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Is it normal to get erections?

Is it normal to get erections?

2011-07-12

Yes. Erections are a perfectly normal function of the male body, especially in guys who are going through puberty.

What Is an Erection?

An erection is a hardening of the penis that occurs when sponge-like tissue inside the penis fills up with blood. Usually, an erection causes the penis to enlarge and stand away from the body.

Erections can go away on their own or after ejaculation, the release of semen through the urethra, the small hole at the tip of the penis.

Sometimes guys ejaculate at night while sleeping (these are called nocturnal emissions or wet dreams). Guys may have several erections and arousal periods while in the REM (rapid eye movement) stage of sleep, the type of sleep in which most dreams occur.

What Causes Erections?

Although many erections are caused by sexual arousal, such as watching a sexy television show or fantasizing, many erections seem to happen for no particular reason.

So if you’ve had an erection in an odd or embarrassing situation — like right in the middle of a really boring history lesson — there’s no reason to worry that something is wrong with you. Your body is just acting naturally for a guy your age.

Am I Getting Too Many Erections?

Because each guy is different, it’s impossible to say what’s a “normal” number of erections. Some guys experience many erections each day, whereas others may not experience any.

Hormones fluctuate with age, sexual maturity, level of activity, and even the amount of sleep a guy gets. Unless your erections are causing you discomfort or pain, don’t worry about how many you get.

If you’re concerned, talk to your doctor, who can answer your questions and probably put your mind at ease.

What Can I Do to Avoid Getting Erections?

Because erections usually aren’t controllable, there’s not much you can do to avoid getting them. Unless the penis is stimulated enough to ejaculate, time is the only thing that will help them go away.

As your hormones settle down and you advance through puberty, the frequency of unexpected erections and wet dreams should decrease.

Why is my voice changing?

Why is my voice changing?

One minute, Dan’s voice sounds normal. The next minute, he can barely get through a sentence without his voice sounding like it’s out of control: high one minute, low the next, then high again. It’s not a cold or a sore throat. In fact, everything feels normal — but nothing sounds right.

Dan’s voice is changing. It’s one of the many developments that happen to both girls and guys when they reach puberty. A guy’s voice gets way deeper than a girl’s, though.

What Causes My Voice to Change?

At puberty, guys’ bodies begin producing a lot of the hormone testosterone (pronounced: tes-tahs-tuh-rone), which causes changes in several parts of the body, including the voice. For starters, a guy’s larynx (pronounced: lar-inks), also known as the voice box, grows bigger.

The larynx, which is located in the throat at the top of the trachea (pronounced: tray-kee-ah) or windpipe, is like a hollow tube about 2 inches (5 centimeters) high. The larynx is responsible for creating the sound of your voice.

Stretched across your larynx are two muscles, your vocal cords, which are kind of like rubber bands. When you breathe, your vocal cords relax against the walls of the larynx and completely open to allow air to get in and out of your lungs. When you speak, though, your vocal cords close together by stretching across the larynx. Air from your lungs is then forced out between your vocal cords, causing them to vibrate and produce the tone of your voice.

When you lower your voice, your vocal cords are relaxed and more floppy. When you make your voice higher, your vocal cords tighten. (You can notice this difference in how they feel as you adjust your speech.)

As your larynx grows, your vocal cords grow longer and thicker. Also, your facial bones begin to grow. Cavities in the sinuses, the nose, and the back of the throat grow bigger, creating more space in the face that gives your voice more room to echo. All of these factors cause your voice to get deeper.

Think of a guitar. When a thin string is plucked, it vibrates and produces a high-sounding tone. When a thicker string is plucked, it sounds much deeper when it vibrates. That’s kind of what happens to your voice. Before your growth spurt, your larynx is relatively small and your vocal cords are relatively thin. So your voice is high and kid-like. But as bones, cartilage, and vocal cords grow, your voice starts to sound like an adult’s.

Along with all the other changes in your body, you might notice that your throat area looks a little different. For guys, when the larynx grows bigger, it tilts to a different angle inside the neck. Part of it sticks out in the part of the neck at the front of the throat and forms the Adam’s apple. For girls, the larynx also grows bigger but not as much as a guy’s. That’s why girls don’t have Adam’s apples.

Why Is My Voice So Hard to Control?

While your body is getting used to these changes, your voice can be difficult to control. A guy’s voice “cracks” or “breaks” because his body is getting used to the changing size of his larynx. Fortunately, the cracking and breaking is only temporary. It usually lasts no longer than a few months. And even during that time, your voice won’t crack every time you speak.

Some guys’ voices might drop gradually, whereas others’ might drop quickly. You may feel concerned, stressed, or embarrassed about the sound of your voice, but people usually understand — especially friends or brothers who’ve gone through it, too. Everyone goes through it, and once it happens, it takes a while to adjust to your larger larynx and the new sound of your voice.

When Will My Voice Change?

You may have noticed that some of your friends have cracking and breaking voices, some might already have deep voices, and some still have the same voice they’ve always had. Everyone’s timetable is different, so some voices might start to change earlier and some might start a little later. Generally, a guy’s voice will start to change somewhere between the ages of 11 and 15 — although it can be earlier or later for some people. It all depends on when a guy goes through puberty, and some normal guys enter puberty earlier or later than others.

How Deep Will My Voice Get?

How deep a guy’s voice gets depends on his genes: The larger a guy’s larynx, the thicker the vocal cords, and the bigger the resonating area, the deeper his voice will be.

Once your larynx has grown, your voice will be more stable and easier to control. But even then your voice hasn’t finished developing! Even after the quick change that happens in your teens, your voice continues to develop. Although the squeaking and cracking stage doesn’t last long, most guys’ voices don’t fully mature until they’re in their twenties.

What to Do if Your Sex Partner Refuses to Wear a Condom

What to Do if Your Sex Partner Refuses to Wear a Condom

2011-07-11

Safer sex

People are always complaining about condoms; they say they’re uncomfortable, kill their erections, or disrupt the intimacy or sensitivity of sex. Others feel that being asked to use a condom implies a partner’s distrust or promiscuity. If your partner uses his disapproval of condoms as an excuse to avoid wearing one, you’re not alone.

Condoms so drastically reduce the risk of becoming infected with a sexually transmitted disease (STD) and avoiding pregnancy, however, that it’s worth finding a way to change your partner’s mind. Here are a few time-tested strategies that may help.

Plan ahead

Before things get hot and heavy, set ground rules with your partner about what risks you’re willing to take and which measures you’ll take to protect yourselves and each other.

Get the right size

One condom does not fit all. Luckily condoms come in many shapes, sizes, colors, flavors, textures, and materials, so chances are pretty good that there’s a style that fits your needs for comfortable and enjoyable sex. “I encourage people to investigate different condoms and lubes with their partners to find what works best for them,” says Perry N. Halkitis, PhD, a psychologist specializing in HIV at New York University.

For instance, you can find condoms that are ribbed or studded to increase friction for both partners, or something with a warming lubricant. “Microthin” condoms minimize the barrier between partners without sacrificing safety. You can experiment with different shapes such as Trojan’s Twisted Pleasure or the extra-loose Pleasure Plus, which claims to simulate unprotected sex.

Try a dose of Reality

If you’re a woman who can’t get her man to wear a regular condom, you might try the Reality female condom, which you wear in your vagina. These should not, however, be used in conjunction with male condoms, as friction between the two can cause tears.

Adjust your attitude

Insisting on the use of a condom is about protecting not just you, but your partner as well. “Asking a partner to wear a condom is not an indication of a lack of love, but a true expression of the affection that you share,” says Halkitis.

Keep it up

Some men have difficulty maintaining an erection while wearing a condom. Sometimes a poor-fitting condom causes this, and other times, it’s psychological, related to a sexual dysfunction, or caused by alcohol- or drug-related erectile dysfunction (ED). If switching condoms (or sobering up) doesn’t resolve the issue, see your doctor

Be practical

Sliding on a condom doesn’t have to put the fun on hold. Do what you can to minimize the interruption, such as keeping an ample supply of condoms within arm’s reach.

Why gardening is good for your health….

Why gardening is good for your health….

Gillian Aldrich started growing vegetables in her backyard three years ago, and she’s now working on planting a bed of hydrangeas, butterfly bushes, rose campion, and — her favorite — pale-pink hardy geraniums along one side of her property.

As she digs in the garden, her 8-year-old daughter and 3-year-old son often play around her, sometimes taking a break to dig for worms or pick strawberries.

Instead of watching them, Aldrich is playing, too — “my kind of play,” she says.

“When you sit at a desk all day, there’s something about literally putting your hands in the dirt, digging and actually creating something that’s really beautiful,” says Aldrich, 42, a magazine editor in Maplewood, New Jersey. “There’s something about just being out there that feels kind of elemental.”

Aldrich isn’t the only one who feels this way. Many gardeners view their hobby as the perfect antidote to the modern world, a way of reclaiming some of the intangible things we’ve lost in our busy, dirt-free lives.

The sensory experience of gardening “allows people to connect to this primal state,” says James Jiler, the founder and executive director of Urban GreenWorks, a Miami-based nonprofit that creates garden and park programs for low-income neighborhoods.

“A lot of people [understand] that experience. They may not be able to put it into words, but they understand what’s happening.”

Working in the garden has other, less spiritual rewards. In addition to being a source of fresh, healthy produce, gardening can ease stress, keep you limber, and even improve your mood.

Here are just a few of the ways gardening can benefit your physical and mental health, and how you can start harvesting those benefits for you and your family.

Stress relief

A recent study in the Netherlands suggests that gardening can fight stress even better than other relaxing leisure activities.

After completing a stressful task, two groups of people were instructed to either read indoors or garden for 30 minutes. Afterward, the group that gardened reported being in a better mood than the reading group, and they also had lower levels of the stress hormone cortisol.

“We live in a society where we’re just maxing ourselves out all the time in terms of paying attention,” says Andrea Faber Taylor, Ph.D., a horticulture instructor and researcher in the Landscape and Human Health Laboratory at the University of Illinois at Urbana-Champaign.

Humans have a finite capacity for the kind of directed attention required by cell phones and email and the like, Taylor says, and when that capacity gets used up we tend to become irritable, error-prone, distractible, and stressed out.

Fortunately this “attention fatigue” appears to be reversible. Following a theory first suggested by University of Michigan researchers in the 1980s, Taylor and other experts have argued that we can replenish ourselves by engaging in “involuntary attention,” an effortless form of attention that we use to enjoy nature.

Trading your BlackBerry for blackberry bushes is an excellent way to fight stress and attention fatigue, Taylor says, as the rhythms of the natural environment and the repetitive, soothing nature of many gardening tasks are all sources of effortless attention.

“The breeze blows, things get dew on them, things flower; the sounds, the smells,” says Taylor, herself a home gardener. “All of these draw on that form of attention.”

Better mental health

The effortless attention of gardening may even help improve depression symptoms.

In a study conducted in Norway, people who had been diagnosed with depression, persistent low mood, or “bipolar II disorder” spent six hours a week growing flowers and vegetables.

After three months, half of the participants had experienced a measurable improvement in their depression symptoms. What’s more, their mood continued to be better three months after the gardening program ended. The researchers suggest that the novelty of gardening may have been enough to jolt some of the participants out of their doldrums, but some experts have a much more radical explanation for how gardening might ease depression.

Christopher Lowry, Ph.D., an assistant professor of integrative physiology at the University of Colorado at Boulder, has been injecting mice with Mycobacterium vaccae, a harmless bacteria commonly found in soil, and has found that they increase the release and metabolism of serotonin in parts of the brain that control cognitive function and mood — much like serotonin-boosting antidepressant drugs do.

Digging in the dirt isn’t the same as taking Prozac, of course, but Lowry argues that because humans evolved along with M. vaccae and a host of other friendly bugs, the relative lack of these “old friends” in our current environment has thrown our immune systems out of whack.

This can lead to inflammation, which is implicated in a host of modern ills, from heart disease to diabetes to depression.

“By reintroducing these bacteria in the environment, that may help to alleviate some of these problems,” Lowry says.

Exercise

Gardening gets you out in the fresh air and sunshine — and it also gets your blood moving.

“There are lots of different movements in gardening, so you get some exercise benefits out of it as well,” says William Maynard, the community garden program coordinator for the City of Sacramento’s Department of Parks and Recreation.

Gardening is hardly pumping iron, and unless you’re hauling wheelbarrows of dirt long distances every day, it probably won’t do much for your cardiovascular fitness.

But digging, planting, weeding, and other repetitive tasks that require strength or stretching are excellent forms of low-impact exercise, especially for people who find more vigorous exercise a challenge, such as those who are older, have disabilities, or suffer from chronic pain.

As a pleasurable and goal-oriented outdoor activity, gardening has another advantage over other forms of exercise: People are more likely to stick with it and do it often.

“It’s not just exercise for exercise itself, which can become tedious,” says Katherine Brown, the executive director of the Southside Community Land Trust, a nonprofit that supports community gardens and other urban agriculture in and around Providence, R.I. “It’s exercise that has a context, that reinforces the limberness of your limbs and the use of your hands. You’ve got a motivation for why you want to grip. You’re not just gripping a ball, you want to pull a weed.”

Brain health

Some research suggests that the physical activity associated with gardening can help lower the risk of developing dementia.

Two separate studies that followed people in their 60s and 70s for up to 16 years found, respectively, that those who gardened regularly had a 36% and 47% lower risk of dementia than non-gardeners, even when a range of other health factors were taken into account.

These findings are hardly definitive, but they suggest that the combination of physical and mental activity involved in gardening may have a positive influence on the mind.

And for people who are already experiencing mental decline, even just walking in a garden may be therapeutic. Many residential homes for people with dementia now have “wander” or “memory” gardens on their grounds, so that residents with Alzheimer’s disease or other cognitive problems can walk through them without getting lost.

The sights, smells, and sounds of the garden are said to promote relaxation and reduce stress.

Nutrition

The food you grow yourself is the freshest food you can eat. And because home gardens are filled with fruits and vegetables, it’s also among the healthiest food you can eat.

Not surprisingly, several studies have shown that gardeners eat more fruits and vegetables than their peers.

“People who are growing food tend to eat healthy,” says Brown. “The work that we do here with kids demonstrates it on a daily basis, throughout the seasons.”

Studies of after-school gardening programs suggest that kids who garden are more likely to eat fruits and vegetables. And they’re a lot more adventurous about giving new foods a try, says Anne Palmer, who studies food environments as the program director of Eating for the Future, a program based at the Johns Hopkins School of Public Health Center for a Livable Future, in Baltimore.

“I’ve watched a lot of cooking and gardening classes with kids,” Palmer says. “It’s amazing how many of them will try things like radicchio or some kind of unusual green that has a pretty strong flavor, like arugula, and they’ll say, ‘Wow, this is good.'”

Not to mention that homegrown produce simply tastes better.

“It’s incomparably more delicious to eat something that’s fresh,” Brown says.

How to get started

You don’t need a big backyard or a green thumb to benefit from gardening. If you have very little space or experience, you can start out with just a few houseplants, or you could even try gardening in containers.

“You can grow a wonderful crop of cherry tomatoes in nothing more than a five-gallon bucket that you’ve cleaned really well and put holes in the bottom of,” Brown says.

For novices who want to learn the basics of gardening, a huge — and somewhat overwhelming — variety of information is available on the Web and in bookstores. But one of the best ways to get started is to meet some other gardeners, who can be found in local garden clubs and community gardens in just about any town or city.

For some great gardening tips, just start up a conversation with one of the gardeners next time you are passing by a community garden.

“Most will love to share their gardening savvy,” Brown says. “That’s a really nice way to start.”

Floss for fertility’, women advised

Floss for fertility’, women advised

2011-07-06

Women who want the best chance of having a baby should make sure they floss their teeth regularly, say doctors.

Poor oral health is as bad for fertility as obesity – delaying conception by about two months.

Experts at a fertility meeting in Sweden heard how women with gum disease took over seven months to conceive, compared to the usual five months.

They believe the underlying cause is inflammation.

Unchecked, this can set off a chain of reactions capable of damaging the body’s normal workings.

Peridontal disease has already been linked with heart disease, type 2 diabetes and miscarriage, plus poor sperm quality in men.

In this latest study from Australia, which involved over 3,500 women, those with gum disease had raised blood levels of markers for inflammation.

Lead researcher Professor Roger Hart, of the University of Western Australia, said: “Until now, there have been no published studies that investigate whether gum disease can affect a woman’s chance of conceiving, so this is the first report to suggest that gum disease might be one of several factors that could be modified to improve the chances of a pregnancy.”

He said women trying for a baby should now add a trip to their dentist to the check list along with stopping smoking and drinking, maintaining a healthy weight and taking folic acid supplements.

UK fertility expert Dr Allan Pacey said: “It’s common sense advice really to make sure you are in a healthy condition if you want to try for a baby.”

Around 10% of the population is believed to have severe periodontal disease.

Sex after kids: The art of the quickie

Sex after kids: The art of the quickie

2011-07-05

Hey parents, remember sex before kids? Remember when lovemaking was long and languorous, when vacations and weekends (and every other moment of the day for that matter) potentially revolved around sex? Remember morning sex?

Chances are that many dads will get to sleep in this Father’s Day, but odds are their Sunday morning won’t include much post-coital cuddling – or coital anything for that matter. According to a recent survey by the online magazine Baby Talk, just 24% of parents say they’re satisfied with their post-baby sex lives, compared to 66% who were happy before they had children.

At Good in Bed, we believe that parenthood is about perfecting the art of the quickie and finding moments between the chaos and exhaustion to squeeze in some intimacy. Quickies don’t necessarily have to lead to orgasm, and they don’t even have to be wholly sexual.

Take a long hug, for example. Studies have shown that positive physical touch stimulates a brain chemical called oxytocin. Dubbed the “cuddle hormone,” it’s produced during a range of scenarios, including sexual arousal, orgasm and childbirth.

The result: Oxytocin helps to create a sense of emotional intimacy, relaxation, contentment and trust. Scientists have even found that oxytocin helps relieve stress, improve mood and lower blood pressure. Even better, you and your partner easily can boost oxytocin all day long: just a 20 to 30-second hug can raise oxytocin levels in both men and women.

Other potential quickies:

Re-discovering the art of the kiss. Believe it or not, less than 50% of people kiss their partners on daily basis. No wonder so many people are stuck in sex ruts. Once we stop kissing, it’s a sign that something needs to change.

Sending your partner a sexy text. These days technology is often depicted as a time bomb that could destroy a relationship at any moment, but couples in trusting long-term relationship can use sexy emails and texts with each other to cultivate their connection and build sexual anticipation.

Telling your partner about a sexy fantasy or dream. A study at Trent University in Peterborough, Ontario, found that intercourse is the most common sexual behavior in dreams. A healthy 37% of participants reported having a sexual dream once a week, while 19% reported dreaming about sex up to five times per week. So share the dream!

Hop in the shower together. With the summer heat come more excuses to shower – why not save the water and enjoy one together? If you’re headed for the beach, take some time to rub suntan lotion on your partner with meaning and verve.

These small connections may not be explicitly sexual, but they create “transferable” desire that adds up over time and contributes to lasting sexual desire and fulfilling sexual experiences.

“Little quickies are a great way to get our adrenaline going,” writes Naughty Mommy blogger, Heidi Raykeil: “From handjobs to frisky playful exhibitionism, to just taking a moment to feel each other up, quickies are a way of re-connecting and building up a reserve of sexual anticipation. Taking the big O out as a ‘goal’ really leaves more room for playful, fun stuff – as long as we know we can get that other fulfillment later.”

So sex or no sex this Sunday, take the time for a little quickie with your partner, even if it’s just that 30-second hug and a little appreciation of the clan you’ve created together. You’ve come a long way since the days of sex before kids, but that doesn’t mean you can’t still give each other some one-on-one time. Happy Father’s Day!

The joy of comfort sex

The joy of comfort sex

2011-07-04

Sex with a spouse is like ordering takeout from your favorite Chinese restaurant: Sure, you know what you’re getting and there’s no need to ponder the menu, but the meal is still consistently yummy and generally hits the spot.

The virtues of comfort sex are vastly underrated. We live in a culture that’s obsessed with what’s new and fresh, and sex is no exception: From magazine headlines that regularly trumpet newfangled positions and heretofore undiscovered hot spots, to our culture of serial monogamy in which couples regularly trade in their old partners for new in search of excitement, variety is heralded as the spice of life while familiarity breeds contempt.

But in my experience, the tried and true often has distinct advantages over the path not taken – especially when it comes sex.

First off, consider that many women don’t even experience orgasm the first few times they have sex with a guy, which some evolutionary anthropologists conjecture is like a built-in vetting mechanism: Because the female orgasm takes time to achieve, its mastery requires dedication and patience, an extended “getting to know you” process that encourages a woman to seek out relationships with the partner who will ultimately invest adequate time and energy in the effort to familiarize himself with her unique sexuality.

As Emily Nagoski writes in the “Good in Bed Guide to Female Orgasms,” “A woman is less likely to have orgasms early in a relationship. Her body needs time to adapt to the new partner, to learn to trust him or her, and to relax into the knowledge that her partner accepts and appreciates her body.”

This “getting to know you” process of familiarization extends into long-term relationships as well and allows us to reap the joys of comfort sex. When it comes to ensuring orgasm, predictability is a good thing. While sexual arousal involves both voluntary and involuntary physiological processes, orgasm itself is an autonomic (involuntary) response to voluntary sexual stimulation.

Once we consciously navigate ourselves across the threshold into orgasm, the body takes over and soars. When having an orgasm, we allow our entire being go automatic (or really autonomic). Comfort sex enables this seamless transition from the voluntary into the involuntary: You know where you’re going, so you don’t have to think about it – you can just let go.

With comfort sex, the mind doesn’t have to think about what it’s doing so the mind can disconnect and allow itself to be lulled into a deeper state of relaxation and deactivation.

Like most things we learn in life – learning to ride a bike, learning to drive a car – once we achieve a state of familiarity with what we’re doing we no longer think about what we’re doing, we just do it, and sex is no exception. In neurological terms, when you achieve familiarity with a process you’re no longer tasking the pre-frontal cortex with learning, but allowing those routines to get baked into your basal ganglia, a part of the brain which does not require conscious thought.

Any time you introduce newness or novelty into your sex life, you are tasking the pre-frontal cortex with learning and adapting, which means you’re thinking about what you’re doing and making it harder to cross the voluntary/involuntary threshold.

For some people this leads to an issue known as “spectatoring.”

“Spectatoring is the art of worrying about sex while you’re having it,” writes Nagoski. “Rather than paying attention to the pleasant things your body is experiencing, it’s like you’re floating above the bed watching, noticing how your breasts fall or the squish of cottage cheese on the back of your thigh or the roll at your belly…. You’re worried about the sex you’re having, instead of enjoying the sex you’re having.”

Comfort sex generally means knowing what works and having a sex script or two that you and your partner like to follow. For many couples, simultaneous orgasm is the goal, and the more a couple knows each other the more they’ll be able to synchronize their efforts and soar together to peaks of ecstasy. Predictable, but oh so pleasurable! Having a few sex scripts in your back pocket is also helpful when one or both partners has a sex problem of some sort.

For example, I work with many guys who suffer from premature ejaculation – the #1 sex problem men deal with – and it’s extremely helpful for these men to develop consistent sex scripts that they know will satisfy their partners. Comfort sex is their ally. The same is true of women who may have problems reaching orgasm. If a particular position or sexual context works, why not stick to it?

Of course, it’s only natural for couples to get bored, lose interest in sex, or look for ways to spice things up. Novelty and newness absolutely have their place, but my advice: don’t throw out the baby with the bath water.

Don’t attribute your boredom to the predictable routines of comfort sex. Instead, freshen up your sex script by extending foreplay and introducing novelty into the early stages of the arousal process.

Give your comfort sex a fresh context. Use novelty to let yourselves simmer and reach a sexual boiling point, but then transition into comfort sex to let yourselves soar. Incorporate some fantasy at the top of your sex-play, or try some role-playing. Take a sexy shower together, or explore something kinky together. Watch some porn together. You can figure it out.

Whatever you decide, use novelty to enhance desire and jump-start the process of arousal, and then let yourselves fall back on the familiarity that you know will get you where you’re going.

You know the old joke in which one pedestrian asks another how to get to Carnegie Hall? The answer – “Practice.”

Comfort sex is no small feat. More than likely you’ve both put in a lot of time (and love) to achieve it. Enjoy the beautiful music you can make together.

Study confirms mammography reduces risk of breast cancer death

Study confirms mammography reduces risk of breast cancer death

2011-06-30

A new study of more than 133,000 women confirms that regular mammography screenings reduce a woman’s risk of dying from breast cancer.

The Swedish Two-County Trial study began in the late 1970s. In its first phase, researchers divided the study participants in to two groups: Women who were given regular mammograms, and women who were treated with “usual care,” or treatment that did not include mammograms. That screening period lasted for seven years, after which the study’s second phase began and the women were followed for an additional 29 years. Continue reading Study confirms mammography reduces risk of breast cancer death

Obesity caused by more than sitting on couch

Obesity caused by more than sitting on couch

2011-06-28

Obesity experts have been saying for years that children who sit in front of the TV screen day in and day out tend to be heavier. It’s the sedentary lifestyle. But now experts are finding it’s not only the couch potato effect, but the television ads children are watching, along with other factors that can add inches to their waistlines.

According to a new policy statement from the American Academy of Pediatrics, titled, “Children, Adolescents, Obesity and the Media,” junk food and fast food ads increase a child’s desire to eat those types of foods. Studies also show that snacking while watching the tube increases. And if kids stay up late at night while watching the tube or playing video games, their lack of sleep can be a major factor in raising their risk for obesity. Continue reading Obesity caused by more than sitting on couch

How to win over stubborn children

How to win over stubborn children

2011-06-16

The battles with the older of my two girls began when she was a toddler. I’ve got photos of the tiny thing standing a good distance away from me at the park, arms folded defiantly, eyes glaring as if to say “No way am I doing what you want, lady!” I even have a videotape of her saying indignantly into the camera, “I’m a mommy, too — of my dollies! I’m in charge now!”

Some kids are just built to butt heads with their parents. Call it stubborn or strong-willed or whatever you like. If you’re living with one of these guys, you know that straightforward methods of getting them to follow directions or behave often don’t work. They want to be in charge. But, of course, so do you!

Instead of resorting to the usual verbal combat (aka yelling or pleading), try my so-called sneaky or judo parenting strategies instead.

Being sneaky doesn’t have to mean being underhanded or manipulative with your children. Rather, “‘sneaky parenting’ is actually ‘smart parenting,'” explains parenting educator Sharon Silver of Proactive Parenting, in Tucson, AZ, and author of “Stop Reacting and Start Responding”. “It means approaching your kids sideways instead of straight on, and using calmness, respect, and creativity to get what you want accomplished.”

Rachel Rudman, a mom of two and a pediatric occupational therapist in Cedarhurst, NY, supports this approach. “In my private practice, I constantly recommend what could be referred to as ‘sneaky parenting’ strategies, and they work for me at home, too,” she says.

Her take: It’s simply human nature for everyone — children, too — to want to be included in decisions about their daily habits. “With many kids who need just a little more control, asking their opinion sometimes and giving them choices often are easy answers to getting them to do what ‘we’ want,” she notes.

Try the following tricks and your child will probably even think it was all her idea!

Chore wars

The power struggle: Your toddler spends half the day pulling toys off the shelf and out of the box, then flits off to another activity when it’s time to clean up.

Sneaky strategies

Beat the clock. For the younger set, the best bet is almost always to turn picking up toys into a beat-the-timer game, suggests Malibu, CA, psychotherapist Susan Stiffelman, author of “Parenting Without Power Struggles: Raising Joyful, Resilient Kids While Staying Cool, Calm and Connected”.

Stubborn kids are often intrigued by games and challenges, so see how many toys your child can put away in, say, five minutes. You can push the idea further by keeping a chart and encouraging your child to “beat his best effort,” perhaps rewarding him with a sticker or privilege when he does.

Play the “helper” card. Ask him, “Would you like to be my special helper today? You are so good at setting the dinner table, gathering laundry, cleaning the mirror…” so your child feels like pitching in is actually a privilege.

Think positive. Use encouraging, supportive words, rather than threats, to help take the “fight” out of obstinate kids, emphasizes Stiffelman. Instead of saying “We can’t go to the park until your toys are put away!” try “As soon as your toys are put away, we get to go to the park!”

If your child replies “But I really wanna go play with Brandon,” instead of nagging him about what he has to do to earn that privilege, smile brightly and say “Why yes, you certainly can do that…as soon as all your toys are picked up.”

Bath and bedtime battles

The power struggle: Your child knows that getting out of the bathtub means bedtime is close, so no way is she leaving the water willingly! As for bedtime, she fights it every pajama-clad step of the way. It’s becoming a nightly sparring period for your family.

Sneaky strategies

Tune in. Steal a method that stores and movie producers employ all the time — using music to influence people’s moods. Calming tunes subliminally puts Kellie Pease’s three children into bedtime mode without her ever saying a word.

Each child has a favorite disc that the Derby, CT, mom pops into a CD player during bath- and storytime to help them wind down. This works especially well with strong-willed kids, who may have a hard time relaxing enough on their own to be ready to go to sleep.

Play the “yes” game. Try this clever strategy from Stiffelman: Ask your child questions that will prompt her to answer “yes” at least three times in a row, such as “Wow, you’re having a great time playing with those bath toys, aren’t you?” (Yep!) “What about bringing your swimming goggles into the bath with you next time? Would that be fun?” (Hey, yeah, that’s a good idea!)

“Does that dinosaur float? Can you show me?” (Sure I can! Just watch this!) The “three yeses” help break down your child’s resistance, and she also feels like she’s been heard and understood.

Offer options. Gently guide her toward the next step with two choices, such as “Do you want to dry yourself off with the towel or should I help you?” Don’t announce that bathtime is over; simply start the process.

Move seamlessly through the getting-ready-for-bed routine, offering two options at a time along the way, such as “Which book should we read before bed — X or Y?” If your child balks at the choices — “Neither! I’m not going to bed!” — respond calmly, “That wasn’t one of the choices. Did you want this book or that one?” Repeat calmly as needed.

Stiffelman says stubborn kids hate hearing parents sound like broken records, and they usually give in. If they don’t, simply say “Okay, I guess you’ve chosen not to have a book tonight. Good night, sweetie! We’ll try again tomorrow night!” Lights-out. And don’t give in, even if your kid puts up a fuss. Sticking to your word practically guarantees you won’t have a repeat episode tomorrow night.

Establish a connection. Before actually moving your kids toward the bedroom, use a technique psychotherapist Susan Stiffelman, of Malibu, CA, calls “Connect Before You Direct.” Take a few minutes to sit beside your child and show interest in the game he’s playing or TV show he’s watching.

Ask a few well-placed questions or say something supportive like “I can see why you like this show — it’s really funny!” When kids feel connected to you, they’re much more likely to do what you ask next, says Stiffelman, the author of “Parenting Without Power Struggles: Raising Joyful, Resilient Kids While Staying Cool, Calm, and Connected”.

Negotiate a new bedtime. Bigger kids’ sleep habits are starting to change as they head toward tweendom. If you prefer your child be in bed with the lights out at 8:30 p.m., but he swears he’s not tired until 9 p.m., strike a deal that he must be in his room and quiet — not coming out repeatedly to bug you — at 8:30.

Then he can stay up and read or play quietly, and you’ll trust him to put himself into bed when 9 p.m. rolls around. Strong-willed kids see this kind of deal as a “win” on their part because it gives them an added measure of independence.

But be clear that if your child breaks the deal — by being loud, coming out of his room, or ignoring the new curfew — you’ll go back to the earlier lights-out time.

Dinnertime dynamics

The power struggle: Your child refuses all veggies, eats only white foods, or insists he isn’t hungry at all. You fear he’ll starve, and you resent his attitude after you’ve worked so hard to prepare the meal.

Sneaky strategies

Start small. Give picky eaters very small portions of everything you’re serving, then let them choose what they want to eat, if anything, recommends child-development and behavior specialist Betsy Brown Braun, the Pacific Palisades, CA, author of “You’re Not the Boss of Me: Brat-Proofing Your 4- to 12-Year-Old Child”.

The critical key to your sneakiness: Don’t say a word about the food. No pushing your child to try just a bite. “Talk about your day, the weather, anything other than food, since that’s what picky eaters are waiting for — a chance to fight with you,” says Brown Braun.

Dish up a dessert. If you know your child is just biding his time until he gets his end-of-the-meal treat, don’t deny him, but do make sure it’s super small, like one chocolate kiss or a vanilla-wafer cookie, Brown Braun says. You can even put it on the plate with dinner so your child knows that’s all he’s going to get.

That way, there’s no more bargaining with your child to eat “real food” in return for sweets. He gets dessert no matter what, and you won’t feel like you’re caving in, because the treat is so small and unexciting. Plus, there’s no way that little dessert will fill your child up.

If he’s still hungry — and he will be — he’ll have to go back to his entrée and the accompanying veggies!

Keep your cool. Have one unchanging food alternative your child can make himself if he doesn’t want what you’re serving. It should be easy, nutritious, something you always have on hand, and not require cooking.

Think beans, yogurt, hummus, or even the good old PB&J sandwich, suggests child and family therapist (and mom of three kids) Wendy Young of Newberry, MI. “Even three-year-olds can smear peanut butter on bread, and it’s important for stubborn kids to be in charge of the alternate food,” she says.

After a few meals of this, most kids will weary of preparing (and eating) their alternate food and give in to what you’re serving. If your child decides to eat nothing at all, Young suggests supporting his decision and calmly acknowledging, “No problem. You can have a big breakfast tomorrow.”

Really headstrong kids can carry on this act for a long time, however, so be prepared. The most important thing here is to keep calm and not have an emotional reaction. Encouraging, but never forcing, your child to eat a variety of foods should be the main objective.

Keep in mind, too, that tastes change over time, so what a child refuses to eat today may actually be well-liked in several months.

Wardrobe willfulness

The power struggle: Your little fashionista pushes to wear clothes that you think look silly or are inappropriate for the weather, not to mention continually changing outfits in the time-pressed morning.

Sneaky strategies

Clean out the closet. First off, having too many clothes adds fuel to the fire here. If your child’s closet is bulging, parenting educator Sharon Silver suggests rotating an assortment of clothes every few weeks (move the extras into bins out of sight) or simply putting away out-of-season items.

If there’s anything in your child’s closet that you consider inappropriate (too-tight pants, ripped or stained shirts, fuzzy boots in summer), you’re the parent: Remove them. Argument over.

Pick your battles. Every evening before bed, narrow down your child’s clothing options to two or three ensembles from which she can choose for the next day. But remember: Allowing your kid to make the final decision is still important. “Like adults, kids feel more comfortable all day long if they are wearing clothes that feel and fit them right for that particular day,” says Silver.

Another sneaky secret: laying out the complete outfit the night before, to head off manic morning battles.

Ignore the weather. As for the coat conundrum, “Just let it go,” says Silver. If your child doesn’t want to wear a jacket, “Stay quiet, then listen for the chattering teeth in the backseat or while you’re walking,” she says.

You could also let your kid either carry it or put it in her backpack just in case (again, two choices you’re fine with). Sneaky parents let strong-willed kids learn the value of outerwear on their own, because that’s usually how they learn best.

Homework hassles

The power struggle: Your child constantly whines for your help when you know she’s capable of doing homework herself, or is still finishing up assignments when it’s bedtime.

Sneaky strategies

Break it down. First, consider that your child’s stubbornness or whining may actually be a sign that she’s overwhelmed by her schoolwork or has trouble focusing. If that’s the case, try breaking down her tasks into smaller increments (two math problems, three spelling words written out, etc.) and letting her jump up and down or run laps around the room as a break before she goes back for more work.

Use the timer approach for tough cases: Your child works for ten minutes, takes a one- to two-minute break, then works for another ten minutes. Most kids can do almost anything for just ten minutes at a stretch!

Make it fun. Could your son do his required reading in a tent you make with a table and a sheet? By flashlight in a dark room? Could your child practice her spelling while bouncing a ball or jumping rope (as the main character did in the movie “Akeelah and the Bee”)? Give it a shot.

Do a disappearing act. If you’re confident your child really can handle things on her own, purposely move to a different part of the house while she does her homework, suggests Brown Braun. Make it a rule that she must come to you if she has any questions, not vice versa.

Of course, you’ll want to check in with her about halfway through and at the end to be sure she’s on track. But if your student has to climb a flight of stairs to ask for help or lug a heavy textbook to you, she may learn to take a minute to think on her own before she seeks you out.