Progestin-Only Pills
Progestin-only pills (or mini-pills) contain small doses of progesterone. Women who feel uncertain about using estrogen pills, who suffer from side effects related to estrogen, or who are nursing may want to take these pills rather than combination pills. There is still some question about the specific ways in which progestin-only pills work. Current thought is that they change the composition of the cervical mucus, thus impeding sperm travel. They may also inhibit ovulation in some women. The effectiveness rate of progestin-only pills is 96 percent, which is slightly lower than that of estrogen-containing pills. Also, their use usually leads to irregular menstrual bleeding. As with all oral contraceptives, the user has no protection against STIs.

Depo-Provera
Depo-Provera is a long-acting synthetic progesterone that is injected intramuscularly every three months. Although used in other countries for years, the FDA did not approve it for use in the United States until 1992. Researchers believe that the drug prevents ovulation.
Depo-Provera encourages sexual spontaneity because the user does not have to remember to take a pill or to insert a device. Those who want to start a family can easily decide to do so without much of a waiting period. There is fewer health problems associated with Depo-Provera than with estrogen-containing pills. The main disadvantage is irregular bleeding, which can be troublesome at first, but within a year, most women are amenorrheic (have no menstrual periods). Weight gain (an average of five pounds in the first year) is common. Other possible side effects include dizziness, nervousness, and headache. Unlike other methods of contraception, this method cannot be stopped immediately if problems arise.
*12/277/5*

Each of us experiences some feedback when we meet someone new. Sometimes in our interest in establishing a new relationship, we admit negative feelings only in retrospect. (“I wanted to see him as being the kind of person I’ve been longing for.”)
Despite their growing involvement and mutual interest in a sustained intimate relationship, Frank noticed how Ellen would look at other men and flirt with them. While this annoyed Frank, he decided that it was his own exaggerated jealousy and said nothing about it. They had agreed on an “open marriage,” but the conditions had not been explicitly stated and accepted. Frank assumed their open marriage meant Ellen would continue her professional work as a beautician, as well as pursuing various independent interests and activities without him. Ellen wanted to continue having sexual relationships with other men. She had also decided that the best way to do this was secretly and discreetly. Frank had been very explicit in stating that extramarital affairs were totally unacceptable to him. When her flirtatiousness continued after they were married, he began to express his resentment and growing distrust. Ellen reassured him (while secretly deciding to be more subtle about her flirtations) and continued her affairs. Two years later, Frank discovered Ellen had been having affairs continuously before and since their marriage. Now it became obvious to him that all along there had been signs of Ellen’s infidelity if only he had been willing to listen and pay attention to them. . ..
*194\350\8*

Like premature ejaculation, is there a premature orgasm in the female?
A woman may reach a climax immediately after the male enters her, and occasionally go off to sleep, thus depriving the male of his pleasure! This is rare and women who climax easily still enjoy the sex act and may come again a few times before the male ejaculates. In such cases, the couple may try the stop-start technique; the male stimulates her clitoris, stops for a while and restarts stimulation. He employs the same technique during penetration. It is better to adopt the woman-on-top position, so that she can regulate the pace she desires and postpone the orgasm.
Is it essential for a woman to have an orgasm?
In the West, owing to the age-long taboo on sex, it was erroneously believed that the majority of women had neither the desire nor the capacity for sexual enjoyment and gratification. The few women who achieved orgasmic release were branded defective or wicked and freaks of nature. Aristocratic parents in the Victorian era had clitoridectomy (surgical removal of the clitoris) performed as a preventive measure, if they suspected or found their daughters deriving pleasure from auto-manipulation of the clitoral region. Removal of the clitoris or suturing the vulva is prevalent even today in some societies in Africa.
India was way ahead in recognizing sexuality in the female and both Vatsyayana and Kalyanamalla stated that it was a man’s duty to gratify his partner. The teachings of these great sages were gradually lost and women were considered the weaker sex whose basic function was producing babies; if she derived enjoyment in sex, it was a bonus. With Sita as her model, she was expected to be at her husband’s beck and call whenever he wanted to gratify himself and did not bother about her own sexual pleasure and orgasm.
*170\262\8*

buy viagra from canada

generic viagra online pharmacy

Steroids such as beclomethasone (Becotide, Aldecin) These can be inhaled and used to prevent attacks. They can also be given by mouth both to prevent or treat attacks.

One of the important advances in asthma management has been the introduction of inhaled steroids. In normal doses, these have virtually no side effects, and certainly none of the problems that are associated with the long-term use of steroids taken by mouth.

Antibiotics have no place in the treatment of asthma, even though they may be prescribed (incorrectly). There is a misconception that because an attack of asthma is often precipitated by an upper respiratory tract infection, that antibiotics are useful in shortening the infection, and therefore the duration of asthma symptoms. However, the majority of infections that trigger acute asthma are viral in nature, and antibiotics will not affect them at all.

*248\90\8*

I will never, I swear I will never in my life be used to walking with a cane. I’m twenty-eight years old, for God’s sake. I’m walking with a cane, I have these tremors, and I am talking like a record stuck in slow speed. A real turn-on to my husband, isn’t it. I’m more his patient than his lover.

YOUNG WIFE WITH MS

This disease of the lining of the nerves continues to be a mystery as to cause and cure (although some patients have responded to treatment with adrenocorticotropin). Of the 167 men with MS (again these were men that included patients not in the couples group) that I interviewed, 43 reported erective problems. Of the 133 women with MS that were interviewed, the most common sexual complaint (44) was alteration or decrease in clitoral sensitivity. Both men and women reported decreased interest in sex, but interest level varied greatly over time. This variance is probably due to the ever-changing course of this illness, with symptoms coming and going with litde or no warning. It is important for the MS patient to maintain intimacy, for the possibility of return of functions assumed lost always exists. One of my patients with MS stated, “I think MS stands for muddled symptoms. You never know what will happen. I’m MS because I’m much .mrprised most of the time.”

Some of the patients reported spasticity as a symptom and had stopped having sex because of this problem. Counseling focused not on drug treatment of this condition (which may exacerbate sexual problems), but on integrating the spasticity into the sexual relationship. “I learned that slow, gradual, easy, and tender is only one side of the sexual coin. Movement, rigidity, shaking, and other movements feel good, too. Once I learned that, my sexual anxiety went down. When that happened, my symptoms seemed to decrease.” This report from one of the husbands with MS illustrates the important interaction between feelings and symptoms in all disease, and emphasizes the importance of remembering that sexuality can help heal as much as be affected by disease. Sometimes couples can “use” symptoms and not merely try to overcome them.

“I am so tired most of the time,” reported one wife. “So we have learned to be still, to have slow-motion sex. It’s actually a turn-on. You should try it. We do everything at half speed, like a slow-motion film. When we stopped trying to do it like everyone else and do it like us, everything seemed to improve.”

*284\97\8*

I first became aware of the occurrence of “psychasms” in my work with physically impaired persons. Even in those persons with complete severing of any connection between genital stimulation and the brain, orgasms and sometimes more intense orgasms than prior to injury were reported.

“I feel it. Well, I don’t actually ‘feel’ as much as I ‘experience it.’ It may be an ‘eargasm,’ or ‘neckasm’ or related to just a ‘cud-dleasm,’ but is clearly an intense orgasm. I really think I never had orgasm, at least not anything but physical orgasms, before I broke my neck.” This report came from a young skier who had injured herself in a fall several years ago. As I worked with her and her uninjured husband, they both reported a clear and distinct difference between physiological and psychological orgasms.

“I learned from her what it meant to really have orgasms, to really come. It wasn’t like just in one place … it was an overwhelming event. It sort of came over me instead of me coming.” Her husband had been freed to experience the difference between physiological reflex in reaction to genital stimulation and psychological experience through a shared body/mind experience.

Psychasm has been one of the most difficult of concepts for me to present at professional programs. “Orgasm is orgasm” is usually the argument, even though basic neurophysiolgy teaches that ejaculation and contractions are not the same as the full orgasmic experience. Discuss the issue with your partner. You will see that you are able to divide the physical from the psychological aspects of orgasm, and be able to take the “organ” out of orgasm.

*111\97\8*