Sex and Relationships

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    A Psychiatry, answered on behalf of
    Everything you eat, drink, or otherwise expose your body to, will affect your overall physical health and therefore, your erection. Diets that are high in fat, sugar, and artificial ingredients cause an increase in your body's inflammation response. Over time, this is damaging to blood vessels, especially those of your heart and your penis. Other culprits are nicotine (whether in cigarettes or in nicotine patches/gum) and excess in alcohol. Keep in mind that alcohol use of more than 1/2 - 1 drink per day has been shown to increase your triglycerides and LDL (bad) cholesterol which eventually contributes to arterial plaques and hardening of the arteries, resulting in decreased blood flow.
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    A , Nursing, answered
    According to the U.S. Department of Health and Human Services, transgender is “a person whose gender identity and/or expression is different from that typically associated with their assigned sex at birth.”
     
    As a registered nurse, a health care professional, we educate, support and advocate for the rights, health and safety our patients. We have a professional responsibility to treat our patients with culturally competent care. We treat our patients with empathy, dignity and respect regardless of race, cultural beliefs, disabilities, religion, sexual orientation, gender, ethnicity or gender identity. Cultural competency has a positive effect on patient care delivery. “People who are lesbian, gay, bisexual and transgender (LGBT) are diverse, but have a common need for culturally competent health care that recognizes and responds to medical risks specific to this population. LGBT people face greater health threats than their heterosexual peers, partly because of differences in sexual behavior and partly because of social and structural inequities, such as stigma and discrimination” (http://www.hrsa.gov/lgbt/).
     
    And, as health care professionals we uphold our professional responsibilities to treat all people with dignity and respect. However, the transgender community is plagued with stigma, discrimination and violence. See these facts from the U.S. Substance Abuse and Mental Health Services Administration:  
    • Numerous studies have suggested that between 16% to 60% of transgender people are victims of physical assault or abuse, and between 13% to 66% are victims of sexual assault.
    • Studies have shown that suicidal ideation is widely reported among transgender people and can range from 38% to 65%. More alarmingly, studies have also found that suicide attempts among transgender people can range from 16% to 32%.
    • Alcohol and substance abuse has been identified as a major concern among transgender people in the United States. Some studies have shown that marijuana, crack cocaine, and alcohol are the most commonly used drugs by transgender people.
    • High rates of tobacco use, specifically cigarette smoking, have also been found among transgender people. Some studies suggest that tobacco use rates can range from 45% to 74%.
    And, according to the Centers for Disease Control and Prevention (CDC), transgender communities in the United States are among the groups at highest risk for HIV infection.
     
    There are many public health issues surrounding transgender people. It’s important for the health care community to provide education and support for transgender people. Every person needs to be treated with empathy, dignity and respect. Period. 
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    A answered
    Prozestra is a supplemental progesterone cream that uses a wild yam as a source for progesterone. Prozestra is not regulated and approved by the FDA and it may not have a steady amount of progesterone in it.  It is the same active ingredient as what you get with a prescription but in a much lower dose.  Discuss your options with your physician to decide the best course of action for you with your medical history and other medications.
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    A , Cardiology (Cardiovascular Disease), answered
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    A , Health Education, answered

    All human beings are sexual beings. Not only have we been blessed with sexual identities (as our genitals dictate), we have been blessed with the capacity for sexual union with one another. The ability to orgasm is a gift, whether the release it offers occurs in solitude or with others. It is a natural and human opportunity to momentarily heighten our consciousness through the release of Serotonin (the “feel-good” neurotransmitter in our brain). Clinical studies have connected elevated Serotonin levels with a greater aptitude for accessing that which is mystical or spiritual. Hence, expression of our sexuality may provide us with a sense of feeling closer to God. When we conjoin sexually with a loving partner, the special synchronicity that transpires may cause both partners to climax simultaneously, further heightening perceptions for a spiritual experience. Some people may try to achieve this experience in ways that are not authentic, be it reckless sexual misconduct or promiscuity, or by attempting to replicate a similar effect artificially with drugs and alcohol. Ultimately, these methods will leave the perpetrator feeling hollow, angry or unsatiated.

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    A , Marriage & Family Therapy, answered
    Over the last 20 years I've seen a more relaxed approach to sex in general. I attribute this the media and TV shows like Sex in the City, Cougar Town and others. These shows glamorize casual and predatory sex among women. I also attribute it to the Internet and the ease with which people can "hook up" online and subsequently in the bedroom. Another factor that we can't ignore is the debate we've had over the last decade around gay marriage. These debates have enabled us to look at the institution of marriage as a dynamic institution that should serve people equally and meet people's emotional and sexual needs.
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    A , Cardiology (Cardiovascular Disease), answered
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    Watch this video to learn more from Dr. Mehmet Oz about one-night stands.

     
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    Other than the risk of contracting sexually transmitted diseases there is no way to determine what, if any, changes losing your virginity may have on your body. If you’re concerned about any possible effects that may occur after losing your virginity consult your physician or licensed medical professional.
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    A , Administration, answered

    A virgin, traditionally, is someone who has not had sexual intercourse. Although both men and women are virgins before they have had sex, the main pressure to be a virgin has been on women. Whether virginity is revered or denigrated, judging girls and women solely on the basis of their sexual behavior limits who they are.

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    A , Cardiology (Cardiovascular Disease), answered
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