, which enables individuals and couples to be able to make decisions about their bodies and lives.

In the longer run, in order to create more resilient societies, which can cope with the multifarious effects of climate change, it would be essential to recognise the rights and agency of individuals and couples. We must further ensure that community systems are built with this perspective in mind. To stop this now, we have to start this now.

Men urged to use a condom as sexual transmission of Zika detected

Men urged to use a condom as sexual transmission of Zika detected

Health officials have warned pregnant women to think twice about the lips they kiss and called on men to use condoms with pregnant partners if they have visited countries where Zika is present. “Because how can they ask those women not to become pregnant but also not offer them first information that is available, but the possibility to stop their pregnancies if they wish?”

Active transmission of Zika, a mosquito-borne virus, has occurred in more than two dozen countries and territories in the Americas and Caribbean.

Rockland health officials said she contracted the virus there, not in NY, where it is too cold for mosquito activity.

The new infections bring the number of Zika cases in Florida to nine.

The virus has been linked to the birth defect Microcephaly, which prevents fetus’ brains from developing properly. TheCDC had suggested testing only for those woman who were experiencing symptoms of infection.

Colombian health officials reported the deaths of a man and a women in second city, Medellin, on Thursday after they were confirmed to be carriers of Zika and showed symptoms of the Guillain-Barre syndrome.

Panama’s Health Ministry has reached out to an indigenous community to the northeast of the Central American nation following some 50 reported cases of Zika.

Garrett also said it is not a matter of if, but when, Zika starts to spread in North America. The CDC still is reviewing data on whether the virus can be transmitted through saliva and urine and is not making a recommendation related to those fluids at this time, according to Dr. Frieden.

Day and Ruppert said that there is no risk of transmission of the disease in the county, which causes low-grade fever, rashes, joint pain and conjunctivitis in most patients.

Gavel said more tests need to be carried out to definitively confirm the above-mentioned hypothesis.

The virus is thought to remain in an infected person’s blood for a week or less.

“This virus, which only recently arrived in Brazil and Latin America, no longer is a distant nightmare but a real threat to all Brazilians’ homes”, Rousseff said in a nationally televised message.

A High Red Meat Intake Could Hurt Male Fertility

A High Red Meat Intake Could Hurt Male Fertility

2016-02-01

Attention carnivores—if you are trying to conceive with your partner lay off processed meat. A recent study found that those men who consumed a lot of processed, red meat such as sausage and bacon had poorer success rates than those who ate mostly poultry. The study does not prove causality merely that a link exists. Lots of other studies have illustrated a connection between diet and fertility. But it can be hard to isolate exactly how much each food item affects the male reproductive system.

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President of the American Society for Reproductive Medicine Dr. Rebecca Sokol wrote a press release about this study. She said it suggests such meat makes it more difficult for fertilization to occur. Eating a healthy diet is not only best for reproductive health she wrote, but overall health as well. Other physicians are considering adding a ban on processed meat to the list of recommendations they give those patients desiring fatherhood. Other items include quitting smoking, decreasing alcohol consumption, exercising regularly, and losing weight.

Researchers at the Harvard T.H. Chan School of Public Health, led by Dr. Wei Xia conducted the study. They followed the cases of 141 couples undergoing in-vitro fertilization (IVF) at Massachusetts General Hospital. The male partners filled out a questionnaire including questions about their diet, such as their weekly meat consumption and what kinds of meat they ate. There was no correlation between the total amount of meat consumption and the success of IVF. However, those men who ate the most fowl were 13% more successful than those who ate the least amount of poultry.

Some doctors say that it could be those who consumed more chicken may have an overall healthier diet than those who ate more processed meat. But today most doctors would agree that it is a good idea to avoid such meat when trying to conceive. Any couple trying for six months to a year without success should seek out a medical professional. 50% of the time the problem comes from the male side of the equation. Men who have been trying with their partner for this long or longer should speak with their doctor or an urologist. 

 Dr. Muhammad Mirza

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The Zika Virus’ Unlikely Silver Lining

The Zika Virus’ Unlikely Silver Lining

 

ould a mosquito-borne illness that threatens to spread across the Americas actually push countries to change their restrictive approaches to women’s health care?

International reproductive rights experts hope so. After health officials in several countries affected by the Zika virus suggested women avoid pregnancy in order to avoid having children with the severe birth defects the illness is believed to cause, human rights groups are countering with their own asks. They see the focus the virus has brought to unwanted and unhealthy pregnancies as a way to galvanize around reforming some of the harshest abortion laws in the world.

“Women need to know that their governments aren’t prepared to stop the spread of the virus, but that’s not a complete solution,” Amanda Klasing of Human Rights Watch’s women division told ThinkProgess.

In a region where more than half of all pregnancies in the region are unplanned, she said, governments need to make contraception — and even abortion — accessible to women in order to prevent the most harmful impact of the untreatable virus.

Four of the six countries in the world that ban abortion in all instances have either already been affected by the Zika virus, or are in its current path. Officials with the World Health Organization have warned that virus is expected to expand its reach across the entire Western hemisphere, with four million cases projected to arise before the close of 2016.

While a few harrowing cases of women denied their reproductive rights — including an 11-year old girl who became pregnant after she was raped by her stepfather in Paraguay last year — have led to widespread demonstrations in some countries, the Zika virus poses a particularly widespread risk to maternal and fetal health.

That’s why some rights’ activists see an opportunity in the alarming illness that made its way from Western Africa to South America in 2014.

For Latin America’s vibrant pro-choice movement, there are some sights for hope, especially since socially conservative Brazil made reforms to its otherwise stringent abortion laws by the health risks posed by anecephaly, a rare condition that fatally damages skull and brain formation in fetuses. Although nearly 80 percent of Brazilians polled in 2014 were against legalizing abortion, they may make an exception in cases of the Zika virus, which can cause fetuses to developmicrocephaly, or an underdeveloped brain.

With a threat as widespread as the one posed by the Zika virus, Klasing and other human and reproductive rights’ advocates are hoping for a widespread shift in policy in a region where abortion is no-go issue for many politicians.

“I think it is a unique moment to talk about women’s reproductive health in the context of this very scary public health crises,” Klasing said. “It really demonstrates the heartbreaking impact of restrictions on abortion services for women and girls when you have this potential of birth defects.”

The virus might help shift the discussion from a matter to one of social values mired in religious beliefs into a matter of public health — and the risks Zika poses to the future of Latin America.

“I do think that it’s going to create more of a space for a conversation around reproductive rights, maybe with a little bit less of the stigma and shame that has been associated with those discussions in the past,” Klasing added.

Reproductive health and rights groups have already started to initiate some of those discussions. ThinkProgress reached out to three experts from around Latin America to talk about how an alarming illness could spark change in the region’s entrenched policies against abortion.