Wednesday, October 22, 2008
At least a third of men surveyed in the United States in a 1999 report at least one incidence of premature ejaculation in the previous year. It may well be the most common male sexual problem. It occurs in men who are sexually inexperienced and also among those in sexual partnerships for many years.
Orgasm and ejaculation
Ejaculation is distinct from orgasm in men. While ejaculation describes the release of semen, orgasm is the subjective, pleasurable sensations which occur before ejaculation.
Before a boy reaches puberty, he can experience orgasm but does not ejaculate because the male organs are still immature. After several ejaculations, young men can experience orgasms without ejaculations during intercourse.
So, premature ejaculation becomes a non-issue for men who are concerned only with their own orgasms. In fact, in some cultures, it is considered very masculine to ejaculate very quickly.
Why does premature ejaculation occur?
Men are capable of orgasm within two minutes of initial stimulation while women usually require about eight minutes. It is, therefore, 'normal' for young, inexperienced men to ejaculate before their partners have reached orgasm. To achieve mutual satisfaction, men have to be able to time their ejaculation. Overanxiety will cause premature ejaculation in any relationship. Afterwards, the penis goes down and will not respond immediately to stimulation during the normal refractory period.
Premature ejaculation becomes a problem only when there is the persistent and recurrent absence of reasonable voluntary control of ejaculation. It is generally believed to be caused by psychological factors. Men may have had early sexual experiences where they hurried through intercourse. Sometimes, premature ejaculation presents many years into a relationship and may represent interpersonal problems in the relationship. Premature ejaculation results in disappointment, frustration and ultimately loss of self-esteem.
Treatment is twofold - medications that delay ejaculation and counselling. Pharmacological agents that may be used to delay ejaculation include antidepressants and benzodiazepine anxiolytics. These are useful in the short term.
Open discussion between partners with or without the help of a therapist may resolve the problem. They can be taught simple behavioural techniques to help them manage the problem. First, the frustration of the couple is reduced by teaching them sensate-focus exercises.
These exercises teach the man not to hurry during sexual relations. Then the couple is taught to manually stimulate the penis until the man is close to orgasm. They cease stimulation whenever the man feels ejaculation is imminent. This stop-start technique is repeated several times. In another technique, the man can ask his partner to squeeze his penis firmly behind the glans whenever ejaculation seems close at hand.
Both stop-start and squeeze techniques teach the man to delay ejaculation. Eventually, the man learns to change his thoughts and mental pictures when ejaculation is imminent and thus prolong intercourse.
Dr Pauline Williams-Green is a family physician and president of the Caribbean College of Family Physicians; email firstname.lastname@example.org
Rosalee M. Brown
The evidence is not clear, but there are drug trials which have been shown to reduce the risk of recurrent breast cancer in women. The results from the Breast Cancer Prevention Trial have also shown that women at high risk for breast cancer, who take the drug tamoxifen, lowered their risk by 45 per cent.
There are other available prevention measures which include preventative mastectomy and early detection through breast self-examination and routine mammograms.
What of nutrition
There are inconclusive studies and sometimes even conflicting ones regarding the role of nutrition in breast cancer prevention. The Women's Healthy Eating and Living study states that a "diet high in fruits, vegetables and fibre and somewhat lower in fat did not protect early-stage breast cancer survivors from further breast cancer, nor did it help them live longer than women in a comparison group'.
These findings contradict at least one other large study of diet and breast cancer risk. JAMA 2007 Jul 18;298(3): 289-98). Results from the Women's Intervention Nutrition study, a large randomised clinical trial reported in 2005, suggested that a low-fat diet helps prevent breast cancer recurrence in postmenopausal women, especially those whose cancers don't respond to oestrogen.
Another study, Low-fat Diet May Reduce Risk of Recurrence by Chlebowski et al, concluded that a low-fat diet may reduce the risk of breast cancer recurrence in postmenopausal women. However, in the Women's Health Initiative, completed in 2006, researchers found only a slight, statistically insignificant reduction in breast cancer risk among women 50 to 79 who lowered their total fat intake.
Factors at play
It is very difficult to study people's diet because, for example, someone who reduces his or her fat intake may also reduce his or her animal protein intake. The same individual may also increase his or her fruit and vegetable intake. So, there are many factors at play which make it difficult to isolate positive or negative effect.
Although particular foods and nutrients have not been identified as preventative weapons in the fight against breast cancer, there is evidence for the role of diet and a healthy lifestyle in other cancer prevention. The American Cancer Society advises people to reduce cancer risk through exercising, limiting alcohol use, maintaining a healthy weight (as overweight in postmenopausal women has been linked to breast cancer), breastfeeding and avoiding postmenopausal hormone replacement therapy.
Standard nutritional guidelines holds - food has a synergistic effect on health; consume a diet from the six food groups; consume more whole plant-based foods and less processed foods; consume a little animal fat and consume large amounts of fruits and vegetables of all colours.
Rosalee M. Brown is a registered dietitian/nutritionist who operates Integrated Nutrition and Health Services; email email@example.com.
Tuesday, October 21, 2008
Excerpt taken from an interview recorded in 2002, available in the documentary Songs Of Freedom.'When I graduated, and it was time for me to think about coming back to Jamaica, I made a conscious decision that I would come back here to contribute to nation building and all of that sort of stuff but on my own terms. /// Having met more and more people, I sort of know my way around gay Kingston, at least what there was at the time. And after I got my own apartment, of course, it became open house for a lot of gay people. If those walls could talk, if my dining room table could talk. These stories it would produce. A lot of people would have come out in my house. There has been all kind of revelations, breakdowns, emotional trauma and everything that you can think of that happen at my house. /// Sometimes after, there happen to be a club called The Closet, which was actually in the heart of New Kingston. I was going on well for quite a while and then we had the eternal problem of gay on gay violence, we had a lot of who we now refer as downtown people who would come there, would pick fights, break bottles, try to stab each other all that kind of wonderful behavior.
We started a Pen Pal club because we would have letters from all over Jamaica and all over the world, requesting Pen Pals. That was one of the most popular features that we carried in The Gaily News. I remember in particular one letter from this guy who signed his name and his address was Cornpiece District, Hayes, Clarendon. I was very trilled to know that we were reaching isolated rural people who otherwise would have no kind of contact with anything or anyone gay. And the fact that we were reaching these people, to me it prove that we were doing something worthwhile.
Antiretroviral medication suppressed HIV so well that no traces of it appeared in laboratory tests, researchers said. But scientists Beda Joos and Huldrych Guenthard found that the virus that causes Aids resurfaced with astounding rapidity as soon as patients stopped taking the drugs.
That led them to two debateable theories about the virus's ability to survive medical treatment: either it remained in the blood at extremely low levels of infection, or it built itself into a cell's DNA and waited.
The study looked at 20 patients who had been using anti-HIV medication for a long time. Researchers stopped giving the medicines for two-week periods, followed by two-months of steady treatment.
Numerous variations of the virus rapidly resurfaced between treatments. That meant anti-AIDS medication was so effective because it completely paralysed the virus, researchers said.
Monday, October 20, 2008
The writer, I believe, is correct to suggest that a false "health link" argument is being used as the plank to end "discrimi-nation". The writer went off the rails, however, with two other subsequent points.
Higher health risks
First, the health authorities do suggest and have emphasised that anal sexual activity carries higher health risks and so should be avoided or mitigated by the use of condoms.
I don't know if reader S. Richards is so naive as to believe, however, that this kind of activity is exclusively male/male. The influence of pornography has presented this as an acceptable activity for men and women to engage in and anecdotal stories suggest that it does take place among heterosexual couples and may even be increasing as a practice.
Usefulness of the buggery law
Therefore, the second point made in the writer's letter about the usefulness of the buggery law is irrelevant. Does the buggery law apply to a man engaging in anal sex with his female partner? If so, when has this ever been enforced? And if not, then there is discrimination against men and is, therefore, gender-biased. Also, the existence of the law, by itself, has not stopped people from engaging in their 'kinky' activities, whatever the law says.
People often know or suspect their behaviour and, apart from snide comments or the some-times derogatory remarks, for the most part, let them be. And that is how it should be. People should not be excluded from jobs or denied access to health care (if that is happening) because of what they do in the privacy of their homes as consenting adults. Where they are violating moral laws, God will deal with them in His own way, as He does with others who violate His many other strictures.
I am, etc.,
SEE THE ORIGINAL LETTER HERE
Also SEE 'Stop discriminating against gays'
Urgent Need to discuss sex & sexuality II
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Thanks for your Donations
thank you for your donations via Paypal in helping to keep this blog going, my limited frontline community work, temporary shelter assistance at my home and related costs. Please continue to support me and my allies in this venture that has now become a full time activity. When I first started blogging in late 2007 it was just as a pass time to highlight GLBTQ issues in Jamaica under then JFLAG's blogspot page but now clearly there is a need for more forumatic activity which I want to continue to play my part while raising more real life issues pertinent to us.
Activities & Plans: ongoing and future
- To continue this venture towards website development with an E-zine focus
- Work with other Non Governmental organizations old and new towards similar focus and objectives
- To find common ground on issues affecting GLBTQ and straight friendly persons in Jamaica towards tolerance and harmony
- Exposing homophobic activities and suggesting corrective solutions
- To formalise GLBTQ Jamaica's activities in the long term
- Continuing discussion on issues affecting GLBTQ people in Jamaica and elsewhere
- Welcoming, examining and implemeting suggestions and ideas from you the viewing public
- Present issues on HIV/AIDS related matters in a timely and accurate manner
- Assist where possible victims of homophobic violence and abuse financially, temporary shelter(my home) and otherwise
- Track human rights issues in general with a view to support for ALL
Information & Disclaimer
Individuals who are mentioned or whose photographs appear on this site are not necessarily Homosexual, HIV positive or have AIDS.
This blog contains pictures that may be disturbing. We have taken the liberty to present these images as evidence of the numerous accounts of homophobic violence meted out to alledged gays in Jamaica.
Faces and names witheld for the victims' protection.
This blog not only watches and covers LGBTQ issues in Jamaica and elsewhere but also general human rights and current affairs where applicable.
This blog contains HIV prevention messages that may not be appropriate for all audiences.
If you are not seeking such information or may be offended by such materials, please view labels, post list or exit.
Since HIV infection is spread primarily through sexual practices or by sharing needles, prevention messages and programs may address these topics.
This blog is not designed to provide medical care, if you are ill, please seek medical advice from a licensed practioner
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Recent Homophobic Incidents
CLICK HERE for related posts/labels and HERE from the gayjamaicawatch's BLOG containing information I am aware of. If you know of any such reports or incidents please contact firstname.lastname@example.org
What to do if you are attacked (News You Can Use)
Try to reason with the attacker: Establish communication with the person. This takes a lot of courage. However, a conversation may change the intention of an attacker.
Do not try anything foolish: If you know outmanoeuvring the attacker is impossible, do not try it.
Do not appear to be afraid: Look the attacker in the eye and demonstrate that you are not fearful.
This may have a psychological effect on the individual.
The police 119
Crime Stop 311
Steps to Take When Contronted or Arrested by Police
b) Only give name and address and no other information until a lawyer is present to assist
c) Try to be polite even if the scenario is tensed) Don’t do anything to aggravate the situation
e) Every complaint lodged at a police station should be filed and a receipt produced, this is not a legal requirement but an administrative one for the police to track reports
f) Never sign to a statement other than the one produced by you in the presence of the officer(s)
g) Try to capture a recording of the exchange or incident or call someone so they can hear what occurs, place on speed dial important numbers or text someone as soon as possible
h) File a civil suit if you feel your rights have been violatedi) When making a statement to the police have all or most of the facts and details together for e.g. "a car" vs. "the car" represents two different descriptions
j) Avoid having the police writing the statement on your behalf except incases of injuries, make sure what you want to say is recorded carefully, ask for a copy if it means that you have to return for it
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