ALL ABOUT SEX: OUR SEXUALITY

There may be some things better than sex, and some things worse, but there is nothing exactly like it. —W. C. Fields (1880-1946)

We live in a very sexual world. There are messages about sex all around us—on radio and TV, in movies, magazines, and music. Sexual imagery is used to sell everything from soap to sports cars. Political and religious leaders have a lot to say about sex, too. So do people in locker rooms, in malls, and in our own homes.
But how much of this information is actually useful? Not much. Even with all the sexual messages to which we are exposed, many people still lack accurate and understandable information about their own sexuality. That's because sex is often talked about as something bad, disgusting, shameful, sinful, weird, or just plain silly. So instead of learning to be comfortable with the subject of our sexuality, most people feel embarrassed, scared, guilty, or confused about their sexual thoughts and behaviors.
This makes it very difficult, if not impossible, for many people to talk about sex, even with their sex partners. As a result, many kids grow up not understanding their sexuality. As many discover the power of their natural sexual urges, they may engage in high-risk sex play before they are prepared to protect themselves from unintended pregnancy and sexually transmitted infections. Others become frightened and may be pressured into sexual intercourse before they are ready—physically, emotionally, or financially.
Sex is a big deal. Learning to talk about sex openly and honestly is very important. We all need to be comfortable with our sexuality.
Sexuality is a very important part of life. Not only is it the way in which we can give life to the next generation, it also gives us some of the greatest pleasures and rewards of life, yet it can also cause great sorrow. Sexuality has been used to create intimacy. It has been used to avoid intimacy. Individuals have been brutalized and wars have been fought over sexual issues. But human sexuality also inspired many of humanity's greatest achievements—in art, literature, and life. It has a powerful influence on us all.
Learning about our culture's powerful influence on human sexuality can help us better understand our world, ourselves, and our personal values. Understanding our sexuality can:
• provide us with a basic key to our own personal happiness
• make us comfortable with our sexual thoughts and feelings
• allow us to take care of ourselves, as well as to respect the rights and decisions of others
• strengthen our families
• give us the ability and confidence to make our own sexual decisions and help protect us from being victims of sexual abuse
• help us protect ourselves and our partners against STIs (sexually transmitted infections) and unwanted pregnancy
• enhance our relationships with other people
• greatly enhance our sexual pleasure
However, in our culture we often hear about the negative aspects of human sexuality. Dirty jokes and sexual ridicule and put-downs are common. Sexual relationships, whether or not they are based on love, can cause pain and sorrow. Some even end in violence and tragedy. Sex is also often used to demonstrate power and to exploit other people. Sexual abuse, sexual harassment, rape, and unwanted pregnancy are all too familiar headlines. Many of us have experienced them ourselves.
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TAKING ESTROGEN

With the onset of menopause, many women suffer from hot flashes and night sweats. Arlene March, 56, a Los Angeles psychotherapist, says she started getting hot flashes 5 years ago. “I’d be working,” she recalls, “and suddenly feel intense heat all over my body. I’d break out in a sweat. I’d have to stop work. Then Dr. Mishell prescribed estrogen pills, and I’ve not had a day of discomfort.”
Some women experience a drying and thinning of vaginal tissues in the absence of estrogen, making sex painful. They also might suffer urinary tract infections and incontinence. Estrogen therapy often helps.
Among the physicians consulted, the most cautious was Dr. Morris Notelovitz, founder of the nation’s first Menopause Center, at the University of Florida, and head of the Women’s Medical and Diagnostic Center in Gainesville, Florida. He says each symptom needs a different treatment and advises that genital tract problems be given estrogen treatment for a couple of years at most. He also urges special measurements of the bones before prescribing estrogen therapy for osteoporosis.
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WOMEN’S HEALTH

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