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Nevertheless, there is evidence to suggest that anal intercourse is also widely practiced by women in the US 1 — 4. Given that anal intercourse is associated with higher rates of heterosexual HIV transmission than vaginal intercourse 10 — 13women who engage in unprotected anal intercourse with sexual partners of unknown or seropositive status may be at greater risk for acquiring HIV than women who do not practice anal intercourse or who use protection while doing so. Additionally, Halperin 1 found that women who engaged in anal intercourse were less likely to use condoms during anal intercourse than during vaginal intercourse. Most studies of heterosexual HIV transmission fail to distinguish between vaginal and anal intercourse in their assessments of coital acts, thus continuing to overlook anal intercourse as a potential source of HIV transmission. This oversight may be due to cultural taboos surrounding anal intercourse, including its association with homosexuality and its perceived lack of hygiene 1. A number of researchers have already pointed to the need for increased attention to anal intercourse as an understudied source of HIV transmission from seropositive men to their seronegative female partners 136 A topic that has received even scarcer attention is the circumstances under which women engage in anal intercourse. Our qualitative study was part of a larger study on rectal microbicide acceptability among men who have sex with men MSM and women who practice anal intercourse. The present analysis comes from 28 in-depth, semi-structured interviews with women with a recent history of unprotected anal intercourse with an HIV-positive or status unknown partner.

Conceptual Background The intersection of drug abuse, sexual pleasure and sexual risk behavior is rarely explored when it comes to poor women who use drugs. This paper explores the relationship amid sexual behavior and methamphetamine use all the rage a community-based sample of women, exploring not only risk, but also appeal, pleasure and the challenges of overcoming trauma. Data were integrated for assort methods analysis. Results While many participants reported sexual risk behavior unprotected vaginal or anal intercourse in the quantitative survey, sexual risk was not the central narrative pertaining to sexual behavior and methamphetamine use in qualitative findings.

A lot of cases of it respond well en route for lifestyle changes, medications, surgery, or erstwhile treatments. Even if your efforts en route for treat ED are unsuccessful, you after that your partner can still enjoy animal intimacy and a satisfying sexual animation. Learn some strategies to keep the spark in your relationship alive. Address openly about your desires and your fears. A good sex therapist be able to help you and your partner act through issues together and improve your sex life. Try to relax Angst is one of the biggest contributors to ED. In some cases, it may play a larger role than physiological problems.

Acquire enough rest. Maintaining a healthy daily life can provide encouragement for your affiliate, because you can exercise or arrange healthy meals together. Encourage her en route for treat other menopausal symptoms Your affiliate may have special health needs all the rage the menopausal period, and it is important that you are aware of these needs and support her. All the rage particular, she may need to abide hormone replacement therapy or another brand of treatment, especially to relieve angry flushes which disrupt sleep and air changes which affect libido. You be able to help by being knowledgeable about the various treatments available and helping her assess the pros and cons of various treatments. Offer to accompany her to see a doctor You be able to also provide support by accompanying her to the doctor. A health authority is your best source of assistance about menopause and can also agreement advice about a range of treatments which may be effective in relieving the symptoms of menopause, including sexual dysfunction. However, some women may not visit a doctor because they are afraid to discuss the symptoms before even because they are afraid en route for admit they are experiencing the symptoms and menopause.

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